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        <ProgramServices>59631409</ProgramServices>
        <ManagementAndGeneral>19963275</ManagementAndGeneral>
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      <PayrollTaxes>
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        <ProgramServices>5068150</ProgramServices>
        <ManagementAndGeneral>8486570</ManagementAndGeneral>
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        <Total>9892224</Total>
        <ProgramServices>9645793</ProgramServices>
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      <Interest>
        <Total>221999</Total>
        <ManagementAndGeneral>221999</ManagementAndGeneral>
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        <Total>4155433</Total>
        <ProgramServices>118516</ProgramServices>
        <ManagementAndGeneral>4036917</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>SUPPLIES</Description>
        <Total>80188002</Total>
        <ProgramServices>49365677</ProgramServices>
        <ManagementAndGeneral>30822325</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>RENT EXPENSE</Description>
        <Total>8206463</Total>
        <ManagementAndGeneral>8206463</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BAD DEBT EXPENSE</Description>
        <Total>4695060</Total>
        <ManagementAndGeneral>4695060</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PROVISION FOR CLAIM LOSS</Description>
        <Total>2115996</Total>
        <ManagementAndGeneral>2115996</ManagementAndGeneral>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>202624581</Total>
        <ProgramServices>123829545</ProgramServices>
        <ManagementAndGeneral>78795036</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>3450747</BOY>
        <EOY>10447311</EOY>
      </CashNonInterestBearing>
      <AccountsReceivable>
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      <InventoriesForSaleOrUse>
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        <EOY>3164498</EOY>
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      <PrepaidExpensesDeferredCharges>
        <BOY>804241</BOY>
        <EOY>983694</EOY>
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      <LandBuildingsEquipmentBasis>31086804</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>10057812</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>18910028</BOY>
        <EOY>21028992</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
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        <EOY>3070855</EOY>
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      <OtherAssetsTotal>
        <BOY>9470568</BOY>
        <EOY>16147010</EOY>
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      <TotalAssets>
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        <EOY>99616983</EOY>
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      <AccountsPayableAccruedExpenses>
        <BOY>28372908</BOY>
        <EOY>27645005</EOY>
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      <MortNotesPyblSecuredInvestProp>
        <BOY>8290000</BOY>
        <EOY>3500000</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>7281000</BOY>
        <EOY>10309874</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>43943908</BOY>
        <EOY>41454879</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>53909298</BOY>
        <EOY>58162104</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>53909298</BOY>
        <EOY>58162104</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>97853206</BOY>
        <EOY>99616983</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>4252806</ReconcilationRevenueExpenses>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc2">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc3">
      <DisclosedOrgsLegalControl>false</DisclosedOrgsLegalControl>
      <DisclosedForCharitablePurposes>false</DisclosedForCharitablePurposes>
      <WrittenPolicyMonitoring>false</WrittenPolicyMonitoring>
      <Sect170hRequirementsSatisfied>false</Sect170hRequirementsSatisfied>
      <SolicitedAssetsForSale>false</SolicitedAssetsForSale>
      <AgentTrusteeEtc>false</AgentTrusteeEtc>
      <IncludedOnFS>false</IncludedOnFS>
      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>false</AreRelatedOrgsListedScheduleR>
      <Buildings>
        <OtherCostOrOtherBasis>5700</OtherCostOrOtherBasis>
        <BookValue>5700</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>540121</OtherCostOrOtherBasis>
        <Depreciation>174598</Depreciation>
        <BookValue>365523</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>20540476</OtherCostOrOtherBasis>
        <Depreciation>7983234</Depreciation>
        <BookValue>12557242</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>10000507</OtherCostOrOtherBasis>
        <Depreciation>1899980</Depreciation>
        <BookValue>8100527</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>21028992</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>DUE FROM RELATED PARTIES</Description>
        <BookValue>5998600</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>ASSETS SET ASIDE UNDER INSURANCE</Description>
        <BookValue>5266687</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>LONG TERM DEFFERED COMPENSATION</Description>
        <BookValue>2913205</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>ESTIMATED THIRD PARTY PAY OR SETTLE</Description>
        <BookValue>1396749</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>OTHER ASSETS</Description>
        <BookValue>565526</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>OTHER RECEIVABLES</Description>
        <BookValue>6243</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>16147010</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>RESERVE FOR MALPRACTICE LOSS</Description>
        <Amount>7323029</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>LONG TERM DEFFERED COMPENSATION</Description>
        <Amount>2913205</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO RELATED PARTIES</Description>
        <Amount>73640</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>10309874</TotalOfAmounts>
      <TotalRevenue>206877387</TotalRevenue>
      <TotalExpenses>202624581</TotalExpenses>
      <ExcessOrDeficitForYear>4252806</ExcessOrDeficitForYear>
      <ExcessOrDeficitPerFS>4252806</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>206877387</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>206877387</RevenueSubtotal>
      <TotalRevenuePerForm990>206877387</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>202624581</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>202624581</ExpensesSubtotal>
      <TotalExpensesPerForm990>202624581</TotalExpensesPerForm990>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc5">
      <CharityCarePolicy>false</CharityCarePolicy>
      <AnnualCommunityBenefitReport>false</AnnualCommunityBenefitReport>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>4695060</BadDebtExpenseAmount>
      <WrittenDebtCollectionPolicy>false</WrittenDebtCollectionPolicy>
      <NumberOfHospitalFacilities>2</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>HOSPITAL ESPAOL AUXILIO MUTUO</BusinessNameLine1>
          <BusinessNameLine2>DE PUERTO RICO INC</BusinessNameLine2>
        </Name>
        <Address>
          <AddressLine1>PO BOX 191227</AddressLine1>
          <City>SAN JUAN</City>
          <State>PR</State>
          <ZIPCode>009191227</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>2</FacilityNumber>
        <Name>
          <BusinessNameLine1>CLNICA EXPRESO AUXILIO MUTUO</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>CARR199 LAS CUMBRE</AddressLine1>
          <City>SAN JUAN</City>
          <State>PR</State>
          <ZIPCode>00928</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>HOSPITAL ESPAOL AUXILIO MUTUO</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>false</EligibilityCriteriaExplained>
        <UsesFPGFree>false</UsesFPGFree>
        <UsesFPGDiscounted>false</UsesFPGDiscounted>
        <ExplainsBasis>false</ExplainsBasis>
        <ExplainsApplicationMethod>false</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>false</IncludesPublicityMeasures>
        <ActionsOnNonpayment>false</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>CLNICA EXPRESO AUXILIO MUTUO</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>2</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>false</EligibilityCriteriaExplained>
        <UsesFPGFree>false</UsesFPGFree>
        <UsesFPGDiscounted>false</UsesFPGDiscounted>
        <ExplainsBasis>false</ExplainsBasis>
        <ExplainsApplicationMethod>false</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>false</IncludesPublicityMeasures>
        <ActionsOnNonpayment>false</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="RetDoc6">
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>JORGE L MATTA</NamePerson>
        <BaseCompensationFilingOrg>384375</BaseCompensationFilingOrg>
        <TotalCompensationFilingOrg>384375</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOS ISADO ZARDON</NamePerson>
        <BaseCompensationFilingOrg>253028</BaseCompensationFilingOrg>
        <TotalCompensationFilingOrg>253028</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>RAFAEL JACA VZQUEZ</NamePerson>
        <BaseCompensationFilingOrg>157707</BaseCompensationFilingOrg>
        <TotalCompensationFilingOrg>157707</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc7">
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S MISSION</Identifier>
        <ReturnReference>FORM 990 - ORGANIZATION'S MISSION</ReturnReference>
        <Explanation>THE 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CLASSES OF MEMBERS OR STOCKHOLDERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 6</ReturnReference>
        <Explanation>BOD (BOARD OF DIRECTORS).</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ELECTION OF MEMBERS AND THEIR RIGHTS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 7A</ReturnReference>
        <Explanation>BOARD 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S PROCESS USED TO REVIEW FORM 990</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 11B</ReturnReference>
        <Explanation>THE 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ENFORCEMENT OF CONFLICTS POLICY</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 12C</ReturnReference>
        <Explanation>IT 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING DOCUMENTS DISCLOSURE EXPLANATION</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 19</ReturnReference>
        <Explanation>NO DOCUMENTS AVAILABLE TO THE PUBLIC</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc8">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SOCIEDAD ESPAOLA AUXILIO MUTUO</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>Y BENEFICIENCIA DE PUERTO RICO</AddressLine1>
          <City>SAN JUAN</City>
          <State>PR</State>
          <ZIPCode>00919</ZIPCode>
        </AddressUS>
        <EIN>660178704</EIN>
        <PrimaryActivities>PROPERTY</PrimaryActivities>
        <LegalDomicileState>PR</LegalDomicileState>
        <ExemptCodeSection>501C3</ExemptCodeSection>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SOCIEDAD ESPAOLA AUXILIO MUTUO</BusinessNameLine1>
          <BusinessNameLine2>Y BENEFICIENCIA DE PUERTO RICO</BusinessNameLine2>
        </NameOfOtherOrganization>
        <TransactionType>J</TransactionType>
        <AmountInvolved>7800000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>