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            <StateAbbreviationCd>PR</StateAbbreviationCd>
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          <PersonNm>RANGER AMERICAN</PersonNm>
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            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00924</ZIPCd>
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        </ContractorAddress>
        <ServicesDesc>SECURITY SERVIC</ServicesDesc>
        <CompensationAmt>1486792</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>CPS PUERTO RICO INC</PersonNm>
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          <USAddress>
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            <CityNm>SAN JUAN</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00901</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
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          <USAddress>
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            <StateAbbreviationCd>PR</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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      <OtherRevenueMiscGrp>
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        <ManagementAndGeneralAmt>301551</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>717884</ManagementAndGeneralAmt>
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      <FSAuditedInd>true</FSAuditedInd>
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      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XIII</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE YEAR ENDED JUNE 30, 2025, THE COMPANY RECEIVED A CONTRIBUTION OF AN ARTWORK APPRAISED AT 75,000. THE DONOR HAS RESTRICTED THE USE OF THE ARTWORK TO PUBLIC EXHIBITION ONLY. IN ACCORDANCE WITH ASC 958-360, THE COMPANY HAS CAPITALIZED THE ARTWORK AS A COLLECTION ITEM, AS IT IS HELD FOR PUBLIC EXHIBITION, EDUCATION, AND RESEARCH, IS PROTECTED AND PRESERVED, AND IS SUBJECT TO A POLICY THAT REQUIRES PROCEEDS FROM ANY FUTURE DEACCESSION TO BE USED TO ACQUIRE OTHER COLLECTION ITEMS. THE CONTRIBUTION HAS BEEN RECORDED AS OTHER OPERATING REVENUE DONATION WITH DONOR RESTRICTIONS IN THE ACCOMPANYING STATEMENT OF INCOME AND CHANGES IN NET ASSETS.</ExplanationTxt>
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          <AddressLine1Txt>PO BOX 6021</AddressLine1Txt>
          <CityNm>CAROLINA</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>00984</ZIPCd>
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        <TeachingHospitalInd>X</TeachingHospitalInd>
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        <ExplanationTxt>THE HOSPITAL DOES NOT HAVE A FINANCIAL ASSISTANCE POLICY PER SE, BUT IF A PATIENT IS IDENTIFIED TO BE MEDICALLY INDIGENT, HOSPITAL PERSONNEL WILL ASSIST THE PATIENT AND ORIENT THEM OF THE PROCESS TO OBTAIN THE GOVERNMENT HEALTH INSURANCE KNOWN AS "MI SALUD".</ExplanationTxt>
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        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE YEARS ENDED JUNE 30, 2025 AND 2024, 70% AND 52%, RESPECTIVELY, OF THE AMOUNTS RESERVED AS UNCOLLECTIBLE ARE RELATED TO THIRD-PARTY PAYORS, 30% AND 48%, RESPECTIVELY, ARE RELATED TO SELF-PAY PATIENTS, WHICH INCLUDES DEDUCTIBLES AND CO-INSURANCE WHICH THE COMPANY ACCOUNTS FOR AS PATIENT BALANCE. ALSO, DURING THE YEARS 2025 AND 2024, THE COMPANY ACCOUNTED FOR 12,462,496 AND 458,816, RESPECTIVELY, FOR ACCOUNTS WRITTEN-OFF, OF WHICH 12,320,147 AND 458,816, RESPECTIVELY, CORRESPOND TO SELF-PAY PATIENTS, AND 142,349 AND NIL, RESPECTIVELY, FOR THIRD-PARTY PAYORS. FOR MORE DETAILS, PLEASE REFER TO NOTE 3.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 9B</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>THE HOSPITAL DOES NOT HAVE A FINANCIAL ASSITANCE POLICY PER SE, BUT IF A PATIENT IS IDENTIFIED TO BE MEDICALLY INDIGENT, HOSPITAL PERSONNEL WILL ASSIST THE PATIENT AND ORIENT THEM OF THE PROCESS TO OBTAIN THE GOVERMENT HEALTH INSURANCE KNOWN AS "MI SALUD".</ExplanationTxt>
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        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL SERVES PATIENTS MOSTLY FROM THE NORTHEAST OF PUERTO RICO</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FACILITY PROMOTES HEALTH CARE IMPROVEMENT BECAUSE IT IS A TEACHING HOSPITAL AND SERVES THE FEDERAL AND STATE INDIGENT PATIENTS AT THE NORTHEAST OF PUERTO RICO.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPITAL DE LA UNIVERSIDAD DE PUERTO RICO- DR. FEDERICO TRILLA, ADMINISTERED BY SERVICIOS MEDICOS UNIVERSITARIOS, INC. OFFERS PATIENTS WHO DO NOT HAVE MEDICAL INSURANCE AND DO NOT QUALIFY FOR THE PUERTO RICO HEALTH PLAN, CALLED "MI SALUD" THE SAME RATES THAT AGREE WITH THE PUERTO RICO HEALTH PLAN. IT INCLUDES HOSPITALIZATION, EMERGENCY SERVICES, IMAGING, AND OTHERS.</ExplanationTxt>
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        <OtherCompensationFilingOrgAmt>4800</OtherCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>183454</TotalCompensationFilingOrgAmt>
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        <NoncashContributionsRptF990Amt>75000</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>INDEPENDENT APPRAISAL</MethodOfDeterminingRevenuesTxt>
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        <FormAndLineReferenceDesc>SCHEDULE M, PAGE 1, PART I, LINE 30B</FormAndLineReferenceDesc>
        <ExplanationTxt>CHARITABLE DONATION. THE DONATIONS MADE UNDER THE TERMS OF THIS AGREEMENT SHALL FOR ALL PURPOSES BE TREATED AS CHARITABLE DONATIONS AND IT IS THE INTENT OF THE PARTIES THAT DONATIONS BE MADE AND USED IN COMPLIANCE WITH ALL APPLICABLE FEDERAL AND STATE LAWS GOVERNING DONATIONS MADE TO CHARITABLE ORGANIZATIONS. THE RECIPIENT REPRESENTS AND WARRANTS TO THE DONOR THAT IT IS A TAXEXEMPT ENTITY PURSUANT TO SECTION 501(C)(3) OR OTHER APPLICABLE SECTIONS OF THE INTERNAL REVENUE CODE, AS AMENDED, AND SECTION 1101 OF THE INTERNAL REVENUE CODE OF PUERTO RICO, AS AMENDED. THE PARTIES ACKNOWLEDGE THAT THEY MAY BE REQUIRED BY LAW TO REPORT INFORMATION ABOUT THE DONATIONS PROVIDED UNDER THIS AGREEMENT AND WILL DO SO TO COMPLY WITH LEGAL OBLIGATIONS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING FISCAL YEAR 2024-2025, THE UNIVERSITY OF PUERTO RICO DR. FEDERICO TRILLA HOSPITAL CONTINUED TO SERVE THE NORTH-EASTERN REGION OF PUERTO RICO THROUGH PROGRAMS AND ACTIVITIES THAT PROMOTE PREVENTION, ACCESS TO HEALTH CARE, AND COMMUNITY EDUCATION. THESE INITIATIVES REFLECT THE HOSPITAL'S ACADEMIC AND SOCIAL MISSION TO PROVIDE QUALITY MEDICAL CARE, FOSTER HEALTH EDUCATION, AND CONTRIBUTE TO THE WELL-BEING OF THE COMMUNITIES WE SERVE. 1. AURORA PROGRAM - PRENATAL CARE GROUP: THE AURORA PROGRAM CONTINUED AS AN EVIDENCE-BASED GROUP PRENATAL CARE MODEL DESIGNED TO REDUCE PREMATURITY AND IMPROVE MATERNAL EDUCATION. DURING ITS SECOND YEAR OF IMPLEMENTATION, THE PROGRAM SERVED 99 PARTICIPANTS THROUGH 21 GROUPS AND 210 EDUCATIONAL SESSIONS, ACHIEVING 96 PERCENT OF FULL-TERM BIRTHS. THE PREMATURITY RATE AMONG PARTICIPANTS WAS 4 PERCENT, OR ONE IN 25 BABIES, DEMONSTRATING A MEASURABLE REDUCTION COMPARED WITH BASELINE COMMUNITY RATES. 2. SONRISAS ESPECIALES INITIATIVE: IN PARTNERSHIP WITH THE UNIVERSITY OF PUERTO RICO SCHOOL OF DENTAL MEDICINE, PREVENTIVE AND RESTORATIVE ORAL HEALTH SERVICES WERE PROVIDED TO INDIVIDUALS WITH DEVELOPMENTAL AND PHYSICAL DISABILITIES. A TOTAL OF 20 PATIENTS BENEFITED DIRECTLY FROM THIS INITIATIVE. IN ADDITION, 40 INDIVIDUALS AMONG THE FAMILIES OF THESE PATIENTS BENEFITED INDIRECTLY THROUGH EDUCATION AND ACCESS TO ORAL HEALTH RESOURCES. 3. COMMUNITY HEALTH FAIRS AND EDUCATION ACTIVITIES: THROUGHOUT THE YEAR, THE HOSPITAL COORDINATED AND PARTICIPATED IN FOUR (4) COMMUNITY HEALTH FAIRS AND OUTREACH ACTIVITIES IN COLLABORATION WITH OTHER NON-PROFIT ORGANIZATIONS AND COLLABORATORS. THESE EVENTS PROVIDED VITAL SIGN SCREENINGS AND PREVENTIVE EDUCATION BENEFITING APPROXIMATELY OVER 650 INDIVIDUALS ACROSS THE NORTH-EASTERN AND METROPOLITAN REGION OF PUERTO RICO. PARTNERS INCLUDED FUNDACINN CAP, SUSAN G. KOMEN FOUNDATION, AND OTHER COMMUNITY GROUPS. 4. MARCH FOR BABIES - MARCH OF DIMES: THE HOSPITAL SUPPORTED THE ANNUAL MARCH FOR BABIES EVENT A CONTRIBUTION OF 2,500 TO SUPPORT MATERNAL AND INFANT HEALTH PROGRAMS IN PUERTO RICO. 5. ACCESSIBILITY AND PATIENT EXPERIENCE: THE HOSPITAL MAINTAINED FULL ACCESSIBILITY FOR PATIENTS WITH COMMUNICATION BARRIERS THROUGH ITS VIRTUAL SIGN LANGUAGE INTERPRETER PROGRAM, ACHIEVING 100 PERCENT COMPLIANCE WITH COMMUNICATION ACCESS STANDARDS. THROUGHOUT THE YEAR, 11 PATIENTS RECEIVED THIS SERVICE. THESE ACTIVITIES DEMONSTRATE THE UNIVERSITY OF PUERTO RICO DR. FEDERICO TRILLA HOSPITAL'S CONTINUED COMMITMENT TO PUBLIC HEALTH, EQUITY, AND EDUCATION. THROUGH THESE INITIATIVES, AN ESTIMATED MORE THAN 800 INDIVIDUALS WERE DIRECTLY OR INDIRECTLY IMPACTED BY THE HOSPITAL'S COMMUNITY OUTREACH AND EDUCATION EFFORTS DURING THIS FISCAL YEAR.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE REVIEW PROCESS OF THE FORM 990 IS UNDER THE RESPONSIBILITY OF THE BOARD OF DIRECTORS FINANCE COMMITTEE OF SERVICIOS MEDICOS UNIVERSITARIOS, INC. SUCH COMMITTEE AT THE SAME TIME, DELEGATES THIS TASK TO THE FINANCE DIRECTOR, WHO PERFORMS THE REVIEW OF THE 990 FORM AND IS AUTHORIZED TO PROVIDE THE RELEASE FOR THE FINAL ISSUANCE OF THE FORM.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>IF IT IS DETERMINED THAT THERE COULD BE A CONFLICT OF INTEREST AMONG THE EMPLOYEES OF THE ENTITY, THIS MUST BE COMMUNICATED TO THE PERSONNEL SUPERVISOR, WHO WILL CONSULT WITH TOP MANAGEMENT IF DEEMED NECESSARY. IN CASES WHERE ADDITIONAL INFORMATION IS NECESSARY, THE MANAGEMENT HAS TO CONSULT WITH THE LEGAL DIVISION. THE ORGANIZATION IS REQUIRED TO COMPLY WITH THE GOVERNMENT OFFICE OF ETHICS AND IS SUBJECT TO ALL THE REQUIREMENTS ESTABLISHED BY THAT OFFICE.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS APPROVES THE COMPENSATIONS OF THE CEO AND THE CFO AND SUCH COMPENSATIONS ARE EXAMINED EVERY TWO OR THREE YEARS, DEPENDING ON THE ECONOMIC SITUATION OF THE ENTITY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS APPROVES THE COMPENSATIONS OF THE CEO AND THE CFO AND SUCH COMPENSATIONS ARE EXAMINED EVERY TWO OR THREE YEARS, DEPENDING ON THE ECONOMIC SITUATION OF THE ENTITY.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPANY IS A COMPONENT UNIT OF THE UNIVERSITY AND IS DISCRETELY PRESENTED IN THE UNIVERSITY'S FINANCIAL STATEMENTS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
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