﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2009v1.7">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2011-05-13T13:26:52-05:00</Timestamp>
    <TaxPeriodEndDate>2010-09-30</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>FPV &amp; GALINDEZ CPAS PSC</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>PO BOX 364152</AddressLine1>
        <City>SAN JUAN</City>
        <State>PR</State>
        <ZIPCode>009364152</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2009-10-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>660178704</EIN>
      <Name>
        <BusinessNameLine1>SOCIEDAD ESPAOLA DE AUXILIO MUTUO</BusinessNameLine1>
        <BusinessNameLine2>Y BENEFICENCIA DE PUERTO RICO</BusinessNameLine2>
      </Name>
      <NameControl>SOCI</NameControl>
      <Phone>7877582000</Phone>
      <USAddress>
        <AddressLine1>PO BOX 191227</AddressLine1>
        <City>SAN JUAN</City>
        <State>PR</State>
        <ZIPCode>009191227</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>MARA DEL L MART</Name>
      <Title>FINANCE DIRECTOR</Title>
      <Phone>7877582000</Phone>
      <DateSigned>2011-05-13</DateSigned>
    </Officer>
    <Preparer>
      <Name>FPV GALINDEZ CPAS PSC</Name>
      <Phone>7877645049</Phone>
      <DatePrepared>2011-05-13</DatePrepared>
    </Preparer>
    <TaxYear>2009</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="7">
    <IRS990 documentId="RetDoc3" referenceDocumentId="RetDoc6">
      <NameOfPrincipalOfficerPerson>MARA DEL L MART</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>PO BOX 191227</AddressLine1>
        <City>SAN JUAN</City>
        <State>PR</State>
        <ZIPCode>009191227</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>27150069</GrossReceipts>
      <GroupReturnForAffiliates>false</GroupReturnForAffiliates>
      <Organization501c typeOf501cOrganization="3">X</Organization501c>
      <WebSite>N/A</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <ActivityOrMissionDescription>SOCIEDAD ESPAOLA DE AUXILIO MUTUO Y BENEFICIENCIA DE PUERTO RICO (THE COMPANY) HAD BEEN PREVIOUSLY FILING AS A 501 (C) (3) ORGANIZATION. ON APRIL 29, 1992 A NEW NONPROFIT ORGANIZATION WAS CREATED TO CONTINUE PROVIDING THE HOSPITAL AND HEALTH CARE SERVICES PREVIOUSLY PROVIDED UNDER THE LEGAL NAME OF THE COMPANY. ON AUGUST 20, 1992 THIS CHANGE WAS REPORTED TO THE EXEMPT ORGANIZATIONS BRANCH OF THE INTERNAL REVENUE SERVICE. THE IRS WAS INFORMED THAT THE COMPANY WOULD BECOME A CONTROLLING AFFILIATE THAT WOULD OWNED THE REAL PROPERTY AND WOULD TRANSFER ITS FUNDS (INCOME LESS EXPENSES) FOR USE IN A MANNER CONSISTENT WITH THE EXEMPTION. ON SEPTEMBER 30, 1992 THE IRS INFORMED THAT THE COMPANY IS NOT REQUIRED TO FILE A NEW APPLICATION FOR TAX EXEMPTION AS A TITLE HOLDING CORPORATION. THE COMPANY ALSO ADMINISTERS A HEALTH PLAN UNDER WHICH INDIVIDUALS IN THE COMMUNITY (WITHOUT EXEPTIONS) MAY BECOME MEMBERS WITH THE RIGHT TO RECEIVE HOSPITAL AND HEALTH CARE SERVICES AT THE FACILITIES OF HOSPITAL E</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>28</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>28</NbrIndependentVotingMembers>
      <TotalNbrEmployees>25</TotalNbrEmployees>
      <TotalGrossUBI>0</TotalGrossUBI>
      <ContributionsGrantsCurrentYear>0</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>23785977</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>23777315</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>2742612</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>2787805</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>635652</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>584949</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>27164241</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>27150069</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>731984</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>866831</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>25303822</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>24711031</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>26035806</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>25577862</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>1128435</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>1572207</RevenuesLessExpensesCY>
      <TotalAssetsBOY>178230031</TotalAssetsBOY>
      <TotalAssetsEOY>174795074</TotalAssetsEOY>
      <TotalLiabilitiesBOY>90706734</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>84737918</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>87523297</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>90057156</NetAssetsOrFundBalancesEOY>
      <MissionDescription>SOCIEDAD ESPAOLA DE AUXILIO MUTUO Y BENEFICIENCIA DE PUERTO RICO (THE COMPANY) HAD BEEN PREVIOUSLY FILING AS A 501 (C) (3) ORGANIZATION. ON APRIL 29, 1992 A NEW NONPROFIT ORGANIZATION WAS CREATED TO CONTINUE PROVIDING THE HOSPITAL AND HEALTH CARE SERVICES PREVIOUSLY PROVIDED UNDER THE LEGAL NAME OF THE COMPANY. ON AUGUST 20, 1992 THIS CHANGE WAS REPORTED TO THE EXEMPT ORGANIZATIONS BRANCH OF THE INTERNAL REVENUE SERVICE. THE IRS WAS INFORMED THAT THE COMPANY WOULD BECOME A CONTROLLING AFFILIATE THAT WOULD OWNED THE REAL PROPERTY AND WOULD TRANSFER ITS FUNDS (INCOME LESS EXPENSES) FOR USE IN A MANNER CONSISTENT WITH THE EXEMPTION. ON SEPTEMBER 30, 1992 THE IRS INFORMED THAT THE COMPANY IS NOT REQUIRED TO FILE A NEW APPLICATION FOR TAX EXEMPTION AS A TITLE HOLDING CORPORATION. THE COMPANY ALSO ADMINISTERS A HEALTH PLAN UNDER WHICH INDIVIDUALS IN THE COMMUNITY (WITHOUT EXEPTIONS) MAY BECOME MEMBERS WITH THE RIGHT TO RECEIVE HOSPITAL AND HEALTH CARE SERVICES AT THE FACILITIES OF HOSPITAL E</MissionDescription>
      <SignificantNewProgramServices>false</SignificantNewProgramServices>
      <SignificantChange>false</SignificantChange>
      <Expense>13432687</Expense>
      <Revenue>23777315</Revenue>
      <Description>PLAN MEMBERS COVERED BY THE COMPANY'S HEALTH PLAN DURING THE YEAR ENDED SEPTEMBER 30, 2010 APPROXIMATE 19,660.</Description>
      <TotalProgramServiceExpense>13432687</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="RetDoc1">true</DescribedIn501C3>
      <ScheduleBRequired>false</ScheduleBRequired>
      <PoliticalActivities>false</PoliticalActivities>
      <LobbyingActivities>false</LobbyingActivities>
      <DonorAdvisedFunds referenceDocumentId="RetDoc2">false</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="RetDoc2">false</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="RetDoc2">false</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="RetDoc2">false</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="RetDoc2">false</TermOrPermanentEndowments>
      <BalanceSheetAmountsReported referenceDocumentId="RetDoc2">true</BalanceSheetAmountsReported>
      <IndependentAuditFinancialStmt referenceDocumentId="RetDoc2">true</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="RetDoc2">true</ConsolidatedAuditFinancialStmt>
      <School>false</School>
      <ForeignOffice>false</ForeignOffice>
      <ForeignActivities>false</ForeignActivities>
      <MoreThan5000KToOrganizations>false</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>false</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>false</ProfessionalFundraising>
      <FundraisingActivities>false</FundraisingActivities>
      <Gaming>false</Gaming>
      <Hospital referenceDocumentId="RetDoc4">true</Hospital>
      <GrantsToOrganizations>false</GrantsToOrganizations>
      <GrantsToIndividuals>false</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="RetDoc5">true</ScheduleJRequired>
      <TaxExemptBonds>false</TaxExemptBonds>
      <ExcessBenefitTransaction>false</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>false</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>false</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>false</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>false</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>false</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>false</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>false</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>false</DeductibleContributionsOfArt>
      <Terminated>false</Terminated>
      <PartialLiquidation>false</PartialLiquidation>
      <DisregardedEntity referenceDocumentId="RetDoc7">false</DisregardedEntity>
      <RelatedEntity referenceDocumentId="RetDoc7">true</RelatedEntity>
      <RelatedOrgControlledEntity referenceDocumentId="RetDoc7">true</RelatedOrgControlledEntity>
      <TransfersToExemptNonChrtblOrg referenceDocumentId="RetDoc7">false</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership referenceDocumentId="RetDoc7">false</ActivitiesConductedPartnership>
      <ScheduleORequired>true</ScheduleORequired>
      <NumberFormsTransmittedWith1096>0</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>false</ComplianceWithBackupWitholding>
      <NumberOfEmployees>25</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>true</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>false</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>false</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>false</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>false</TaxablePartyNotification>
      <NonDeductibleContributions>false</NonDeductibleContributions>
      <QuidProQuoContributions>false</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>false</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>false</FundsToPayPremiums>
      <PremiumsPaid>false</PremiumsPaid>
      <Form8899Filed>false</Form8899Filed>
      <Form1098CFiled>false</Form1098CFiled>
      <ExcessBusinessHoldings>false</ExcessBusinessHoldings>
      <TaxableDistributions>false</TaxableDistributions>
      <DistributionToDonor>false</DistributionToDonor>
      <NbrVotingGoverningBodyMembers>28</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>28</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>false</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>false</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>false</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>false</MaterialDiversionOrMisuse>
      <MembersOrStockholders>true</MembersOrStockholders>
      <ElectionOfBoardMembers>true</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>false</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>true</MinutesOfGoverningBody>
      <MinutesOfCommittees>true</MinutesOfCommittees>
      <OfficerMailingAddress>false</OfficerMailingAddress>
      <LocalChapters>true</LocalChapters>
      <PoliciesReferenceChapters>true</PoliciesReferenceChapters>
      <Form990ProvidedToGoverningBody>true</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>true</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>true</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>true</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>false</WhistleblowerPolicy>
      <DocumentRetentionPolicy>false</DocumentRetentionPolicy>
      <CompensationProcessCEO>false</CompensationProcessCEO>
      <CompensationProcessOther>false</CompensationProcessOther>
      <InvestmentInJointVenture>false</InvestmentInJointVenture>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NamePerson>MARA DEL L MART</NamePerson>
        <TelephoneNumber>7877582000</TelephoneNumber>
        <AddressUS>
          <AddressLine1>AVE PONCE DE LEN</AddressLine1>
          <City>SAN JUAN</City>
          <State>PR</State>
          <ZIPCode>00919</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>ENRIQUE FIERRES GONZLEZ</NamePerson>
        <Title>PRESIDENT</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MIGUEL ECHENIQUE IPARRAGUIRRE</NamePerson>
        <Title>PAST- PRESID</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ANGEL COCERO SNCHEZ</NamePerson>
        <Title>VICE- PRESID</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BRUNO HERRERAS DAZ</NamePerson>
        <Title>VICE-PRESIDE</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JUAN LEIZN LPEZ</NamePerson>
        <Title>VICE-PRESIDE</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>VALENTN VALDERRBANO BRCENA</NamePerson>
        <Title>VICE-PRESIDE</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>FRANCISCO CARBALLO LOSADA</NamePerson>
        <Title>VICE-PRESIDE</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JESS VARGAS DOMNGUEZ</NamePerson>
        <Title>SECRETARY</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RAMN MNDEZ PREZ</NamePerson>
        <Title>SUB-SECRETAR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>EMILIO TORRES ANTUANO</NamePerson>
        <Title>TREASURER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>TELESFORO FERNNDEZ MARTNEZ</NamePerson>
        <Title>SUB-TREAURER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>URBANO RICO MOLINERO</NamePerson>
        <Title>VOWELS</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CASIMIRO DE LA TORRE PAMPLIEGA</NamePerson>
        <Title>VOWELS</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MOISS SUREZ FERNNDEZ</NamePerson>
        <Title>VOWELS</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ADOLFO TRAPOTE CARLN</NamePerson>
        <Title>VOWELS</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RAFAEL GAMO SNCHEZ</NamePerson>
        <Title>VOWELS</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MANUEL GARCA CAAS</NamePerson>
        <Title>VOWELS</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PEDRO M VIL-GIUSTI</NamePerson>
        <Title>VOWELS</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BERNARDO DEL AMO COLINA</NamePerson>
        <Title>VOWELS</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ANTONIO R ESCRIB OLIVER</NamePerson>
        <Title>VOWELS</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LUIS E CID ABRADELO</NamePerson>
        <Title>VOWELS</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JESS MARTNEZ RAGA</NamePerson>
        <Title>VOWELS</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CESAR SANTOS RIVERA</NamePerson>
        <Title>VOWELS</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ELIEZEL RODRGUEZ SEDA</NamePerson>
        <Title>VOWELS</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MILAGROS ROMERO ACHA</NamePerson>
        <Title>VOWELS</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOS M GMEZ LEN</NamePerson>
        <Title>VOWELS</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>FERNANDO DEL LLANO SOBRINO</NamePerson>
        <Title>VOWELS</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BERNARDO BUSTO PREZ</NamePerson>
        <Title>VOWEL</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>AWILDA BROCO</NamePerson>
        <Title>ADMINISTRADO</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>150716</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>14730</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>150716</TotalReportableCompFromOrg>
      <TotalOtherCompensation>14730</TotalOtherCompensation>
      <NumberIndividualsGT100K>1</NumberIndividualsGT100K>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>SANCHEZ BETANCES SIFRE</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 195055</AddressLine1>
            <City>SAN JUAN</City>
            <State>PR</State>
            <ZIPCode>00936</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <Compensation>273504</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>LUIS F SANCHEZ GARCA</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>CALLE TIRSO DE MOLINA W-8-8</AddressLine1>
            <AddressLine2>RIBERAS DEL SEORIAL</AddressLine2>
            <City>SAN JUAN</City>
            <State>PR</State>
            <ZIPCode>00926</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <Compensation>102356</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>2</NumberOfContractorsGT100K>
      <ProgramServiceRevenue>
        <Description>MEMBERSHIP DUES</Description>
        <TotalRevenueColumn>15469940</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>15469940</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>RENT</Description>
        <TotalRevenueColumn>8307375</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>8307375</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>23777315</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>2787805</TotalRevenueColumn>
        <ExclusionAmount>2787805</ExclusionAmount>
      </InvestmentIncome>
      <OtherRevenueMisc>
        <Description>RENT</Description>
        <TotalRevenueColumn>327181</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>327181</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>MISCELLANEOUS</Description>
        <TotalRevenueColumn>257768</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>257768</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <TotalOtherRevenue>584949</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>27150069</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>24362264</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>2787805</ExclusionAmount>
      </TotalRevenue>
      <CompCurrentOfficersDirectors>
        <Total>150516</Total>
        <ManagementAndGeneral>150516</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>605041</Total>
        <ManagementAndGeneral>605041</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PayrollTaxes>
        <Total>111274</Total>
        <ManagementAndGeneral>111274</ManagementAndGeneral>
      </PayrollTaxes>
      <Interest>
        <Total>4891022</Total>
        <ManagementAndGeneral>4891022</ManagementAndGeneral>
      </Interest>
      <OtherExpenses>
        <Description>HOSPITAL SERVICE COSTS</Description>
        <Total>13432687</Total>
        <ProgramServices>13432687</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>DEPRECIATION EXPENSE</Description>
        <Total>4140814</Total>
        <ManagementAndGeneral>4140814</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>SUPPLIES</Description>
        <Total>2063920</Total>
        <ManagementAndGeneral>2063920</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BAD DEBT EXPENSE</Description>
        <Total>182588</Total>
        <ManagementAndGeneral>182588</ManagementAndGeneral>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>25577862</Total>
        <ProgramServices>13432687</ProgramServices>
        <ManagementAndGeneral>12145175</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>1203597</BOY>
        <EOY>5984641</EOY>
      </CashNonInterestBearing>
      <AccountsReceivable>
        <BOY>1546047</BOY>
        <EOY>1066649</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>423878</BOY>
        <EOY>500895</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>139403040</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>59874160</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>81328848</BOY>
        <EOY>79528880</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>81692806</BOY>
        <EOY>76803265</EOY>
      </InvestmentsPubTradedSecurities>
      <OtherAssetsTotal>
        <BOY>12034855</BOY>
        <EOY>10910744</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>178230031</BOY>
        <EOY>174795074</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>4550161</BOY>
        <EOY>4105518</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>757731</BOY>
        <EOY>722309</EOY>
      </DeferredRevenue>
      <TaxExemptBondLiabilities>
        <BOY>66743635</BOY>
        <EOY>64093314</EOY>
      </TaxExemptBondLiabilities>
      <MortNotesPyblSecuredInvestProp>
        <BOY>15485000</BOY>
        <EOY>12625000</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>3170207</BOY>
        <EOY>3191777</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>90706734</BOY>
        <EOY>84737918</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <RetainedEarningsEndowmentEtc>
        <BOY>87523297</BOY>
        <EOY>90057156</EOY>
      </RetainedEarningsEndowmentEtc>
      <TotalNetAssetsFundBalances>
        <BOY>87523297</BOY>
        <EOY>90057156</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>178230031</BOY>
        <EOY>174795074</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc2">
      <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>
      <Land>
        <OtherCostOrOtherBasis>2817127</OtherCostOrOtherBasis>
        <BookValue>2817127</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>15124410</OtherCostOrOtherBasis>
        <Depreciation>14825301</Depreciation>
        <BookValue>299109</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>32990013</OtherCostOrOtherBasis>
        <Depreciation>14977103</Depreciation>
        <BookValue>18012910</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>83755238</OtherCostOrOtherBasis>
        <Depreciation>26762416</Depreciation>
        <BookValue>56992822</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>4716252</OtherCostOrOtherBasis>
        <Depreciation>3309340</Depreciation>
        <BookValue>1406912</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>79528880</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>ASSETS UNDER INDENTURE AGREEMENT</Description>
        <BookValue>7638935</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DEBT ISSUANCE COSTS</Description>
        <BookValue>1818504</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>OTHER ASSETS</Description>
        <BookValue>948152</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DUE FROM AFFILIATES</Description>
        <BookValue>505153</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>10910744</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>DUE TO AFFILIATES</Description>
        <Amount>3191777</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>3191777</TotalOfAmounts>
      <TotalRevenue>27150069</TotalRevenue>
      <TotalExpenses>25577862</TotalExpenses>
      <ExcessOrDeficitForYear>1572207</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>961652</NetUnrealizedGLOnInvestments>
      <TotalAdjustments>961652</TotalAdjustments>
      <ExcessOrDeficitPerFS>2533859</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>28111721</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>961652</NetUnrealizedGainsInvestments>
      <RevenueNotRptdF990>961652</RevenueNotRptdF990>
      <RevenueSubtotal>27150069</RevenueSubtotal>
      <TotalRevenuePerForm990>27150069</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>25577862</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>25577862</ExpensesSubtotal>
      <TotalExpensesPerForm990>25577862</TotalExpensesPerForm990>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc4">
      <CharityCarePolicy>false</CharityCarePolicy>
      <AnnualCommunityBenefitReport>false</AnnualCommunityBenefitReport>
      <BadDebtExpenseReported>false</BadDebtExpenseReported>
      <WrittenDebtCollectionPolicy>false</WrittenDebtCollectionPolicy>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>HOSPITAL ESPAOL AUXILIO MUTUO</BusinessNameLine1>
          <BusinessNameLine2>DE PUERTO RICO</BusinessNameLine2>
        </Name>
        <Address>
          <AddressLine1>PO BOX 191227</AddressLine1>
          <City>SAN JUAN</City>
          <State>PR</State>
          <ZIPCode>009191227</ZIPCode>
        </Address>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>CLNICA EXPRESO AUXILIO MUTUO</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>CARR 199 LAS CUMBRES</AddressLine1>
          <City>SAN JUAN</City>
          <State>PR</State>
          <ZIPCode>00928</ZIPCode>
        </Address>
      </Form990ScheduleHPartV>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="RetDoc5">
      <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>AWILDA BROCO</NamePerson>
        <BaseCompensationFilingOrg>150716</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>14730</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>165446</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc6">
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S MISSION</Identifier>
        <ReturnReference>FORM 990 - ORGANIZATION'S MISSION</ReturnReference>
        <Explanation>SOCIEDAD ESPAOLA DE AUXILIO MUTUO Y BENEFICIENCIA DE PUERTO RICO (THE COMPANY) HAD BEEN PREVIOUSLY FILING AS A 501 (C) (3) ORGANIZATION. ON APRIL 29, 1992 A NEW NONPROFIT ORGANIZATION WAS CREATED TO CONTINUE PROVIDING THE HOSPITAL AND HEALTH CARE SERVICES PREVIOUSLY PROVIDED UNDER THE LEGAL NAME OF THE COMPANY. ON AUGUST 20, 1992 THIS CHANGE WAS REPORTED TO THE EXEMPT ORGANIZATIONS BRANCH OF THE INTERNAL REVENUE SERVICE. THE IRS WAS INFORMED THAT THE COMPANY WOULD BECOME A CONTROLLING AFFILIATE THAT WOULD OWNED THE REAL PROPERTY AND WOULD TRANSFER ITS FUNDS (INCOME LESS EXPENSES) FOR USE IN A MANNER CONSISTENT WITH THE EXEMPTION. ON SEPTEMBER 30, 1992 THE IRS INFORMED THAT THE COMPANY IS NOT REQUIRED TO FILE A NEW APPLICATION FOR TAX EXEMPTION AS A TITLE HOLDING CORPORATION. THE COMPANY ALSO ADMINISTERS A HEALTH PLAN UNDER WHICH INDIVIDUALS IN THE COMMUNITY (WITHOUT EXEPTIONS) MAY BECOME MEMBERS WITH THE RIGHT TO RECEIVE HOSPITAL AND HEALTH CARE SERVICES AT THE FACILITIES OF HOSPITAL ESPAOL AUXILIO MUTUO DE PUERTO RICO, INC. (THE NEW NON-PROFIT HOSPITAL THAT PROVIDES THE SERVICES THAT WERE PREVIOUSLY PROVIDED UNDER THE LEGAL NAME OF THE COMPANY).</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CLASSES OF MEMBERS OR STOCKHOLDERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 6</ReturnReference>
        <Explanation>BOARD OF DIRECTORS (BOD)</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ELECTION OF MEMBERS AND THEIR RIGHTS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 7A</ReturnReference>
        <Explanation>THE MEMBERS OF THE BOARD OF TRUSTEES ARE SUBJECT TO THE FOLLOWING REQUISITES AT THE DATE OF THEIR ELECTION: -SHOULD HAVE BEEN MEMBERS OF THE ORGANIZATION'S HEALTH PLAN FOR AT LEAST TWO CONSECUTIVE YEARS PRIOR TO THEIR NOMINATION. -SHOULD HAVE SERVED AS CONSULTANT OR COUNSELOR OF ANY OF THE ORGANIZATION'S BOARD COMMISSIONS OR HAVE BEEN DIRECTOR OF ANY OF THE DEPARTMENTS OR AFFILIATES OF THE ORGANIZATION FOR AT LEAST TWO CONSECUTIVE YEARS PRIOR TO THEIR NOMINATION. -THE PRESIDENT, VICE-PRESIDENT, TREASURER, SUB-TREASURER, SECRETARY AND SUB-SECRETARY SHOULD HAVE BEEN FOUNDATION MEMBERS AND BE AT LEAST 33 YEARS OLD. -THE SEVENTEEN VOWELS SHOULD BE AT LEAST 25 YEARS OLD. EVERY THREE YEARS A PRESIDENT SHOULD BE SELECTED FOR A THREE YEAR TERM. EACH YEAR 1/3 OF THE VOWELS IS SELECTED FOR A TERM OF THREE YEARS. THE PRESIDENT SELECTS AND NOMINATES ANNUALLY FROM THE VOWELS, A FIRST VICE-PRESIDENT, AND FIVE VICE-PRESIDENTS WHICH SHOULD BE RATIFIED BY THE BOARD. THE PRESIDENT UPON TAKING POSSESSION OF HIS POSITION, SHOULD DESIGNATE FROM THE VOWELS, ONE TREASURER, ONE SECRETARY AND THEIR REPLACEMENTS. THE ELECTION FOR THE MEMBERS NOMINATED TO THE BOARD SHOULD BE MADE AT THE ANNUAL ASSEMBLY. THE MEMBERS AT THE ASSEMBLY WILL PROVIDE SECRET VOTE WHICH WILL BE DEPOSITED AT A DESIGNATED BOX. THE PRESIDENT WILL NOMINATE A COMMITTEE WHICH EVENTUALLY REPORT THE RESULTS TO THE ASSEMBLY. FOR FURTHER INFORMATION AS TO THE BOARD MEMBER RIGHTS, INCLUDING THEIR AUTHORITY, OBLIGATIONS AND RESPONSIBILITY, THE BYLAWS OF THE ORGANIZATION ARE AVAILABLE UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>POLICIES AND PROCEDURES GOVERNING CHAPTERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 10B</ReturnReference>
        <Explanation>THE AFFILIATE HAS BYLAWS WHICH ARE USED BY THE ORGANIZATION TO GOVERN THE OPERATIONS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S PROCESS USED TO REVIEW FORM 990</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 11</ReturnReference>
        <Explanation>THE REVIEW PROCESS OF THE FORM 990 IS UNDER THE RESPONSIBILITY OF THE BOARD OF DIRECTORS FINANCE COMMITTEE. SUCH COMMITTEE AT THE TIME, DELEGATES THIS TASK TO THE FINANCE DIRECTOR, WHO PERFORMS THE REVIEW OF THE FORM 990 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>GOVERNING BOARD MEMBERS GIVE THEIR TIME FOR THE BENEFIT OF THE COMMUNITY SERVED BY THIS CORPORATION. IT IS THE RESPONSIBILITY 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 ANY INTEREST COULD BE INVOLVED. THE FOLLOWING POLICY OF DUALITY AND CONFLICT OF INTEREST IS HERE BY ADOPTED: 1) ANY BOARD MEMBER OR BOARD OF THE "TRUSTEE" THAT COULD HAVE A DUALITY OR 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 WILL BE APPLICABLE TO ADMINISTRATIVE EMPLOYEES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING DOCUMENTS DISCLOSURE EXPLANATION</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENT OR BYLAWS AVAILABLE TO THE MEMBERS OF THE BOARD OF DIRECTORS AND TOP MANAGEMENT. THE POLICY OF CONFLICTS OF INTEREST IS AVAILABLE TO THE ORGANIZATION'S BOARD OF DIRECTORS, TOP MANAGEMENT AND EMPLOYEES IN ORDER THAT ALL ARE AWARE OF SUCH IN THE PERFORMANCE OF THEIR FUNCTIONS. IN CASE OF THE FINANCIAL STATEMENT THESE ARE MADE AVAILABLE TO, CERTAIN PARTIES IN ADDITION TO THE ORGANIZATION A MANAGEMENT, SUCH AS BONDHOLDERS, CREDITORS AND THE FEDERAL GOVERNMENT.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc7">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOSPITAL ESPAOL AUXILIO MUTUO</BusinessNameLine1>
          <BusinessNameLine2>DE PUERTO RICO</BusinessNameLine2>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 191227</AddressLine1>
          <City>SAN JUAN</City>
          <State>PR</State>
          <ZIPCode>009191227</ZIPCode>
        </AddressUS>
        <EIN>660486907</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>PR</LegalDomicileState>
        <ExemptCodeSection>501</ExemptCodeSection>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </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>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HOSPITAL AUXILIO MUTUO DE PR</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>I</TransactionType>
        <AmountInvolved>7800000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>