<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2021v4.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2023-02-07T10:52:16-05:00</ReturnTs>
    <TaxPeriodEndDt>2022-03-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>660703468</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>GALINDEZ LLC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>PO BOX 364152</AddressLine1Txt>
        <CityNm>SAN JUAN</CityNm>
        <StateAbbreviationCd>PR</StateAbbreviationCd>
        <ZIPCd>009364152</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2021-04-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>660776102</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>HOSPITAL MENONITA CAGUAS INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>HOSP</BusinessNameControlTxt>
      <PhoneNum>7874341700</PhoneNum>
      <USAddress>
        <AddressLine1Txt>PO BOX 1650</AddressLine1Txt>
        <CityNm>CIDRA</CityNm>
        <StateAbbreviationCd>PR</StateAbbreviationCd>
        <ZIPCd>00739</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>LYMARI COLON COLON</PersonNm>
      <PersonTitleTxt>CFO</PersonTitleTxt>
      <PhoneNum>7874341700</PhoneNum>
      <SignatureDt>2023-02-07</SignatureDt>
    </BusinessOfficerGrp>
    <SigningOfficerGrp>
      <PersonFullName>
        <PersonFirstNm>LYMARI</PersonFirstNm>
        <PersonLastNm>COLON COLON</PersonLastNm>
      </PersonFullName>
      <SSN>999009999</SSN>
    </SigningOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>YELITZA LOPEZ RIVERA</PreparerPersonNm>
      <PTIN>P00965097</PTIN>
      <PhoneNum>7877254545</PhoneNum>
      <PreparationDt>2023-02-07</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2021</TaxYr>
    <BuildTS>2023-03-07 01:45:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="7">
    <IRS990 documentId="RetDoc2" referenceDocumentId="RetDoc5 RetDoc1">
      <InitialReturnInd>X</InitialReturnInd>
      <PrincipalOfficerNm>RICARDO HERNNDEZ RIVERA</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>PO BOX 1650</AddressLine1Txt>
        <CityNm>CIDRA</CityNm>
        <StateAbbreviationCd>PR</StateAbbreviationCd>
        <ZIPCd>00739</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>113843157</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.SISTEMAMENONITA.COM</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>2011</FormationYr>
      <LegalDomicileStateCd>PR</LegalDomicileStateCd>
      <ActivityOrMissionDesc>PROVIDE COMPETENT, INNOVATIVE AND ACCESSIBLE EMERGENCY AND ACUTE CARE SERVICES FOR THE RESIDENTS OF THE MUNICIPALITY OF CAGUAS AND SURROUNDING MUNICIPALITIES IN A WARMTH ATMOSPHERE, WITHOUT DISCRIMINATION OF RACE, COLOR, SEX, RELIGION, POLITICAL BELIEF, NATIONALITY, AGE OR DISABILITY.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>9</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>9</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>800</TotalEmployeeCnt>
      <TotalVolunteersCnt>9</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <CYContributionsGrantsAmt>0</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>88054658</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>106746592</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>320639</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>338967</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>12968342</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>6757598</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>101343639</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>113843157</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>29107061</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>35091324</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>49030205</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>59612956</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>78137266</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>94704280</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>23206373</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>19138877</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>151902973</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>169418501</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>69493229</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>67869880</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>82409744</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>101548621</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>PROVIDE COMPETENT, INNOVATIVE AND ACCESSIBLE EMERGENCY AND ACUTE CARE SERVICES FOR THE RESIDENTS OF THE MUNICIPALITY OF CAGUAS AND SURROUNDING MUNICIPALITIES IN A WARMTH ATMOSPHERE, WITHOUT DISCRIMINATION OF RACE, COLOR, SEX, RELIGION, POLITICAL BELIEF, NATIONALITY, AGE OR DISABILITY.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>71189118</ExpenseAmt>
      <RevenueAmt>113504190</RevenueAmt>
      <Desc>PATIENT CARE-THE HOSPITAL PROVIDES GENERAL HEALTH CARE SERVICES TO PATIENTS WITHIN ITS GEOGRAPHICAL LOCATION. EXPENSES INCLUDE HEALTH CARE AND GENERAL AND ADMINISTRATIVE. MEDICAL EXPENSE ASSISTANCE- THE HOSPITAL PROVIDES CHARITY CARE WITHOUT CHARGE OF AN AMOUNT LESS THAN ESTABLISHED RATIOS TO PATIENTS WHO MEET CERTAIN CRITERIA. CHARGES FORGONE BASED ON STANDARD RATES.</Desc>
      <TotalProgramServiceExpensesAmt>71189118</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc8">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd>false</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc3">true</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc3">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc3">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc3">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc3">false</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc3">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc3">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc3">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc3">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc3">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc3">false</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc3">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc3">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd referenceDocumentId="RetDoc7">true</OperateHospitalInd>
      <AuditedFinancialStmtAttInd referenceDocumentId="RetDoc1">true</AuditedFinancialStmtAttInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd>false</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd referenceDocumentId="RetDoc4">false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd referenceDocumentId="RetDoc4">false</PYExcessBenefitTransInd>
      <LoanOutstandingInd referenceDocumentId="RetDoc4">true</LoanOutstandingInd>
      <GrantToRelatedPersonInd referenceDocumentId="RetDoc4">false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd referenceDocumentId="RetDoc4">false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd referenceDocumentId="RetDoc4">false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd referenceDocumentId="RetDoc4">false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc6">false</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc6">true</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc6">false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc6">false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>0</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>800</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <Form8899Filedind>false</Form8899Filedind>
      <Form1098CFiledInd>false</Form1098CFiledInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>9</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>9</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>true</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>true</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>false</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>HOSPITAL MENONITA CAGUAS INC</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>7874341700</PhoneNum>
        <USAddress>
          <AddressLine1Txt>CARR 172 SALIDA 21 TURABO GARDEN</AddressLine1Txt>
          <CityNm>CAGUAS</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>00927</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>LCDO JOSE G PASTRANA</PersonNm>
        <TitleTxt>ADMINISTRATO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>144145</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANNA E ROLON BONILLA</PersonNm>
        <TitleTxt>FINANCE DIRE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>125211</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARMEN MORALES COLON</PersonNm>
        <TitleTxt>NEURO DIRECT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>116420</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HEYDIMAR QUIONES MORA</PersonNm>
        <TitleTxt>PHARMACIST O</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>102734</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ING ALEX A ESPADA ORTIZ</PersonNm>
        <TitleTxt>PLANT DIRECT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>95000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GISELA ROSADO RODRIGUEZ</PersonNm>
        <TitleTxt>INFO MANAGEM</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>83468</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARIA GIUSTI GONZALEZ</PersonNm>
        <TitleTxt>QUALITY DIRE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>81149</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARIA I SILVA LOPEZ</PersonNm>
        <TitleTxt>HR DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>80692</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SANDRA L LUNA BERMUDEZ</PersonNm>
        <TitleTxt>NURSING DIRE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>79914</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NOELIA ORTIZ DIAZ</PersonNm>
        <TitleTxt>COMPTROLLER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>55000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WIDALYS PEREZ ALICEA</PersonNm>
        <TitleTxt>UTILIZATION</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>53560</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ILIANA HERNANDEZ SANTIAGO</PersonNm>
        <TitleTxt>LABORATORY D</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>52090</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MEI-LING GONZALEZ SUAREZ</PersonNm>
        <TitleTxt>SECURITY DIR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>51545</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LCDA WANDA FRANCO RODRIGUEZ</PersonNm>
        <TitleTxt>NUTRITION DI</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>49796</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GLADYS J RIVERA CASTRO</PersonNm>
        <TitleTxt>ADMISSIONS D</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>46947</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LESLIE ANN CARVAJAL CAMACHO</PersonNm>
        <TitleTxt>RADIOLOGY DI</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>45912</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANA E VELAZQUEZ FUENTES</PersonNm>
        <TitleTxt>SOCIAL WORK</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>43216</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MAYBETH MARTINEZ ROSARIO</PersonNm>
        <TitleTxt>THERAPY DIRE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>40339</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1347138</TotalReportableCompFromOrgAmt>
      <IndivRcvdGreaterThan100KCnt>4</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>false</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PEDIATRIC PROF PSCP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>URB CAMPINAS DE NAVARRO</AddressLine1Txt>
            <AddressLine2Txt>1 AVE CAMPINAS DE NAVARRO</AddressLine2Txt>
            <CityNm>GURABO</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>007785500</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICE</ServicesDesc>
        <CompensationAmt>3121976</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SPM RAD GROUP PSC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 34120</AddressLine1Txt>
            <CityNm>GUAYNABO</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00934</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICE</ServicesDesc>
        <CompensationAmt>3115376</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MEDHEALTH</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>METRO PLAZA TOWERS 303</AddressLine1Txt>
            <AddressLine2Txt>CALLE VILLAMIL APT 1801</AddressLine2Txt>
            <CityNm>SAN JUAN</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>009072841</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICE</ServicesDesc>
        <CompensationAmt>1354082</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PERFECT INTEGRATED</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>100 GRAND BOULEVARD</AddressLine1Txt>
            <AddressLine2Txt>LOS PASESOS 112 MCS 115</AddressLine2Txt>
            <CityNm>SAN JUAN</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00926</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MAINTENANCE</ServicesDesc>
        <CompensationAmt>1233459</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CARIBBEAN STEEL &amp; CABLE CO</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 6354</AddressLine1Txt>
            <CityNm>CAGUAS</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00726</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>846683</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>30</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>106746592</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>106746592</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>106746592</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>338967</TotalRevenueColumnAmt>
        <ExclusionAmt>338967</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>881263</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>881263</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>881263</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>881263</RelatedOrExemptFuncIncomeAmt>
      </NetRentalIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER OPERATING REVENUE</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>3771891</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3771891</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA &amp; DIETARY SERVICES</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>1584327</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1584327</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>520117</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>520117</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>5876335</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>113843157</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>113504190</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>338967</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1355293</TotalAmt>
        <ProgramServicesAmt>1355293</ProgramServicesAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>21058924</TotalAmt>
        <ProgramServicesAmt>19310846</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1748078</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>12677107</TotalAmt>
        <ProgramServicesAmt>5052495</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7624612</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>152103</TotalAmt>
        <ProgramServicesAmt>3713</ProgramServicesAmt>
        <ManagementAndGeneralAmt>148390</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>88429</TotalAmt>
        <ProgramServicesAmt>5</ProgramServicesAmt>
        <ManagementAndGeneralAmt>88424</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>18394339</TotalAmt>
        <ProgramServicesAmt>17132894</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1261445</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <InterestGrp>
        <TotalAmt>2066015</TotalAmt>
        <ManagementAndGeneralAmt>2066015</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>4902069</TotalAmt>
        <ProgramServicesAmt>2311267</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2590802</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>1840935</TotalAmt>
        <ManagementAndGeneralAmt>1840935</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>20200658</TotalAmt>
        <ProgramServicesAmt>20107173</ProgramServicesAmt>
        <ManagementAndGeneralAmt>93485</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OTHER DIRECT EXPENSES</Desc>
        <TotalAmt>7022620</TotalAmt>
        <ProgramServicesAmt>4121727</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2900893</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>UTILITIES</Desc>
        <TotalAmt>3201103</TotalAmt>
        <ProgramServicesAmt>283510</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2917593</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL MALPRACTICE CLAIM</Desc>
        <TotalAmt>1510195</TotalAmt>
        <ProgramServicesAmt>1510195</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>234490</TotalAmt>
        <ManagementAndGeneralAmt>234490</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>94704280</TotalAmt>
        <ProgramServicesAmt>71189118</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23515162</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>52597734</BOYAmt>
        <EOYAmt>60770268</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>10000</BOYAmt>
        <EOYAmt>10000</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>21951784</BOYAmt>
        <EOYAmt>23207441</EOYAmt>
      </AccountsReceivableGrp>
      <ReceivablesFromOfficersEtcGrp>
        <EOYAmt>29200</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>1774434</BOYAmt>
        <EOYAmt>3543859</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>1145437</BOYAmt>
        <EOYAmt>1137801</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>242071</BOYAmt>
        <EOYAmt>1852581</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>101638508</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>27535869</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>68354558</BOYAmt>
        <EOYAmt>74102639</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>4308673</BOYAmt>
        <EOYAmt>4308673</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>1518282</BOYAmt>
        <EOYAmt>456039</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>151902973</BOYAmt>
        <EOYAmt>169418501</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>13316580</BOYAmt>
        <EOYAmt>12652178</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <EOYAmt>280403</EOYAmt>
      </DeferredRevenueGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>56176649</BOYAmt>
        <EOYAmt>54937299</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>69493229</BOYAmt>
        <EOYAmt>67869880</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>82409744</BOYAmt>
        <EOYAmt>101548621</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>82409744</BOYAmt>
        <EOYAmt>101548621</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>151902973</BOYAmt>
        <EOYAmt>169418501</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>19138877</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolAndSepBasisFinclStmtInd>X</ConsolAndSepBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc8">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc3">
      <DonorAdvisedFundsHeldCnt>3</DonorAdvisedFundsHeldCnt>
      <DonorAdvisedFundsContriAmt>3609343</DonorAdvisedFundsContriAmt>
      <DonorAdvisedFundsVlEOYAmt>3387543</DonorAdvisedFundsVlEOYAmt>
      <DisclosedOrgLegCtrlInd>true</DisclosedOrgLegCtrlInd>
      <DisclosedForCharitablePrpsInd>true</DisclosedForCharitablePrpsInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>9848690</OtherCostOrOtherBasisAmt>
        <BookValueAmt>9848690</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>55759845</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>9638118</DepreciationAmt>
        <BookValueAmt>46121727</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>30526195</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>16491682</DepreciationAmt>
        <BookValueAmt>14034513</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>5503778</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1406069</DepreciationAmt>
        <BookValueAmt>4097709</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>74102639</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LONG-TERM DEBT</Desc>
        <Amt>45223273</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUAL FOR MEDICAL MALPRACTICE</Desc>
        <Amt>5000801</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CURRENT PORTION OF LONG-TERM DEBT</Desc>
        <Amt>1676140</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CONTRACT LIABILITIES</Desc>
        <Amt>1602136</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO RELATED PARTIES</Desc>
        <Amt>1434949</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>54937299</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>113843157</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>113843157</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>113843157</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>94704280</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>94704280</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>94704280</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc7">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <Percent100Ind>X</Percent100Ind>
      <FPGReferenceDiscountedCareInd>false</FPGReferenceDiscountedCareInd>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>true</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>false</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>true</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>false</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>544899</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>2019120</DirectOffsettingRevenueAmt>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedCostsGrp>
        <TotalCommunityBenefitExpnsAmt>34493235</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>26197436</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>8295799</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.08780</TotalExpensePct>
      </UnreimbursedCostsGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>35038134</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>28216556</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>8295799</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.08780</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>3653</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>3653</NetCommunityBenefitExpnsAmt>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>3653</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>3653</NetCommunityBenefitExpnsAmt>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>35041787</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>28216556</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>8299452</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.08780</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <BadDebtExpenseReportedInd>false</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>234490</BadDebtExpenseAmt>
      <ReimbursedByMedicareAmt>5223945</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>8041869</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-2817924</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>false</WrittenDebtCollectionPolicyInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>HOSPITAL MENONITA CAGUAS INC</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>CARR 172 SALIDA 21 TURABO GARDENS</AddressLine1Txt>
          <CityNm>CAGUAS</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>00727</ZIPCd>
        </USAddress>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>HOSPITAL MENONITA CAGUAS INC</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>4</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>false</CHNAConductedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicaidMedcrPrvtInd>X</LookBackMedicaidMedcrPrvtInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, HOSPITAL MENONITA CAGUAS, INC. - PART V, LINE 13B</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPITAL MENONITA CAGUAS ESTABLISHES AND REVIEWS ANNUALLY ITS OWN INCOME LEVEL GUIDANCE BASED ON THE FPG ISSUED BY HHS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>2</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CENTRO DE SALUD YABUCOA</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>CARR 9001 KM 5</AddressLine1Txt>
            <CityNm>YABUCOA</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00767</ZIPCd>
          </USAddress>
          <FacilityTxt>EMERGENCY ROOM - 24 HOURS</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CENTRO DE SALUD CULEBRA</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>C/ WILLIAM FONT</AddressLine1Txt>
            <CityNm>CULEBRA</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00775</ZIPCd>
          </USAddress>
          <FacilityTxt>EMERGENCY ROOM - 24 HOURS</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL PATIENTS ARE RESPONSIBLE OF CHARGES NOT COVERED BY MEDICARE PART A AND B. THE MEDICARE PROGRAM ESTABLISHES THAT THE HOSPITAL SHOULD MAKE AT LEAST THREE COLLECTION EFFORTS WHEN THE PATIENT IS RESPOSIBLE FOR THE ACCOUNT. THIS REQUIREMENT APPLIES TO PATIENTS WITH PRIVATE MEDICARE OR 0% INDIGENCE. IF THE COLLECTION EFFORTS TO THE PATIENTS ARE UNSUCCESSFUL MEDICARE WILL REIMBURSE THE HOSPITAL THE AMOUNT NOT PAID. THE COLLECTION DEPARTMENT WILL TRANSFER THIS AMOUNT TO BAD DEBTS. A RECOMMENDATION FOR THE ELIMINATION OF THE ACCOUNT SHALL FOLLOW ONCE A COST REPORT IS PREPARED AND AN AUDIT PROCEDURE IS CONCLUDED. FOR PATIENTS WITH MEDICARE-MEDICAID 100% INDIGENCE AND MEDICARE-REFORM THE SAME PROCESS IS USED EXCEPT THE THREE COLLECTION EFFORTS WILL NOT APPLY. THE MEDICARE PROGRAM WILL REIMBURSE THE CORRESPONDING PERCENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>A MINIMUM OF FOUR COLLECTION EFFORTS TO PATIENTS SHOULD BE DONE BEFORE ELIMINATING AN ACCOUNT. THE FIRST ONE MUST BE DONE AT THE MOMENT THE SERVICE IS PERFORMED OR DURING THE TIME THE PATIENT IS HOSPITALIZED. THREE COLLECTION LETTERS WILL BE SEND BEFORE THE COLLECTION DEPARTMENT DECIDES IF THEY WILL REFER THE ACCOUNT TO A COLLECTIONS AGENCY OR RECOMMENDS THE ELIMINATION OF THE ACCOUNT. ALL COLLECTION EFFORTS TO THE HEALTH INSURANCE WILL USE AS GUIDELINES RULE NO. 73 OF JANUARY 15, 2003, PROMPT PAYMENT TO HEALTH CARE SERVICES PROVIDER. IF NO RESPONSE, THE COLLECTION DEPARTMENT WILL DECIDE IF THEY WILL CHARGE THE PATIENT OR RECOMMEND THE ELIMINATION OF THE ACCOUNT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 1 - BASED ON THE PROVISIONS OF NOTICE 2011-52 AND THE REGULATIONS FOR SECTION 501(R)(1) OF THE INTERNAL REVENUE CODE, THE TERM "STATE", AS INCLUDED IN THE DEFINITION FOR "HOSPITAL FACILITY", INCLUDES ONLY THE 50 STATES AND THE DISTRICT OF COLUMBIA AND NOT ANY US TERRITORY OR FOREIGN COUNTRY. THEREFORE, THOSE HOSPITAL FACILITIES LOCATED OUTSIDE OF THE 50 STATES OF THE UNITED STATES AND THE DISTRICT OF COLUMBIA SHALL NOT BE REQUIRED TO COMPLY WITH THE COMMUNITY HEALTH NEED ASSESSMENT. PART V, SECTION B, LINE 9 &amp; LINE 10 - THE FINANCIAL ASSISTANCE POLICY IS BASED ON MEDICARE COST REPORT RATIO.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleL documentId="RetDoc4">
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>CARMEN MORALES</PersonNm>
        <RelationshipWithOrgTxt>DIRECTOR</RelationshipWithOrgTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>32500</OriginalPrincipalAmt>
        <BalanceDueAmt>29200</BalanceDueAmt>
        <DefaultInd>true</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <TotalBalanceDueAmt>29200</TotalBalanceDueAmt>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVIDE COMPETENT, INNOVATIVE AND ACCESSIBLE EMERGENCY AND ACUTE CARE SERVICES FOR THE RESIDENTS OF THE MUNICIPALITY OF CAGUAS AND SURROUNDING MUNICIPALITIES IN A WARMTH ATMOSPHERE, WITHOUT DISCRIMINATION OF RACE, COLOR, SEX, RELIGION, POLITICAL BELIEF, NATIONALITY, AGE OR DISABILITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR THE YEAR ENDED MARCH 31, 2022, THIS RETURN INCLUDES THE FINANCIAL INFORMATION FOR THE WHOLE YEAR TO TIE WITH THE ISSUED AUDITED FINANCIAL STATEMENTS, EVEN THOUGH THE EXEMPTION REQUESTED WAS APPROVED WITH AN EFFECTIVE DATE AS OF MARCH 22, 2022. THE ENTITY ONLY OPERATES AND PROVIDE SERVICES IN PUERTO RICO. FULL YEAR FINANCIAL INFORMATION IS USED FOR PURPOSE OF PROVIDING TRANSPARENCY OF THE CHARITABLE OPERATIONS OF THE ENTITY. IF AN ALLOCATION IS NEEDED, PLEASE LET US KNOW AND WE WILL PROVIDE ONE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>MENNONITE GENERAL HOSPITAL, INC. IS THE SOLE MEMBER OF THE ENTITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>AS THE SOLE MEMBER, MENNONITE GENERAL HOSPITAL HAS THE POWER TO APPOINT SOME OF THE MEMBERS OF THE BOARD OF DIRECTORS, PURSUANT TO THE CORPORATION BYLAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE INFORMATIVE RETURN FOR INCOME TAX EXEMPT ORGANIZATIONS IS PREPARED BY A CONTRACTED EXTERNAL CERTIFIED PUBLIC ACCOUNTANT. THE RETURN IS REVIEWED BY THE CHIEF FINANCIAL OFFICER, THE CHIEF EXECUTIVE OFFICER OR THE PRESIDENT OF THE BOARD OF DIRECTORS. THE RETURN IS SIGNED BY THE CHIEF FINANCIAL OFFICER OR THE CHIEF EXECUTIVE OFFICER OR ANY OTHER OFFICER DULY AUTHORIZED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE INTERNAL AUDIT DEPARTMENT CONTINUOUSLY EVALUATES TRANSACTIONS TO ASSURE THE COMPLIANCE WITH THE PLICY AND CONTRACTUAL CLAUSES IN EVERY DEPARTMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>HUMAN RESOURCES EVALUATES THE COMPENSATION FOR ANY POSITION WHEN THE POSITION IS AVAILABLE FOR RECRUITING. THEY COMPARE WITH MARKET THROUGH BENCHMARKING WITH OTHER SIMILAR HOSPITALS, JOB EXPERIENCES, EXPERTISE AND PERFORMANCE, CAREER TRACK, AMONG OTHERS. FINAL RECOMMENDATION IS EVALUATED AND APPROVED AT CORPORATE LEVEL. THE CHIEF EXECUTIVE OFFICER COMPENSATION IS ALSO APPROVED BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>HUMAN RESOURCES EVALUATES THE COMPENSATION FOR ANY POSITION WHEN THE POSITION IS AVAILABLE FOR RECRUITING. THEY COMPARE WITH MARKET THROUGH BENCHMARKING WITH OTHER SIMILAR HOSPITALS, JOB EXPERIENCES, EXPERTISE AND PERFORMANCE, CAREER TRACK, AMONG OTHERS. FINAL RECOMMENDATION IS EVALUATED AND APPROVED AT CORPORATE LEVEL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS INFORMATION IS AVAILABLE ONLY WHEN REQUIRED. GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO REQUIRED AGENCIES. THE CONFLICT OF INTEREST POLICY IS AVAILABLE TO ALL EMPLOYEES, BOARD MEMBERS AND OTHER AGENCIES, AS REQUIRED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER FEES 17,132,894 1,261,445 0</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc6">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HOSPITAL MENONITA GUAYAMA INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <EIN>660876852</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PR</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HOSPITAL MENONITA HUMACAO INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <EIN>660938154</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PR</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MENNONITE GENERAL HOSPITAL INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <EIN>660219758</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PR</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PLAN DE SALUD MENONITA INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO BOX 44</AddressLine1Txt>
          <CityNm>AIBONITO</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>00705</ZIPCd>
        </USAddress>
        <EIN>660636242</EIN>
        <PrimaryActivitiesTxt>HEALTH PLA</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PR</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
