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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANTONIO FERNOS SAGEBIEN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LCDO DAVID VERA UMPIERRE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARLOS MIRO GONZALEZ</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR JULIO DIAZ PADILLA</PersonNm>
        <TitleTxt>MEDICAL FACULTY PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MANUEL BARREIRO RIVERA</PersonNm>
        <TitleTxt>FINANCE DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>2400</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>836845</TotalReportableCompFromOrgAmt>
      <IndivRcvdGreaterThan100KCnt>1</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>false</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>MANUEL TORRES GRAJALES</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 365067</AddressLine1Txt>
            <CityNm>SAN JUAN</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00936</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HEALTH CARE PROVIDED</ServicesDesc>
        <CompensationAmt>244800</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ALPHA BIOMEDICAL AND DIAGNOSTICS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>BO NAVARRO</AddressLine1Txt>
            <CityNm>GURABO</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00778</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL EQUIPMENT</ServicesDesc>
        <CompensationAmt>160628</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PERFECT INTEGRATE SOLUTIONS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PMB 115 100 GRAND PASEO STE 112</AddressLine1Txt>
            <CityNm>SAN JUAN</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00926</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CLEANING SERVICES</ServicesDesc>
        <CompensationAmt>117942</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CAPITOL SECURITY POLICE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>CALLE VICTOR LOPEZ 703</AddressLine1Txt>
            <CityNm>SAN JUAN</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00906</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SECURITY</ServicesDesc>
        <CompensationAmt>113096</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GK PROFESSIONAL SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>TERRAZAS DE GUAYNABO STE E9</AddressLine1Txt>
            <CityNm>GUAYNABO</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00969</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HEALCARE PERSONNEL RECRUITER</ServicesDesc>
        <CompensationAmt>91228</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>2369520</AllOtherContributionsAmt>
      <TotalContributionsAmt>2369520</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICES</Desc>
        <BusinessCd>622000</BusinessCd>
        <TotalRevenueColumnAmt>15279786</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>15279786</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>15279786</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>58950</TotalRevenueColumnAmt>
        <ExclusionAmt>58950</ExclusionAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>HOSPITAL OTHER REVENUES</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>10636397</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10636397</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>10636397</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>28344653</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>25916183</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>58950</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>836845</TotalAmt>
        <ManagementAndGeneralAmt>836845</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>6533373</TotalAmt>
        <ProgramServicesAmt>4502308</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1969325</ManagementAndGeneralAmt>
        <FundraisingAmt>61740</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>568811</TotalAmt>
        <ProgramServicesAmt>105870</ProgramServicesAmt>
        <ManagementAndGeneralAmt>461561</ManagementAndGeneralAmt>
        <FundraisingAmt>1380</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>547257</TotalAmt>
        <ProgramServicesAmt>338784</ProgramServicesAmt>
        <ManagementAndGeneralAmt>203892</ManagementAndGeneralAmt>
        <FundraisingAmt>4581</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>2856187</TotalAmt>
        <ProgramServicesAmt>1287110</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1556303</ManagementAndGeneralAmt>
        <FundraisingAmt>12774</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>25014</TotalAmt>
        <ProgramServicesAmt>668</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24346</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>31238</TotalAmt>
        <ProgramServicesAmt>10806</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16432</ManagementAndGeneralAmt>
        <FundraisingAmt>4000</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>44840</TotalAmt>
        <ManagementAndGeneralAmt>44840</ManagementAndGeneralAmt>
      </TravelGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>2228478</TotalAmt>
        <ManagementAndGeneralAmt>2228478</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>515850</TotalAmt>
        <ManagementAndGeneralAmt>515850</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES AND OTHERS</Desc>
        <TotalAmt>5395450</TotalAmt>
        <ProgramServicesAmt>5268169</ProgramServicesAmt>
        <ManagementAndGeneralAmt>124857</ManagementAndGeneralAmt>
        <FundraisingAmt>2424</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIR AND MAINTENANCE</Desc>
        <TotalAmt>1592393</TotalAmt>
        <ProgramServicesAmt>470492</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1121901</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>UTILITIES</Desc>
        <TotalAmt>1080927</TotalAmt>
        <ManagementAndGeneralAmt>1080927</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>398143</TotalAmt>
        <ManagementAndGeneralAmt>393124</ManagementAndGeneralAmt>
        <FundraisingAmt>5019</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>681518</TotalAmt>
        <ManagementAndGeneralAmt>513601</ManagementAndGeneralAmt>
        <FundraisingAmt>167917</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>23336324</TotalAmt>
        <ProgramServicesAmt>11984207</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11092282</ManagementAndGeneralAmt>
        <FundraisingAmt>259835</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>29748673</BOYAmt>
        <EOYAmt>28403611</EOYAmt>
      </CashNonInterestBearingGrp>
      <PledgesAndGrantsReceivableGrp>
        <EOYAmt>2983333</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>8372</BOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>560008</BOYAmt>
        <EOYAmt>623239</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>217161</BOYAmt>
        <EOYAmt>265262</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>35997988</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>22267313</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>11956727</BOYAmt>
        <EOYAmt>13730675</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>500371</BOYAmt>
        <EOYAmt>500000</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <TotalAssetsGrp>
        <BOYAmt>42991312</BOYAmt>
        <EOYAmt>46506120</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>4552323</BOYAmt>
        <EOYAmt>2524603</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>1049421</BOYAmt>
        <EOYAmt>1264794</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>5601744</BOYAmt>
        <EOYAmt>3789397</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>37389568</BOYAmt>
        <EOYAmt>42716723</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>37389568</BOYAmt>
        <EOYAmt>42716723</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>42991312</BOYAmt>
        <EOYAmt>46506120</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>5008329</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>318826</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="DOCIDSCHEDA">
      <HospitalInd>X</HospitalInd>
      <PublicSupportCY509Pct>0</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0</InvestmentIncomePYPct>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="DOCIDSCHEDB">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="DOCIDSCHEDD">
      <SolicitedAssetsSaleInd>false</SolicitedAssetsSaleInd>
      <AgentTrusteeEtcInd>false</AgentTrusteeEtcInd>
      <InclEscrowCustodialAcctLiabInd>false</InclEscrowCustodialAcctLiabInd>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <RelatedOrgListSchRInd>false</RelatedOrgListSchRInd>
      <BuildingsGrp>
        <InvestmentCostOrOtherBasisAmt>11005705</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>7062782</DepreciationAmt>
        <BookValueAmt>3942923</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <InvestmentCostOrOtherBasisAmt>17999660</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>12124899</DepreciationAmt>
        <BookValueAmt>5874761</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <InvestmentCostOrOtherBasisAmt>5460343</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>3027251</DepreciationAmt>
        <BookValueAmt>2433092</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <InvestmentCostOrOtherBasisAmt>1532280</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>52381</DepreciationAmt>
        <BookValueAmt>1479899</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>13730675</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED SALARIES</Desc>
        <Amt>1264794</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1264794</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>28344653</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>28344653</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>28344653</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>23336319</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>23336319</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>23336319</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XIII</FormAndLineReferenceDesc>
        <ExplanationTxt>Schedule D, Part X - On July 1, 2009 the Hospital adopted FASB Interpretation (FIN) No.48, Accounting for Uncertainty in Income Taxes (ASC 740-10-50-15), which clarifies the accounting for uncertainty in income taxes recognized in a company s financial statements in accordance with FASB ASC 740. FIN No.48 prescribes a recognition threshold and measurement attribute for the financial statement recognition and measerement of a tax position taken or expected to be taken in a tax return. The interpretation also provides guidance on the recognition, classification, interest and penalties, accounting interim periods, disclosure and transition.The adoption of ASC 740-10-50-15 did not have any effect on the Hospital s financial position or changes in unrestricted net asstes.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="DOCIDSCHEDH">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <FPGReferenceFreeCareInd>false</FPGReferenceFreeCareInd>
      <FPGReferenceDiscountedCareInd>false</FPGReferenceDiscountedCareInd>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>false</FinancialAssistanceBudgetInd>
      <AnnualCommunityBnftReportInd>false</AnnualCommunityBnftReportInd>
      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>1257238</BadDebtExpenseAmt>
      <ReimbursedByMedicareAmt>1121709</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>4858342</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-3736633</MedicareSurplusOrShortfallAmt>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>HOSP DR ISAAC GONZALEZ MARTINEZ</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>CENTRO MEDICO METROPOLITANO</AddressLine1Txt>
          <CityNm>SAN JUAN</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>00935</ZIPCd>
        </USAddress>
        <LicensedHospitalInd>X</LicensedHospitalInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>HOSP DR ISAAC GONZALEZ MARTINEZ</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FirstLicensedCYOrPYInd>true</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>false</CHNAConductedInd>
        <TakeIntoAccountOthersInputInd>false</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>false</CHNAReportWidelyAvailableInd>
        <ImplementationStrategyAdoptInd>false</ImplementationStrategyAdoptInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>20</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>80</FPGFamilyIncmLmtDscntCarePct>
        <ExplainedBasisInd>false</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>WWW.LIGACANCERPR.ORG</FAPAvailableOnWebsiteURLTxt>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitDeferDenyRqrPaymentInd>X</PermitDeferDenyRqrPaymentInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V - SECTION B - LINE 20a</FormAndLineReferenceDesc>
        <ExplanationTxt>The process in our hospital for patients on FAP, is worked by a previously recomendation submitted by the socialworker department for eligibility through a socioeconomic study and the Charity Committee makes the final aproval. Email note: The following supplemental information is included for: (i) Part V, Facility Information, Section A. Hospital Facilities, (ii) Part V, Facility Information, Section B. Facility Policies and Practices, (iii) Part V, Facility Information, Section B, Question 1,12a, 13 and 17. The requirements of Section 501(r) of the IRC apply to an organization which operates a facility which is required by a State to be licensed registered, or similarly recognized as a hospital. Treas. Reg 1.501(r)-1(b)(17) defines hospital facility ???as a facility that is required by a state to be licensed, registered, or similarly recognized as a hospital. ???For purposes of paragraph (b)(17), the term state ???includes only the 50 states and the District of Columbia and not any U.S. territory or foreign country. Hospital Dr. Isaac Gonzalez Martinez is a hospital located, operated and licensed under the laws of Puerto Rico.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI - LINE 2 - NEEDS ASSESSMENT</FormAndLineReferenceDesc>
        <ExplanationTxt>According to information provided by latest US Census conducted on each town, the institution may determine the incidence of cancer by region.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI - LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</FormAndLineReferenceDesc>
        <ExplanationTxt>Currently the hospital has a health educator who gives presentations to patients. The Admissions Department also refers the patient who has no resources to the social worker for evaluation and determination of application for assistance.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI - LINE 4 - COMMUNITY INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>Currently, the hospital serves the entire metropolitan area of Puerto Rico and its surrounding areas.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI - LINE 5 - COMMUNITY HEALTH</FormAndLineReferenceDesc>
        <ExplanationTxt>The entity further its exempt purpose by promoting the health of the community through presentations coordinated by the health educator in municipalities with high incidence of cancer and promotes the prevention of the disease giving free clinics in the towns visited.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI - LINE 6 - AFFILIATED HEALTH CARE SYSTEM</FormAndLineReferenceDesc>
        <ExplanationTxt>Schedule H, Part VI, Line 6 - N/A Schedule H, Part VI, Line 7 - N/A Email note: The following supplemental information is included for: (i) Part V, Facility Information, Section A. Hospital Facilities, (ii) Part V, Facility Information, Section B. Facility Policies and Practices, (iii) Part V, Facility Information, Section B, Question 1,12a, 13 and 17. The requirements of Section 501(r) of the IRC apply to an organization which operates a facility which is required by a State to be licensed registered, or similarly recognized as a hospital. Treas. Reg 1.501(r)-1(b)(17) defines hospital facility ???as a facility that is required by a state to be licensed, registered, or similarly recognized as a hospital. ???For purposes of paragraph (b)(17), the term state ???includes only the 50 states and the District of Columbia and not any U.S. territory or foreign country. Hospital Dr. Isaac Gonzalez Martinez is a hospital located, operated and licensed under the laws of Puerto Rico.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III - LINES 9</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital Policy is that will write off all the accounts that are over 365 days and at least 3 collection letteres were sent. For those patients who are known to qualify for charity care or financial assistance will be followed up until demonstrates it s an indigent patient and cannot pay.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I - LINE 3C</FormAndLineReferenceDesc>
        <ExplanationTxt>Hospital Dr Isaac Gonzalez Martinez - The process in our hospital for patients on FAP, is worked by a previously recommendation submitted by the social worker department for eligibility through socioeconomic study and the Charity Committee makes the final approval.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="DOCIDSCHEDJ">
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RebuttablePresumptionProcInd>false</RebuttablePresumptionProcInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>YARISIS CENTENO SAUNDERS</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>100246</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>100246</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>IVONNE RIVERA SANTOS</PersonNm>
        <TitleTxt>FINANCE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>82285</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>82285</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANTONIO GONZALEZ AGUIAR</PersonNm>
        <TitleTxt>ENGINEER</TitleTxt>
        <BaseCompensationFilingOrgAmt>57797</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>57797</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ERIKA PIZARRO ARIAS</PersonNm>
        <TitleTxt>ENGINEER</TitleTxt>
        <BaseCompensationFilingOrgAmt>36800</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>36800</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MANUEL BARREIRO RIVERA</PersonNm>
        <TitleTxt>FINANCE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>2400</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>2400</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="DOCIDSCHEDO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The return is prepared by independent auditors and reviewed by the Chief Financial Officer and the Chief Executive Director.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION B, LINE 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Human Resources Deparment evaluates the compensation for any position when this is available for recruiting. They compare with market through benchmarking with other similar hospitals, job experience, expertise and performance, carrer track, among others. Final recomendation is evaluated and approved by the Directors Board. The CEO compensation is always evaluated by the Boards of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION B, LINE 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>Same as Line 15a</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The information is available when required. Government documents and financial statements are available to different agencies, government, banks, etc. The conflict of interest policy is available to all employees, board members and other agencies, as required.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IX, LINE 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>$1,626,598 - Professional Services $1,045,542 - Purchased Services $124,483 -Legal Services $59,564 - Audit Fees. No AFS Memo - Because our audited financial statements are not ready yet, these are not included with this return. As soon as they are ready, will be filed, and would be part of this return. Schedule D, Part X - On July 1, 2009 the Hospital adopted FASB Interpretation (FIN) No.48, Accounting for Uncertainty in Income Taxes (ASC 740-10-50-15), which clarifies the accounting for uncertainty in income taxes recognized in a company s financial statements in accordance with FASB ASC 740. FIN No.48 prescribes a recognition threshold and measurement attribute for the financial statement recognition and measerement of a tax position taken or expected to be taken in a tax return. The interpretation also provides guidance on the recognition, classification, interest and penalties, accounting interim periods, disclosure and transition.The adoption of ASC 740-10-50-15 did not have any effect on the Hospital s financial position or changes in unrestricted net asstes. Schedule H, Part I-Line 3C- Hospital Dr Isaac Gonzalez Martinez - The process in our hospital for patients on FAP,is worked by a previously reccomendation submitted by the social worker department for eligibility through socioeconomic study and the Charity Comittee makes the final approval. Schedule H,Part III-Lines 8- Medicare requires suppliers in the preparation of the cost report to use a reciprocal relationship of cost to charges for all departments. This means that the charges generated by the institution be identified with the correspondent department in the cost report. Examples are medicines and serums (IV Solutions), the medications and serumm should be reported on the line of the report that corresponds to pharmacy. This applies for all deparments. Schedule H,Part III-Lines 9- The Hospital Policy is that will write off all accounts that are over 365 days and at least 3 collection letters were sent. For those patients who know to qualify for charity care or financial assistance will be followed up until demonstrates it s an indigent patient and cannot pay. Schedule H, Part III-Lines 2,3 &amp; 4-The Hospital makes judgements as to accounts receivable collectability based on historical trends and future expectations. Management estimates an allowance for doubtful accounts, which represents the collectability of patient service accounts receivable downward to their estimated net realizable value. To determine the risk factors for accounts over 365 days using Hospital s accounts receivable aging.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Adjustment to properly correct beginning balance of Retained Earnings</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>