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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SECURITY SERV</ServicesDesc>
        <CompensationAmt>573555</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DULCE SOMNII LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 2907</AddressLine1Txt>
            <CityNm>MAYAGEZ</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00681</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERV</ServicesDesc>
        <CompensationAmt>250000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>DR VICTOR LAMBERTY ELLIN</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 917</AddressLine1Txt>
            <CityNm>RINCON</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00677</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERV</ServicesDesc>
        <CompensationAmt>242675</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>EMV MEDICAL SERVICES LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 1174</AddressLine1Txt>
            <CityNm>MOCA</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00676</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERV</ServicesDesc>
        <CompensationAmt>186135</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>10</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <TotalRevenueColumnAmt>26782873</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>26782873</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>26782873</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>52667</TotalRevenueColumnAmt>
        <ExclusionAmt>52667</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>82729</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>82729</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>82729</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>82729</RelatedOrExemptFuncIncomeAmt>
      </NetRentalIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>COFFEE SHOP</Desc>
        <TotalRevenueColumnAmt>467491</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>467491</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUE</Desc>
        <TotalRevenueColumnAmt>184895</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>184895</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>PARKING</Desc>
        <TotalRevenueColumnAmt>85241</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>85241</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>737627</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>27655896</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>27603229</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>52667</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>642610</TotalAmt>
        <ManagementAndGeneralAmt>642610</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>8325714</TotalAmt>
        <ProgramServicesAmt>6713874</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1611840</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>265181</TotalAmt>
        <ProgramServicesAmt>168619</ProgramServicesAmt>
        <ManagementAndGeneralAmt>96562</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>937145</TotalAmt>
        <ProgramServicesAmt>690773</ProgramServicesAmt>
        <ManagementAndGeneralAmt>246372</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>6341635</TotalAmt>
        <ProgramServicesAmt>4387400</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1954235</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>38414</TotalAmt>
        <ManagementAndGeneralAmt>38414</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>17847</TotalAmt>
        <ManagementAndGeneralAmt>17847</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>62058</TotalAmt>
        <ManagementAndGeneralAmt>62058</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1041577</TotalAmt>
        <ManagementAndGeneralAmt>1041577</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>1000835</TotalAmt>
        <ManagementAndGeneralAmt>1000835</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MATERIALS &amp; SUPPLIES</Desc>
        <TotalAmt>3512996</TotalAmt>
        <ProgramServicesAmt>3014903</ProgramServicesAmt>
        <ManagementAndGeneralAmt>498093</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PHARMACY EFFECTS</Desc>
        <TotalAmt>2264197</TotalAmt>
        <ProgramServicesAmt>2264197</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OTHER EXPENSES</Desc>
        <TotalAmt>1513388</TotalAmt>
        <ProgramServicesAmt>303284</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1210104</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>UTILITIES</Desc>
        <TotalAmt>1111554</TotalAmt>
        <ManagementAndGeneralAmt>1111554</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>723583</TotalAmt>
        <ManagementAndGeneralAmt>723583</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>27798734</TotalAmt>
        <ProgramServicesAmt>17543050</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10255684</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>3809397</BOYAmt>
        <EOYAmt>5713561</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <BOYAmt>4604450</BOYAmt>
        <EOYAmt>3403606</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>423399</BOYAmt>
        <EOYAmt>341168</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>824132</BOYAmt>
        <EOYAmt>818680</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>1264682</BOYAmt>
        <EOYAmt>1280704</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>32439597</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>26067520</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>5763428</BOYAmt>
        <EOYAmt>6372077</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <TotalAssetsGrp>
        <BOYAmt>16689488</BOYAmt>
        <EOYAmt>17929796</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>4979218</BOYAmt>
        <EOYAmt>5073155</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <EOYAmt>1888075</EOYAmt>
      </DeferredRevenueGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>743301</BOYAmt>
        <EOYAmt>144435</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>5722519</BOYAmt>
        <EOYAmt>7105665</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>10966969</BOYAmt>
        <EOYAmt>10824131</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>10966969</BOYAmt>
        <EOYAmt>10824131</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>16689488</BOYAmt>
        <EOYAmt>17929796</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-142838</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc7">
      <HospitalInd>X</HospitalInd>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SUPPLEMENTAL INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>N/A</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc3">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>292262</OtherCostOrOtherBasisAmt>
        <BookValueAmt>292262</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>13607192</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>9800042</DepreciationAmt>
        <BookValueAmt>3807150</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>14949522</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>13048087</DepreciationAmt>
        <BookValueAmt>1901435</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>3590621</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3219391</DepreciationAmt>
        <BookValueAmt>371230</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>6372077</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>CAPITAL LEASE OBLIGATION - CURRENT</Desc>
        <Amt>127059</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CAPITAL LEASE OBLIGATION- NONCURRENT</Desc>
        <Amt>17376</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>144435</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>27655896</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>27655896</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>27655896</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>27798734</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>27798734</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>27798734</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc6">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <FPGReferenceFreeCareInd>false</FPGReferenceFreeCareInd>
      <FPGReferenceDiscountedCareInd>false</FPGReferenceDiscountedCareInd>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>false</FinancialAssistanceBudgetInd>
      <AnnualCommunityBnftReportInd>false</AnnualCommunityBnftReportInd>
      <UnreimbursedCostsGrp>
        <TotalCommunityBenefitExpnsAmt>2842473</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>1142882</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1699591</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.06370</TotalExpensePct>
      </UnreimbursedCostsGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>2842473</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>1142882</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1699591</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.06370</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>2842473</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>1142882</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1699591</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.06370</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <CommunitySupportGrp>
        <ActivitiesOrProgramsCnt>6</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>251</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>9460</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>9460</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00030</TotalExpensePct>
      </CommunitySupportGrp>
      <TotalCommuntityBuildingActyGrp>
        <ActivitiesOrProgramsCnt>6</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>251</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>9460</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>9460</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00030</TotalExpensePct>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>false</BadDebtExpenseReportedInd>
      <ReimbursedByMedicareAmt>2762230</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>1619348</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>1142882</MedicareSurplusOrShortfallAmt>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>false</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>HOSPITAL SAN CARLOS BORROMEO INC</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 68</AddressLine1Txt>
          <AddressLine2Txt>CARR 110 KM 122</AddressLine2Txt>
          <CityNm>MOCA</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>006760068</ZIPCd>
        </USAddress>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <OtherDesc>OUTPATIENT PHYSICIAN CLINIC</OtherDesc>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>HOSPITAL SAN CARLOS BORROMEO INC</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>false</CHNAConductedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>100.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>100.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <ExplainedBasisInd>false</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <IncludesPublicityMeasuresInd>false</IncludesPublicityMeasuresInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL HAS A WRITTEN POLICY DURING THE TAX YEAR, AND OFFERS DISCOUNTS TO THOSE PATIENTS THAT ANSWER OUR COLLECTION FOLLOW-UP, MOST OF THEM DEDUCTIBLES. AS PART OF THE COMPLIANCE, THE HOSPITAL HAD ESTABLISHED A WRITTEN POLICY. THE HOSPITAL BILLS THE GROSS CHARGES INCURRED DURING A VISIT THROUGH COLLECTIONS LETTERS TO INITIATE THE COLLECTION PROCESS BY REQUESTING TO BRING THEIR HEALTH INSURANCE, ELIGIBILITY OR ACTIVATE HEALTH INSURANCE; THE COLLECTIONS EFFORT END AND STARTS WITH THE CARRIERS. WHEN PATIENTS DO NOT HAVE A HEALTH INSURANCE AND DO NOT QUALIFY FOR THE GOVERNMENT HEALTH INSURANCE, THE HOSPITAL APPLIES A DISCOUNT OR USES THE LOWEST COMMERCIAL RATE TO MAKE THE COLLECTIONS. THE PERCENTAGE OF INDIGENCE IS VERY LOW, SINCE THE GOVERNMENT HEALTH INSURANCE COVERS THIS SEGMENT OF THE POPULATION. THE HOSPITAL WILL USE THE TABLE PROVIDED BY THE PUERTO RICO DEPARTMENT OF HEALTH, MEDICAID OFFICE AS PART OF THE QUALIFICATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE YEAR, THE HOSPITAL, IN COORDINATION WITH THE MEDICAL STAFF, BOARD OF DIRECTORS, THE ADMINISTRATION AND THE COMMUNITY ITSELF, PROMOTED DIFFERENT ACTIVITIES DIRECTED TO IMPROVE THE COMMUNITY HEALTH AND LIFE QUALITY. THESE ACTIVITIES WERE HELD EITHER IN-HOUSE, OR IN THE COMMUNITY IN COORDINATION WITH THE MUNICIPALITY'S MAJOR, REPRESENTATIVE OR ASSOCIATES. THESE ACTIVITIES INCLUDED: I.EXAMINATION OF VITAL SIGNS II.JOB FAIRS III.LACTATION AND MATERNITY CONFERENCES IV.NUTRITION CONFERENCES V.MEALS VI.HOLIDAY ACTIVITIES VII.HEALTH EDUCATION CONFERENCES; AND VIII.GENERAL HEALTH CHECKS. THESE ACTIVITIES IMPACTED OVER 251 PEOPLE FROM THE COMMUNITY IN AND OUTSIDE THE HOSPITAL AND HAVE AN ESTIMATE OF 9,460 IN EXPENSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>ON JANUARY 1, 2019 THE HOSPITAL ADOPTED THE FASB (ASC 606), REVENUE FROM CONTRACTS WITH CUSTOMERS, APPLYING THE MODIFIED RETROSPECTIVE METHOD TO ALL CONTRACTS EXISTING ON JANUARY 1, 2019. PRIOR TO THE ADOPTION OF ASC 606, A SIGNIFICANT PORTION OF THE HOSPITAL'S ALLOWANCE FOR DOUBTFUL ACCOUNTS WAS RELATED TO AMOUNTS NOT EXPECTED BO BE COLLECTED BASED ON HISTORICAL EXPERIENCE, DUE FROM SELF-PAY PATIENTS, AS WELL AS CO-PAYS AND DEDUCTIBLES OWED TO THE HOSPITAL BY PATIENTS WITH INSURANCE. UNDER ASC 606, THE ESTIMATED ALLOWANCE FOR THESE PATIENT ACCOUNTS IS GENERALLY CONSIDERED A DIRECT REDUCTION TO NET PATIENT SERVICE REVENUE RATHER THAN AS A PROVISION FOR BAD DEBTS. THEREFORE NO BAD DEBT EXPENSE WAS RECOGNIZED DURING YEAR 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>ITEM 4 OF SECTION A (PART III); COSTING METHODOLOGY TO DETERMINE REVENUE FROM MEDICARE. INPATIENT CARE, OUTPATIENT CARE, HOME HEALTH CARE AND SKILLED NURSING SERVICES RENDERED TO MEDICARE PROGRAM BENEFICIARIES ARE PAID AT PROSPECTIVELY DETERMINED RATES. THESE RATES VARY ACCORDING TO A PATIENT CLASSIFICATION SYSTEM THAT IS BASED ON CLINICAL, DIAGNOSTIC, AND OTHER FACTORS. THE HOSPITAL IS REIMBURSED FOR BAD DEBTS AND DISPROPORTIONATE SHARE PATIENTS AT TENTATIVE RATES DETERMINED BY THE MEDICARE PROGRAM WITH FINAL SETTLEMENT DETERMINED AFTER SUBMISSION OF ANNUAL COST REPORTS BY THE HOSPITAL AND AUDITS THERE OF BY THE MEDICARE FISCAL INTERMEDIARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>COLLECTIONS ARRISE MAINLY FROM TWO SOURCES: 1- PAYMENTS MADE IN THE HOSPITAL BY PATIENTS IN CASH, CHECKS OR DEBIT AND CREDIT CARDS AND; 2- PAYMENTS RECEIVED THROUGH MAIL AND ELECTRONIC TRANSFER FROM HEALTH INSURANCE COMPANIES LIKE MEDICARE, TRIPLE S AND MCS HMO AND COMMERCIAL. THE ADMINISTRATION CLERK RECEIVES THE MAIL AND PREPARES A LIST OF CHECKS WITH REMITTANCE ADVICES, SENT THE ORIGINAL REMITTANCE AND CHECK TO THE PRINCIPAL CASHIER, AND MAKES TWO PHOTOCOPIES WHICH WILL BE FURNISHED TO BILLING AND COLLECTIONS SUPERVISOR AND THE OTHER COPY TO ACCOUNTING CLERK. THEN THE PRINCIPAL CASHIER, VERIFY AND MAKE THE DAILY CASH COUNT OF MONEY PICK UP FROM THE AMBULATORY SERVICES BOX, THE DEPOSIT SLIP, REMITTANCE ADVISES AND THE CHECKS LIST PREPARED BY THE ADMINISTRATION CLERK BEFORE THE DEPOSIT IS SENT TO THE BANK WITH THE MESSENGER. ALL DEPOSITS ARE SENT TO THE BANK IN THE SAME DATE. IF THE DEPOSIT COULD NOT BE MADE, THEN THE MONEY IS KEPT IN THE SECURITY LOCK BOX LOCATED IN THE FINANCE DEPARTMENT. THIS SECURITY LOCK BOX COULD ONLY BE OPEN BY A NUMBER COMBINATION WHICH IS KNOWN BY THE FINANCE DIRECTOR. THE DAILY COUNT REPORT IS SENT TO THE ACCOUNTING SECRETARY, WHO POST IT TO AN EXCEL SHEET WHICH CONTAINS A DETAILED DAILY CASH MOVEMENT FROM DEPOSIT AND ELECTRONIC TRANSFERS MADE TO AND THROUGH BANK ACCOUNTS. IN THE BILLING AND COLLECTIONS DEPARTMENT, IT'S PERSONNEL POST THE DETAIL OF THE REMITTANCE ADVICE TO THE COMPUTER SYSTEM, ANALYZE ACCOUNTS AND IF A BALANCE IS PENDING A SECOND BILLING IS DONE BEFORE 45 DAYS. AFTER THE MONTH IS CLOSED THE ACCOUNTS RECEIVABLE AGING AND RELATED REPORTS ARE PRINTED TO RECONCILE ALL THE ACCOUNTS RECEIVABLE SUB- SIDIARIES AND PREPARED THE JOURNAL ENTRIES TO BE POST AT THE GENERAL LEDGER TO REFLECT THE CORRECT BALANCES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL IDENTIFIES THROUGH THE REGISTRATION IF THE PATIENT DO NOT HAVE HEALTH INSURANCE COVERAGE AND THE OFFICIAL DURING THE INTERVIEW MAY KNOW IF THE PATIENT MAY QUALIFY OR IS A SUBSCRIBER OF THE GOVERNMENT HEALTH INSURANCE. BY PROCESSING THE ELEGIBILITY THE OFFICAL MAY INFORM THE BASIC PROCESS TO OBTAIN OFFICIAL ELEGIBILITY SO THE HOSPITAL MAY BILL THE HEALTH INSURANCE PRIOR TO STARTING A COLLECTION PROCESS TO THE PATIENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPITAL SAN CARLOS SERVES THE WEST AREA OF PUERTO RICO, WHICH IS REPRESENTED BY NINE (9) MUNICIPALITIES. THE MAJORITY OF INPATIENT AND OUTPATIENT VISITS COME FROM 7 OF THE 9 MUNICIPALITIES WHICH ARE THE NEAREST TO MOCA WHERE THE HOSPITAL IS LOCATED. THE 2021 US CENSUS BUREAU DATA INDICATES THAT THE POPULATION FOR THE 7 MUNICIPALITIES IS 252,254 INHABITANTS, AND FROM THIS 32.6% ARE FROM 40 TO 64 YEARS AND 22.7% OVER 65 YEARS. THE HOSPITAL PATIENT'S MIX IS APPROXIMATELY 59% MEDICARE AND MEDICARE ADVANTAGE; 32.2% GOVERNMENT HEALTH INSURANCE; 6% COMMERCIAL HEALTH INSURANCE AND OTHERS AND 2.8% PRIVATES (NO COVERAGE).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL IS AFFILIATED TO SAN CARLOS HEALTH SYSTEMS. BOTH INSTITUTIONS HAVE STRATEGIC PLANNING COMMITTEES AND AMONG OTHERS, THESE COMMITTEES ASSESS THE NEEDS OF THE COMMUNITY EVALUATING THEM IN TERMS OF EPIDEMIOLOGY TENDENCIES, POPULATION LIFESTYLES AND AGING. ALSO CONSIDER CHANGES IN TECHNOLOGY, BEST WAY TO PROVIDE THE SERVICES OR NEW ONES TO SERVE BETTER THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V LINE I - 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.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS MEMBERS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOD MEMBERS SHALL BE ELECTED BY MEMBERS OF THE CORPORATION AND SIX DIRECTORS SHALL BE ELECTED FROM INDIVIDUALS WHICH ARE NOT MEMBERS OF THE CORPORATION WHO ARE TWENTY ONE YEARS OLD OR OLDER. RESIDENTS OR WHO'S PRINCIPAL PLACE OF BUSINESS ARE LOCATED IN THE NORTHWESTERN AND WESTERN AREA OF PR,AND WHO HAVE AN INTEREST IN AFFAIRS IMPORTANT FOR THE ORGANIZATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>1) INCREASE THE NUMBER OF MEMBERS OF THE BOD. 2) AMEND BY-LAWS OF THE CORPORATION. 3) APPROVE ANY PLAN FOR DISSOLUTION, MERGER OR DISPOSITION OF THE ASSETS OF THE CORPORATION 4) APPROVE THE SELECTION OF THE INDEPENDENT AUDITORS OF THE CORPORATION 5) THE (BOD) SHALL SELECT THE ADMINISTRATOR, MEDICAL DIRECTOR AND FINANCE DIRECTOR.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOD ASSIGNED THE DUTY TO REVISE THEM FORM 990 TO THE EXECUTIVE AND FINANCE COMMITTEES OF THE BOD.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL EMPLOYEES AND MEMBERS OF THE BOD ARE ORIENTED. A WRITTEN POLICY IS HANDED TO ALL EMPLOYEES AND MEMBERS OF THE BOD AND AN ACKNOWLEDGE OF RECEIVING IT IS OBTAINED BY THE ORGANIZATION. THE POLICY SET FORTH THAT ANY ACTION TAKEN ON THE CONTRARY TO THE POLICY, DISCIPLINE AND CIVIL ACTIONS WILL BE TAKEN BY THE ORGANIZATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS TO DETERMINE THE COMPENSATION TO OFFICERS IS BASED ON: 1) JOB DESCRIPTIONS 2) MINIMUM QUALIFICATIONS FOR THE POSITION 3) EXPERIENCE 4) EDUCATION THE ORGANIZATION ALSO PERFORMS BENCHMARKING OF THE INDUSTRY AND THE MARKET IN GENERAL TO EVALUATE AND OFFER COMPETITIVE SALARIES. THE ORGANIZATION REVIEW ANNUALLY THE SALARIES GRANTED TO EMPLOYEES AND INCREASES ARE APPROVED DEPENDING ON THE FINANCIAL POSITION OF THE ORGANIZATION. RAISES MUST BE APPROVED BY THE BOD. THE ORGANIZATION ALSO COMPLIES WITH MANDATORY DECREES BY THE GOVERNMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS TO DETERMINE THE COMPENSATION TO OFFICERS IS BASED ON: 1) JOB DESCRIPTIONS 2) MINIMUM QUALIFICATIONS FOR THE POSITION 3) EXPERIENCE 4) EDUCATION THE ORGANIZATION ALSO PERFORMS BENCHMARKING OF THE INDUSTRY AND THE MARKET IN GENERAL TO EVALUATE AND OFFER COMPETITIVE SALARIES. THE ORGANIZATION REVIEW ANNUALLY THE SALARIES GRANTED TO EMPLOYEES AND INCREASES ARE APPROVED DEPENDING ON THE FINANCIAL POSITION OF THE ORGANIZATION. RAISES MUST BE APPROVED BY THE BOD. THE ORGANIZATION ALSO COMPLIES WITH MANDATORY DECREES BY THE GOVERNMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION UPON REQUEST PROVIDES COPY OF ANY ITS FINANCIAL STATEMENTS, GOVERNING DOCUMENTS OR ANY OTHER POLICY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PROFESSIONAL SERVICES 4,387,400 1,954,235 0</ExplanationTxt>
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          <BusinessNameLine1Txt>HOSP COMUNITARIO BUEN SAMARITANO</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <ForeignAddress>
          <AddressLine1Txt>PO BOX 4055</AddressLine1Txt>
          <CityNm>AGUADILLA</CityNm>
          <CountryCd>RQ</CountryCd>
          <ForeignPostalCd>00605-4055</ForeignPostalCd>
        </ForeignAddress>
        <EIN>660571457</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PR</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NO</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <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>
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</Return>