2025-08-05T12:30:18-07:00 2024-09-30 660561068 DIAZ & CANDELARIA PSC PMB-294 100 GRAN PASEO BLVD SUITE 112 SAN JUAN PR 009265955 990 2023-10-01 660352014 HOSPITAL GENERAL DE CASTANER INC HOSP 7878295010 PO Box 1003 Castaner Puerto Rico RQ GUILLERMO JIMENEZ FINANCE DIRECTOR 7878295010 2025-06-22 1 1 CRISTINO ARIEL DIAZ-LOPEZ P01448309 7873994556 2025-06-22 2023 2025-03-06 01:10:19Z Robin Rusell Orama PO BOX 1003 CASTANER PR 00631 33033027 0 X http://hospitalcastaner.com/ X 1975 PR To provide primary health care services to medically underserved population, agricultural migrants and seasonal farm workers as to their dependents in the region. 11 11 200 200 0 0 5399981 6011817 28432860 26435201 164065 365871 9615 220138 34006521 33033027 0 0 0 0 13558835 14490073 0 0 0 18459652 17778392 32018487 32268465 1988034 764562 38753442 37886545 5544795 3636848 33208647 34249697 To provide and promote integrated primary health care services with a community focus that supports the physical, mental and social well being of the individual with the commitment to improve their lifes, 0 0 2483154 0 0 In-patient Health Care Services 22673834 0 0 Out-patient Health Care Services 0 0 0 25156988 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 200 1 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 1 0 0 1 1 0 0 1 1 1 0 1 1 1 0 0 X The Corporation 7878295010 PO Box 1003 Castaner Puerto Rico RQ 00631 Zenaida Perez Menendez Highest compensated employee 40 0 X 189334 0 0 Robin Russel Orama Executive Director 40 0 X X 184478 0 0 Edgar Soto Perez Highest compensated employee 40 0 X 135178 0 0 Hector Rivera Rivera Highest compensated employee 40 0 X 133482 0 0 Jose R Rivera Toleda Highest compensated employee 40 0 X 131677 0 0 Guillermo Jimenez Ramos Highest compensated employee 40 0 X 130554 0 0 Luis G Godreau Bartolomei Highest compensated employee 40 0 X 126002 0 0 Amilcar Rodriguez Roman Highest compensated employee 40 0 X 125320 0 0 Elisa Cruz Arrigoitia Highest compensated employee 40 0 X 124537 0 0 Ricardo L Quiles Lopez Highest compensated employee 40 0 X 119426 0 0 Nydimar Salcedo Sepulveda Highest compensated employee 40 0 X 116069 0 0 Deborah Leon Mejias Highest compensated employee 40 0 X 112000 0 0 Ileana M Lopez Soto Highest compensated employee 40 0 X 111527 0 0 Lourdes Roman Roman Highest compensated employee 40 0 X 111039 0 0 Jose L Cruz Melendez Highest compensated employee 40 0 X 110476 0 0 Alberto Grana Santiago Highest compensated employee 40 0 X 110080 0 0 Natalie Del Hoyo Rivera Highest compensated employee 40 0 X 108816 0 0 Sergio Matos Collazo Highest compensated employee 40 0 X 107730 0 0 Alex Gonzalez Cortes President 2 0 X 0 0 0 Elizabeth Cruz Torres Secretary 2 0 X 0 0 0 Manuel Santiago Sanabria Treasurer 2 0 X 0 0 0 Edwin Rodriguez Lopez Member 2 0 X 0 0 0 Elliot Hernandez Maldonado Vice President 2 0 X 0 0 0 Carlos F Acevedo Estrada Member 2 0 X 0 0 0 Jaime Barcelo Lopez Member 2 0 X 0 0 0 Nelida Santos Rivera Member 2 0 X 0 0 0 Raymond de Jesus Vega Member 2 0 X 0 0 0 Coralis Serrano Battistini Member 2 0 X 0 0 0 Oscar L Orengo Torres Member 2 0 X 0 0 0 2287725 0 0 18 0 1 0 GOLF MEDICAL SERVICES CSP 414 Av Trio Vegabajeno Vega Baja PR 00963 SERVICIOS MEDICOS SALA DE EMERGENCIA 133860 NORMAN GONZALEZ CASIANO CSP CARR 135 KM 64 2 LARES PR 00631 SERVICIOS MEDICOS SALA DE EMERGENCIA 228330 RAMON PEREZ PEREZ PO BOX 776 SABANA GRANDE PR 00637 SERVICIOS PROFESIONALES 163222 NIEVES Y NIEVES ENGINEERS AND PO BOX 34 LARES PR 00669 ENGINEERS SERVICE 631183 4 0 0 0 0 5806286 205531 0 6011817 Capitation 621400 7808913 7808913 0 0 Patient Service Fees 621400 4794146 4794146 0 0 Pharmacies Sales 621400 8938231 8938231 0 0 PR Department Lawsuit 621400 4893911 4893911 0 0 0 0 0 0 26435201 365871 365871 0 0 0 0 0 0 0 0 0 0 6550 0 0 0 6550 0 6550 6550 0 0 0 0 0 213588 213588 0 0 213588 33033027 27021210 0 0 X 12259829 10082386 2177443 2230244 1209702 1020542 3775132 1621581 2153551 89936 403 89533 2841527 2662903 178624 55289 32000 23289 126594 36729 89865 340497 67186 273311 838750 663498 175252 231889 213077 18812 Medical Claims, Drugs and Medicines 7841070 7841070 0 0 Repairs and Maintenance 275809 173379 102430 0 Minor Equipment 405008 246197 158811 0 Utilities 433778 303269 130509 0 523113 3608 519505 32268465 25156988 7111477 0 7918077 4507983 11289878 12905454 5055731 4843418 772669 886620 531552 380388 21977432 9056541 9324092 12920891 3861443 1441791 38753442 37886545 4305117 2646029 6339 6339 1233339 984480 5544795 3636848 X 33208647 34249697 0 0 33208647 34249697 38753442 37886545 764562 276488 0 0 0 0 X 1 X 1 X 0 1 1 X 0 3082281 3082281 0 11788834 3077380 8711454 0 0 0 0 0 5551892 4948026 603866 0 1554425 1031135 523290 12920891 Claims Incurred But Not Reported 984480 984480 33033027 0 0 0 0 0 33033027 0 0 0 33033027 32268465 0 0 0 0 0 32268465 0 0 0 32268465 1 1 1 X 1 X 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 1 0 1 1 Hospital General de Castaner Inc Road 135 KM 64 Castaner PR 00631 X Hospital General de Castaner Inc 1 0 0 1 X X X X X X X X X 19 1 0 0 0 1 18 0 0 0 1 X 100 200 1 0 1 1 X 0 X X X X 1 X 0 0 Schedule H, Part V, Section B, Line 5-Hospital General de Castaner Inc Hospital General de Castaner Inc - Primary data from the patient population in the service area was collected through a stratified Community Survey sample that incorporated respondents form all the Wards in the Service Area. Participants from all sectors of Adjuntas, Jayuya as well as Castañer were interviewed; additionally, the Río Prieto neighborhood of Lares was included in the sample size calculation at the request of CGH management. The third methodological component of the health needs assessment was the formation of a key informant focus group, which drew on the insights of community collaborators for the prioritization of health problems and needs within the service area. Schedule H, Part V, Section B, Line 11-Hospital General de Castaner Inc Hospital General de Castaner Inc - The Hospital is addressing significant needs identified in the most recent 2018 CHNA through its strategic plan. In the effort to address the identified needs the Hospital has increase his clinical staff capacity by contracting additional physicians, open a phycology dept., extending dental services hours, etc. Also, the Hospital has request and been granted with federal support to improve its building by the construction of a new emergency room facility and the extension of the clinical offices. Part V-22: The Hospital has established nominal fees for FAP eligible individuals under 100% FPL. For patients between 100% and 200% FPL a sliding fee discount is applied to the private charges of the Hospital, family household and income is the information required to determine the discount to be applied. 2 Policlinica Adjuntas Road 144 KM 357 Bo Garzas Adjuntas PR 00601 Satellite Facility to Offer Primary Outpatient HEalth Care and Pharmacy. Policlinica Castaner en Jayuya Street Guillermos Esteves 53 Jayuya PR 00664 Satellite Facility to Offer Primary Outpatient Health Care and Pharmacy. Schedule H, Part I, Line 7 No amounts were reported on this table. Schedule H, Part I, Line 7, Column f No amounts were reported on this table. Schedule H, Part I, Line 7g No amounts were reported on this table. Schedule H, Part III, Section A, Line 4 Allowance for Bad Debts are estimated based on the subsequent collections revised and the uncollected by the aging; a percentage is assigned to the receivables depending if are more than 180 days 100%, between 120 - 180 days 50% and between 90 0 120 days 25%. Schedule H, Part III, Section B, Line 8 All benefits received by the Hospital are returned in services to the population served. Schedule H, Part III, Section C, Line 9b The costing methodology used was the Prospective Payment System (PPS) using Cost Report Data There were no Hospital claims incurred for Medicare Patients between the reporting period. A total of $0 amount was reported for this line. Schedule H, Part VI, Line 2 Additionally to the CHNA, the organization assesses the health care needs for the communities served through surveys that are performed at least in an annually manner. Also, the Organization perform every year the Universal Data System Report werepatient's population data is collected, including demographic, race, household income, service utilization, medical chronic conditions, etc. to reach the population needs on a frequently manner. Schedule H, Part VI, Line 3 The organization have stablished policies that are available to patients about their rights to request participation the organization Sliding Fee Discount Schedule in posted in visible areas of the organization facilities. In addition, patients are oriented by the centers staff about eligibility for assistance under the organization financial assistance policy. Also, the organization have Social Workers who are in charge to inform patients referred about additional State and Federal assistance policies as the PR Government Health Reform, Family Planning Program, Ryan White HIV/AIDS Program, etc. Schedule H, Part VI, Line 4 Castañer General Hospital(HGC, by its Spanish abbreviation), is a private a 501(c)(3) tax exempt non-profit organization that has been a Federally Qualified Health Center(FQHC/CHC) since 1982 in Castañer, Puerto Rico. It is the main provider of primary health care for the medically indigent population of Adjuntas, Jayuya and Castañer, all rural mountain towns located in the central region of Puerto Rico and serves more than 9,000 persons from its service area and adjacent municipalities (UDS 2020). In addition to service the general population in these three HRSA designated medically underserved areas (MUA). 0 0 0 0 0 0 0 0 0 Zenaida Perez Menendez Highest compensated employee 189334 0 0 0 0 0 0 0 0 0 189334 0 0 0 Robin Russel Orama Executive Director 184478 0 0 0 0 0 0 0 0 0 184478 0 0 0 Form 990, Part VI, Section A, Line 6 The members are the users of the Center and they vote for the board members in the annual assembly. Form 990, Part VI, Section B, Line 11b Copy of the return is presented before filling to the Board of Directors by the External Auditors in conjunction with the audited financial statements. Form 990, Part VI, Section B, Line 15 Executive Director salary is determined by the Board of Directors based on comparable positions in other Non-profit and Health Centers. Form 990, Part VI, Section C, Line 19 Documents are available upon request in the Hospital main offices in Castañer, Puerto Rico. Form 990, Part IX, Line 11g Contractual Costs