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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RVDO LUIS A MOJICA MALAVE</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MONS ANGEL L RIOS MATOS</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RVDO P JORGE CARO MORALES</PersonNm>
        <TitleTxt>OFFICER</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RVDO P DANIEL HERNANDEZ VELEZ</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR HERIBERTO SANCHEZ GUZMAN</PersonNm>
        <TitleTxt>SURGEON</TitleTxt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2952134</TotalReportableCompFromOrgAmt>
      <IndivRcvdGreaterThan100KCnt>16</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>SOUTHWEST EMERGENCY CORPORATION</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>40 MUNOZ RIVERA ST</AddressLine1Txt>
            <CityNm>SABANA GRANDE</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00637</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MED. SERVICES</ServicesDesc>
        <CompensationAmt>3513364</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>FJL RADIOLOGY</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PMB 439 SUITE 112 LOS PASEOS</AddressLine1Txt>
            <CityNm>SAN JUAN</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00926</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MED. SERVICES</ServicesDesc>
        <CompensationAmt>2326882</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>OXIVIDA CORP</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 966</AddressLine1Txt>
            <CityNm>MAYAGUEZ</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00681</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EXTERNAL SERVIC</ServicesDesc>
        <CompensationAmt>1392790</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ENROD PAINTING MORE INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 6712</AddressLine1Txt>
            <CityNm>MAYAGUEZ</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00681</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>REPAIR &amp; CONSTR</ServicesDesc>
        <CompensationAmt>765900</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>DR JUAN GALLOZA</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>154 PASEO CIELO Y MAR VISTA BAHIA</AddressLine1Txt>
            <CityNm>PEUELAS</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00624</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MED. SERVICES</ServicesDesc>
        <CompensationAmt>513957</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>50</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>PROGRAM SERVICE REVENUE</Desc>
        <TotalRevenueColumnAmt>103279369</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>103279369</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CAPITATION REVENUE</Desc>
        <TotalRevenueColumnAmt>2776510</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2776510</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>106055879</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>901770</TotalRevenueColumnAmt>
        <ExclusionAmt>901770</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>5341504</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>5331122</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>10382</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>10382</TotalRevenueColumnAmt>
        <ExclusionAmt>10382</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>PHARMACY</Desc>
        <TotalRevenueColumnAmt>1597387</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1597387</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA</Desc>
        <TotalRevenueColumnAmt>1135802</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1135802</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUE</Desc>
        <TotalRevenueColumnAmt>573273</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>573273</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>1384975</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1384975</RelatedOrExemptFuncIncomeAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>4691437</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>111659468</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>110747316</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>912152</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>8000</TotalAmt>
        <ProgramServicesAmt>8000</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>2334342</TotalAmt>
        <ProgramServicesAmt>104998</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2229344</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>36481957</TotalAmt>
        <ProgramServicesAmt>27167126</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9314831</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>302411</TotalAmt>
        <ProgramServicesAmt>233521</ProgramServicesAmt>
        <ManagementAndGeneralAmt>68890</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>6512649</TotalAmt>
        <ProgramServicesAmt>3164061</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3348588</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>599238</TotalAmt>
        <ManagementAndGeneralAmt>599238</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>161098</TotalAmt>
        <ManagementAndGeneralAmt>161098</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>846036</TotalAmt>
        <ManagementAndGeneralAmt>846036</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>477544</TotalAmt>
        <ProgramServicesAmt>89867</ProgramServicesAmt>
        <ManagementAndGeneralAmt>387677</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <TravelGrp>
        <TotalAmt>76717</TotalAmt>
        <ProgramServicesAmt>23825</ProgramServicesAmt>
        <ManagementAndGeneralAmt>52892</ManagementAndGeneralAmt>
      </TravelGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>6070637</TotalAmt>
        <ProgramServicesAmt>4830493</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1240144</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>1442874</TotalAmt>
        <ManagementAndGeneralAmt>1442874</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>OTHER EXPENSE</Desc>
        <TotalAmt>23431252</TotalAmt>
        <ProgramServicesAmt>15633498</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7797754</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>17624520</TotalAmt>
        <ProgramServicesAmt>16452621</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1171899</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIRS</Desc>
        <TotalAmt>4488664</TotalAmt>
        <ProgramServicesAmt>1807046</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2681618</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>UTILITIES</Desc>
        <TotalAmt>2467790</TotalAmt>
        <ProgramServicesAmt>1850843</ProgramServicesAmt>
        <ManagementAndGeneralAmt>616947</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>625827</TotalAmt>
        <ProgramServicesAmt>375831</ProgramServicesAmt>
        <ManagementAndGeneralAmt>249996</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>103951556</TotalAmt>
        <ProgramServicesAmt>71741730</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32209826</ManagementAndGeneralAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>5553283</EOYAmt>
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      <AccountsReceivableGrp>
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      <InventoriesForSaleOrUseGrp>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>2459012</BOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>165994994</LandBldgEquipCostOrOtherBssAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>77466943</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>112289255</BOYAmt>
        <EOYAmt>120375264</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>18722446</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>6786814</BOYAmt>
        <EOYAmt>7059223</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>25466514</BOYAmt>
        <EOYAmt>25781669</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>86822741</BOYAmt>
        <EOYAmt>94593595</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>86822741</BOYAmt>
        <EOYAmt>94593595</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>112289255</BOYAmt>
        <EOYAmt>120375264</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>7707912</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>54942</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc9">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc3">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>3972730</OtherCostOrOtherBasisAmt>
        <BookValueAmt>3972730</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>53811379</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>24914392</DepreciationAmt>
        <BookValueAmt>28896987</BookValueAmt>
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      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>21359651</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>9037140</DepreciationAmt>
        <BookValueAmt>12322511</BookValueAmt>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>75221217</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>54576519</DepreciationAmt>
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      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>11630017</OtherCostOrOtherBasisAmt>
        <BookValueAmt>11630017</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>77466943</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>RESERVE FOR CLAIM LOSSES</Desc>
        <Amt>7036810</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ESTIMATED THIRD-PARTY PAYOR SETTLEME</Desc>
        <Amt>22413</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>7059223</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>111659468</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>111659468</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>111659468</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>103951556</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>103951556</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>103951556</TotalExpensesPerForm990Amt>
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    <IRS990ScheduleH documentId="RetDoc8">
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      <WrittenPolicyInd>false</WrittenPolicyInd>
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      <FreeCareMedicallyIndigentInd>false</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>false</FinancialAssistanceBudgetInd>
      <AnnualCommunityBnftReportInd>false</AnnualCommunityBnftReportInd>
      <FinancialAssistanceAtCostTyp>
        <DirectOffsettingRevenueAmt>1828416</DirectOffsettingRevenueAmt>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>56735994</TotalCommunityBenefitExpnsAmt>
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      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>56735994</TotalCommunityBenefitExpnsAmt>
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        <TotalExpensePct>0.33360</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <HealthProfessionsEducationGrp>
        <TotalCommunityBenefitExpnsAmt>2171041</TotalCommunityBenefitExpnsAmt>
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        <TotalExpensePct>0.02090</TotalExpensePct>
      </HealthProfessionsEducationGrp>
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      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>58907035</TotalCommunityBenefitExpnsAmt>
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        <NetCommunityBenefitExpnsAmt>36850003</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.35450</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <BadDebtExpenseReportedInd>false</BadDebtExpenseReportedInd>
      <ReimbursedByMedicareAmt>8243041</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>3720079</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>4522962</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>false</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>HOSPITAL DE LA CONCEPCION INC</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>CARR NO 2 KM 173</AddressLine1Txt>
          <CityNm>SAN GERMAN</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>00683</ZIPCd>
        </USAddress>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>HOSPITAL DE LA CONCEPCION INC</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>false</CHNAConductedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>false</EligCriteriaExplainedInd>
        <ExplainedBasisInd>false</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>false</AppFinancialAsstExplnInd>
        <IncludesPublicityMeasuresInd>false</IncludesPublicityMeasuresInd>
        <FAPActionsOnNonpaymentInd>false</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <NoneMadeInd>X</NoneMadeInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicaidMedcrPrvtInd>X</LookBackMedicaidMedcrPrvtInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, HOSPITAL DE LA CONCEPCION, INC. - PART V, LINE 7D</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABLE UPON REQUEST FROM HOSPITAL FACILITY</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR GOODS AND SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTEMENTS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED PATIENTS IN ACCORDANCE WITH THE HOSPITAL'S POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED PATIENTS. THE HOSPITAL DETERMINES ITS ESTIMATES OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS BASED ON CONTRACTUAL AGREEMENTS, ITS DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE. THE HOSPITAL DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THIS CLASS OF PATIENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>NOTE 1, PAGE 12 OF FINANCIAL STATEMENTS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>MOST PATIENTS WHO QUALIFIED FOR FINANCIAL ASSITANCE IN OUR REGION HAS ALREADY MEDICAL COVERAGE THRU MEDICAID STATE PROGRAM "PLAN VITAL". FOR SUCH REASON, NO ADDITIONAL PROVISION IS INCLUDED IN THE WRITTEN DEBT COLLECTION POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>WE OFFER TO PREGNANT WOMEN IN THE WESTERN AREA OF THE ISLAND EDUCATIONAL SECTIONS FOR EXPECTANT MOTHERS. THE EXPECTANT MOTHERS PROGRAM FOCUSES ON THE MATERNAL AND CHILDCARE COMMUNITY EMPHASIZING THE PREGNACY, BIRTH, AND BREASTFEEDING PROCESS. TWO EDUCATIONAL SECTIONS ARE OFFERED TO PROVIDE DETAILED INFORMATION FOR PREGNANT WOMEN AND THEIR COMPANIONS. THE SESSIONS ARE OFFERED BY A HOSPITAL NURSE CERTIFIED IN BOTH TOPICS. THE MISSION OF THIS INITIATIVE IS TO SUPPORT AND OFFER TOOLS TO MOTHERS IN THEIR LABOR PROCESS AND IN THE FIRST DAYS OF MOTHERHOOD WITH 2 SECTIONS PER MONTH. THE TOTAL COST OF THE PROJECT WAS 5,984 IN 2024 AND WE IMPACT 87 FAMILIES. WE OFFER LUNCH TO HOMELESS PEOPLE IN SAN GERMAN EVERY THURSDAY AND FRIDAY. 2,475 RATIONS WERE DELIVERED FROM WITH A TOTAL COST OF 17,201. WE TRY TO IMPROVE THE HEALTH OF HOMELESS PEOPLE. WE OFFERED EIGHTEEN (18) HEALTH FAIRS, OFFERING NUTRITIONAL AND GLUCOSE CLINICS. THREE OF THE HEALTH FAIRS WAS IN THE MUNICIPALITY OF SAN GERMAN, IMPACTING VARIOUS COMMUNITIES: GUAMA AND THE DOWNTOWN. IN THE MUNICIPALITIES OF MAYAGUEZ AND CABO ROJO WE HAD THE OTHER HEALTH FAIRS. WE IMPACTED 750 PEOPLE ON THESE HEALTH FAIRS, WITH A TOTAL COST OF 19,849.56. IN 2024 WE BEGIN TO SPONSORING TWO NON-PROFIT ORGANIZATIONS: "PORTAL DE AMOR- AND " ESPERANZA PARA LA VEJEZ". "PORTAL DE AMOR" IN SAN GERMAN PROVIDES SHELTER FOR CHILDRENS AGE 0-12 WITH NEURODEVELOPMENTAL CHALLENGES, REMOVED FROM THEIR BIOLOGICAL HOMES. THE HOME WORKS TO HELP CHILDREN OVERCOME THEIR TRAUMA IN A LOVING AND RESPECTFUL ENVIROMENT, OFFERING HOLISTIC EDUCATION. "PORTAL DE AMOR" HAS AN ENROLLMENT OF 20 CHILDREN, AND WE CONTRIBUTED 8,000 IN 2024. " ESPERANZA PARA LA VEJEZ" PROVIDES SERVICES TO OLDER ADULTS LIVING IN POVERTY. ITS MISSION IS TO IMPROVE THE QUALITY OF LIFE OF OLDER ADULTS THROUGH THE EFFECTIVE PROVISION OF INTEGRATED, COMMUNITY-BASED SERVICES AIMED AT STREGTHENING SOCIAL, EMOTIONAL, ECONOMIC, PHYSICAL, AND SPIRITUAL NEEDS ACROSS ALL CLASSES. WE IMPACTED 127 PEOPLE, 33 ATTEND THE CENTER DAILY AND 94 PEOPLE RECEIVE LUNCHES IN THEIR HOMES DAILY. WE CONTRIBUTED 4,800 IN 2024. IN ADDITION, WE HELP OUR COMMUNITY WITH THIS DONATIVE: - A CHRISTMAS MUSICAL SHOW FOR PATIENTS, EMPLOYEES AND VISITORS IN OUR FACILITIES COST 5,000. - OTHER CHARITIES TO BASEBALL, VOLLEYBALL, BASKETBALL AND SOFTBALL TEAMS TO BUY UNIFORMS, TRAVEL, AND OTHER COST. ALL THESE CHARITIES COST 4,850. -CHRISTMAS AND MOTHER AND FATHER'S DAY ACTIVITIES IN THE EGIDA LA CONCEPCION WITH A COST OF 1,840.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, LINE 1A THE HOSPITAL CURRENTLY DOES NOT HAVE A WRITTEN FINANCIAL ASSISTANCE POLICY, HOWEVER, IT WILL PREPARE IT AS SOON AS POSSIBLE TO PROMPTLY COMPLY WITH THE REQUIREMENT. PART V, LINE 3 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 UNITED STATES AND THE DISTRICT OF COLUMBIA SHALL NOT BE REQUIRED TO COMPLY WITH THE COMMUNITY HEALTH NEED ASSESSMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc4">
      <GrantRecordsMaintainedInd>false</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HOGAR ALBERGUE DE NINOS MALTRATADOS</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>DE SAN GERMAN INC</BusinessNameLine2Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 1375</AddressLine1Txt>
          <CityNm>SAN GERMAN</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>006831375</ZIPCd>
        </USAddress>
        <RecipientEIN>660469637</RecipientEIN>
        <IRCSectionDesc>501(C)</IRCSectionDesc>
        <CashGrantAmt>8000</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>ITEMS FOR CHILDREN</PurposeOfGrantTxt>
      </RecipientTable>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PAGE 1, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DONATION WAS USED TO ACQUIRE CERTAIN ITEMS THAT WERE INDEED PURCHASED AND DELIVERED TO THE ENTITY.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc5">
      <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>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GUSTAVO A ALMODOVAR</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>604302</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>604302</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FELICITA BONILLA</PersonNm>
        <TitleTxt>OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>291949</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>291949</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LIZMARI CALDERON ARCE</PersonNm>
        <TitleTxt>FINANCE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>255507</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>255507</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VANESSA M CARDONA RODRIGUEZ</PersonNm>
        <TitleTxt>ASSOCIATE ADMINISTRA</TitleTxt>
        <BaseCompensationFilingOrgAmt>198453</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>198453</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARIE FE FERRER</PersonNm>
        <TitleTxt>PATIENT ACCOUNT DIRE</TitleTxt>
        <BaseCompensationFilingOrgAmt>168272</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>168272</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc6">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE YEAR ENDED DECEMBER 31, 2024, THE HOSPITAL BEGAN OFFERING EMERGENCY SERVICES, CLINICAL LABORATORY SERVICES, IMAGING, AND OTHER HEALTHCARE SERVICES AT TWO NEW FACILITIES LOCATED IN HORMIGUEROS AND SABANA GRANDE, PUERTO RICO. BOTH LOCATIONS ARE UNDER THE HOSPITAL LICENSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>YES</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BISHOP OF THE DIOCESE OF MAYAGUEZ, AS PRESIDENT OF THE BOARD OF TRUSTEES SELECTS THE MEMBERS OF THE BOARD; THE MEMBERS ARE SELECTED BASED ON THEIR EXPERIENCE IN DIFFERENT BUSINESS AREAS. THE POSITION'S TERM IS THREE YEARS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE REVIEW PROCESS OF THE FORM 990 IS UNDER THE RESPONSIBILITY OF THE BOARD OF DIRECTORS FINANCE COMMITTEE. SUCH COMMITTE DELEGATES THIS TASK TO THE FINANCIAL DIRECTOR, WHO REVIEWS AND COMPARES THE FORM ACCORDINGLY WITH THE AUDITED FINANCIAL STATEMENTS. THEN, THE RETURN IS DISCUSSED WITH THE EXECUTIVE DIRECTOR AND/OR ANY MEMBERS OF THE FINANCE COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS HAS A COMMITTEE WHICH, THROUGH THE EXECUTIVE DIRECTOR AND THE ADMINISTRATOR, ENFORCES AND MONITORS COMPLIANCE WITH THE POLICY. THE ORGANIZATION'S DIRECTORS ARE REQUIRED TO DOCUMENT AND DISCLOSE ANNUALLY ANY CONDITIONS THAT MAY RESULT IN A CONFLICT OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION UPON REQUEST BY VENDORS AND PUBLIC IN GENERAL PROVIDES COPY OF ANY OF ITS FINANCIAL STATEMENTS, GOVERNING DOCUMENTS OR ANY OTHER POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc7">
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SALUS INFIRMORUM INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>CARR 2 KM 1734</AddressLine1Txt>
          <CityNm>SAN GERMAN</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>00683</ZIPCd>
        </USAddress>
        <EIN>660594777</EIN>
        <PrimaryActivitiesTxt>MED.OFFICE</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>true</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>true</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SALUS INFIRMORUM INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>477517</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>MARKET VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SALUS INFIRMORUM INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>684468</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>MARKET VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPITAL DE LA CONCEPCION, INC. AND SALUS INFIRMORUM, INC. ARE RELATED ORGANIZATIONS BECAUSE BOTH ARE OWNED BY THE MAYAGEZ DIOSESIS AND SHARE THE SAME PRESIDENT, THE BISHOP OF MAYAGEZ DIOSESIS. SALUS IS AN ORGANIZATION THAT OWNS A MEDICAL OFFICE BUILDING. AS IS HAS NO REVENUES NOR CASH, HOSPITAL DE LA CONCEPCION PAYS FOR THE MAINTENANCE COSTS OF THE BUILDING AS LOAN BY CREATING AN ACCOUNT TO BE COLLECTED IN THE HOSPITAL ACCOUNTING AND AN ACCOUNT TO BE PAID IN SALUS INFIRMORUM ACCOUNTING.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>