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        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>PONCE MEDICAL SCHOOL FOUNDATION DELEGATES ACCOUNTING, HUMAN RESOURCES AND MAINTENANCE SERVICES TO TIBER HEALTH PUBLIC BENEFIT CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE RETURN IS PREPARED BY A CERTIFIED PUBLIC ACCOUNTANT USING THE AUDITED FINANCIAL STATEMENTS INFORMATION. THEN THE CPA SENDS A DRAFT TO THE CFO, FOR REVIEW. IF EVERYTHINGS IS CORRECT, THE RETURN IS APPROVED TO BE SENT TO THE IRS.</ExplanationTxt>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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