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        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>26708</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LAURA ENID RODRIGUEZ COLON</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>14280</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RAMON GONZALEZ CASTAING</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOSE VALENTIN RODRIGUEZ</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARIA CARABALLO GAUD</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LISETTE LACOMBA ACEVEDO</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LIDIOS SORIANO CABRERA</PersonNm>
        <TitleTxt>SUB TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANTONIO FERNOS SAGEBIEN</PersonNm>
        <TitleTxt>OFFICER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID VERA UMPIERRE</PersonNm>
        <TitleTxt>OFFICER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CARLOS MIRO GONZALEZ</PersonNm>
        <TitleTxt>OFFICER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JULIO DIAZ PADILLA</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>1168945</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>0</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>3</IndivRcvdGreaterThan100KCnt>
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      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>MANUEL A TORRES GRAJALES</PersonNm>
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        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>PR</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GFR ANESTHESIA</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>HOSPITAL ISAAC GONZALEZ</AddressLine1Txt>
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        </ContractorAddress>
        <ServicesDesc>MEDICAL</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CAPITOL SECURITY POLICE</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>PR</StateAbbreviationCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>JOEL SERRANO GONZALEZ</PersonNm>
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          <USAddress>
            <AddressLine1Txt>HOSPITAL DR ISAAC GONZALEZ</AddressLine1Txt>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>IVAN F IRIZARRY RODRIGUEZ</PersonNm>
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          <USAddress>
            <AddressLine1Txt>HOSPITAL DR ISAAC GONZALEZ</AddressLine1Txt>
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      <TotalContributionsAmt>1726806</TotalContributionsAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <IncmFromInvestBondProceedsGrp>
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        <ContributorUSAddress>
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          <State>RESTRICTED</State>
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      <TotalLiabilityAmt>1059673</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>26131715</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>0</NetUnrealizedGainsInvstAmt>
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      <OtherRevenueAmt>0</OtherRevenueAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>26131715</RevenueSubtotalAmt>
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      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>26131715</TotalRevenuePerForm990Amt>
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      <ExpensesSubtotalAmt>26672762</ExpensesSubtotalAmt>
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      <TotalExpensesPerForm990Amt>26672762</TotalExpensesPerForm990Amt>
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      <FinancialAssistancePolicyInd>1</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>1</WrittenPolicyInd>
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          <BusinessNameLine1Txt>HOSP DR ISAAC GONZALEZ MARTINEZ</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>CENTRO MEDICO METROPOLITANO</AddressLine1Txt>
          <CityNm>SAN JUAN</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>00935</ZIPCd>
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          <BusinessNameLine1Txt>HOSP DR ISAAC GONZALEZ MARTINEZ</BusinessNameLine1Txt>
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        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>www.ligacancerpr.org</FAPAvailableOnWebsiteURLTxt>
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        <PermitDeferDenyRqrPaymentInd>X</PermitDeferDenyRqrPaymentInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
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        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
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        <GrossChargesInd>0</GrossChargesInd>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 20a-HOSP DR ISAAC GONZALEZ MARTINEZ</FormAndLineReferenceDesc>
        <ExplanationTxt>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>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 3c</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE H, PART I-LINE 3C- Hospital Dr Isaac Gonzalez Martinez - The process in our hospital for patients on FAP, is workedby a previously recomendation submitted by the social worker department for eligibility through socioeconomic study and the Charity Comitee makes the final approval.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>NOT APPLICABLE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Section A, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>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 acocunts receivable donward to their estimated net realizable value. To determine the risk factors for accounts over 365 day using Hospital's accounts receivable aging.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Section B, Line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>Schedule H, Part III - Lines 8 - Medicare requires suppliers in the preparation of the cost report to use a reciprocalrelationship of cost to charges for all dpeartments. This means that the charges generated by the institution be identified with the correpondent department in the cost report. Examples are medicines and serums (IV Solutions), the medications and serum should be reported on the line of the report that corresponds to pahrmacy. This applies for all departments.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Section C, Line 9b</FormAndLineReferenceDesc>
        <ExplanationTxt>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 idigent patient and cannot pay.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2</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>Schedule H, Part VI, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>CURRENTLT THE HOSPITAL HAS A HEALTH EDUCATOR WHO GIVES PRESENTATION 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>Schedule H, Part VI, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>CURRENTLY THE HOSPITAL SERVES THE ENTIRE METROPOLITAN AREA OF PUERTO RICO AND ITS SURROUNDING AREAS.</ExplanationTxt>
      </SupplementalInformationDetail>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JONATHAN ALFARIN SANTIAGO</PersonNm>
        <TitleTxt>INFORMATION DIRECTOR</TitleTxt>
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        <PersonNm>RICARDO LAPORTE CINTRON</PersonNm>
        <TitleTxt>IT DIRECTOR</TitleTxt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="R000007" softwareId="23018249" softwareVersionNum="v1.00">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY AUTHORIZED IRS PREPARER. DRAFT OF THE FORM 990 IS DISTROIBUTED TO THE BOARD MEMBER/KEY EMLPOYEES FOR COMMENTS, CORRECTIONS AND ACCURACY. ONCE APPROVED BY THE MEMBERS PARTIES THE FORM 990 IS SUBMITTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>PART VI, SECTION B, LINE 15a:The Human Resources Department 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, carreer track, among others. Final recomendation is evaluated and approved by the Directors Board. The CEO compensation is always evaluated by the Boards of Directors.PART VI, SECTION B,LINE 15b:Same as Line 15a.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>PART VI, SECTION C, LINE 19: The information is available when required. Government documents and financial statements are available for 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>Form 990, Part IX, Line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>PART VI, SECTION B, LINE 11:The return is prepared by independent auditors and reviewed by the Chief Financial Officer and the Chief Executive Director. PART VI, SECTION B, LINE 15a:The Human Resources Department 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, carreer track, among others. Final recomendation is evaluated and approved by the Directors Board. The CEO compensation is always evaluated by the Boards of Directors.PART VI, SECTION B,LINE 15b:Same as Line 15a. PART VI, SECTION C, LINE 19: The information is available when required. Government documents and financial statements are available for different agencies, government, banks, etc. The conflict of interest policy is available to all employees, board members and other agencies, as required. Part IX, LINE 11g: $2,746,924 - Professional Services $1,370,343 - Purchased Services $35,760 - Audit Fees $64,043 - Legal Fees PART XII - FINANCIAL STATEMENT AND REPORTING- LINE 2- No AFS Memo - Because our AFS 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 statement in accordance with FASB ASC 740. The adoption of ASC 740-10-50-15 did not have any effect on the Hospital's financial position or changes in unresticted net assets. SCHEDULE H, PART I-LINE 3C- Hospital Dr Isaac Gonzalez Martinez - The process in our hospital for patients on FAP, is workedby a previously recomendation submitted by the social worker department for eligibility through socioeconomic study and the Charity Comitee makes the final approval. Schedule H, Part III - Lines 8 - Medicare requires suppliers in the preparation of the cost report to use a reciprocalrelationship of cost to charges for all dpeartments. This means that the charges generated by the institution be identified with the correpondent department in the cost report. Examples are medicines and serums (IV Solutions), the medications and serum should be reported on the line of the report that corresponds to pahrmacy. This applies for all departments. 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 idigent 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 acocunts receivable donward to their estimated net realizable value. To determine the risk factors for accounts over 365 day using Hospital's accounts receivable aging. Part XI, LINE 9:Adjustment to properly correct beginning balance of Retained Earnings.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL OTHER EXPENSES</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHANGE IS RELATED TO MISCELLANEOUS ACCOUNTING ADJUSTMENTS OR RECLASIFICATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>