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          <BusinessNameLine1Txt>HOSPITAL COMUNITARIO BUEN</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>SAMARITANO</BusinessNameLine2Txt>
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        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
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        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
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        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>AS A PRECAUTIONARY MEASURE AGAINST THE COVID-19 DISEASE, THE ORGANIZATION DID NOT CARRY OUT COMMUNITY ACTIVITIES DURING THE YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL MAKES JUDGMENTS AS TO THE COLLECTABILITY OF ACCOUNTS RECEIVABLE BASED ON HISTORICAL TRENDS AND FUTURE EXPECTATIONS. MANAGEMENT ESTIMATES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS, WHICH REPRESENTS THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLES. THIS ALLOWANCE ADJUSTS GROSS PATIENT SERVICE ACCOUNTS RECEIVABLE DOWNWARD TO THEIR ESTIMATED NET REALIZABLE VALUE. TO DETERMINE THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND THE RELATED PROVISION FOR BAD DEBTS EXPENSE, MANAGEMENT REVIEW A SPECIFIC CUSTOMER RISKS; FOR PRIVATE PATIENTS ALL ACCOUNT OVER 365 DAYS AND FOR THIRD-PARTY PAYORS ALL ACCOUNTS OVER 365 DAYS, USING HOSPITAL'S ACCOUNT RECEIVABLE AGING. THE HOSPITAL GRANTS CREDIT WITHOUT COLLATERAL TO ITS PATIENTS, MOST OF WHO ARE LOCAL RESIDENTS AND ARE INSURED THIRD-PARTY PAYOR AGREEMENTS. THE HOSPITAL ESTABLISHES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A RELATED PROVISION FOR BAD DEBT BASED UPON FACTORS SURROUNDING THE CREDIT RISK OF SPECIFIC CUSTOMERS, HISTORICAL TRENDS AND OTHER INFORMATION. BAD DEBTS EXPENSE IS CALCULATED EVERY MONTH ACCORDING WITH THE BAD DEBTS POLICY: RESERVE OVER 365 DAYS FOR PATIENT'S ACCOUNTS AND OVER 365 DAYS INSURANCE'S ACCOUNT IN THE AGING REPORT RECONCILED WITH THE GL ALLOWANCE FOR BAD DEBTS ACCOUNT. THE BILLING AND COLLECTIONS SUPERVISOR SUBMIT THE ACCOUNTS TO BE WRITTEN OFF TO THE FINANCE DIRECTOR, WHO ANALYZES AND SUBMITS THEM TO THE BOARD OF DIRECTORS. THEY ARE THE ONLY RESPONSIBLE TO AUTHORIZE WRITE-OFFS OF UNCOLLECTIBLE ACCOUNTS RECEIVABLE.</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>A MINIMUM OF THREE COLLECTION EFFORTS TO PATIENTS SHOULD BE DONE BEFORE ELIMINATING THE ACCOUNT. THREE COLLECTION LETTERS WILL BE SEND BEFORE THE COLLECTION DEPARTMENT DECIDES TO ELIMINATE THE ACCOUNT. THE HOSPITAL DOES NOT REFER THE ACCOUNT TO A COLLECTION AGENCY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, LINE 1A ALTHOUGH THE HOSPITAL HAS A WRITTEN FINANCIAL ASSISTANCE POLICY, THE ORGANIZATION IS TAKING THE NECESSARY STEPS TO ALIGN THE SAME WITH THE NEW REQUIREMENTS OF THE PROPOSED REGULATIONS. PART V LINE I- BASED ON THE PROVISIONS OF NOTICE 2011-52 AND THE REGULATIONS FOR SECTION 501(R)(I) OF THE INTERNAL REVENUE CODE, THE TERM "STATE", AS INCLUDED IN THE DEFINITION FOR "HOSPITAL FACILITY"INCLUDED ONLY THE 50 STATES AND THE DISTRICT OF COLUMBIA AND NOT ANY US TERRITORY. THEREFORE, THOSE HOSPITAL FACILITIES LOCATED OUTSIDE THE 50 STATES OF THE UNITED STATES OF AMERICA SHALL NOT BE REQUIRED TO COMPLY WITH THE COMMUNITY HEALTH NEED ASSESMENT.</ExplanationTxt>
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    <IRS990ScheduleO documentId="RetDoc4">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION OF CURRENT OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF MEMBERS (BOD) WHICH MEMBERS APPROVE SIGNIFICANT DECISIONS OF THE ORGANIZATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS MEMBERS WHO ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY. ELECT FROM THE MEMBERS OF THE CORPORATION (THAT IS, FROM THE BOARD OF TRUSTEE OF THE PARENT COMPANY) SEVEN PERSONS TO BE MEMBERS OF THE BOARD OF DIRECTOR OF THE CORPORATION. THESE SEVEN DIRECTORS SHALL ELECT, IN CONSULTING WITH THE BOARD OF TRUSTEES OF THE PARENT COMPANY, THE REMAINING 6 DIRECTORS TO THE BOARD. SUCH SIX DIRECTORS SHALL AT ALL TIMES COMPLY WITH THE CUALIFICATION REQUIRED TO EACH MEMBERS OF THE BOARD.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DECISION OF THE GOVERNING BODY ARE SUBJECT TO APPROVAL BY THE MEMBERS: A) MAKE, ALTER OR REPEAL THE BY LAWS OF THE CORPORATION. B) AUTHORIZE AND CAUSE TO BE EXECUTED MORTGAGES AND LIENS UPON THE REAL AND PERSONAL PROPERTY OF THE CORPORATION. C) SET APART ANY OF THE FUNDS OF THE CORPORATION, A RESCUE OR RESERVES FOR ANY PROPER PURPOSE AND TO ABOLISH ANY REVENUE IN THE MANNER IN WHICH IT WAS CREATED. D) BY MAJORITY, TO DESIGNATE ONE OR MORE COMMITTEES, EACH COMMITTEE TO CONCIST OF ONE OR MORE OF THE DIRECTORS OF THE CORPORATION. E) TO HOLD MEETING OUTSIDE THE COMMONWEALTH OF PR. F) INCREASE THE NUMBER OF MEMBERS OF THE BOD. G) ELECTION OF THE BOD. H) AMEND THE BY LAWS OF THE CORPORATION. I) APPROVE ANY PLAN OF DISSOLUTION, MERGER, OR DISPOSITION OF THE TOTAL ASSETS OF THE CORPORATION. J) APPROVE THE SELECTION OF THE INDEPENDENT AUDITORS OF THE CORPORATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 10B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S BYLAWS ARE USED TO GOVERN THE OPERATIONS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATION REVIEW PROCESS FOR 990 FORM. THE BOD ASSIGNED THE DUTY TO REVISE THIS FORM TO THE EXECUTIVE &amp; FINANCE COMMITTEE OF THE BOD.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH YEAR THE ENTITY SENDS COMMUNICATIONS TO ITS EMPLOYEES DETAILING THE ENTITY'S RULING ABOUT THE CONFLICT OF INTEREST POLICY. IF ANY SITUATION EXISTS THE MATTER SHOULD BE COMMUNICATED TO THE BOARD OF DIRECTORS IMMEDIATELY TO TAKE REMEDIAL ACTIONS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS DETERMINES THE COMPENSATION AND BENEFITS OF THE EXECUTIVE DIRECTOR AND OTHER TOP OFFICERS USING COMPARABILITY DATA OF THE ACTUAL MARKET.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR DEPARTMENT DIRECTORS THE COMPENSATION AND BENEFITS ARE NOT APPROVED BY THE BOARD OF DIRECTORS, BUT IT IS DETERMINE USING THE MARKET BASE COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION UPON REQUEST PROVIDE COPY OF ANY OF ITS FINANCIAL STATEMENTS, GOVERNING DOCUMENTS OR ANY OTHER POLICY.</ExplanationTxt>
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        </ForeignAddress>
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        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PR</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 C</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <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>
    </IRS990ScheduleR>
  </ReturnData>
</Return>