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            <AddressLine1Txt>AVE PONCE DE LEON 1707</AddressLine1Txt>
            <AddressLine2Txt>PARADA 25 DE SANTURCE</AddressLine2Txt>
            <CityNm>SAN JUAN</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00936</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <CompensationAmt>2040174</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PRIME JANITORIAL SERVICES CORP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>441 CALLE FERROCARRIL STE 302</AddressLine1Txt>
            <CityNm>PONCE</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00717</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CLEANING SERVIC</ServicesDesc>
        <CompensationAmt>1770138</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CARIBBEAN HOSPITALIST PSC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 331470</AddressLine1Txt>
            <CityNm>PONCE</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00733</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICE</ServicesDesc>
        <CompensationAmt>1333800</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>62</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>147224943</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>147224943</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>147224943</TotalProgramServiceRevenueAmt>
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        <ExclusionAmt>3029145</ExclusionAmt>
      </InvestmentIncomeGrp>
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      <RentalIncomeOrLossGrp>
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      <NetRentalIncomeOrLossGrp>
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        <RelatedOrExemptFuncIncomeAmt>1005497</RelatedOrExemptFuncIncomeAmt>
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      <GrossAmountSalesAssetsGrp>
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        <ExclusionAmt>156763</ExclusionAmt>
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        <Desc>SUPPLIES</Desc>
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        <Desc>OTHER DIRECT EXPENSES</Desc>
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        <ProgramServicesAmt>7246781</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4292113</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>UTILITIES</Desc>
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        <ManagementAndGeneralAmt>3142701</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL MALPRACTICE CLAIM</Desc>
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        <ProgramServicesAmt>1115983</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>31457461</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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        <EOYAmt>38029436</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>153367528</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <NetUnrlzdGainsLossesInvstAmt>254884</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolAndSepBasisFinclStmtInd>X</ConsolAndSepBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc8">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc3">
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        <BookValueAmt>12724463</BookValueAmt>
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      <BuildingsGrp>
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        <DepreciationAmt>18693818</DepreciationAmt>
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      <EquipmentGrp>
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        <BookValueAmt>5673675</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>83073941</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUAL FOR MEDICAL MALPRACTICE</Desc>
        <Amt>6184309</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO RELATED PARTIES</Desc>
        <Amt>396417</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>FINANCE LEASE LIABILITIES</Desc>
        <Amt>263607</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>6844333</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>155341086</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>254884</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>254884</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>155086202</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>155086202</TotalRevenuePerForm990Amt>
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    <IRS990ScheduleH documentId="RetDoc7">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
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      <Percent100Ind>X</Percent100Ind>
      <FPGReferenceDiscountedCareInd>false</FPGReferenceDiscountedCareInd>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>true</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>false</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>true</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>true</ReportPublicallyAvailableInd>
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        <DirectOffsettingRevenueAmt>1525075</DirectOffsettingRevenueAmt>
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        <TotalExpensePct>0.23470</TotalExpensePct>
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      <TotalCommunityBenefitsGrp>
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        <TotalExpensePct>0.23470</TotalExpensePct>
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      <BadDebtExpenseReportedInd>false</BadDebtExpenseReportedInd>
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      <CostOfCareReimbursedByMedcrAmt>6199488</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>2054798</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>false</WrittenDebtCollectionPolicyInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>HOSPITAL MENONITA CAGUAS INC</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>CARR 172 SALIDA 21 TURABO GARDENS</AddressLine1Txt>
          <CityNm>CAGUAS</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>00727</ZIPCd>
        </USAddress>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>HOSPITAL MENONITA CAGUAS INC</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>false</CHNAConductedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicaidMedcrPrvtInd>X</LookBackMedicaidMedcrPrvtInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, HOSPITAL MENONITA CAGUAS, INC. - PART V, LINE 13B</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPITAL MENONITA CAGUAS ESTABLISHES AND REVIEWS ANNUALLY ITS OWN INCOME LEVEL GUIDANCE BASED ON THE FPG ISSUED BY HHS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING ACTIVITIES WERE CARRIED OUT AS PART OF OUR SOCIAL RESPONSIBILITY COMMITMENT: WORKING WITH MUNICIPALITIES - THE ORGANIZATION COLLABORATES WITH MUNICIPALITIES TO DELIVER EDUCATIONAL INITIATIVES THAT BENEFIT LOCAL COMMUNITIES. THESE EFFORTS INCLUDE INFORMATIONAL LECTURES, COMMUNITY- ORIENTED RECREATIONAL ACTIVITIES, AND EDUCATIONAL PRESENTATIONS FOR MUNICIPAL EMPLOYEES. HEALTH FAIRS - IN COORDINATION WITH MUNICIPALITIES, COMMUNITY GROUPS, SCHOOLS, AND MEDICAL ORGANIZATIONS, THE ORGANIZATION CONDUCTS HEALTH FAIRS TO EXPAND ACCESS TO HEALTHCARE SERVICES. THESE EVENTS FEATURE HEALTH SCREENINGS, DISTRIBUTION OF EDUCATIONAL MATERIALS, AND INFORMATION RELATED TO PHYSICAL AND MENTAL HEALTH. ACTIVITIES ARE CARRIED OUT IN COLLABORATION WITH THE VARIOUS COMPONENTS OF THE MENNONITE HEALTH SYSTEM TO ENSURE COMPREHENSIVE AND COORDINATED COMMUNITY OUTREACH. INTEGRATION IN SCHOOLS - THE ORGANIZATION SUPPORTS SCHOOLS BY PROVIDING SCHOOL SUPPLIES AND FIRST-AID KITS TO STUDENTS AT THE BEGINNING OF THE ACADEMIC YEAR. THROUGHOUT THE SCHOOL YEAR AND DURING SUMMER CAMPS, EDUCATIONAL ENTERTAINMENT ACTIVITIES FEATURING CHILDREN'S CHARACTERS ARE OFFERED TO ENHANCE ENGAGEMENT AND LEARNING RETENTION. ADDITIONALLY, THE ORGANIZATION CONDUCTS WORKSHOPS FOR TEACHERS AND SCHOOL STAFF ON TOPICS SUCH AS MENTAL HEALTH, NUTRITION, DISEASE PREVENTION, BULLYING PREVENTION, AND RECOGNITION OF STROKE SYMPTOMS, AMONG OTHERS. EDUCATION - THE ORGANIZATION PROMOTES PUBLIC EDUCATION THROUGH INFORMATIONAL OUTREACH INITIATIVES FOCUSED ON SUICIDE PREVENTION AND SUPPORT FOR VICTIMS OF DOMESTIC VIOLENCE. IT ALSO SERVES AS A TRAINING AND PRACTICUM CENTER FOR FUTURE HEALTHCARE PROFESSIONALS. ADDITIONAL INITIATIVES INCLUDE: CAREER GUIDANCE AND INTERVIEW PREPARATION FOR PARTICIPANTS IN THE SUMMER EMPLOYMENT PROGRAM HEALTH EDUCATION LECTURES ON SUICIDE PREVENTION, STROKE SYMPTOM RECOGNITION, AND OTHER PUBLIC HEALTH TOPICS PSYCHOEDUCATIONAL WORKSHOPS FOR EMPLOYEES IN PUBLIC AND PRIVATE SCHOOLS PUBLIC AWARENESS CAMPAIGNS CONDUCTED THROUGH REGIONAL AND NATIONAL MEDIA OUTLETS TO EDUCATE THE COMMUNITY ABOUT PREVENTIVE HEALTH MEASURES, INCLUDING VACCINATIONS, INFLUENZA PREVENTION, MAMMOGRAPHY AWARENESS, STROKE RECOGNITION, AND MENTAL HEALTH PATIENTS &amp; VISITORS - THE ORGANIZATION PROVIDES REFLECTION AND SUPPORT ACTIVITIES LED BY THE HOSPITAL CHAPLAIN FOR EMPLOYEES, PATIENTS, AND VISITORS IN OBSERVANCE OF EVENTS SUCH AS PEACE DAY, EASTER, AND CANCER PREVENTION INITIATIVES. ADDITIONAL ACTIVITIES INCLUDE PATIENT VISITS, DISTRIBUTION OF SMALL GIFTS, AND EDUCATIONAL INTERACTIONS AIMED AT SUPPORTING EMOTIONAL AND SPIRITUAL WELL-BEING. SPORTS - THE ORGANIZATION SPONSORS AND PARTICIPATES IN VARIOUS SPORTS ACTIVITIES AT THE YOUTH, AMATEUR, AND PROFESSIONAL LEVELS, INCLUDING BASEBALL, BASKETBALL, LONG-DISTANCE RUNNING, SOCCER, AND VOLLEYBALL. PROGRAMS ARE AVAILABLE FOR BOTH MEN AND WOMEN. IN CONNECTION WITH THESE EVENTS, THE ORGANIZATION OFFERS HEALTH SCREENINGS, EDUCATIONAL TALKS, AND COMMUNITY ENGAGEMENT ACTIVITIES TO PROMOTE WELLNESS. MENNONITE AT YOUR HOME - TO ENSURE CONTINUITY OF CARE, THE ORGANIZATION PROVIDES LABORATORY TESTING SERVICES AND HOME DELIVERY OF MEDICATIONS TO PATIENTS AND COMMUNITY MEMBERS. THESE SERVICES ARE DESIGNED TO IMPROVE HEALTHCARE ACCESS AND SUPPORT ADHERENCE TO PRESCRIBED TREATMENT PLANS. SPIRITUALITY - THE ORGANIZATION MAINTAINS A DEDICATED TEAM OF CHAPLAINS AND VOLUNTEERS WHO VISIT PATIENTS DAILY TO ADDRESS THEIR SPIRITUAL NEEDS, REGARDLESS OF RELIGIOUS AFFILIATION. PARTNERSHIPS WITH VARIOUS RELIGIOUS DENOMINATIONS SUPPORT COLLABORATIVE SPIRITUAL CARE INITIATIVES AND PROMOTE A MESSAGE OF COMPASSION AND HOLISTIC HEALING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL PATIENTS ARE RESPONSIBLE OF CHARGES NOT COVERED BY MEDICARE PART A AND B. THE MEDICARE PROGRAM ESTABLISHES THAT THE HOSPITAL SHOULD MAKE AT LEAST THREE COLLECTION EFFORTS WHEN THE PATIENT IS RESPOSIBLE FOR THE ACCOUNT. THIS REQUIREMENT APPLIES TO PATIENTS WITH PRIVATE MEDICARE OR 0% INDIGENCE. IF THE COLLECTION EFFORTS TO THE PATIENTS ARE UNSUCCESSFUL MEDICARE WILL REIMBURSE THE HOSPITAL THE AMOUNT NOT PAID. THE COLLECTION DEPARTMENT WILL TRANSFER THIS AMOUNT TO BAD DEBTS. A RECOMMENDATION FOR THE ELIMINATION OF THE ACCOUNT SHALL FOLLOW ONCE A COST REPORT IS PREPARED AND AN AUDIT PROCEDURE IS CONCLUDED. FOR PATIENTS WITH MEDICARE-MEDICAID 100% INDIGENCE AND MEDICARE-REFORM THE SAME PROCESS IS USED EXCEPT THE THREE COLLECTION EFFORTS WILL NOT APPLY. THE MEDICARE PROGRAM WILL REIMBURSE THE CORRESPONDING PERCENT.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>A MINIMUM OF FOUR COLLECTION EFFORTS TO PATIENTS SHOULD BE DONE BEFORE ELIMINATING AN ACCOUNT. THE FIRST ONE MUST BE DONE AT THE MOMENT THE SERVICE IS PERFORMED OR DURING THE TIME THE PATIENT IS HOSPITALIZED. THREE COLLECTION LETTERS WILL BE SEND BEFORE THE COLLECTION DEPARTMENT DECIDES IF THEY WILL REFER THE ACCOUNT TO A COLLECTIONS AGENCY OR RECOMMENDS THE ELIMINATION OF THE ACCOUNT. ALL COLLECTION EFFORTS TO THE HEALTH INSURANCE WILL USE AS GUIDELINES RULE NO. 73 OF JANUARY 15, 2003, PROMPT PAYMENT TO HEALTH CARE SERVICES PROVIDER. IF NO RESPONSE, THE COLLECTION DEPARTMENT WILL DECIDE IF THEY WILL CHARGE THE PATIENT OR RECOMMEND THE ELIMINATION OF THE ACCOUNT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 1 - 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 50 STATES OF THE UNITED STATES AND THE DISTRICT OF COLUMBIA SHALL NOT BE REQUIRED TO COMPLY WITH THE COMMUNITY HEALTH NEED ASSESSMENT. PART V, SECTION B, LINE 9 &amp; LINE 10 - THE FINANCIAL ASSISTANCE POLICY IS BASED ON MEDICARE COST REPORT RATIO.</ExplanationTxt>
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        <PersonNm>LCDO JOSE G PASTRANA</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CARMEN MORALES COLON</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANNA E ROLON BONILLA</PersonNm>
        <TitleTxt>FINANCE DIRECTOR</TitleTxt>
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        <TotalCompensationFilingOrgAmt>165645</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
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        <PersonNm>MARIA I SILVA</PersonNm>
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        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 5A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PAID A BONUS COMPENSATION TO ITS OFFICERS BUT IT IS NOT SPECIFICALLY CONTINGENT ON THE ORGANIZATION'S REVENUES BUT BASED ON THE ACHIEVEMENT OF CERTAIN METRICS AND BUDGET FOR THE YEAR.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVIDE COMPETENT, INNOVATIVE AND ACCESSIBLE EMERGENCY AND ACUTE CARE SERVICES FOR THE RESIDENTS OF THE MUNICIPALITY OF CAGUAS AND SURROUNDING MUNICIPALITIES IN A WARMTH ATMOSPHERE, WITHOUT DISCRIMINATION OF RACE, COLOR, SEX, RELIGION, POLITICAL BELIEF, NATIONALITY, AGE OR DISABILITY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>MENNONITE GENERAL HOSPITAL, INC. IS THE SOLE MEMBER OF THE ENTITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>AS THE SOLE MEMBER, MENNONITE GENERAL HOSPITAL HAS THE POWER TO APPOINT SOME OF THE MEMBERS OF THE BOARD OF DIRECTORS, PURSUANT TO THE CORPORATION BYLAWS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE INFORMATIVE RETURN FOR INCOME TAX EXEMPT ORGANIZATIONS IS PREPARED BY A CONTRACTED EXTERNAL CERTIFIED PUBLIC ACCOUNTANT. THE RETURN IS REVIEWED BY THE CHIEF FINANCIAL OFFICER, THE CHIEF EXECUTIVE OFFICER OR THE PRESIDENT OF THE BOARD OF DIRECTORS. THE RETURN IS SIGNED BY THE CHIEF FINANCIAL OFFICER OR THE CHIEF EXECUTIVE OFFICER OR ANY OTHER OFFICER DULY AUTHORIZED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE INTERNAL AUDIT DEPARTMENT CONTINUOUSLY EVALUATES TRANSACTIONS TO ASSURE THE COMPLIANCE WITH THE POLICY AND CONTRACTUAL CLAUSES IN EVERY DEPARTMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>HUMAN RESOURCES EVALUATES THE COMPENSATION FOR ANY POSITION WHEN THE POSITION IS AVAILABLE FOR RECRUITING. THEY COMPARE WITH MARKET THROUGH BENCHMARKING WITH OTHER SIMILAR HOSPITALS, JOB EXPERIENCES, EXPERTISE AND PERFORMANCE, CAREER TRACK, AMONG OTHERS. FINAL RECOMMENDATION IS EVALUATED AND APPROVED AT CORPORATE LEVEL. THE CHIEF EXECUTIVE OFFICER COMPENSATION IS ALSO APPROVED BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>HUMAN RESOURCES EVALUATES THE COMPENSATION FOR ANY POSITION WHEN THE POSITION IS AVAILABLE FOR RECRUITING. THEY COMPARE WITH MARKET THROUGH BENCHMARKING WITH OTHER SIMILAR HOSPITALS, JOB EXPERIENCES, EXPERTISE AND PERFORMANCE, CAREER TRACK, AMONG OTHERS. FINAL RECOMMENDATION IS EVALUATED AND APPROVED AT CORPORATE LEVEL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS INFORMATION IS AVAILABLE ONLY WHEN REQUIRED. GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO REQUIRED AGENCIES. 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>28,028,565 2,017,189 0</ExplanationTxt>
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          <BusinessNameLine1Txt>CASA BARRANQUITAS INC</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>HOGAR AURORA INC</BusinessNameLine1Txt>
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      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
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      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
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      <AssetExchangeInd>false</AssetExchangeInd>
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      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
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</Return>