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        <PersonNm>ANTONIO FERNOS SAGEBIEN</PersonNm>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LCDO DAVID VERA UMPIERRE</PersonNm>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARLOS MIRO GONZALEZ</PersonNm>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR JULIO DIAZ PADILLA</PersonNm>
        <TitleTxt>PRESIDENT MEDICAL FACULTY</TitleTxt>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RAMON E BURGOS MENDEZ</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>5</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>16246</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANGEL D RIVERA LUGO</PersonNm>
        <TitleTxt>INFORMATION DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>16</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>28800</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NATALIA N LOPEZ CEPERO COIRA</PersonNm>
        <TitleTxt>DIRECTOR REHABILITATION CENTER</TitleTxt>
        <AverageHoursPerWeekRt>40</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>58652</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1134267</TotalReportableCompFromOrgAmt>
      <IndivRcvdGreaterThan100KCnt>3</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>false</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CAPITOL SECURITY POLICE INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 11157 FERNANDEZ JUNCOS</AddressLine1Txt>
            <CityNm>SAN JUAN</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00910</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SECURITY</ServicesDesc>
        <CompensationAmt>443959</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GFR ANESTHESIA LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>200 CALLE ALCALA APT 702B</AddressLine1Txt>
            <CityNm>SAN JUAN</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>009213918</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL</ServicesDesc>
        <CompensationAmt>420000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SAN JUAN MEDICAL CONSULTANTS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1500 AVE MONTEHIEDRA APT 1211</AddressLine1Txt>
            <CityNm>SAN JUAN</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00926</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL</ServicesDesc>
        <CompensationAmt>388850</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ACDC ENGINEERING SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>RIVER VALLEY PARK 14 JACABOA</AddressLine1Txt>
            <CityNm>CANOVANAS</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00729</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ELECTRICAL SERVICES</ServicesDesc>
        <CompensationAmt>297269</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>EM ELECTRICAL POWER CORP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>URB FAIRVIEW 711 CALLE 44</AddressLine1Txt>
            <CityNm>SAN JUAN</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>009267729</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACTOR</ServicesDesc>
        <CompensationAmt>203256</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>9</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>785125</AllOtherContributionsAmt>
      <TotalContributionsAmt>785125</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICES</Desc>
        <BusinessCd>622000</BusinessCd>
        <TotalRevenueColumnAmt>15764817</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>15764817</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>15764817</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>-9595</TotalRevenueColumnAmt>
        <ExclusionAmt>-9595</ExclusionAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>HOSPITAL OTHER REVENUE</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>9181947</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9181947</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>9181947</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>25722294</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>24946764</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>-9595</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1134270</TotalAmt>
        <ManagementAndGeneralAmt>1134270</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>7227329</TotalAmt>
        <ProgramServicesAmt>5420690</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1675243</ManagementAndGeneralAmt>
        <FundraisingAmt>131396</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1153650</TotalAmt>
        <ProgramServicesAmt>551428</ProgramServicesAmt>
        <ManagementAndGeneralAmt>591499</ManagementAndGeneralAmt>
        <FundraisingAmt>10723</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>646826</TotalAmt>
        <ProgramServicesAmt>422760</ProgramServicesAmt>
        <ManagementAndGeneralAmt>213823</ManagementAndGeneralAmt>
        <FundraisingAmt>10243</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>4650370</TotalAmt>
        <ProgramServicesAmt>2148189</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2455977</ManagementAndGeneralAmt>
        <FundraisingAmt>46204</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>159646</TotalAmt>
        <ProgramServicesAmt>7499</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9722</ManagementAndGeneralAmt>
        <FundraisingAmt>142425</FundraisingAmt>
      </AdvertisingGrp>
      <OccupancyGrp>
        <TotalAmt>57783</TotalAmt>
        <ProgramServicesAmt>47204</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10579</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>13068</TotalAmt>
        <ProgramServicesAmt>575</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12493</ManagementAndGeneralAmt>
      </TravelGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>2699403</TotalAmt>
        <ProgramServicesAmt>60082</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2639189</ManagementAndGeneralAmt>
        <FundraisingAmt>132</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>616737</TotalAmt>
        <ManagementAndGeneralAmt>616737</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>5080262</TotalAmt>
        <ProgramServicesAmt>4856880</ProgramServicesAmt>
        <ManagementAndGeneralAmt>218347</ManagementAndGeneralAmt>
        <FundraisingAmt>5035</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS</Desc>
        <TotalAmt>1581997</TotalAmt>
        <ProgramServicesAmt>873210</ProgramServicesAmt>
        <ManagementAndGeneralAmt>706442</ManagementAndGeneralAmt>
        <FundraisingAmt>2345</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>UTILITIES</Desc>
        <TotalAmt>1029999</TotalAmt>
        <ProgramServicesAmt>93298</ProgramServicesAmt>
        <ManagementAndGeneralAmt>936701</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>820329</TotalAmt>
        <ProgramServicesAmt>350900</ProgramServicesAmt>
        <ManagementAndGeneralAmt>457560</ManagementAndGeneralAmt>
        <FundraisingAmt>11869</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>1512376</TotalAmt>
        <ProgramServicesAmt>18225</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1126682</ManagementAndGeneralAmt>
        <FundraisingAmt>367469</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>28384045</TotalAmt>
        <ProgramServicesAmt>14850940</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12805264</ManagementAndGeneralAmt>
        <FundraisingAmt>727841</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>8567423</BOYAmt>
        <EOYAmt>6157736</EOYAmt>
      </CashNonInterestBearingGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>3485587</BOYAmt>
        <EOYAmt>3562378</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>446493</BOYAmt>
        <EOYAmt>322594</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>202053</BOYAmt>
        <EOYAmt>498488</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>41046897</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>27597715</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>13585198</BOYAmt>
        <EOYAmt>13449182</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>19681988</BOYAmt>
        <EOYAmt>19967482</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <TotalAssetsGrp>
        <BOYAmt>45968742</BOYAmt>
        <EOYAmt>43957860</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>2392106</BOYAmt>
        <EOYAmt>2799463</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>1059673</BOYAmt>
        <EOYAmt>1446008</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>3451779</BOYAmt>
        <EOYAmt>4245471</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>42516963</BOYAmt>
        <EOYAmt>39712389</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <RtnEarnEndowmentIncmOthFndsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </RtnEarnEndowmentIncmOthFndsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>42516963</BOYAmt>
        <EOYAmt>39712389</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>45968742</BOYAmt>
        <EOYAmt>43957860</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-2661751</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>-142823</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>false</FSAuditedInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="DOCIDSCHEDA">
      <HospitalInd>X</HospitalInd>
      <PublicSupportCY509Pct>0</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0</InvestmentIncomePYPct>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="DOCIDSCHEDB">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="DOCIDSCHEDD">
      <BuildingsGrp>
        <InvestmentCostOrOtherBasisAmt>12314952</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>8002718</DepreciationAmt>
        <BookValueAmt>4312234</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <InvestmentCostOrOtherBasisAmt>20688745</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>14402092</DepreciationAmt>
        <BookValueAmt>6286653</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <InvestmentCostOrOtherBasisAmt>6126995</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>5116820</DepreciationAmt>
        <BookValueAmt>1010175</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <InvestmentCostOrOtherBasisAmt>1916205</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>76085</DepreciationAmt>
        <BookValueAmt>1840120</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>13449182</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED SALARIES AND OTHER</Desc>
        <Amt>1446008</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1446008</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>25722294</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>25722294</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>25722294</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>28384045</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>28384045</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>28384045</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XIII</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS RETURN HAS BEEN PREPARED WITH UNAUDITED FINANCIAL INFORMATION. THE AUDIT OF THE FINANCIAL STATEMENTS FOR THE PERIOD ENDED 6/30/25 IS CURRENTLY IN PROCESS. AS SOON AS THE AUDIT IS COMPLETED AND FINANCIAL STATEMENTS ISSUED WE WILL BE SUBMITTING THE SAME TO THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="DOCIDSCHEDH">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <FPGReferenceFreeCareInd>false</FPGReferenceFreeCareInd>
      <FPGReferenceDiscountedCareInd>false</FPGReferenceDiscountedCareInd>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>false</FinancialAssistanceBudgetInd>
      <AnnualCommunityBnftReportInd>false</AnnualCommunityBnftReportInd>
      <BadDebtExpenseAmt>1045172</BadDebtExpenseAmt>
      <ReimbursedByMedicareAmt>722907</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>5481704</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-4758797</MedicareSurplusOrShortfallAmt>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>HOSP DR ISAAC GONZALEZ MARTINEZ</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>CENTRO MEDICO METROPOLITANO</AddressLine1Txt>
          <CityNm>SAN JUAN</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>00935</ZIPCd>
        </USAddress>
        <LicensedHospitalInd>X</LicensedHospitalInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>HOSP DR ISAAC GONZALEZ MARTINEZ</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>true</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>false</CHNAConductedInd>
        <TakeIntoAccountOthersInputInd>false</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>false</CHNAReportWidelyAvailableInd>
        <ImplementationStrategyAdoptInd>false</ImplementationStrategyAdoptInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>80</FPGFamilyIncmLmtDscntCarePct>
        <ExplainedBasisInd>false</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>WWW.LIGACANCERPR.ORG</FAPAvailableOnWebsiteURLTxt>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitDeferDenyRqrPaymentInd>X</PermitDeferDenyRqrPaymentInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>1 - HOSP DR ISAAC GONZALEZ MARTINEZ PART V - SECTION B - LINE 20a</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>PART I - LINE 3C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS IN OUR HOSPITAL FOR PATIENTS ON FAP, IS WORKED BY A PREVIOUSLY RECOMENDATION SUBMITTED BY THE SOCIAL WORKER DEPARTMENT FOR ELIGIBILITY THROUGH SOCIOECONOMIC STUDY AND THE CHARITY COMMITTEE MAKES THE FINAL APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III - LINES 2, 3 &amp; 4</FormAndLineReferenceDesc>
        <ExplanationTxt>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 ACCOUNTS RECEIVABLE DOWNWARD 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>PART III - LINES 8</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICARE REQUIRES SUPPLIERS IN THE PREPARATION OF THE COST REPORT TO USE A RECIPROCAL RELATIONSHIP OF COST TO CHARGES FOR ALL DEPARTMENTS. THIS MEANS THAT THE CHARGES GENERATED BY THE INSTITUTION BE IDENTIFIED WITH THE CORRESPONDENT DEPARTMENT IN THE COST REPORT. EXAMPLES ARE MEDICINES AND SERUM (IV SOLUTIONS), THE MEDICATIONS AND SERUM SHOULD BE REPORTED ON THE LINE OF THE REPORT THAT CORRESPOND TO PHARMACY. THIS APPLIES FOR ALL DEPARTMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I - LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>NOT APPLICABLE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III - LINES 9</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL POLICY IS THAT WILL WRITE OFF ALL ACCOUNTS THAT ARE OVER 365 DAYS 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 INDIGENT PATIENT AND CANNOT PAY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI - LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</FormAndLineReferenceDesc>
        <ExplanationTxt>CURRENTLY 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>PART VI - LINE 2 - NEEDS ASSESSMENT</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>PART VI - LINE 4 - COMMUNITY INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>CURRENTLY THE HOSPITAL SERVES THE ENTIRE METROPOLITAN AREA OF PUERTO RICO AND ITS SORROUNDING AREAS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="DOCIDSCHEDJ">
      <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>ORLANDO RIVERA DE LEON</PersonNm>
        <TitleTxt>FORMER</TitleTxt>
        <BaseCompensationFilingOrgAmt>103972</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>103972</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSE A FALU SANCHEZ</PersonNm>
        <TitleTxt>FORMER</TitleTxt>
        <BaseCompensationFilingOrgAmt>30816</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>30816</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LILLIAN TORRES QUINONES</PersonNm>
        <TitleTxt>FORMER</TitleTxt>
        <BaseCompensationFilingOrgAmt>21096</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>21096</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JONATHAN ALGARIN SANTIAGO</PersonNm>
        <TitleTxt>FORMER</TitleTxt>
        <BaseCompensationFilingOrgAmt>50407</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>50407</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHARONLY PENA OLMEDA</PersonNm>
        <TitleTxt>FORMER</TitleTxt>
        <BaseCompensationFilingOrgAmt>49003</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>49003</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="DOCIDSCHEDO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FROM 990 IS PREPARED BY AN AUTHORIZED IRS PREPARER. DRAFT OF THE FORM 990 IS DISTRIBUTED TO THE BOARD MEMBER/KEY EMPLOYEES FOR COMMENTS, CORRECTIONS AND ACCURACY. ONCE APPROVED BY THE MEMBERS PARTIES THE FORM 990 IS SUBMITTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION B, LINE 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>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, CAREER TRACK, AMONG OTHERS. FINAL RECOMENDATION IS EVALUATED AND APPROVED BY THE DIRECTORS BOARD. THE CEO COMPENSATION IS ALWAYS EVALUATED BY THE BOARDS OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>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>PART IX, LINE 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>PURCHASED SERVICES - $1,654,266 AUDIT FEES -$75,665 LEGAL FEES - $78,512 PROFESSIONAL SERVICES - $2,841,927</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IX, LINE 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL OTHER EXPENSES</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION B, LINE 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>SAME AS LINE 15a.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHANGE IS RELATED TO MISCELLANEOUS ACCOUNTING ADJUSTMENTS OR RECLASSIFICATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>