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            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00934</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICE</ServicesDesc>
        <CompensationAmt>3547266</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PEDIATRIC PROF PSC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 8549</AddressLine1Txt>
            <CityNm>CAGUAS</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>007268549</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICE</ServicesDesc>
        <CompensationAmt>3267310</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PERFECT INTEGRATED SOLUTIONS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>100 GRAND PASEO BLVD</AddressLine1Txt>
            <CityNm>SAN JUAN</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>009265955</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MAINTENANCE</ServicesDesc>
        <CompensationAmt>1260684</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MEDHEALTH</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1519 AVE PONCE DE LEON STE 302</AddressLine1Txt>
            <CityNm>SAN JUAN</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00909</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICE</ServicesDesc>
        <CompensationAmt>1244080</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SHERIFF SECURITY SERVICES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>PR</StateAbbreviationCd>
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        </ContractorAddress>
        <ServicesDesc>SECURITY</ServicesDesc>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>914317</ProgramServicesAmt>
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      <TotalAssetsGrp>
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      <TotalLiabilitiesGrp>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <ReconcilationRevenueExpnssAmt>12489296</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>58020</NetUnrlzdGainsLossesInvstAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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      <DisclosedForCharitablePrpsInd>false</DisclosedForCharitablePrpsInd>
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        <BookValueAmt>12712980</BookValueAmt>
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      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>60925647</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>12387786</DepreciationAmt>
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      <OtherLandBuildingsGrp>
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      <TotalBookValueLandBuildingsAmt>78555668</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUAL FOR MEDICAL MALPRACTICE</Desc>
        <Amt>5492379</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO RELATED PARTIES</Desc>
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      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ESTIMATED THIRD-PARTY PAYOR SETTLEME</Desc>
        <Amt>191170</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITIES</Desc>
        <Amt>80458</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>6700718</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>118926768</TotalRevEtcAuditedFinclStmtAmt>
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      <TotalRevenuePerForm990Amt>118868748</TotalRevenuePerForm990Amt>
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    <IRS990ScheduleH documentId="RetDoc8">
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      <WrittenPolicyInd>true</WrittenPolicyInd>
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      <Percent100Ind>X</Percent100Ind>
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      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>true</ExpensesExceedBudgetInd>
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      <CashAndInKindContributionsGrp>
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      <TotalOtherBenefitsGrp>
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      <TotalCommunityBenefitsGrp>
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      </TotalCommunityBenefitsGrp>
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      <ReimbursedByMedicareAmt>7312460</ReimbursedByMedicareAmt>
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      <CostingMethodologyUsedGrp>
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      <HospitalFacilitiesGrp>
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        <BusinessName>
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        </BusinessName>
        <USAddress>
          <AddressLine1Txt>CARR 172 SALIDA 21 TURABO GARDENS</AddressLine1Txt>
          <CityNm>CAGUAS</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>00727</ZIPCd>
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        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
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      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>HOSPITAL MENONITA CAGUAS INC</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
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        <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>
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      <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 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>
      </SupplementalInformationDetail>
      <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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        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 5A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PAID COMPENSATION TO ITS OFFICERS CONTINGENT ON THE ORGANIZATION'S REVENUES.</ExplanationTxt>
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        <PersonNm>CARMEN MORALES</PersonNm>
        <RelationshipWithOrgTxt>DIRECTOR</RelationshipWithOrgTxt>
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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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        <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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        <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>
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        <ExplanationTxt>THE INTERNAL AUDIT DEPARTMENT CONTINUOUSLY EVALUATES TRANSACTIONS TO ASSURE THE COMPLIANCE WITH THE PLICY AND CONTRACTUAL CLAUSES IN EVERY DEPARTMENT.</ExplanationTxt>
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        <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>
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        <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>
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      <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>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>CUMMULATIVE EFFECT OF ADOPTION OF ASU NO. 2016-02 -227</ExplanationTxt>
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