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        <TotalCommunityBenefitExpnsAmt>11743</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>11743</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00240</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <TotalOtherBenefitsGrp>
        <ActivitiesOrProgramsCnt>52</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>802</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>11743</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>11743</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00240</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <ActivitiesOrProgramsCnt>52</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>1010</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>318578</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>308912</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>11743</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00240</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <BadDebtExpenseReportedInd>false</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>43917</BadDebtExpenseAmt>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>false</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>HEALTHCARE INTEGRATED PROGRAM</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>SERVICES INC</BusinessNameLine2Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>355 AVE FONT MARTELO</AddressLine1Txt>
          <CityNm>HUMACAO</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>00791</ZIPCd>
        </USAddress>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <OtherDesc>OUTPATIENT CLINIC</OtherDesc>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>HEALTHCARE INTEGRATED PROGRAM</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>SERVICES INC</BusinessNameLine2Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>false</CHNAConductedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>100.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>300.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <OtherMethodInd>X</OtherMethodInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPActionsOnNonpaymentInd>false</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, HEALTHCARE INTEGRATED PROGRAM - PART V, LINE 15E</FormAndLineReferenceDesc>
        <ExplanationTxt>HEALTHCARE INTEGRATED SERVICES PROGRAM / COMPREHENSIVE HEALTH CARE PROGRAM (CIS PROGRAM), WILL CARRY OUT AN ANNUAL SOCIO-ECONOMIC EVALUATION OF ALL ITS PARTICIPANTS AT THE TIME OF ENTER OR RE-ENTER SERVICES AND AT THE END OF THE YEAR, CHANGES IN INCOME AND LOCATION OF RESIDENCE WILL BE EVALUATED. THE PARTICIPANT, HOWEVER, MUST VOLUNTARILY NOTIFY (WITNESS) ANY CHANGE THAT MAY AFFECT THEIR ELIGIBILITY, AT ANY TIME DURING THE YEAR, IN ACCORDANCE WITH PROGRAM POLICIES THAT ARE REQUIRED BY RYAN WHITE PART A AND PART C FEDERAL FUNDS. PARTICIPANTS WILL BE EVALUATED BY A QUALIFIED PROFESSIONAL (CLINICAL CASE MANAGERS, SOCIAL WORKER, AMONG OTHER LICENSED PROFESSIONALS) TO DETERMINE ELIGIBILITY FOR RYAN WHITE PROGRAM SERVICES. PROCEDURE: PATIENTS WILL BE GUIDED ON THE DOCUMENTATION TO BRING TO CARRY OUT THE SOCIO-ECONOMIC EVALUATION AND BE ABLE TO IDENTIFY ELIGIBILITY FOR THE RYAN WHITE PROGRAM. AMONG THE DOCUMENTS REQUESTED ARE: CURRENT MEDICAL PLAN COPY OF THE MA10 EVIDENCE OF RESIDENCE INCOME (INDIVIDUAL AND FAMILY) SECTION 8 EVIDENCE EVIDENCE OF PAN AND/OR TANF UNEMPLOYMENT CERTIFICATE IDENTIFICATION WITH PHOTO SOCIAL SECURITY CARD BIRTH CERTIFICATE (NEW) TO DETERMINE THE PARTICIPANT'S ELIGIBILITY FOR THE RW PROGRAM, THE FOLLOWING INSTRUMENTS ARE USED: THE FEDERAL POVERTY GUIDELINES ESTABLISHED BY THE "FEDERAL REGISTER", WHICH INDICATES THE FAMILY COMPOSITION AND ANNUAL INCOME. THE PARTICIPANT WILL PROVIDE THE DOCUMENTATION REQUIRED TO PROCEED WITH THE SOCIOECONOMIC EVALUATION. THE FAMILY GROSS INCOME IS CALCULATED ON THE "ELIGIBILITY DETERMINATION SHEET" FORM IN THREE MONTHS AND ANNUALLY. THEY ARE COMPARED WITH THE FEDERAL REGISTRY TABLES ACCORDING TO THE FAMILY COMPOSITION. THE PARTICIPANT'S INCOME IS CALCULATED BASED ON HIS GROSS SALARY AND THE FOLLOWING ARE NOT CONSIDERED PART OF THEIR INCOME: PAYMENTS FROM THE DEPARTMENT OF LABOR FOR UNEMPLOYMENT AND PAYMENTS UNDER THE TEMPORARY ASSISTANCE FOR NEEDY FAMILIES PROGRAM (TANF). LIMITS TO PAY ACCORDING TO RYAN WHITE PART A AND PART C (CAPON CHARGES): THE LAW LIMITS ANNUAL CHARGES ACCRUED FOR A PARTICIPANT'S HIV-RELATED SERVICES. TO DETERMINE THE PATIENT'S FINANCIAL ELIGIBILITY, THE FOLLOWING WILL BE REALIZED: BE ABLE TO USE THE PRESENTATION OF THE PUBLIC INSURANCE CARD KNOWN AS MY HEALTH AS EVIDENCE OF ECONOMIC ELIGIBILITY. IF THE PATIENT DOES NOT HAVE THE MY HEALTH CARD, THE AGENCY WILL SEND THE PATIENT TO OFFICE OF MEDICAL ASSISTANCE PROGRAM. IF THE REQUESTED SERVICE IS AN EMERGENCY, TEMPORARY ELIGIBILITY MUST BE MADE TO JUSTIFY THE DISBURSEMENT OF RYAN WHITE PART A FUNDS. NO CHARGES WILL BE MADE TO PATIENTS WHO HAVE AN ANNUAL INCOME EQUAL TO OR LESS THAN 100% OF LEVEL OF POVERTY. IF THE ANNUAL INCOME OF 101% TO 200% OF WHAT IS ESTABLISHED IN THE POVERTY GUIDE FEDERAL, A CHARGE UP TO 5% WILL BE MADE. IF THE ANNUAL INCOME IS 201% TO 300% OF WHAT IS ESTABLISHED IN THE FEDERAL POVERTY GUIDE, A CHARGE UP TO 7% WIL BE MADE. IF THE PARTICIPANT'S ANNUAL INCOME IS GREATER THAN 300%, UP TO 10% WILL BE CHARGED. THE PERCENTAGE WILL BE MULTIPLIED TO THE PARTICIPANT'S ANNUAL INCOME AND THIS CORRESPONDS TO THE ANNUAL PAYMENT RESPONSIBILITY (CAPON CHARGE). SERVICES SHALL NOT BE DENIED TO PATIENTS WHO CANNOT PROVIDE PAYMENT. PAYMENT PLANS WILL BE MADE IF NECESSARY AND ORIENTATION WILL BE PROVIDED TO THE PATIENTS. ANNUALLY, THE PERSONNEL ASSIGNED TO CARRY OUT PATIENT ELIGIBILITY WILL BE TRAINED ON THE ELIGIBILITY PROCESS, FEDERAL POVERTY GUIDELINES; DISCOUNT SCALE AND LIABILITY PATIENT PAYMENT. THIS TRAINING WILL BE OFFERED BY THE MANAGEMENT AND SUPERVISORY STAFF OF HEALTHCARE INTEGRATED PROGRAM SERVICES/ CIS PROGRAM.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPANYS MANAGEMENT MAKES JUDGMENTS AS TO THE COLLECTABILITY OF ACCOUNTS RECEIVABLES BASED ON HISTORICAL TRENDS AND FUTURE EXPECTATIONS. IN DETERMINING WHAT CONSTITUTES AN IMPAIRMENT LOSS (BAD DEBT), THE COMPANY MANAGEMENT CONSIDERS THE EFFECTS OF CUSTOMER CREDIT RISK AFTER THE DETERMINATION THAT THE ARRANGEMENT MEETS THE CRITERIA FOR A CONTRACT UNDER FASB ASC 606-10-25-1, AND REVENUE AND RECEIVABLE ARE RECOGNIZED FOR THE SERVICES PROVIDED, NET OF IMPLICIT PRICE CONCESSIONS. ESTIMATED UNCOLLECTIBLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT ACCOUNTS RECEIVABLE RATHER THAN ALLOWANCE FOR DOUBTFUL ACCOUNTS. ALSO, THE COMPANYS MANAGEMENT REVIEWS SPECIFIC CUSTOMER RISK BASED ON EVALUATION OF THE COLLECTABILITY OF EACH RECEIVABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, 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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleO documentId="RetDoc4">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>OPERATES THE COMPREHENSIVE HEALTH CARE PROGRAM, A COMPREHENSIVE HEALTH CLINIC, WHICH OFFERS EARLY INTERVENTION SERVICES AT AN OUTPATIENT LEVEL FOR CONDITIONS RELATED TO HIV/AIDS INFECTION, CO-INFECTION WITH HEPATITIS C AND PREVENTIVE SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990</FormAndLineReferenceDesc>
        <ExplanationTxt>HEALTHCARE INTEGRATED PROGRAM SERVICES, INC. (ENTITY) IS A NON-PROFIT CORPORATION, ORGANIZED UNDER THE LAWS OF PUERTO RICO, ON NOVEMBER 16, 2020, EXCLUSIVELY FOR CHARITABLE PURPOSES. THE ENTITY OPERATES THE COMPREHENSIVE HEALTH CARE PROGRAM (CIS PROGRAM), A COMPREHENSIVE HEALTH CLINIC, WHICH OFFERS EARLY INTERVENTION SERVICES AT AN OUTPATIENT LEVEL FOR CONDITIONS RELATED TO HIV / AIDS INFECTION, CO-INFECTION WITH HEPATITIS C AND PREVENTIVE SERVICES. IN THIS CONTEXT, IT OFFERS SPECIALIZED SERVICES TO MEET THE PHYSICAL, SOCIAL AND EMOTIONAL NEEDS OF PEOPLE LIVING WITH HIV / AIDS. AS PART OF THE RYDER HOSPITAL IN HUMACAO OPERATIONS, IT HAS THE ABILITY TO PROVIDE COMPREHENSIVE SERVICE COVERAGE IN AN INTEGRATED MANNER TO MEET THE MAJORITY OF PATIENT NEEDS ALL IN ONE PLACE. THIS MAKES IT ONE OF A KIND AND IN TURN PROVIDES THE PATIENT WITH SECURITY AND CONFIDENCE. AMONG THE SERVICES OFFERED BY THE ENTITY, ARE: MEDICAL EVALUATION BY SPECIALIZED DOCTORS IN HIV / AIDS, SEXUALLY TRANSMITTED INFECTIONS, RENAL AND CARDIOVASCULAR PROBLEMS, LABORATORY TESTS, PHARMACY, DENTAL SERVICES, SPECIALIZED STUDIES, PSYCHOLOGICAL EVALUATION, PSYCHIATRIC EVALUATION, COUNSELING, HEALTH EDUCATION, CASE MANAGEMENT, NUTRITIONAL ASSESSMENT, EDUCATION AND GUIDANCE IN THE PREVENTION OF HIV INFECTION, PREVENTIVE INTERVENTIONS IN THE COMMUNITY, HIV TESTING, AMONG OTHERS. THESE SERVICES ARE FREE OF COST. PEOPLE WITHOUT HEALTH PLANS QUALIFY FOR ALL SERVICES. THE CIS PROGRAM OFFERS SPECIALIZED SERVICES TO MEET THE PHYSICAL, SOCIAL AND EMOTIONAL NEEDS OF PEOPLE LIVING WITH HIV /AIDS THROUGH DULY LICENSED PROFESSIONALS STAFF (I.E.DOCTORS, SOCIAL WORKERS, CASE MANAGERS, PSYCHOLOGISTS, HEALTH EDUCATORS, ETC.) SERVICES ARE PROVIDED TO AN EARLY INTERVENTION AT AN OUTPATIENT LEVEL FOR CONDITIONS RELATED TO HIV / AIDS INFECTION, CO-INFECTION WITH HEPATITIS C AND PREVENTIVE SERVICES. ALTHOUGH MOST OF THE SERVICES ARE OFFERED TO PATIENT WITH THE AFOREMENTIONED DISEASES, DETECTION TESTS AND EDUCATIONAL SERVICES ARE PROVIDED TO THE ENTIRE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERSHIP IN THE BOARD OF DIRECTORS (BOD) SHALL BE LIMITED TO INDIVIDUALS WHO ARE EITHER MEMBERS OF RYDER MEMORIAL HOSPITAL, INC. OR NON-MEMBERS WHO HAVE THE APPROVAL OF SAID SPONSORING ORGANIZATION. THE BOARD OF DIRECTORS SHALL CONSIST OF NOT LESS THAN THREE (3) MEMBERS. THE DIRECTORS, AT ALL TIMES, BE LIMITED TO INDIVIDUALS WHO ARE EITHER MEMBERS OF THE BOARD OF DIRECTORS OF RYDER MEMORIAL HOSPITAL INC. OR NONMEMBERS WHO HAVE THE APPROVAL OF THE BOARD OF DIRECTORS OF THE SAID ORGANIZATION. UNTIL THE FIRST ANNUAL MEETING OF THE MEMBERS AND/OR UNTIL SUCCESSORS ARE DULY ELECTED AND QUALIFIED THE BOARD OF DIRECTORS SHALL CONSIST ON ITS PRESIDENT WHO IS ALSO A MEMBER OF RYDER MEMORIAL HOSPITAL INC. THE BOARD OF DIRECTORS OF RYDER MEMORIAL HOSPITAL, WILL ELECT AS REQUEST BY THE PRESIDENT AND ONLY MEMBER OF THE CORPORATION THE FIRST GROUP OF MEMBERS OF THE BOARD OF DIRECTORS OF HEALTHCARE INTEGRATED PROGRAM SERVICES INC. AT THE FIRST ANNUAL MEETING OF THE MEMBERS AND AT EACH ANNUAL MEETING THEREAFTER, MEMBERS SHALL ELECT DIRECTORS TO HOLD OFFICE UNTIL THEIR TERM EXPIRES OR UNTIL THEIR SUCCESSORS ARE ELECTED AND QUALIFIED. ALL MEMBERS HAVE A TERM OF 3 YEARS AS DIRECTORS, EXCEPT FOR FILING A VACANCY, IN WHICH SUCH TERM WILL COVER THE REMAINING TIME OF REPLACED MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>1) INCREASE THE NUMBER OF MEMBERS OF THE BOD. 2) AMEND BY-LAWS OF THE CORPORATION. 3) APPROVE ANY PLAN FOR DISSOLUTION, MERGER OR DISPOTION OF THE ASSETS OF THE CORPORATION 4) APPROVE THE SELECTION OF THE INDEPENDENT AUDITORS OF THE CORPORATION 5) THE BOD SHALL ELECT THE EXECUTIVE DIRECTOR AND MEDICAL DIRECTOR AND INTERNAL AUDITORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 10B</FormAndLineReferenceDesc>
        <ExplanationTxt>WRITTEN POLICIES AND PROCEDURES THAT GOVERN THE ACTIVITIES OF AFFILIATES HAD BEEN ESTABLISHED TO ENSURE THAT THEIR OPERATIONS ARE CONSISTED WITH THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE REVIEW PROCESS OF THE FORM 990 IS UNDER THE RESPONSIBILITY OF THE BOARD OF DIRECTORS FINANCE COMMITTEE. SUCH COMMITTEE AT THE SAME TIME, DELEGATES THIS TASK TO THE FINANCE DIRECTOR, WHO PERFORM THE REVIEW OF THE 990 FORM AND IS AUTHORIZED TO PROVIDE THE RELEASE FOR THE FINAL ISSUANCE OF THE FORM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROPER GOVERNANCE OF HEALTHCARE INTEGRATED PROGRAM SERVICES, INC. GOVERNING BOARD MEMBERS WHO GIVE THEIR TIME FOR THE BENEFIT OF THE COMMUNITY SERVED BY THIS CORPORATION; AND BECAUSE THE VARIED INTEREST AND BACKGROUND OF THE GOVERNING BOARD MEMBERS, MAY RESULT IN SITUATIONS INVOLVING A DUAL INTEREST THAT MIGHT APPEAR AS CONFLICT OF INTEREST; AND SERVICES SHOULD NOT BE RENDERED IMPOSSIBLE SOLELY BY REASON OF DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST; AND SERVICE CARRIES A REQUIREMENT OF LOYALTY AND FIDELITY TO THE CORPORATION KNOWN AS INTEGRATED PROGRAM SERVICES, INC. IT IS THE RESPONSIBILITY OF THE BOARD MEMBERS TO GOVERN THE INSTITUTION'S AND THE COMMUNITY INTEREST WITH HONESTY, EXCERCISING THEIR BEST CARE, SKILL AND JUDGMENT FOR THE BENEFIT OF THE INSTITUTION AND ITS MEMBERS; AND THE MATTER OF ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST CAN BEST BE HANDLED THROUGH FULL DISCLOSURE OF ANY SUCH INTEREST, TOGETHER WITH ABSTENTION IN ANY VOTE WHERE IN THE INTEREST IS INVOLVED. THE FOLLOWING POLICY OF DUALITY AND CONFLICT OF INTEREST IS HEREBY ADOPTED: 1. ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST OF THE PART OF ANY GOVERNING BOARD MEMBER SHOULD BE DISCLOSED TO THE OTHER BOARD MEMBERS AND MADE A MATTER OF RECORD, EITHER THROUGH AN ANNUAL PROCEDURE OR WHEN THE INTEREST BECOMES A MATTER OF BOARD ACTION. 2. ANY BOARD MEMBER HAVING A DUALITY OR POSSIBLE CONFLICT OF INTEREST ON ANY MATTER SHOULD NOT VOTE OR USE HIS PERSONAL INFLUENCE ON THE MATTER, AND HE OR SHE SHOULD NOT BE COUNTED IN DETERMINING THE QUORUM FOR THE MEETING, EVEN WHERE PERMITTED BY LAW. THE MINUTES OF THE MEETING SHALL REFLECT THAT A DISCLOSURE WAS MADE, THE ABSTENTION FROM VOTING AND THE QUORUM SITUATION. 3. THE ABOVE MENTIONED REQUIREMENTS SHOULD NOT BE CONSTRUED AS PREVENTING THE BOARD MEMBERS FROM STATING HIS POSITION IN THE MATTER, NOR FROM ANSWERING PERTINENT QUESTIONS IN SUCH MATTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS TO DETERMINE THE COMPENSATION TO OFFICERS IS BASED ON: 1) JOB DESCRIPTIONS 2) MINIMUM QUALIFICATIONS FOR THE POSITION 3) EXPERIENCE 4) EDUCATION THE ORGANIZATION ALSO REALIZES BENCHMARKING OF THE HEALTH INDUSTRY AND THE MARKET IN THE GENERAL TO SEE AND OFFER COMPETITIVE SALARIES. THE ORGANIZATION REVIEW ANNUALLY THE SALARIES GRANTED TO EMPLOYEES AND REAISES ARE APPROVED DEPENDING ON THE FINANCIAL POSITION OF THE ORGANIZATION. RAISES MUST BE APPROVED BY THE BOD. THE ORGANIZATION ALSO COMPLIES WITH MANDATORY DECREES BY THE GOVERNMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS TO DETERMINE THE COMPENSATION TO OFFICERS IS BASED ON: 1) JOB DESCRIPTIONS 2) MINIMUM QUALIFICATIONS FOR THE POSITION 3) EXPERIENCE 4) EDUCATION THE ORGANIZATION ALSO REALIZES BENCHMARKING OF THE HEALTH INDUSTRY AND THE MARKET IN THE GENERAL TO SEE AND OFFER COMPETITIVE SALARIES. THE ORGANIZATION REVIEW ANNUALLY THE SALARIES GRANTED TO EMPLOYEES AND REAISES ARE APPROVED DEPENDING ON THE FINANCIAL POSITION OF THE ORGANIZATION. RAISES MUST BE APPROVED BY THE BOD. THE ORGANIZATION ALSO COMPLIES WITH MANDATORY DECREES BY THE GOVERNMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS OR BYLAWS AVAILABLE TO THE MEMBERS OF THE BOARD OF DIRECTORS AND TOP MANAGEMENT. THE POLICY OF CONFLICTS OF INTEREST IS AVAILABLE TO THE ORGANIZATION'S BOARD OF DIRECTORS, TOP MANAGEMENT AND EMPLOYEES IN ORDER THAT ALL BE AWARE OF SUCH IN THE PERFORMANCE OF THEIR FUNCTIONS. IN CASE OF THE FINANCIAL STATEMENTS THESE ARE MADE AVAILABLE TO CERTAIN PARTIES IN ADDITION TO THE ORGANIZATION'S MANAGEMENT, SUCH AS BONDHOLDERS, CREDITORS AND THE FEDERAL GOVERNMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc5">
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>EGIDA RYDER INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>PO BOX 859</AddressLine1Txt>
          <CityNm>HUMACAO</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>007920000</ZIPCd>
        </USAddress>
        <EIN>660461792</EIN>
        <PrimaryActivitiesTxt>HOUSING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PR</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>RYDER ASSISTED CARE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>PO BOX 859</AddressLine1Txt>
          <CityNm>HUMACAO</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>007920000</ZIPCd>
        </USAddress>
        <EIN>660537553</EIN>
        <PrimaryActivitiesTxt>HOUSING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PR</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>RYDER ASSISTED CARE II INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 859</AddressLine1Txt>
          <CityNm>HUMACAO</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>007920000</ZIPCd>
        </USAddress>
        <EIN>660548321</EIN>
        <PrimaryActivitiesTxt>HOUSING</PrimaryActivitiesTxt>
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        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>RYDER ASSISTED CARE III INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 859</AddressLine1Txt>
          <CityNm>HUMACAO</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>007920000</ZIPCd>
        </USAddress>
        <EIN>660550405</EIN>
        <PrimaryActivitiesTxt>HOUSING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PR</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>RYDER VILLAGE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 859</AddressLine1Txt>
          <CityNm>HUMACAO</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>007920000</ZIPCd>
        </USAddress>
        <EIN>660537554</EIN>
        <PrimaryActivitiesTxt>HOUSING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PR</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>RYDER VILLAGE II INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 859</AddressLine1Txt>
          <CityNm>HUMACAO</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>007920000</ZIPCd>
        </USAddress>
        <EIN>660550404</EIN>
        <PrimaryActivitiesTxt>HOUSING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PR</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>FUNDACION DR JOHN A &amp; VIRGINIA</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO BOX 859</AddressLine1Txt>
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          <StateAbbreviationCd>PR</StateAbbreviationCd>
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        </USAddress>
        <EIN>660524612</EIN>
        <PrimaryActivitiesTxt>FUNDRAISIN</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PR</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
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        </USAddress>
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        </USAddress>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>RYDER MEMORIAL HOSPITAL INC</BusinessNameLine1Txt>
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        </USAddress>
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        <LegalDomicileStateCd>PR</LegalDomicileStateCd>
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        <DirectControllingNACd>N/A</DirectControllingNACd>
        <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>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>RYDER MEMORIAL HOSPITAL INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>175324</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>RYDER MEMORIAL HOSPITAL INC</BusinessNameLine1Txt>
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        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>929634</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>RYDER HEALTH PLAN INC</BusinessNameLine1Txt>
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        <TransactionTypeTxt>M</TransactionTypeTxt>
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        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>RYDER MEMORIAL HOSPITAL INC</BusinessNameLine1Txt>
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        <TransactionTypeTxt>J</TransactionTypeTxt>
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        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>