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      <TotalLiabilityAmt>2146921</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>117951710</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>147448</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>147448</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>117804262</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>117804262</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>121968482</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>121968482</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>121968482</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc7">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <FPGReferenceFreeCareInd>false</FPGReferenceFreeCareInd>
      <FPGReferenceDiscountedCareInd>false</FPGReferenceDiscountedCareInd>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>false</FinancialAssistanceBudgetInd>
      <AnnualCommunityBnftReportInd>false</AnnualCommunityBnftReportInd>
      <UnreimbursedCostsGrp>
        <TotalCommunityBenefitExpnsAmt>11595833</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>3970317</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>7625516</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.06250</TotalExpensePct>
      </UnreimbursedCostsGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>11595833</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>3970317</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>7625516</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.06250</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>11595833</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>3970317</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>7625516</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.06250</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <BadDebtExpenseReportedInd>false</BadDebtExpenseReportedInd>
      <ReimbursedByMedicareAmt>3378649</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>4236417</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-857768</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>false</WrittenDebtCollectionPolicyInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>AM ACQUISITION I LLC</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 191227</AddressLine1Txt>
          <CityNm>SAN JUAN</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>009191227</ZIPCd>
        </USAddress>
        <LicensedHospitalInd>X</LicensedHospitalInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>AM ACQUISITION I LLC</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>true</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>false</CHNAConductedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <ExplainedBasisInd>false</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>false</AppFinancialAsstExplnInd>
        <IncludesPublicityMeasuresInd>false</IncludesPublicityMeasuresInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <NoneMadeInd>X</NoneMadeInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, AM ACQUISITION I LLC - PART V, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE PRECEDING TAX YEAR, THE ORGANIZATION ACQUIRE A WHOLLY-OWNED DISREGARDED ENTITY THAT OPERATES A HOSPITAL FACILITY. THE HOSPITAL PROVIDES INPATIENT AND OUTPATIENT MEDICAL SERVICES TO THE COMMUNITY, CONSISTENT WITH THE ORGANIZATION'S EXEMPT PURPOSE OF PROMOTING HEALTH. THIS ACTIVITY REPRESENTS A SIGNIFICANT NEW PROGRAM SERVICE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, AM ACQUISITION I LLC - PART V, LINE 13B</FormAndLineReferenceDesc>
        <ExplanationTxt>STATE PROVERTY GUIDANCE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL MAKES JUDGMENTS AS TO THE COLLECTABILITY OF ACCOUNTS RECEIVABLE BASED ON HISTORICAL TRENDS AND FUTURE EXPECTATIONS. MANAGEMENT ESTIMATES AN ALLOWANCE FOR CREDIT LOSSES, WHICH SUBSTANTIALLY REPRESENTS THE AMOUNT OF UNCOLLECTIBLE PATIENT ACCOUNTS RECEIVABLE. THIS ALLOWANCE ADJUSTS GROSS PATIENT SERVICE ACCOUNTS RECEIVABLE DOWNWARD TO THEIR ESTIMATED NET REALIZABLE VALUE AND IS BASED ON HISTORICAL COLLECTION AND WRITE-OFF EXPERIENCE, THE REVIEW OF THE CURRENT STATUS OF ACCOUNTS RECEIVABLE AND FORECASTS OF FUTURE ECONOMIC CONDITIONS, AS REQUIRED BY ASC NO. 326.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL FACILITY REPORTED IN SCHEDULE H, PART V, SECTION A IS OPERATED BY AM ACQUISITION I LLC, A SINGLE-MEMBER LIMITED LIABILITY COMPANY THAT IS A DISREGARDED ENTITY FOR FEDERAL INCOME TAX PURPOSES AND IS WHOLLY OWNED BY THE FILING ORGANIZATION. ALL FINANCIAL, OPERATIONAL, AND COMMUNITY BENEFIT INFORMATION PRESENTED IN SCHEDULE H INCLUDES THE ACTIVITIES OF AM ACQUISITION I LLC COMBINED WITH THE ACTIVITIES OF THE FILING ORGANIZATION, AS APPLICABLE, IN ACCORDANCE WITH IRS FORM 990AND SCHEDULE H INSTRUCTIONS FOR DISREGARDED ENTITIES. FOR THE YEAR ENDED ON SEPTEMBER 30, 2025, HOSPITAL INPATIENT ADMISSIONS WERE 6,620. PATIENT DAYS AMOUNTED TO 49,370. PART V LINE 1 BASED ON THE PROVISION 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, 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>
    <IRS990ScheduleK documentId="RetDoc4">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>PR INDUSTRIAL TOURIST EDUCATIONAL</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuedDt>2021-11-17</BondIssuedDt>
        <IssuePriceAmt>70353478</IssuePriceAmt>
        <PurposeDesc>CONSTRUCT HOSPITAL FACILITIES; REFUND BONDS ISSUED 7/7/20211.</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>1590000</RetiredAmt>
        <TotalProceedsAmt>81368198</TotalProceedsAmt>
        <CapitalizedInterestAmt>459916</CapitalizedInterestAmt>
        <WorkingCapitalExpendituresAmt>670806</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>10635192</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>52129167</OtherSpentProceedsAmt>
        <UnspentAmt>17933033</UnspentAmt>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>false</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>true</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>true</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>true</AnyResearchAgreementsInd>
        <EngageBondCounselResearchInd>true</EngageBondCounselResearchInd>
        <PrivateBusUseByOthersPct>0.02800</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00040</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.02840</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <SuperintegratedHedgeInd>false</SuperintegratedHedgeInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>true</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>DIFFERENCES IN ISSUE PRICE EXPLANATION</FormAndLineReferenceDesc>
        <ExplanationTxt>PR INDUSTRIAL, TOURIST, EDUCATIONAL DIFFERENCE BETWEEN ISSUE PRICE AND PROCEEDS IS DUE TO TRANSFERRED PROCEEDS OF THE REFUNDED BONDS AND INVESTMENT EARNINGS ON THE ISSUE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>PR INDUSTRIAL, TOURIST, EDUCATIONAL CONSTRUCT HOSPITAL FACILITIES; REFUND BONDS ISSUED 7/7/20211.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>SOCIEDAD ESPAOLA DE AUXILIO MUTUO Y BENEFICENCIA DE PUERTO RICO (THE COMPANY) HAD BEEN PREVIOUSLY FILING AS A 501 (C) (3) ORGANIZATION. ON APRIL 29, 1992 A NEW NONPROFIT ORGANIZATION WAS CREATED TO CONTINUE PROVIDING THE HOSPITAL AND HEALTH CARE SERVICES PREVIOUSLY PROVIDED UNDER THE LEGAL NAME OF THE COMPANY. ON AUGUST 20, 1992 THIS CHANGE WAS REPORTED TO THE EXEMPT ORGANIZATIONS BRANCH OF THE INTERNAL REVENUE SERVICE. THE IRS WAS INFORMED THAT THE COMPANY WOULD BECOME A CONTROLLING AFFILIATE THAT WOULD OWNED THE REAL PROPERTY AND WOULD TRANSFER ITS FUNDS (INCOME LESS EXPENSES) FOR USE IN A MANNER CONSISTENT WITH THE EXEMPTION. ON SEPTEMBER 30, 1992 THE IRS INFORMED THAT THE COMPANY IS NOT REQUIRED TO FILE A NEW APPLICATION FOR TAX EXEMPTION AS A TITLE HOLDING CORPORATION. THE COMPANY ALSO ADMINISTERS A HEALTH PLAN UNDER WHICH INDIVIDUALS IN THE COMMUNITY (WITHOUT EXCEPTIONS) MAY BECOME MEMBERS WITH THE RIGHT TO RECEIVE HOSPITAL AND HEALTH CARE SERVICES AT THE FACILITIES OF HOSPITAL ESPAOL AUXILIO MUTUO DE PUERTO RICO, INC. (THE NEW NON-PROFIT HOSPITAL THAT PROVIDES THE SERVICES THAT WERE PREVIOUSLY PROVIDED UNDER THE LEGAL NAME OF THE COMPANY). AM ACQUISITION I LLC WILL OPERATE HOSPITAL FACILITIES IN ORDER TO PROVIDE MEDICAL SERVICES FOR THE DIAGNOSIS AND TREATMENT OF DISEASES, AS WELL AS HEALTH SERVICES TO PATIENTS IN PUERTO RICO. THE ORGANIZATION SEEKS TO PROMOTE HEALTH BENEFITS FOR THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVIDE HOSPITAL AND HEALTH CARE SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS OF THE BOARD OF TRUSTEES ARE SUBJECT TO THE FOLLOWING REQUISITES AT THE DATE OF THEIR ELECTION: -SHOULD HAVE BEEN MEMBERS OF THE ORGANIZATION'S HEALTH PLAN FOR AT LEAST TWO CONSECUTIVE YEARS PRIOR TO THEIR NOMINATION. -SHOULD HAVE SERVED AS CONSULTANT OR COUNSELOR OF ANY OF THE ORGANIZATION'S BOARD COMMISSIONS OR HAVE BEEN DIRECTOR OF ANY OF THE DEPARTMENTS OR AFFILIATES OF THE ORGANIZATION FOR AT LEAST TWO CONSECUTIVE YEARS PRIOR TO THEIR NOMINATION. -THE PRESIDENT, VICE-PRESIDENT, TREASURER, SUB-TREASURER, SECRETARY AND SUB-SECRETARY SHOULD HAVE BEEN FOUNDATION MEMBERS AND BE AT LEAST 33 YEARS OLD. -THE EIGHTEEN VOWELS SHOULD BE AT LEAST 25 YEARS OLD. EVERY THREE YEARS A PRESIDENT SHOULD BE SELECTED FOR A THREE YEAR TERM. EACH YEAR 1/3 OF THE VOWELS IS SELECTED FOR A TERM OF THREE YEARS. THE PRESIDENT SELECTS AND NOMINATES ANNUALLY FROM THE VOWELS, A FIRST VICE-PRESIDENT, AND FIVE VICE-PRESIDENTS WHICH SHOULD BE RATIFIED BY THE BOARD. THE PRESIDENT UPON TAKING POSSESSION OF HIS POSITION, SHOULD DESIGNATE FROM THE VOWELS, ONE TREASURER, ONE SECRETARY AND THEIR REPLACEMENTS. THE ELECTION FOR THE MEMBERS NOMINATED TO THE BOARD SHOULD BE MADE AT THE ANNUAL ASSEMBLY. THE MEMBERS AT THE ASSEMBLY WILL PROVIDE SECRET VOTE WHICH WILL BE DEPOSITED AT A DESIGNATED BOX. THE PRESIDENT WILL NOMINATE A COMMITTEE WHICH EVENTUALLY REPORT THE RESULTS TO THE ASSEMBLY. FOR FURTHER INFORMATION AS TO THE BOARD MEMBER RIGHTS, INCLUDING THEIR AUTHORITY, OBLIGATIONS AND RESPONSIBILITY, THE BYLAWS OF THE ORGANIZATION ARE AVAILABLE UPON REQUEST.</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 TIME, DELEGATES THIS TASK TO THE FINANCE DIRECTOR, WHO PERFORMS THE REVIEW OF THE FORM 990 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 MEMBERS OF THE BOARD OF TRUSTEES ARE SUBJECT TO THE FOLLOWING THE FOLLOWING POLICY OF DUALITY AND CONFLICT OF INTEREST IS HEREBY ADOPTED: 1) ANY BOARD MEMBER OR BOARD OF THE "TRUSTEE" THAT COULD HAVE 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. ALSO, THIS WILL BE APPLICABLE TO ADMINISTRATIVE EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENT 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 ARE AWARE OF SUCH IN THE PERFORMANCE OF THEIR FUNCTIONS. IN CASE OF THE FINANCIAL STATEMENT, 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>
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          <BusinessNameLine1Txt>AM ACQUISITION I LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>URB SANTA CRUZ 70 CALLE SANTA CRUZ</AddressLine1Txt>
          <CityNm>BAYAMON</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>00919</ZIPCd>
        </USAddress>
        <EIN>661053680</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PR</LegalDomicileStateCd>
        <TotalIncomeAmt>70782383</TotalIncomeAmt>
        <EndOfYearAssetsAmt>78298780</EndOfYearAssetsAmt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdDisregardedEntitiesGrp>
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          <BusinessNameLine1Txt>HOSPITAL ESPAOL AUXILIO MUTUO</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>DE PUERTO RICO</BusinessNameLine2Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 191227</AddressLine1Txt>
          <CityNm>SAN JUAN</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>009191227</ZIPCd>
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        <EIN>660486907</EIN>
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        <LegalDomicileStateCd>PR</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>CENTRO DE RADIOTERAPIA AUXILIO MUTU</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>PO BOX 191227</AddressLine1Txt>
          <CityNm>SAN JUAN</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>00919</ZIPCd>
        </USAddress>
        <EIN>660612302</EIN>
        <PrimaryActivitiesTxt>MEDICAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PR</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>CORP ESPAOLA DE SERVICIOS CLINICOS</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>PO BOX 191227</AddressLine1Txt>
          <CityNm>SAN JUAN</CityNm>
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          <ZIPCd>00919</ZIPCd>
        </USAddress>
        <EIN>660689155</EIN>
        <PrimaryActivitiesTxt>MEDICAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PR</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>AUXILIO SALUD PLUS INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO BOX 191227</AddressLine1Txt>
          <CityNm>SAN JUAN</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>00919</ZIPCd>
        </USAddress>
        <EIN>660647362</EIN>
        <PrimaryActivitiesTxt>HEALTH PLN</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PR</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HOSP AUX M</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>7135905</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>5808508</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HOSPITAL AUXILIO MUTUO DE PR</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>J</TransactionTypeTxt>
        <InvolvedAmt>12034256</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CONTRACT BASED ON SQ FT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AUXILIO SALUD PLUS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>J</TransactionTypeTxt>
        <InvolvedAmt>80125</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CONTRACT BASED ON SQ FT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HOSPITAL AUXILIO MUTUO DE PR</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>360000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>REIMBURSEMENT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HOSPITAL AUXILIO MUTUO DE PR</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>11827502</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CONTRACT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CENTRO DE RADIOTERAPIA</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>292320</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CONTRACT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CORP ESPAOLA DE SERVICIOS CLNICOS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>5596270</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CONTRACT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AUXILIO SALUD PLUS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>1563228</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CONTRACT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CORP ESPAOLA DE SERVICIOS CLNICOS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>J</TransactionTypeTxt>
        <InvolvedAmt>171744</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CONTRACT BASED ON SQ FT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CENTRO DE RADIOTERAPIA</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>J</TransactionTypeTxt>
        <InvolvedAmt>450000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CONTRACT BASED ON SQ FT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AUXILIO SALUD PLUS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>448881</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CONTRACT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HOSPITAL AUXILIO MUTUO DE PR</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>405698</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CONTRACT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HOSPITAL AUXILIO MUTUO DE PR</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>59989</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>TIME INCURRED</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HOSPITAL AUXILIO MUTUO DE PR</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>2273987</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>REIMBURSEMENT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSACTIONS REPORTED ON SCHEDULE R BETWEEN THE TAXPAYER AND AM ACQUISITION I LLC (DER) WERE ELIMINATED TO INFORM CONSOLIDATED FIGURES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>