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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>76992</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>2800</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SOFIA ADAIME MARTINEZ</PersonNm>
        <TitleTxt>ASSOCIATE AD</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>87793</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>2430</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANA OLIVERAS LAGUNA</PersonNm>
        <TitleTxt>ASSOCIATE AD</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>77319</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ILEANA COSTAS CORDERO</PersonNm>
        <TitleTxt>ASSOCIATE AD</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>72004</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>3350</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARLOS RODRIGUEZ ORTIZ</PersonNm>
        <TitleTxt>ASSOCIATE AD</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>50504</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2435370</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>407423</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>10</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>BANCO DE SANGRE</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PONCE DE LEON 706 PDA 37</AddressLine1Txt>
            <CityNm>SAN JUAN</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00918</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BLOOD SERVICES</ServicesDesc>
        <CompensationAmt>3397500</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>NUTRITIONAL CARE</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 190131</AddressLine1Txt>
            <CityNm>SAN JUAN</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>009190131</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEALS SERVICES</ServicesDesc>
        <CompensationAmt>3291266</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ER SPECIALIZED CARE LLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>URB FINCA ELENA</AddressLine1Txt>
            <AddressLine2Txt>CALLE GUAYABO 22</AddressLine2Txt>
            <CityNm>GUAYNABO</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00969</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EMERGENCY MC</ServicesDesc>
        <CompensationAmt>3004865</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>NORTH JANITORIAL</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 362617</AddressLine1Txt>
            <CityNm>SAN JUAN</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>009362617</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CLEANING SERVIC</ServicesDesc>
        <CompensationAmt>2728242</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ALLSCRIPTS</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>305 CHURCH AT NORTH HILLS STREET</AddressLine1Txt>
            <CityNm>RALEIGH</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>27609</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT SERVICES</ServicesDesc>
        <CompensationAmt>2135156</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>68</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>HOSPITAL AND MEDICAL SERVICES</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>218733197</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>218733197</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CAPITATION REVENUE</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>13361394</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13361394</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>232094591</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>125613</TotalRevenueColumnAmt>
        <ExclusionAmt>125613</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>1823035</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>1823035</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>1823035</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1823035</RelatedOrExemptFuncIncomeAmt>
      </NetRentalIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>PARKING</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>3788879</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3788879</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUES - OPD PHARMACY</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>3169583</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3169583</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>REIMBURSEMENTS</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>1432668</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1432668</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>2243093</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2243093</RelatedOrExemptFuncIncomeAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>10634223</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>244677462</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>244551849</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>125613</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>2842793</TotalAmt>
        <ProgramServicesAmt>404945</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2437848</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>76752223</TotalAmt>
        <ProgramServicesAmt>64529028</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12223195</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>5136141</TotalAmt>
        <ProgramServicesAmt>2727784</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2408357</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>7630185</TotalAmt>
        <ProgramServicesAmt>6393896</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1236289</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>22729991</TotalAmt>
        <ProgramServicesAmt>21601208</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1128783</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <InterestGrp>
        <TotalAmt>181095</TotalAmt>
        <ManagementAndGeneralAmt>181095</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>6394954</TotalAmt>
        <ProgramServicesAmt>4934941</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1460013</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>101999337</TotalAmt>
        <ProgramServicesAmt>70683853</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31315484</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>RENT EXPENSE</Desc>
        <TotalAmt>12123320</TotalAmt>
        <ProgramServicesAmt>7210624</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4912696</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROVISION FOR CLAIM LOSS</Desc>
        <TotalAmt>166667</TotalAmt>
        <ProgramServicesAmt>166667</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>LOSS ON DISPOSAL OF ASSET</Desc>
        <TotalAmt>431</TotalAmt>
        <ManagementAndGeneralAmt>431</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>235957137</TotalAmt>
        <ProgramServicesAmt>178652946</ProgramServicesAmt>
        <ManagementAndGeneralAmt>57304191</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>24372627</BOYAmt>
        <EOYAmt>24968785</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <BOYAmt>36235809</BOYAmt>
        <EOYAmt>39534364</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>2849461</BOYAmt>
        <EOYAmt>2826443</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>1468201</BOYAmt>
        <EOYAmt>2307648</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>54587500</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>26325015</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>29716989</BOYAmt>
        <EOYAmt>28262485</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>15929399</BOYAmt>
        <EOYAmt>15139402</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>65866936</BOYAmt>
        <EOYAmt>54143534</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>176439422</BOYAmt>
        <EOYAmt>167182661</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>40192417</BOYAmt>
        <EOYAmt>37275359</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>73061115</BOYAmt>
        <EOYAmt>59351087</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>113253532</BOYAmt>
        <EOYAmt>96626446</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>63185890</BOYAmt>
        <EOYAmt>70556215</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>63185890</BOYAmt>
        <EOYAmt>70556215</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>176439422</BOYAmt>
        <EOYAmt>167182661</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>8720325</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>-1350000</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc8">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc3">
      <DonorAdvisedFundsContriAmt>609682</DonorAdvisedFundsContriAmt>
      <DonorAdvisedFundsVlEOYAmt>609682</DonorAdvisedFundsVlEOYAmt>
      <DisclosedOrgLegCtrlInd>true</DisclosedOrgLegCtrlInd>
      <DisclosedForCharitablePrpsInd>true</DisclosedForCharitablePrpsInd>
      <LeaseholdImprovementsGrp>
        <InvestmentCostOrOtherBasisAmt>965511</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>573886</DepreciationAmt>
        <BookValueAmt>391625</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <InvestmentCostOrOtherBasisAmt>51137959</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>24482775</DepreciationAmt>
        <BookValueAmt>26655184</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <InvestmentCostOrOtherBasisAmt>2484030</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>1268354</DepreciationAmt>
        <BookValueAmt>1215676</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>28262485</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT OF USE</Desc>
        <BookValueAmt>44795479</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER ASSETS</Desc>
        <BookValueAmt>8409536</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM RELATED PARTIES</Desc>
        <BookValueAmt>485488</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>ASSETS SET ASIDE BY BOARD DESIG.</Desc>
        <BookValueAmt>453031</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>54143534</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE</Desc>
        <Amt>44174358</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LIABILITIES</Desc>
        <Amt>7427420</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>RESERVE FOR CLAIM LOSSES</Desc>
        <Amt>6772091</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>FINANCE LEASE</Desc>
        <Amt>648837</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO RELATED PARTIES</Desc>
        <Amt>328381</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>59351087</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>244677462</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>244677462</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>244677462</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>235957137</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>235957137</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>235957137</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>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>52339946</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>15024607</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>37315339</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.15810</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>52339946</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>15024607</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>37315339</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.15810</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <ResearchGrp>
        <TotalCommunityBenefitExpnsAmt>316503</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>316503</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00130</TotalExpensePct>
      </ResearchGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>316503</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>316503</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00130</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>52656449</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>15024607</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>37631842</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.15940</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
      <ReimbursedByMedicareAmt>22685235</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>19642341</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>3042894</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>HOSPITAL ESPAOL AUXILIO MUTUO</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>DE PUERTO RICO INC</BusinessNameLine2Txt>
        </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>HOSPITAL ESPAOL AUXILIO MUTUO</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>DE PUERTO RICO INC</BusinessNameLine2Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>false</CHNAConductedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>false</EligCriteriaExplainedInd>
        <ExplainedBasisInd>false</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>false</AppFinancialAsstExplnInd>
        <IncludesPublicityMeasuresInd>false</IncludesPublicityMeasuresInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ENTITY PROVIDES FOR THE ACTIVITIES IN THE HOSPITAL FACILITIES FOR THE BENEFIT OF THE COMMUNITY, FOR EXAMPLE: - VACCINATION CLINICS - MEETING OF DONOR PATIENTS AND FAMILY - MEDICAL EMERGENCIES EDUCATIONAL SYMPOSIUM - ASSEMBLY OF THE MEDICAL TOWER</ExplanationTxt>
      </SupplementalInformationDetail>
      <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 DOUBTFUL ACCOUNTS, 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. TO DETERMINE THE ALLOWANCE FOR DOUBTFUL ACCOUNTS, MANAGEMENT REVIEWS SPECIFIC CUSTOMER RISK FOR PRIVATE PATIENT ACCOUNTS OVER 180 DAYS AND FOR THIRD-PARTY PAYORS ACCOUNTS OVER 365 DAYS USING HOSPITALS ACCOUNTS RECEIVABLE AGING. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE HOSPITAL POLICIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI</FormAndLineReferenceDesc>
        <ExplanationTxt>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 FOREING 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>
    <IRS990ScheduleJ documentId="RetDoc4">
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MYRIAM CENTENO CINTRN</PersonNm>
        <TitleTxt>ASSOCIATE ADMINISTRA</TitleTxt>
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        <BonusFilingOrganizationAmount>33419</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>11001</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>172129</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILSON COLON DE JESUS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>86045</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>51872</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>13637</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>151554</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOS ISADO ZARDON</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>165917</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>146028</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>93000</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>404945</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RAFAEL JACA VZQUEZ</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>168920</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>28959</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>4989</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>202868</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARA DEL L MART SIERRA</PersonNm>
        <TitleTxt>DIRECTOR OF FINANCE</TitleTxt>
        <BaseCompensationFilingOrgAmt>128483</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>49588</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>26900</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>204971</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JORGE L MATTA SERRANO</PersonNm>
        <TitleTxt>ADMINISTRATOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>236119</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>300088</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>140416</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>676623</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARA NEGRN SNCHEZ</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>57569</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>45144</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>79079</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>181792</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>ELBA CANCEL BELTRAN 0 2,600 0 JOS ISADO ZARDON 0 78,000 0 MARA DEL L. MART SIERRA 0 10,400 0 JORGE L. MATTA SERRANO 0 123,916 0 MARA NEGRN SNCHEZ 0 62,579 0</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL'S PRIMARY MISSION IS TO MEET THE HEALTH CARE NEEDS IN ITS MARKET AREA THROUGH A BROAD RANGE OF GENERAL AND SPECIALIZED HEALTH CARE SERVICES, INCLUDING IN PATIENT ACUTE CARE, OUTPATIENT SERVICES, AND OTHER HEALTH CARE SERVICES. ACTIVITIES DIRECTLY ASSOCIATED WITH THE FURTHERANCE OF THIS PURPOSE ARE CONSIDERED TO BE OPERATING ACTIVITIES. THE HOSPITAL IS A NON-FOR-PROFIT CORPORATION INCORPORATED UNDER THE LAWS OF THE COMMONWEALTH OF PUERTO RICO ON APRIL 29, 1992.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD OF DIRECTORS MEMBERS SHOULD BE ELECTED FOR A ONE YEAR TERM AND AT LEAST THEY HAVE TO COMPLY WITH THE FOLLOWING REQUIREMENTS: 1)ANY POSITIONS OF THE BOARD OF DIRECTORS COULD BE OCCUPIED BY THE SAME PERSON, WITH THE EXCEPTION OF THE PRESIDENT AND SECRETARY THAT CAN NOT BE OCCUPIED BY THE SAME PERSON. 2)THE PRESIDENT AND VICE-PRESIDENT SHOULD BE AT LEAST 33 YEARS OLD AND THE VOWELS 25 YEARS OLD. 3)ALL PERSON THAT ACCEPT TO BE PART OF THE BOARD OF DIRECTORS SHOULD ATTEND ALL MEETINGS APPOINTED AND HIS/HER RESPONSIBILITIES ARE NOT TRANSFERABLE.</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 DIRECTOR'S 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>IT IS THE REPONSIBILITY OF THE BOARD MEMBERS TO GOVERN THE INSTITUTION AND THE COMMUNITY INTEREST WITH HONESTY, EXERCISING THEIR BEST CARE, SKILL AND JUDGEMENT 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 BOARD MEMBER HAVING A 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 IS APPLICABLE TO ADMINISTRATIVE EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABLE UPON REQUEST TO THE REQUIRED GOVERNMENTAL AGENCIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>EQUITY TRANSFER -1,350,000</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>SOCIEDAD ESPAOLA AUXILIO MUTUO</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>Y BENEFICENCIA DE PUERTO RICO</AddressLine1Txt>
          <CityNm>SAN JUAN</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>00919</ZIPCd>
        </USAddress>
        <EIN>660178704</EIN>
        <PrimaryActivitiesTxt>PROPERTY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PR</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CENTRO DE RADIOTERAPIA AUXILIO MUTU</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>O INC</BusinessNameLine2Txt>
        </DisregardedEntityName>
        <USAddress>
          <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>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CORPORACIN ESPAOLA DE SERVICIOS C</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 191227</AddressLine1Txt>
          <CityNm>SAN JUAN</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <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>
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          <AddressLine1Txt>PO BOX 191227</AddressLine1Txt>
          <CityNm>SAN JUAN</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>00919</ZIPCd>
        </USAddress>
        <EIN>660647362</EIN>
        <PrimaryActivitiesTxt>HEALTH P.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PR</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HOSP AUX</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>4860903</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>2849336</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>true</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>true</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AUXILIO SALUD PLUS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>1350000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV; REQ. RESERVE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SOCIEDAD ESPAOLA AUXILIO MUTUO</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>Y BENEFICIENCIA DE PUERTO RICO</BusinessNameLine2Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>E</TransactionTypeTxt>
        <InvolvedAmt>328381</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CONTRACT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SOCIEDAD ESPAOLA AUXILIO MUTUO</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>Y BENEFICIENCIA DE PUERTO RICO</BusinessNameLine2Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>12091504</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SOCIEDAD ESPAOLA AUXILIO MUTUO</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>Y BENEFICIENCIA DE PUERTO RICO</BusinessNameLine2Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>14740444</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CONTRACT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AUXILIO SALUD PLUS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>16172</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>PERCENTAGE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CORPORACIN ESPAOLA DE SERVICIOS C</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>G</TransactionTypeTxt>
        <InvolvedAmt>59819</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SALE OF ASSET</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SOCIEDAD ESPAOLA AUXILIO MUTUO</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>Y BENEFICIENCIA DE PUERTO RICO</BusinessNameLine2Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>2456304</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>REIMBURSEMENT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SOCIEDAD ESPAOLA AUXILIO MUTUO</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>83524</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>PERCENTAGE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AUXILIO SALUD PLUS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>2845212</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CONTRACT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AUXILIO SALUD PLUS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>1600208</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CONTRACT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
