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      <GrantsToDomesticOrgs>
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      <GrantsToDomesticIndividuals>
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        <ManagementAndGeneral>0</ManagementAndGeneral>
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      <OtherExpenses>
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      <Form990ScheduleDPartXIII>
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        <Explanation>Effective December 1, 2009 the Institution adopted the FASB ASC 740-10 (Formerly FASB Interpretation No. 48 Accounting for Uncertainty in Income Taxes) which clarifies the accounting for uncertainty in income taxes recognition in an organization's financial statements in accordance with FASB ASC 740. Under the provision for this interpretation, the organization is required to evaluate their income tax positions each year to determine whether the organization's tax position is more-likely-than-not to be sustained if examined by the applicable taxes authority. This requirement had no effect on the organization's financial position or charges in net assets.</Explanation>
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        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>107615</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>111462</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Ing Jan Serralles</NamePerson>
        <Title>Engineering Director</Title>
        <BaseCompensationFilingOrg>103387</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>103387</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Dr Antonio Alvarez</NamePerson>
        <Title>Physician</Title>
        <BaseCompensationFilingOrg>111551</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>111551</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Dr Ronald Rodriguez</NamePerson>
        <Title>Physician</Title>
        <BaseCompensationFilingOrg>100815</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>100815</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>SchJ_P01_S00_L03</Identifier>
        <ReturnReference>Schedule J, Part I, Line 3</ReturnReference>
        <Explanation>The compensation of the Executive Director is determined and approved by the Governing Board. The compensation is determined based on experience, qualifications, performance and comparable or similar compensation data to other executive officers in Puerto Rico.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SchJ_P01_S00_L04</Identifier>
        <ReturnReference>Schedule J, Part I, Line 4</ReturnReference>
        <Explanation>Effective November 1st, 2013 the organization has established an Executive Deferred Compensation Plan, which is a non qualified deferred compensation plan covering eligible senior management as defined in the Plan Adoption Agreement. The plan is designed and operates in accordance with regulations under the Puerto Rico Internal Revenue Code as amended, and is not subject to the provisions of the Employee Retirement Income Security Act of 1974.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SchJ_P01_S00_L06</Identifier>
        <ReturnReference>Schedule J, Part I, Line 6</ReturnReference>
        <Explanation>Executive deferred compensation plan is accrued based on the institution's excess program income as stated in the adoption plan agreement.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="R000005" softwareId="12000197" softwareVersion="v1.00">
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L11b</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11b</ReturnReference>
        <Explanation>The form 990 is prepared by external auditors using the accounting records and supporting data that were utilized to prepare the audited financial statements. Once it is prepared, the form 990 is given to the top management officials for review and discussion with the external auditors. After discussion, the Executive Director presents and discusses the form 990 with the Governing Board for approval. Once approved by the Board the form is submitted to the IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L12c</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>The Organization has a conflict of interest policy which is monitored by the top management and the Governing Board. An annual conflict of interest declaration is required by the members of the Board as well as every employee of the Organization. Top management and the Governing Board monitor the conflict of interest policy by analyzing sensitive transactions and contractual information, and by requiring employees to disclose their interest relationship with third parties. The policy is also enforced through seminars and conferences to officers and key personnel.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L15</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15</ReturnReference>
        <Explanation>Compensation to Directors and Officers are primarily determined by the Executive Director based on experience, qualifications, performance and by using comparable statistical data from similar job positions in Puerto Rico. After the compensation is determined it is presented to the Governing Board for final approval.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0C_L19</Identifier>
        <ReturnReference>Form 990, Part VI, Section C, Line 19</ReturnReference>
        <Explanation>Governing documents such as the conflict of interest policy and audited financial statements might be available for public inspection at the administrative offices of the Organization under the supervision of an Official of the Organization. The availability of such documents may depend on the purpose of requesting such information.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <ReasonableCauseExplanation documentId="R000006" softwareId="12000197" softwareVersion="v1.00">
      <Explanation>The client's accounting records were not updated with the necessary information in order to prepare and file this tax return.</Explanation>
    </ReasonableCauseExplanation>
  </ReturnData>
</Return>