FURP.ORG / PUBLIC DATA EXPLORER

HOSPITAL AUXILIO MUTUO INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
HOSPITAL AUXILIO MUTUO INC (EIN 66-0486907)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-05-13
IRS object ID
201111339349303781
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-13T13:26:52-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1FPV & GALINDEZ CPAS PSCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 364152AddressLine1
CitySAN JUANCity
StatePRState
ZIP Code009364152ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN660486907EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOSPITAL ESPAOL AUXILIO MUTUOBusinessNameLine1
Business Name Line2DE PUERTO RICO INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlHOSPNameControl
Phone7877582000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 191227AddressLine1
CitySAN JUANCity
StatePRState
ZIP Code009191227ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARA DEL L MARTName
TitleFINANCE DIRECTORTitle
Phone7877582000Phone
Date Signed2011-05-13DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameFPV GALINDEZ CPAS PSCName
Phone7877645049Phone
Date Prepared2011-05-13DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARA DEL L MARTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 191227AddressLine1
CitySAN JUANCity
StatePRState
ZIP Code009191227ZIPCode
FieldValueIRS element (for citing)
Gross Receipts200519228GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1992YearFormation
State Legal DomicilePRStateLegalDomicile
Activity Or Mission DescriptionTHE 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 PUERTIO RICO ON APRIL 29, 1992.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees2515TotalNbrEmployees
Total Nbr Volunteers57TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year179352686ProgramServiceRevenuePriorYear
Program Service Revenue CY189286738ProgramServiceRevenueCY
Investment Income Prior Year93971InvestmentIncomePriorYear
Investment Income Current Year46404InvestmentIncomeCurrentYear
Other Revenue Prior Year11560117OtherRevenuePriorYear
Other Revenue Current Year11186086OtherRevenueCurrentYear
Total Revenue Prior Year191006774TotalRevenuePriorYear
Total Revenue Current Year200519228TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year85990672SalariesEtcPriorYear
Salaries Etc Current Year90270210SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year102802975OtherExpensePriorYear
Other Expenses Current Year105808508OtherExpensesCurrentYear
Total Expenses Prior Year188793647TotalExpensesPriorYear
Total Expenses Current Year196078718TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2213127RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4440510RevenuesLessExpensesCY
Total Assets BOY91170535TotalAssetsBOY
Total Assets EOY97853206TotalAssetsEOY
Total Liabilities BOY33430953TotalLiabilitiesBOY
Total Liabilities EOY43943908TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY57739582NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY53909298NetAssetsOrFundBalancesEOY
Mission DescriptionTHE 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 PUERTIO RICO ON APRIL 29, 1992.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense117463155Expense
Revenue189286738Revenue
DescriptionFOR THE YEAR ENDED SEPTEMBER 30, 2010, HOSPITAL INPATIENT ADMISSIONS WERE 22,692. PATIENT DAYS AMOUNTED TO 140,259.Description
Total Program Service Expense117463155TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgtrueTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredfalseScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees2515NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMARA DE L MARTNamePerson
Telephone Number7877582000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1AVE PONCE DE LENAddressLine1
CitySAN JUANCity
StatePRState
ZIP Code00919ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
ANGEL COCERO SNCHEZ
PRESIDENT1.00X000
MOISES SUREZ FERNANDEZ
VICE-PRESIDE1.00X000
RAMN DELGADO RUIBAL
SECRETARY1.00X000
LUIS E CID ABRADELO
TREASURER1.00X000
URBANO RICO MOLINERO
VOWELS1.00X000
MILAGROS ROMERO ACHA
VOWELS1.00X000
JUAN MARIO ALVAREZ CARTAA
VOWELS1.00X000
JESUS SANTOS RIVERA
VOWELS1.00X000
SOR CARMEN ILIANA MONROIG
VOWELS1.00X000
MARA DEL L MART
FINANCE DIRE40.0012354500X
JORGE L MATTA
ADMINISTRATO40.0029662700X
JOS ISADO ZARDON
MEDICAL DIRE40.0024281300X
RAFAEL JACA VZQUEZ
DIRECTOR40.0016701500X
JUAN MARCIAL VEGA
ADMINISTRATO40.0014151600X
CARMEN MARTN JIMENEZ
ADMINISTRATO40.0013142700X
WILSON COLON DE JESUS
DIRECTOR40.0012575600X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1228699TotalReportableCompFromOrg
Number Individuals GT100 K9NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensationAddress Line2AddressOfContractor/AddressUS/AddressLine2
FRESENIUS MEDICAL CARE
PO BOX 195198SAN JUANPR009195198RENAL MED SERV1676197
MEDSCAN PSC
PO BOX 29460SAN JUANPR009290460RADIOLOGY M S1056600
EM PHYSICIANS OF PUERTO RICO
PO BOX 29582SAN JUANPR009290582EMERGENCY M S851224
ARROYO MONROUZEAU CSP
UNION PLAZA SIUTE 1600SAN JUANPR009183417LEGAL SERVICES840512PONCE DE LEN AVE
EMERGENCY PEDIATRIC SPECIALIST
AVE WINSTON CHURCHILLSAN JUANPR009266018ADM OF PEDIA EM662678PMB 341 130 SUITE
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionHOSPITAL AND MEDICAL SERVICESDescription
Total Revenue Column189286738TotalRevenueColumn
Related Or Exempt Function Income189286738RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue189286738TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column46404TotalRevenueColumn
Exclusion$46,404ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PHARMACY39699333969933
PARKING37209813720981
RENT AND OTHER34951723495172
FieldValueIRS element (for citing)
Total Other Revenue11186086TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column200519228TotalRevenueColumn
Related Or Exempt Function Income200472824RelatedOrExemptFunctionIncome
Exclusion$46,404ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total76364591Total
Program Services56814227ProgramServices
Management And General19550364ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total13905619Total
Program Services4978741ProgramServices
Management And General8926878ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total9283042Total
Program Services8860380ProgramServices
Management And General422662ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total206872Total
Management And General206872ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4242572Total
Management And General4242572ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES765123164680980729702509
RENT EXPENSE78000007800000
BAD DEBT EXPENSE56477105647710
PROVISION FOR CLAIM LOSS21159962115996

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total196078718Total
Program Services117463155ProgramServices
Management And General78615563ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY774984BOY
EOY3450747EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY43669073BOY
EOY58971060EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2443765BOY
EOY2940314EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY677833BOY
EOY804241EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis82085856LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec63175828LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY18136150BOY
EOY18910028EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY7070352BOY
EOY3306248EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY18398378BOY
EOY9470568EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY91170535BOY
EOY97853206EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY23637448BOY
EOY28372908EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2040000BOY
EOY8290000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY7753505BOY
EOY7281000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY33430953BOY
EOY43943908EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY57739582BOY
EOY53909298EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY57739582BOY
EOY53909298EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY91170535BOY
EOY97853206EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1640718OtherCostOrOtherBasis
Depreciation1634067Depreciation
Book Value6651BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis525152OtherCostOrOtherBasis
Depreciation159519Depreciation
Book Value365633BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis65010443OtherCostOrOtherBasis
Depreciation51626093Depreciation
Book Value13384350BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis14909543OtherCostOrOtherBasis
Depreciation9756149Depreciation
Book Value5153394BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings18910028TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM RELATED PARTIES4989714
ASSETS SET ASIDE UNDER INSURANCE3834820
ESTIMATED THIRD PARTY PAY OR SETTLE458262
OTHER ASSETS174552
OTHER RECEIVABLES13220
FieldValueIRS element (for citing)
Total Book Value Other Assets9470568TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
RESERVE FOR MALPRACTICE LOSS$7,213,255
DUE TO RELATED PARTIES$67,745
FieldValueIRS element (for citing)
Total Of Amounts7281000TotalOfAmounts
Total Revenue200519228TotalRevenue
Total Expenses196078718TotalExpenses
Excess Or Deficit For Year4440510ExcessOrDeficitForYear
Excess Or Deficit Per FS4440510ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt200519228TotRevenueEtcAuditedFinclStmt
Revenue Subtotal200519228RevenueSubtotal
Total Revenue Per Form990200519228TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt196078718TotExpensesEtcAuditedFinclStmt
Expenses Subtotal196078718ExpensesSubtotal
Total Expenses Per Form990196078718TotalExpensesPerForm990

Schedule H IRS990ScheduleH

Form990 Schedule H Part V Form990ScheduleHPartV (2 entries)

Business Name Line2Name/BusinessNameLine2Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCode
HOSPITAL ESPAOL AUXILIO MUTUO
DE PUERTO RICO INCPO BOX 191227SAN JUANPR009191227
CLNICA EXPRESO AUXILIO MUTUO
CARR199 LAS CUMBRESAN JUANPR00928

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
JORGE L MATTA
296627296627
JOS ISADO ZARDON
242813242813
RAFAEL JACA VZQUEZ
167015167015

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990 - ORGANIZATION'S MISSIONTHE 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 PUERTIO RICO ON APRIL 29, 1992.
CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PAGE 6, PART VI, LINE 6BOARD OF DIRECTORS (BOD).
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7ABOARD 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.
POLICIES AND PROCEDURES GOVERNING CHAPTERSFORM 990, PAGE 6, PART VI, LINE 10BTHE AFFILIATE HAS BYLAWS WHICH ARE USED BY THE ORGANIZATION TO GOVERN THE OPERATIONS.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11THE 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.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CIT IS THE REPONSIBILITY OF THE BOARD MEMBERS TO GOVERN THE INSTITUTION AND THE COMMUNITY INTEREST WITH HONESTY, EXERCISING THEIR BEST CARE, SKILL AND JUDGEMENTS 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 HERE BY 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.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19NO DOCUMENTS AVAILABLE TO THE PUBLIC

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SOCIEDAD ESPAOLA AUXILIO MUTUOBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1Y BENEFICIENCIA DE PUERTO RICOAddressLine1
CitySAN JUANCity
StatePRState
ZIP Code00919ZIPCode
FieldValueIRS element (for citing)
EIN660178704EIN
Primary ActivitiesPROPERTYPrimaryActivities
Legal Domicile StatePRLegalDomicileState
Exempt Code Section501ExemptCodeSection
Direct Controlling Entity NAN/ADirectControllingEntityNA
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1SOCIEDAD ESPAOLA AUXILIO MUTUOBusinessNameLine1
Business Name Line2Y BENEFICIENCIA DE PUERTO RICOBusinessNameLine2
FieldValueIRS element (for citing)
Transaction TypeJTransactionType
Amount Involved7800000AmountInvolved