HOSPITAL SAN CARLOS BORROMEO INC

Address
PO BOX 68
MOCA, PR 00676-0068
RQ
Contact
Phone: +1 (787) 877-8000
Nonprofit
NTEE: E22 - Hospital, General
EIN: 66-0371418

Mission

THE ORGANIZATION WILL PROVIDE HEALTH SERVICES WITH EXCELLENCE THROUGH DEVELOPING ITS OWN RESOURCES IN A EFFICIENT MANNER TO CONTRIBUTE TO THE WELL BEING AND IMPROVEMENT OF THE COMMUNITY.
 20162015201420132012
Basic features of the organization
Year of formation1965
Subsection code03
PF filing required0    
Form of organization
CorporationTrue
Human resources, including compensation
Summary compensation info
Total compensation of current key personnel$405,760.00$407,669.00$400,432.00$428,669.00$375,874.00
Sum of reportable (W2/1099) compensation$384,160.00$386,769.00$377,632.00$377,792.00$394,904.00
Number of employees330377375370358
Number of people compensated >$100k11   
Number of highly compensated contractors8667 
Personnel
Acevedo, Jos
Title    DIRECTOR (CO
Name of key/compensated person    JOS R LATORRE ACEVEDO
Position of compensated person
Current individual trustee or director    True
Average hours per week working for org    3.00
Reportable compensation from org    $0.00
Other comp, non-reportable, from org and related orgs    $0.00
Corresponding comp from related orgs
Reportable compensation from related orgs     $0.00
Alonso, Randy
Title    PRESIDENT
Name of key/compensated person    RANDY GONZALEZ ALONSO
Position of compensated person
Current individual trustee or director    True
Average hours per week working for org    6.00
Reportable compensation from org    $0.00
Other comp, non-reportable, from org and related orgs    $0.00
Corresponding comp from related orgs
Reportable compensation from related orgs     $0.00
Ayala, Roberto
TitleDIRECTOR SECRETARYSECRETARYSECRETARY
Name of key/compensated personROBERTO VARGAS AYALA ROBERTO VARGAS AYALAROBERTO VARGAS AYALAROBERTO VARGAS AYALA
Position of compensated person
Current individual trustee or directorTrue TrueTrueTrue
Average hours per week working for org    6.00
Reportable compensation from org$0.00 $0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00 $0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00 $0.00$0.00$0.00
Caldern, Rosie
Title PRESIDENTPRESIDENTPRESIDENT 
Name of key/compensated person ROSIE TORRES CALDERNROSIE TORRES CALDERNROSIE TORRES CALDERN 
Position of compensated person
Current individual trustee or director TrueTrueTrue 
Reportable compensation from org $0.00$0.00$0.00 
Other comp, non-reportable, from org and related orgs $0.00$0.00$0.00 
Corresponding comp from related orgs
Reportable compensation from related orgs  $0.00$0.00$0.00 
Calderon, Rosie
Title    VICE-PRESIDE
Name of key/compensated person    ROSIE TORRES CALDERON
Position of compensated person
Current individual trustee or director    True
Average hours per week working for org    6.00
Reportable compensation from org    $0.00
Other comp, non-reportable, from org and related orgs    $0.00
Corresponding comp from related orgs
Reportable compensation from related orgs     $0.00
Cordero, Rosaida
TitleEXECUTIVE DIEXECUTIVE DIEXECUTIVE DIEXECUTIVE DIEXECUTIVE DI
Name of key/compensated personROSAIDA M CRESPO CORDEROROSAIDA M CRESPO CORDEROROSAIDA M CRESPO CORDEROROSAIDA M CRESPO CORDEROROSAIDA M CRESPO CORDERO
Position of compensated person
Average hours per week working for org40.0040.0040.0040.0040.00
Reportable compensation from org$104,935.00$102,168.00$99,949.00$99,756.00$96,202.00
Other comp, non-reportable, from org and related orgs$7,225.00$6,600.00$7,200.00$8,811.00$7,200.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00$0.00
Figueroa, Irma
TitleFINANCE DIREFINANCE DIREFINANCE DIREFINANCE DIREFINANCE DIRE
Name of key/compensated personIRMA CABRERA FIGUEROAIRMA CABRERA FIGUEROAIRMA CABRERA FIGUEROAIRMA CABRERA FIGUEROAIRMA CABRERA FIGUEROA
Position of compensated person
Average hours per week working for org 40.0040.0040.0040.00
Reportable compensation from org$74,103.00$73,219.00$71,886.00$72,007.00$88,994.00
Other comp, non-reportable, from org and related orgs$4,715.00$4,400.00$4,800.00$4,800.00$4,800.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00$0.00
Garcia, Harry
Title   DIRECTOR 
Name of key/compensated person   HARRY RODRIGUEZ GARCIA 
Position of compensated person
Current individual trustee or director   True 
Reportable compensation from org   $0.00 
Other comp, non-reportable, from org and related orgs   $0.00 
Corresponding comp from related orgs
Reportable compensation from related orgs    $0.00 
Gonzalez, Juan
TitleIS MANAGERIS MANAGERIS MANAGERIS MANAGER 
Name of key/compensated personJUAN C SOTO GONZALEZJUAN C SOTO GONZALEZJUAN C SOTO GONZALEZJUAN C SOTO GONZALEZ 
Position of compensated person
Average hours per week working for org 40.0040.00  
Reportable compensation from org$40,436.00$47,203.00$45,912.00$41,805.00 
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00 
Hernndez, Orlando
TitleSECRETARYSECRETARYTREASURERTREASURERTREASURER
Name of key/compensated personORLANDO GONZLEZ HERNNDEZORLANDO GONZLEZ HERNNDEZORLANDO GONZLEZ HERNNDEZORLANDO GONZLEZ HERNNDEZORLANDO GONZLEZ HERNNDEZ
Position of compensated person
Current individual trustee or directorTrueTrueTrueTrueTrue
Average hours per week working for org    6.00
Reportable compensation from org$0.00$0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00$0.00
Lugo, Eliezer
Title    DIRECTOR
Name of key/compensated person    ELIEZER RIVERA LUGO
Position of compensated person
Current individual trustee or director    True
Average hours per week working for org    3.00
Reportable compensation from org    $0.00
Other comp, non-reportable, from org and related orgs    $0.00
Corresponding comp from related orgs
Reportable compensation from related orgs     $0.00
Marcial, Jovita
TitleDIRECTOR (CODIRECTOR (CODIRECTOR (CODIRECTOR (CODIRECTOR (CO
Name of key/compensated personJOVITA JIMENEZ MARCIALJOVITA JIMENEZ MARCIALJOVITA JIMENEZ MARCIALJOVITA JIMENEZ MARCIALJOVITA JIMENEZ MARCIAL
Position of compensated person
Current individual trustee or directorTrueTrueTrueTrueTrue
Average hours per week working for org    3.00
Reportable compensation from org$0.00$0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00$0.00
Martir, Luz
TitleNURSING ADMNURSING ADMNURSING ADMNURSING ADMNURSING ADM
Name of key/compensated personLUZ M VELEZ MARTIRLUZ M VELEZ MARTIRLUZ M VELEZ MARTIRLUZ M VELEZ MARTIRLUZ M VELEZ MARTIR
Position of compensated person
Average hours per week working for org 40.0040.0040.0040.00
Reportable compensation from org$50,440.00$49,556.00$48,918.00$48,651.00$47,353.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00$0.00
Mendez, Richard
TitlePRESIDENTVICE- PRESIDVICE- PRESIDVICE- PRESID 
Name of key/compensated personRICHARD MUIZ MENDEZRICHARD MUIZ MENDEZRICHARD MUIZ MENDEZRICHARD MUIZ MENDEZ 
Position of compensated person
Current individual trustee or directorTrueTrueTrueTrue 
Reportable compensation from org$0.00$0.00$0.00$0.00 
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00 
Mestre, Migdalia
TitleH.R. DIRECTOH.R. DIRECTOH.R. DIRECTOH.R. DIRECTOH.R. DIRECTO
Name of key/compensated personMIGDALIA ORTIZ MESTREMIGDALIA ORTIZ MESTREMIGDALIA ORTIZ MESTREMIGDALIA ORTIZ MESTREMIGDALIA ORTIZ MESTRE
Position of compensated person
Average hours per week working for org 40.0040.0040.0040.00
Reportable compensation from org$70,701.00$69,455.00$68,344.00$68,213.00$65,839.00
Other comp, non-reportable, from org and related orgs$6,760.00$5,500.00$6,000.00$8,674.00$6,000.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00$0.00
Mndez, Ida
TitleDIRECTOR (CODIRECTOR (CODIRECTOR (CODIRECTOR (CODIRECTOR (CO
Name of key/compensated personIDA CASTA MNDEZIDA CASTA MNDEZIDA CASTA MNDEZIDA CASTA MNDEZIDA CASTA MNDEZ
Position of compensated person
Current individual trustee or directorTrueTrueTrueTrueTrue
Average hours per week working for org    3.00
Reportable compensation from org$0.00$0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00$0.00
Morales, Juan
Title    DIRECTOR
Name of key/compensated person    JUAN A APONTE MORALES
Position of compensated person
Current individual trustee or director    True
Average hours per week working for org    3.00
Reportable compensation from org    $0.00
Other comp, non-reportable, from org and related orgs    $0.00
Corresponding comp from related orgs
Reportable compensation from related orgs     $0.00
Nez, Arnaldo
Title DIRECTORDIRECTORDIRECTORDIRECTOR
Name of key/compensated person ARNALDO BRAVO NEZARNALDO BRAVO NEZARNALDO BRAVO NEZARNALDO BRAVO NEZ
Position of compensated person
Current individual trustee or director TrueTrueTrueTrue
Average hours per week working for org    3.00
Reportable compensation from org $0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs $0.00$0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs  $0.00$0.00$0.00$0.00
Nieves, Eduardo
TitleDIRECTOR    
Name of key/compensated personEDUARDO I RAMREZ NIEVES    
Position of compensated person
Current individual trustee or directorTrue    
Reportable compensation from org$0.00    
Other comp, non-reportable, from org and related orgs$0.00    
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00    
Nieves, Jose
Title    IS MANAGER
Name of key/compensated person    JOSE C NIEVES
Position of compensated person
Average hours per week working for org    40.00
Reportable compensation from org    $55,393.00
Other comp, non-reportable, from org and related orgs    $3,000.00
Corresponding comp from related orgs
Reportable compensation from related orgs     $0.00
Otero, Isis
TitleANCILLARY SEANCILLARY SEANCILLARY SEANCILLARY SEANCILLARY SE
Name of key/compensated personISIS M VAZQUEZ OTEROISIS M VAZQUEZ OTEROISIS M VAZQUEZ OTEROISIS M VAZQUEZ OTEROISIS M VAZQUEZ OTERO
Position of compensated person
Average hours per week working for org 40.0040.0040.0040.00
Reportable compensation from org$7,825.00$45,168.00$42,623.00$47,360.00$41,123.00
Other comp, non-reportable, from org and related orgs$800.00$4,400.00$4,800.00$0.00$4,800.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00$0.00
Portier, Felix
Title DIRECTORDIRECTORDIRECTORDIRECTOR
Name of key/compensated person FELIX MARTINEZ PORTIERFELIX MARTINEZ PORTIERFELIX MARTINEZ PORTIERFELIX MARTINEZ PORTIER
Position of compensated person
Current individual trustee or director TrueTrueTrueTrue
Average hours per week working for org    3.00
Reportable compensation from org $0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs $0.00$0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs  $0.00$0.00$0.00$0.00
Quiones, Rafael
Title   DIRECTOR 
Name of key/compensated person   RAFAEL HERNANDEZ QUIONES 
Position of compensated person
Current individual trustee or director   True 
Reportable compensation from org   $0.00 
Other comp, non-reportable, from org and related orgs   $0.00 
Corresponding comp from related orgs
Reportable compensation from related orgs    $0.00 
Recart, Manuel
Title TREASURERDIRECTOR  
Name of key/compensated person MANUEL E LUGO RECARTMANUEL E LUGO RECART  
Position of compensated person
Current individual trustee or director TrueTrue  
Reportable compensation from org $0.00$0.00  
Other comp, non-reportable, from org and related orgs $0.00$0.00  
Corresponding comp from related orgs
Reportable compensation from related orgs  $0.00$0.00  
Rosado, Marielis
TitleANCILLARY SE    
Name of key/compensated personMARIELIS GUERRA ROSADO    
Position of compensated person
Reportable compensation from org$35,720.00    
Other comp, non-reportable, from org and related orgs$2,100.00    
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00    
Torres, Juan
TitleVICE-PRESIDE    
Name of key/compensated personJUAN M GOMEZ TORRES    
Position of compensated person
Current individual trustee or directorTrue    
Reportable compensation from org$0.00    
Other comp, non-reportable, from org and related orgs$0.00    
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00    
Villanueva, Antonio
TitleTREASURER    
Name of key/compensated personANTONIO RAMOS VILLANUEVA    
Position of compensated person
Current individual trustee or directorTrue    
Reportable compensation from org$0.00    
Other comp, non-reportable, from org and related orgs$0.00    
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00    
Purpose: mission, activities, & accomplishments
Mission or significant activitiesTHE ORGANIZATION WILL PROVIDE HEALTH SERVICES WITH EXCELLENCE THROUGH DEVELOPING ITS OWN RESOURCES IN A EFFICIENT MANNER TO CONTRIBUTE TO THE WELL BEING AND IMPROVEMENT OF THE COMMUNITY.THE ORGANIZATION WILL PROVIDE HEALTH SERVICES WITH EXCELLENCE THROUGH DEVELOPING ITS OWN RESOURCES IN A EFFICIENT MANNER TO CONTRIBUTE TO THE WELL BEING AND IMPROVEMENT OF THE COMMUNITY.THE ORGANIZATION WILL PROVIDE HEALTH SERVICES WITH EXCELLENCE THROUGH DEVELOPING ITS OWN RESOURCES IN A EFFICIENT MANNER TO CONTRIBUTE TO THE WELL BEING AND IMPROVEMENT OF THE COMMUNITY.THE ORGANIZATION WILL PROVIDE HEALTH SERVICES WITH EXCELLENCE THROUGH DEVELOPING ITS OWN RESOURCES IN A EFFICIENT MANNER TO CONTRIBUTE TO THE WELL BEING AND IMPROVEMENT OF THE COMMUNITY.THE ORGANIZATION WILL PROVIDE HEALTH SERVICES WITH EXCELLENCE THROUGH DEVELOPING IS OWN RESOURCES IN A EFFICIENT MANNER TO CONTRIBUTE TO THE WELL BEING AND IMPROVEMENT OF THE COMMUNITY.
Program service expenses, total$17,385,673.00$18,313,592.00$18,100,450.00$17,889,780.00$18,010,965.00
Programs, including revenue & expenses
THE ORGANIZATION IS A NON-FOR-PROFIT HOSPITAL ORGANIZED UNDER THE LAWS OF THE GOVERNMENT OF PR WHICH PROVIDES INPATIENT AND OUTPATIENT SERVICES, INCLUDING EMERGENCY SERVICES. THE SERVICES ARE PROVIDED PRIMARILY TO THE POPULATION UNDER THE MEDICARE PROGRAM, PR HEALTH REFORM PROGRAM AND COMMERCIAL INSURANCE CARRIERS.
Program expenses$17,385,673.00$18,313,592.00$18,100,450.00$17,889,780.00$18,010,965.00
Program revenue$24,087,416.00$27,652,338.00$29,105,290.00$28,319,407.00$28,471,318.00
Program descriptionTHE ORGANIZATION IS A NON-FOR-PROFIT HOSPITAL ORGANIZED UNDER THE LAWS OF THE GOVERNMENT OF PR WHICH PROVIDES INPATIENT AND OUTPATIENT SERVICES, INCLUDING EMERGENCY SERVICES. THE SERVICES ARE PROVIDED PRIMARILY TO THE POPULATION UNDER THE MEDICARE PROGRAM, PR HEALTH REFORM PROGRAM AND COMMERCIAL INSURANCE CARRIERS.THE ORGANIZATION IS A NON-FOR-PROFIT HOSPITAL ORGANIZED UNDER THE LAWS OF THE GOVERNMENT OF PR WHICH PROVIDES INPATIENT AND OUTPATIENT SERVICES, INCLUDING EMERGENCY SERVICES. THE SERVICES ARE PROVIDED PRIMARILY TO THE POPULATION UNDER THE MEDICARE PROGRAM, PR HEALTH REFORM PROGRAM AND COMMERCIAL INSURANCE CARRIERS.THE ORGANIZATION IS A NON-FOR-PROFIT HOSPITAL ORGANIZED UNDER THE LAWS OF THE GOVERNMENT OF PR WHICH PROVIDES INPATIENT AND OUTPATIENT SERVICES, INCLUDING EMERGENCY SERVICES. THE SERVICES ARE PROVIDED PRIMARILY TO THE POPULATION UNDER THE MEDICARE PROGRAM, PR HEALTH REFORM PROGRAM AND COMMERCIAL INSURANCE CARRIERS.THE ORGANIZATION IS A NON-FOR-PROFIT HOSPITAL ORGANIZED UNDER THE LAWS OF THE GOVERNMENT OF PR WHICH PROVIDES INPATIENT AND OUTPATIENT SERVICES, INCLUDING EMERGENCY SERVICES. THE SERVICES ARE PROVIDED PRIMARILY TO THE POPULATION UNDER THE MEDICARE PROGRAM, PR HEALTH REFORM PROGRAM AND COMMERCIAL INSURANCE CARRIERS.THE ORGANIZATION IS A NON-FOR-PROFIT HOSPITAL ORGANIZED UNDER THE LAWS OF THE GOVERNMENT OF PR WHICH PROVIDES INPATIENT AND OUTPATIENT SERVICES, INCLUDING EMERGENCY SERVICES. THE SERVICES ARE PROVIDED PRIMARILY TO THE POPULATION UNDER THE MEDICARE PROGRAM, PR HEALTH REFORM PROGRAM AND COMMERCIAL INSURANCE CARRIERS.
Financial data
Revenue
Total revenue$24,087,416.00$27,652,338.00$29,105,290.00$28,319,407.00$28,471,318.00
Revenue from contributions (total) $0.00$0.00$0.00$0.00
Investment income, current yr$32,126.00$0.00$0.00$0.00$0.00
Total revenue from grants, etc., current yr$0.00$0.00$0.00$0.00$0.00
Total unrelated business revenue$0.00$0.00$0.00$0.00$0.00
Other revenue, current yr$634,891.00$1,151,468.00$748,694.00$720,013.00$680,113.00
Program service revenue (total)$23,420,399.00$26,500,870.00$28,356,596.00$27,599,394.00$27,791,205.00
Gross receipts$24,087,416.00$27,652,338.00$29,105,290.00$28,319,407.00$28,471,318.00
Other types of revenue
Miscellaneous revenue (total)$556,983.00$1,073,260.00$672,588.00$645,157.00$610,510.00
Income from dividends, interest, and similar investments$32,126.00    
Net rental income$77,908.00$78,208.00$76,106.00$74,856.00$69,603.00
Expense categories (totals)
Total functional expenses: sum of all$25,285,263.00$27,107,343.00$27,702,821.00$28,009,105.00$27,713,766.00
Total functional expenses: program service $17,385,673.00$18,313,592.00$18,100,450.00$17,889,780.00$18,010,965.00
Total functional expenses: management and general$7,899,590.00$8,793,751.00$9,602,371.00$10,119,325.00$9,702,801.00
Total functional expenses: fundraising$0.00$0.00$0.00$0.00$0.00
Fees for services
Legal fees (total)$117,720.00$117,098.00$132,150.00$101,132.00$111,401.00
Fundraising service fees (total)$0.00$0.00$0.00$0.00$0.00
Assets and liabilities
Total assets$22,794,972.00$23,228,997.00$22,048,939.00$20,881,122.00$21,118,456.00
Total assets, beginning of year$23,228,997.00$22,048,939.00$20,881,122.00$21,118,456.00$20,436,585.00
Total liabilities$9,536,812.00$8,772,990.00$8,137,927.00$8,372,579.00$8,920,215.00
Total liabilities, beginning of year$8,772,990.00$8,137,927.00$8,372,579.00$8,920,215.00$8,995,896.00
Unrestricted net assets, end of yr$13,258,160.00$14,456,007.00$13,911,012.00$12,508,543.00$12,198,241.00
Net assets$13,258,160.00$14,456,007.00$13,911,012.00$12,508,543.00$12,198,241.00
Net assets, beginning of year$14,456,007.00$13,911,012.00$12,508,543.00$12,198,241.00$11,440,689.00
Other liabilities$4,787,915.00$3,530,166.00$4,833,807.00$4,833,807.00$5,164,069.00
Cash: non-interest bearing$4,707,339.00$3,483,116.00$5,007,076.00$4,813,449.00$4,165,622.00
Cash: non-interest bearing, beginning of year$3,483,116.00$5,007,076.00$4,813,449.00$4,165,622.00$2,928,081.00
Inventories for sale or use$814,781.00$758,737.00$726,365.00$680,689.00$660,732.00
Other financial variables
Revenue less expenses-$1,197,847.00$544,995.00$1,402,469.00$310,302.00$757,552.00
Advertising (total)$30,719.00$47,490.00$68,619.00$53,530.00$45,140.00
Accounts receivable, net$5,665,564.00$6,607,490.00$5,065,248.00$5,404,267.00$6,188,818.00
Prepaid expenses & deferred charges$507,082.00$2,490,008.00$1,457,450.00$472,577.00$520,134.00
Accounts payable & accrued expenses$4,748,897.00$5,242,824.00$3,304,120.00$3,538,772.00$3,756,146.00
Total net assets or fund balances$13,258,160.00$14,456,007.00$13,911,012.00$12,508,543.00$12,198,241.00
Depreciation, depletion, amortization$1,470,723.00$1,348,381.00$1,176,339.00$1,282,729.00$1,025,580.00
Governance and accountability
Number of voting members811111011
Number of independent voting members811111011
Financial sheets auditedTrueTrueTrueTrueTrue
Accrual accountingTrueTrueTrueTrueTrue
Tax year start date2016-01-012015-01-012014-01-012013-01-012012-01-01
Tax year end date2016-12-012015-12-012014-12-012013-12-012012-12-01
Indicators for schedules (selected)
Attached copy of audited financialsTrueTrueTrueTrueTrue
Operate hospital facilitiesTrueTrueTrueTrueTrue
Hospital data
Facility count11111
Hospital facilities
HOSPITAL SAN CARLOS BORROMEO INC
Facility nameHOSPITAL SAN CARLOS BORROMEO INCHOSPITAL SAN CARLOS BORROMEO INCHOSPITAL SAN CARLOS BORROMEO INCHOSPITAL SAN CARLOS BORROMEO INCHOSPITAL SAN CARLOS BORROMEO INC
Facility line number11111
Address PO BOX 68 CARR 110 KM 122PO BOX 68 CARR 110 KM 122PO BOX 68 CARR 110 KM 122PO BOX 68 CARR 110 KM 122PO BOX 68 CARR 110 KM 122
StatePRPRPRPRPR
Zip code006760068006760068006760068006760068006760068
Type(s) of facility
Licensed facilityTrueTrueTrueTrueTrue
General medical and surgicalTrueTrueTrueTrueTrue
ER - 24 hoursTrueTrueTrueTrueTrue
Other facility typeOUTPATIENT PHYSICIAN CLINICOUTPATIENT PHYSICIAN CLINICOUTPATIENT PHYSICIAN CLINICOUTPATIENT PHYSICIAN CLINICOUTPATIENT PHYSICIAN CLINIC
Community benefits and community building
Has financial assistance policyTrueTrueTrueTrueTrue
Provide discounts to medically indigentTrueTrueTrueTrue 
Community health improvement, net community benefit expense$3,625.00$5,212.00$8,000.00$8,000.00 
Community health improvement, percent of total expense$0.00$0.00$0.00$0.00 
Total benefits, net community benefit expense$1,725,529.00$5,212.00-$4,327,377.00-$4,070,069.00 
Total community benefits as percent of total expense$0.07$0.00$0.00$0.29 
Bad debt expense$837,929.00$880,486.00$1,288,077.00$1,815,970.00$1,847,496.00
Revenue from Medicare$2,548,804.00$2,545,856.00$3,032,935.00$2,204,021.00$1,649,289.00
Medicare allowable costs$2,092,008.00$1,790,010.00$1,969,139.00$1,698,668.00$1,288,262.00
Medicare surplus or shortfall$456,796.00$755,846.00$1,063,796.00$505,353.00$361,027.00
Metadata about the filing
E-return type: 990, 990EZ, or 990PF990990990990990
Date e-filing submitted2018-09-142016-12-212016-02-112014-12-292013-12-18
IRS schema version2016v3.12015v2.12014v5.02013v3.12012v2.1
Filing identifier201801799349300770201602269349300425201543169349305519201423219349306537201303189349303700
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