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WAS ORGANIZED AS NON-FOR-PROFIT CORPORATION UNDER THE LAWS OF PUERTO RICO TO SERVE THE COMMUNITY IN THE FIELD OF HEALTH CARE SEERVICES. THE CORPORATION DOES BUSINESS AS ASHFORD PRESBYTERIAN COMMUNITY HOSPITAL, AND OPERATES AN ACUTE CARE HOSPITAL FACILITY CONSISTING OF 207 BEDS LOCATED IN THE MUNICIPALITY OF SAN JUAN. THE HOSPITAL PROVIDES SERVICES PRINCIPALLY TO RESIDENTS OF PUERTO RICO. 44647805 68553353 PRESBYTERIAN COMMUNITY HOSPITAL, INC. WAS ORGANIZED AS NON-FOR-PROFIT CORPORATION UNDER THE LAWS OF PUERTO RICO TO SERVE THE COMMUNITY IN THE FIELD OF HEALTH CARE SERVICES. THE CORPORATION DOES BUSINESS AS ASHFORD PRESBYTERIAN COMMUNITY HOSPITAL, AND OPERATES AN ACUTE CARE HOSPITAL FACILITY CONSISTING OF 207 BEDS LOCATED IN THE MUNICIPALITY OF SAN JUAN. 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FACILITY 1, PRESBYTERIAN COMMUNITY HOSPITAL INC - PART V, LINE 20E DETERMINE ELEGIBILITY UNDER HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY BEFORE OR WRITTEN MEDICAL SERVICES ARE PROVIDED. FACILITY 1, PRESBYTERIAN COMMUNITY HOSPITAL INC - PART V, LINE 24 YES, FULL CHARGE. 1 FARMACIA ASHFORD COMMUNITY HOSPITAL 1451 ASHFORD AVENUE SAN JUAN PR 00907 COMMUNITY PHARMACY SCHEDULE H, PART III, LINE 2 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 REPRESENTS THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLES. MANAGEMENT REVIEWS SPECIFIC CUSTOMER RISKS FOR PRIVATE PATIENTS, ALL ACCOUNTS OVER 180 DAYS AND FOR THIRD-PARTY PAYORS, ALL ACCOUNTS OVER 365 DAYS, USING THE HOSPITALS ACCOUNT RECEIVABLE AGING, AND ACCOUNTS FOR THE PROVISION FOR BAD DEBTS. THE HOSPITAL ALSO REGULARLY PERFORMS HINDSIGHT PROCEDURES TO EVALUATE HISTORICAL WRITE-OFF AND COLLECTION EXPERIENCE THROUGHOUT THE YEAR TO ASSIST IN DETERMINING THE REASONABLENESS OF ITS PROCESS FOR ESTIMATING THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. SCHEDULE H, PART III, LINE 3 UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. SAME AS NOTE III, LINE 4. PLEASE REFER BELOW. SCHEDULE H, PART III, LINE 4 THE HOSPITAL FOLLOWS THE PROVISION OF ACCOUNTING STANDARD UPDATE (ASU) 2011-07, "PATIENT SERVICE REVENUE, PROVISION FOR BAD DEBTS, AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS" WHICH REQUIRES CERTAIN HEALTH CARE ENTITIES TO PRESENT THE PROVISION FOR BAD DEBTS ASSOCIATED WITH PATIENT SERVICE REVENUE AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) RATHER THAN AS AN OPERATING EXPENSE. SEE NOTE 5 OF THE AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART VI, LINE 2 A STUDY OF VIABILITY, MARKETING AND NECESSITY IS MADE USING CONSULTANTS AND ECONOMISTS. BASED ON THE PROVISIONS 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 OF HOSPITALITY FACILITY INCLUDES ONLY THE 50 STATES AND THE DISTRICT OF COLUMBIA AND NOT ANY US TERRITORY OF FOREIGN COUNTRY. THEREFORE, THOSE HOSPITAL FACILITIES LOCATED OUTSIDE OF THE 50 STATES OF THE UNITED STATES AND THE DISTRICT OF COLUMBIA SHALL NOT BE REQUIRED TO COMPLY WITH THE COMMUNITY HEALTH NEED ASSESMENT. SCHEDULE H, PART VI, LINE 3 WHEN THE SERVICE IS IPD: 1.ORIENTATION TO PATIENT AND FAMILY MEMBER ABOUT: A. FINANCIAL AIDS OR MEDICAL COVERAGE. B. COORDINATION OF AN APPOINTMENT WITH THE MEDICAID PROGRAM OFFICE. C. DOCUMENTS PROVIDED REQUIRED TO SUPPORT THE SERVICES THAT WILL BE RECEIVING. 2.EMERGENCY SERVICES A.REGISTRY PERSONNEL PROVIDE ORIENTATION TO PATIENT ABOUT: I. RIGHTS TO RECEIVE BENEFITS FROM MEDICAID AND PLAN VITAL COVERAGE. II.DOCUMENTS ARE PROVIDED FROM THE MEDICAID PROGRAM OFFICE WITH THE NECESSARY INFORMATION TO CONTACT THEM BY PHONE, PERSONALLY OR EMAIL. SCHEDULE H, PART VI, LINE 4 ASHFORD SERVES ALL THE PR MUNICIPALITIES, HOWEVER, THE MAIN SOURCE OF PATIENTS ARE FROM THE MUNICIPALITIES OF SAN JUAN AND CAROLINA. THE MUNICIPALITIES OF GUAYNABO AND BAYAMON REPRESENT A SIGNIFICANT MINORITY ALSO. THE HOSPITAL PROVIDES ACTIVITIES AND HEALTH FAIRS TO THE COMMUNITY, AND THROUGH OUR ASSOCIATION WITH RENANCE CONDADO WE LOOK FOR THOSE ASPECTS OF THE COMMUNITY THAT MUST BE IMPROVED IN THE AREAS OF HEALTH, SECURITY AND INFRAESTRUCTURE. SCHEDULE H, PART VI, LINE 5 THE COMPROMISE OF THE HOSPITAL WITH A HEALTHY COMMUNITY EXTENDS MORE THAN THE CARE OF THE PATIENTS AND THE SERVICE OF THE CLINIC. WE OFFER A VARIETY OF COMMUNITY PROGRAMS FREE OF CHARGE TO HELP KEEP A HEALTHY COMMUNITY. THE PROGRAM INCLUDES 1)THE CENTER OF CARDIOPULMONARY RESUCITATION THAT TRAIN HEALTH PROFESSIONALS AND THE COMMUNITY, 2)PARENTS - TO BE CARE CENTER THAT OFFER TO THE FUTURE PARENTS EDUCATIONAL ACTIVITIES; 3)"PRESBY TALKS" A QUARTERLY INFORMATIVE BULLETIN THAT DISCUSSES CURRENT HEALTH THEMES; 4)AND PROJECT LACTATION THAT OFFERS CLINICS AND CONSULTING SERVICES REGARDING LACTATION AND HEALTH CLINICS FOR THE BENEFIT OF THE COMMUNITY. IN ADDITION, ASHFORD FORMS PART OF THE CLINICS OF THE COMMUNITY PROGRAM CALLED "RENANCE CONDADO" 5)AND PROVIDES FOR HEALTH FAIRS CONFERENCES TO THE COMMUNITY AND THE PROGRAM "PRESBY CENTRO DE LA MUJER". X false false false false false false false false false ITZA SOTO SILVA EXECUTIVE DIRECTOR 227201 227201 CARLOS J FUENTES LPEZ CFO 156401 156401 JOSUE MERCADO CRESPO PRESIDENT ANA IRMA VIL DVILA SUBSECRETARY ANTONIO CARRERA GONZLEZ EX VICE PRESIDENT GLADYS VLEZ DE JESS BOARD MEMBER AUGUSTO R GAUTIER MAYORAL SUBSECRETARY OWEN G CONNELY MONTESINOS BOARD MEMBER GUILLERMO J RAMIS PRESIDENT RAFAEL G MNDEZ RUBERT PRESIDENT JOSE A CORUJO VILLA TREASURER FORM 990, PAGE 2, PART III, LINE 4D PRESBYTERIAN COMMUNITY HOSPITAL, INC. WAS ORGANIZED AS NON-FOR-PROFIT CORPORATION UNDER THE LAWS OF PUERTO RICO TO SERVE THE COMMUNITY IN THE FIELD OF HEALTH CARE SERVICES. THE CORPORATION DOES BUSINESS AS ASHFORD PRESBYTERIAN COMMUNITY HOSPITAL, AND OPERATES AN ACUTE CARE HOSPITAL FACILITY CONSISTING OF 207 BEDS LOCATED IN THE MUNICIPALITY OF SAN JUAN. THE HOSPITAL PROVIDES SERVICES PRINCIPALLY TO RESIDENTS OF PUERTO RICO. FORM 990, PAGE 6, PART VI, LINE 9 JOSE A. CORUJO VILLA FORM 990, PAGE 6, PART VI, LINE 11B THE RETURN IS REVIEWED AND APPROVED BY THE DIRECTOR OF FINANCE, THE PRINCIPAL FINANCIAL OFFICER AND THE EXECUTIVE DIRECTOR. FORM 990, PAGE 6, PART VI, LINE 12C EVERY TWO YEARS THE GOVERNING BODY REVIEWS THE BYLAWS AND THEY ESTABLISH A DIFFERENT COMMITTEE TO MONITOR THE POLICIES. FORM 990, PAGE 6, PART VI, LINE 15A YES. FORM 990, PAGE 6, PART VI, LINE 15B YES. FORM 990, PAGE 6, PART VI, LINE 19 THE AUDITED FINANCIAL STATEMENTS AND THE RELATED DOCUMENTS, INCLUDING THE INFORMATIVE RETURN ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G 5,048,833 3,439,360 0