Plaintiff - Appellants

HEALTHPROMED FOUNDATION, INC., f/k/a Dr. Jose S. Belaval, Inc.CORP. DE SERVICIOS INTEGRALES DE SALUD INTEGRAL DE LA MONTANA, INC.MIGRANT HEALTH CENTER, INC.NEOMED CENTER, INC., f/k/a Gurabo Community Health Center, Inc.MOROVIS COMMUNITY HEALTH CENTER, INC.CONCILIO DE SALUD INTEGRAL DE LOIZA, INC. (CSILO)CORPORACION DE SERVICIOS DE SALUD Y MEDICINA AVANZADA, INC., (COSSMA)

Plaintiffs

CENTRO DE SERVICIOS PRIMARIOS DE SALUD DE PATILLAS, INC.CAMUY HEALTH SERVICES, INC.ATLANTIC MEDICAL CENTER, INC.CENTRO DE SALUD FAMILIAR DR. JULIO PALMIERI FERRI, INC.CIALES PRIMARY HEALTH CARE SERVICES, INC.CORPORACION DE SERV. MEDICOS PRIMARIOS Y PREVENCION DE HATILLO, INC.COSTA SALUD, INC., f/k/a Rincon Health Center, Inc.CENTRO DE SALUD DE LARES, INC.HOSPITAL GENERAL CASTANAR, INC.RIO GRANDE COMMUNITY HEALTH CENTER, INC.TOA ALTA COMPREHENSIVE URBAN/RURAL ADVANCED HEALTH SERVICES, INC. + see more - see less

Defendants

COMMONWEALTH OF PUERTO RICOMICHAEL O. LEAVITT, as Secretary of US Department of Health

Defendant - Appellees

DEPARTMENT OF HEALTH COMMONWEALTH OF PUERTO RICODEPARTMENT OF HEALTH AND HUMAN SERVICESRAFAEL RODRIGUEZ-MERCADO, Secretary, Department of Health for the Commonwealth of Puerto RicoLORENZO GONZALEZ-FELICIANO, Secretary, Department of Health for the Commonwealth of Puerto Rico

Other Parties

MEDICAL CARD SYSTEMS, INC., Interested Party GREGORIO IGARTUA-DE LA ROSA, Interested Party GERARDO A. RODRIGUEZ NEGRON, Special Master, Interested Party INSTITUTO DE OJOS Y PIEL INC., Intervenor MUNICIPALITY OF SAN JUAN, Interested Party TRIPLE C, INC., Interested Party TRIPLE-S SALUD, INC., Interested Party Healthpromed Foundation, Inc.Dept. of Health and Human Serv + see more - see less