San Juan has an elaborate system of triage, hospital, and preventive care health services. The municipal government sponsors regular health fairs in different areas of the city focusing on health care for the elderly and the disabled. There are 20 hospitals in San Juan, half of them operated by the government. The largest hospital in San Juan and most important of Puerto Rico and the Caribbean is the '''Rio Piedras Medical Center''', or '''''Centro Medico de Rio Piedras''''' in Spanish. This hospital, founded in 1956, is operated by the Medical Services Administration of the Department of Health of Puerto Rico. It is made up of eight other hospitals.