According to the hospital's financial statements, Coosalud EPS's outstanding debt to Hospital Universitario San Rafael de Tunja amounts to 61,279 million Colombian pesos, representing 16% of the hospital's total billing. ^[1] Hospital Universitario San Rafael de Tunja announced on 2026-09-01 that it will suspend outpatient services for Coosalud EPS affiliates starting that day, citing repeated non-payment by the EPS for health services. ^[2] Hospital Universitario San Rafael de Tunja said the financial situation has worsened due to Coosalud EPS's lack of payment and the absence of effective agreements with the EPS. ^[3] The suspension covers specialized consultations, scheduled surgeries, and support procedures, while emergency services, hospitalization, and priority care for high-risk pregnant women and children under one year continue to be provided. ^[4] The hospital stated that debts owed by the EPS Coosalud exceed $61.279 million, which represents 16% of the entity's global billing. ^[5]