Totals
- Total revenue
- $80,648,545
- Total expenses
- $66,854,991
- Contributions and grants received
- $8,450,274
- Grants paid
- $0
- Program service revenue
- $71,673,368
- Investment income
- $464,173
- Other revenue
- $60,730
- Total assets, end of year
- $168,049,827
- Total liabilities, end of year
- $10,058,575
- Net assets or fund balances, end of year
- $157,991,252
- Program services expenses (Part IX)
- $53,128,804
- Management and general expenses
- $13,726,187
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $53,128,804
Program services were 79.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1a · Federated campaigns
$0
-
1b · Membership dues
$0
-
1c · Fundraising events
$0
-
1d · Related organizations
$0
-
1e · Government grants (contributions)
$7,265,712
-
1f · All other contributions, gifts and grants
$1,184,562
-
1g · Noncash contributions included above
$0
-
2a · Program service revenue: CAPITATION
total $29,943,354 · related or exempt $29,943,354 · unrelated business $0 · excluded $0
-
2b · Program service revenue: PATIENT SERVICES FEES
total $9,240,096 · related or exempt $9,240,096 · unrelated business $0 · excluded $0
-
2c · Program service revenue: PHARMACY
total $20,071,073 · related or exempt $20,071,073 · unrelated business $0 · excluded $0
-
2d · Program service revenue: LAWSUIT PR HEALTH DEPARTMENT
total $12,418,845 · related or exempt $12,418,845 · unrelated business $0 · excluded $0
-
2f · All other program service revenue
total $0 · related or exempt $0 · unrelated business $0 · excluded $0
-
3 · Investment income
total $464,173 · related or exempt $464,173 · unrelated business $0 · excluded $0
-
4 · Income from investment of tax-exempt bond proceeds
total $0 · related or exempt $0 · unrelated business $0 · excluded $0
-
5 · Royalties
total $0 · related or exempt $0 · unrelated business $0 · excluded $0
-
6a · Gross rents
real property $30,730 · personal property $0
-
6b · Less rental expenses
real property $0 · personal property $0
-
6c · Rental income or loss
real property $30,730 · personal property $0
-
6d · Net rental income or loss
total $30,730 · related or exempt $30,730 · unrelated business $0 · excluded $0
-
7c · Gain or loss
securities $0 · other assets $0
-
8a · Fundraising events: contributions included on line 1c
$0
-
11d · All other revenue
total $30,000 · related or exempt $30,000 · unrelated business $0 · excluded $0
-
11e · Other revenue, total
$30,000
Functional expenses
Part IX, the statement of functional expenses.
-
7 · Other salaries and wages
total $20,622,696 · program services $16,172,957 · management and general $4,449,739
-
9 · Other employee benefits
total $358,678 · program services $325,627 · management and general $33,051
-
10 · Payroll taxes
total $3,572,493 · program services $2,745,185 · management and general $827,308
-
11g · Fees: other
total $4,741,411 · program services $2,626,857 · management and general $2,114,554
-
12 · Advertising and promotion
total $228 · program services $228
-
13 · Office expenses
total $301,161 · program services $164,581 · management and general $136,580
-
14 · Information technology
total $215,632 · program services $48,664 · management and general $166,968
-
16 · Occupancy
total $1,159,696 · program services $83,828 · management and general $1,075,868
-
17 · Travel
total $189,203 · program services $107,306 · management and general $81,897
-
19 · Conferences, conventions and meetings
total $168,251 · program services $81,734 · management and general $86,517
-
20 · Interest
total $104,780 · management and general $104,780
-
22 · Depreciation, depletion and amortization
total $2,059,979 · program services $299,215 · management and general $1,760,764
-
23 · Insurance
total $511,244 · program services $22,288 · management and general $488,956
-
24a · Other expenses: Medical, Nutritional, Medications and Prescribed Drugs
total $6,952,109 · program services $6,932,456 · management and general $19,653 · fundraising $0
-
24b · Other expenses: Building, Equipment Rental and Maintenance
total $2,628,266 · program services $688,088 · management and general $1,940,178 · fundraising $0
-
24c · Other expenses: Claims through Health Reform
total $22,442,220 · program services $22,442,220 · management and general $0 · fundraising $0
-
24d · Other expenses: Non-Capitalized Equipment
total $321,024 · program services $164,598 · management and general $156,426 · fundraising $0
-
24e · All other expenses
total $505,920 · program services $222,972 · management and general $282,948
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $72,750,759 · end of year $72,666,784
-
2 · Savings and temporary cash investments
beginning of year $32,189,154 · end of year $31,297,055
-
3 · Pledges and grants receivable
beginning of year $566,036 · end of year $389,844
-
4 · Accounts receivable
beginning of year $12,444,573 · end of year $16,075,525
-
8 · Inventories for sale or use
beginning of year $830,484 · end of year $802,257
-
9 · Prepaid expenses and deferred charges
beginning of year $471,600 · end of year $421,677
-
10a · Land, buildings and equipment: cost or other basis
$53,731,810
-
10b · Land, buildings and equipment: accumulated depreciation
$15,339,567
-
10c · Land, buildings and equipment, net
beginning of year $33,570,861 · end of year $38,392,243
-
15 · Other assets
beginning of year $2,646,241 · end of year $8,004,442
-
17 · Accounts payable and accrued expenses
beginning of year $8,607,518 · end of year $7,230,261
-
19 · Deferred revenue
beginning of year $245,045 · end of year $496,673
-
23 · Secured mortgages and notes payable
beginning of year $2,419,447 · end of year $2,331,641
-
27 · Net assets without donor restrictions
beginning of year $144,197,698 · end of year $157,991,252
-
28 · Net assets with donor restrictions
beginning of year $0 · end of year $0
Mission and programs · 2023
Mission
TO PROVIDE AND PROMOTE INTEGRATED PRIMARY HEALTH CASE SERVICES WITH A COMMUNITY FOCUS THAT SUPPORTS THE PHYSICAL, MENTAL AND SOCIAL WELL BEING OF INDIVIDUALS WITH THE COMMITMENT TO IMPROVE THEIR DAILY LIVES.
Activities or mission (Part I)
TO PROVIDE PRIMARY HEALTH CARE SERVICES TO MEDICALLY UNDESERVED POPULATION, AGRICULTURAL, MIGRANT AND SEASONAL FARM WORKERS AS TO THEIR DEPENDENTS.
-
Health Services during the year. COSSMA, Inc provide Primary Health Services.
Expenses $44,764,601
-
Pharmacy Operations
Expenses $6,614,112
-
Education and Prevention
Expenses $1,121,824
-
Esperanza VillageJuncos
Expenses $38,092
-
RESERCH
Expenses $590,175
As filed on the 2023 return.
Listed in Part VII
-
Norma Rodriguez TorresNORMA RODRIGUEZ TORRES
PSYCHIATRIST
- Total calculated
- $194,603
- From this org
- $194,603
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $194,603
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $194,603
-
Juan Perez Torres
Medical Director
- Total calculated
- $164,151
- From this org
- $164,151
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $164,151
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $164,151
-
Nelson De JesusNELSON DE JESUS
FAMILY DOCTOR
- Total calculated
- $159,427
- From this org
- $159,427
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $159,427
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $159,427
-
Erving Arroyo Flores
Allergist
- Total calculated
- $154,589
- From this org
- $154,589
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $154,589
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $154,589
-
Julio Marrero GuadalupeJULIO MARRERO GUADALUPE
FAMILY DOCTOR
- Total calculated
- $149,260
- From this org
- $149,260
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Norma Antomattei VelazquezNORMA ANTOMATTEI VELAZQUEZ
EXECUTIVE DIRECTOR
- Total calculated
- $148,014
- From this org
- $148,014
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Rosalie Candelario OrtizROSALIE CANDELARIO ORTIZ
QUALITY DIRECTOR
- Total calculated
- $146,519
- From this org
- $146,519
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Daniel Cruz GalarzaDANIEL CRUZ GALARZA
GYNECOLOGIST
- Total calculated
- $144,430
- From this org
- $144,430
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Dania Berroa EmilianoDANIA BERROA EMILIANO
PEDIATRICIAN
- Total calculated
- $141,945
- From this org
- $141,945
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Sorivette Surillo OrtizSORIVETTE SURILLO ORTIZ
FAMILY DOCTOR
- Total calculated
- $141,195
- From this org
- $141,195
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Marienaldy Berrios Diaz
Clinical Service Deputy Director
- Total calculated
- $141,083
- From this org
- $141,083
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Griselle Pastrana RodriguezGRISELLE PASTRANA RODRIGUEZ
FAMILY DOCTOR
- Total calculated
- $140,611
- From this org
- $140,611
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Blanizza Bey VinasBLANIZZA BEY VINAS
PEDIATRICIAN
- Total calculated
- $140,481
- From this org
- $140,481
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Maria Roldan FloresMARIA ROLDAN FLORES
PEDIATRICIAN
- Total calculated
- $138,395
- From this org
- $138,395
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Diany Lopez TorresDIANY LOPEZ TORRES
PEDIATRICIAN
- Total calculated
- $138,371
- From this org
- $138,371
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Anarelis Almanzar ParedesANARELIS ALMANZAR PAREDES
PHARMACY DIRECTOR
- Total calculated
- $137,952
- From this org
- $137,952
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Irma Dopazo RodriguezIRMA DOPAZO RODRIGUEZ
PEDIATRICIAN
- Total calculated
- $137,872
- From this org
- $137,872
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Arelys Cabrera SerranoARELYS CABRERA SERRANO
PEDIATRICIAN
- Total calculated
- $137,703
- From this org
- $137,703
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Zuania Nunez AldrichZUANIA NUNEZ ALDRICH
GYNECOLOGIST
- Total calculated
- $136,917
- From this org
- $136,917
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Rosalyn Ramos FloresROSALYN RAMOS FLORES
PHARMACIST
- Total calculated
- $134,504
- From this org
- $134,504
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Liliana Guzman BicchiLILIANA GUZMAN BICCHI
PEDIATRICIAN
- Total calculated
- $134,376
- From this org
- $134,376
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Iris Grau PabonIRIS GRAU PABON
GENERAL PRACTITIONER
- Total calculated
- $133,482
- From this org
- $133,482
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Manfredo Vega RodriguezMANFREDO VEGA RODRIGUEZ
MAT PHYSICIAN
- Total calculated
- $132,227
- From this org
- $132,227
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Jose Vicens SalgadoJOSE VICENS SALGADO
PEDIATRICIAN
- Total calculated
- $132,158
- From this org
- $132,158
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Maria Sanchez SaldanaMARIA SANCHEZ SALDANA
PEDIATRICIAN
- Total calculated
- $130,750
- From this org
- $130,750
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Lissette Perez VegaLISSETTE PEREZ VEGA
GENERAL PRACTITIONER
- Total calculated
- $130,569
- From this org
- $130,569
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Iris Arzuaga GonzalezIRIS ARZUAGA GONZALEZ
GENERAL PRACTITIONER
- Total calculated
- $129,038
- From this org
- $129,038
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Veronica Colon FalconVERONICA COLON FALCON
PEDIATRICIAN
- Total calculated
- $126,812
- From this org
- $126,812
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Nelson Matos LucianoNELSON MATOS LUCIANO
GENERAL PRACTITIONER
- Total calculated
- $124,087
- From this org
- $124,087
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Ida Arroyo PaganIDA ARROYO PAGAN
GENERAL PRACTITIONER
- Total calculated
- $121,216
- From this org
- $121,216
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Nyurka Rosado AponteNYURKA ROSADO APONTE
GENERAL PRACTITIONER
- Total calculated
- $121,049
- From this org
- $121,049
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Josely Lopez NievesJOSELY LOPEZ NIEVES
GENERAL PRACTITIONER
- Total calculated
- $121,009
- From this org
- $121,009
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Guillermo Bosques MoralesGUILLERMO BOSQUES MORALES
PHARMACIST
- Total calculated
- $120,067
- From this org
- $120,067
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Tamia Rodriguez MelendezTAMIA RODRIGUEZ MELENDEZ
GENERAL PRACTITIONER
- Total calculated
- $118,408
- From this org
- $118,408
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Marlene Cotto PanellMARLENE COTTO PANELL
PHARMACIST
- Total calculated
- $118,366
- From this org
- $118,366
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Karina Gonzalez RosarioKARINA GONZALEZ ROSARIO
PHARMACIST
- Total calculated
- $118,003
- From this org
- $118,003
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Natalie Cordero OlavarriaNATALIE CORDERO OLAVARRIA
GENERAL PRACTITIONER
- Total calculated
- $117,993
- From this org
- $117,993
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Ronald Gonzalez ReyesRONALD GONZALEZ REYES
GENERAL PRACTITIONER
- Total calculated
- $117,775
- From this org
- $117,775
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Cristina Castellanos PortelaCRISTINA CASTELLANOS PORTELA
GENERAL PRACTITIONER
- Total calculated
- $117,155
- From this org
- $117,155
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Lynneth Mercado RodriguezLYNNETH MERCADO RODRIGUEZ
GENERAL PRACTITIONER
- Total calculated
- $117,129
- From this org
- $117,129
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Keren Rivera GonzalezKEREN RIVERA GONZALEZ
GENERAL PRACTITIONER
- Total calculated
- $117,107
- From this org
- $117,107
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Jessica Colon BonesJESSICA COLON BONES
GENERAL PRACTITIONER
- Total calculated
- $116,544
- From this org
- $116,544
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Liz Rodriguez LoyolaLIZ RODRIGUEZ LOYOLA
PHARMACIST
- Total calculated
- $115,215
- From this org
- $115,215
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Anibal Caraballo CintronANIBAL CARABALLO CINTRON
PHARMACIST
- Total calculated
- $114,656
- From this org
- $114,656
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Nelida Aguiar FigueroaNELIDA AGUIAR FIGUEROA
GENERAL PRACTITIONER
- Total calculated
- $113,407
- From this org
- $113,407
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Yanelis Munoz CorreaYANELIS MUNOZ CORREA
DENTIST
- Total calculated
- $113,068
- From this org
- $113,068
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Camibi Rivera SanfiorenzoCAMIBI RIVERA SANFIORENZO
DENTIST
- Total calculated
- $112,953
- From this org
- $112,953
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Mayra Legrand FloresMAYRA LEGRAND FLORES
DENTIST
- Total calculated
- $111,721
- From this org
- $111,721
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Hector Rodriguez MillayesHECTOR RODRIGUEZ MILLAYES
GYNECOLOGIST
- Total calculated
- $111,295
- From this org
- $111,295
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Liza Tapia TapiaLIZA TAPIA TAPIA
GENERAL PRACTITIONER
- Total calculated
- $109,676
- From this org
- $109,676
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Sue Alvarez GutierrezSUE ALVAREZ GUTIERREZ
PHARMACIST
- Total calculated
- $109,374
- From this org
- $109,374
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Lizbeth Rodriguez DelgadoLIZBETH RODRIGUEZ DELGADO
DENTIST
- Total calculated
- $109,117
- From this org
- $109,117
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Ocmarie Diaz ColonOCMARIE DIAZ COLON
GENERAL PRACTITIONER
- Total calculated
- $109,068
- From this org
- $109,068
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Pedro Carrion MorantPEDRO CARRION MORANT
GENERAL PRACTITIONER
- Total calculated
- $108,781
- From this org
- $108,781
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Licette Flores BoriaLICETTE FLORES BORIA
PEDIATRICIAN
- Total calculated
- $107,647
- From this org
- $107,647
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Jessica Rivera RamosJESSICA RIVERA RAMOS
PHARMACIST
- Total calculated
- $107,025
- From this org
- $107,025
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Irmarie Marrero MarreroIRMARIE MARRERO MARRERO
DENTIST
- Total calculated
- $103,754
- From this org
- $103,754
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Nicole Gonzalez GutierrezNICOLE GONZALEZ GUTIERREZ
DENTIST
- Total calculated
- $103,703
- From this org
- $103,703
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Adelma Cintron Diaz
Presidenta Representante de Usuarios Las Piedras
- Total calculated
- $0
- Hours/week
- 5
-
Ada L Cotto Cartagena
Secretary/Users Representative Aguas Buenas
- Total calculated
- $0
- Hours/week
- 5
-
Teofila Rios Ortiz
Finance Area Representative
- Total calculated
- $0
- Hours/week
- 5
-
Eduardo Munoz Oquendo
Users Representative San Lorenzo
- Total calculated
- $0
- Hours/week
- 5
-
Maria T Fred Mercado
Users Representative
- Total calculated
- $0
- Hours/week
- 5
-
Carmen Veguilla Montanez
Representante de Usuarios Caguas
- Total calculated
- $0
- Hours/week
- 5
-
Olga Maldonado
Representante Voluntaria Aibonito
- Total calculated
- $0
- Hours/week
- 5
-
Nyvea Sepulveda
Representante Voluntaria Yabucoa
- Total calculated
- $0
- Hours/week
- 5
-
Leonor Mercedes Guzman
Vice President Representante Voluntaria
- Total calculated
- $0
- Hours/week
- 5
-
Nydia Ramos Martinez
Representante Voluntario Cidra
- Total calculated
- $0
- Hours/week
- 5
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
None.
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 23 April 2025
- IRS schema version
- 2023v6.0
- Source object
- 202541369349301754
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