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Nonprofiteer
← COSTA SALUD COMMUNITY HEALTH CENTERS INC

Form 990 for tax year 2022

Filed by COSTA SALUD COMMUNITY HEALTH CENTERS INC.

Totals

Total revenue
$40,789,039
Total expenses
$36,777,110
Contributions and grants received
$6,717,781
Grants paid
$0
Program service revenue
$33,903,738
Investment income
$129,656
Other revenue
$37,864
Total assets, end of year
$45,081,404
Total liabilities, end of year
$5,493,917
Net assets or fund balances, end of year
$39,587,487
Program services expenses (Part IX)
$30,119,992
Management and general expenses
$6,657,118
Fundraising expenses
$0
Program service expenses (Part III)
$30,119,992

Program services were 81.9% 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)

    $6,717,781

  • 1f · All other contributions, gifts and grants

    $0

  • 1g · Noncash contributions included above

    $0

  • 2a · Program service revenue: CAPITATION INCOME

    total $22,253,456 · related or exempt $22,253,456 · unrelated business $0 · excluded $0

  • 2b · Program service revenue: CO-PAYMENT OF MEDICAL SERVICE

    total $514,397 · related or exempt $514,397 · unrelated business $0 · excluded $0

  • 2c · Program service revenue: MEDICAL INSURANCE INCOME

    total $8,794,855 · related or exempt $8,794,855 · unrelated business $0 · excluded $0

  • 2d · Program service revenue: WRAPAROUND PAYMENTS

    total $2,053,284 · related or exempt $2,053,284 · unrelated business $0 · excluded $0

  • 2f · All other program service revenue

    total $287,746 · related or exempt $287,746 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $129,656 · related or exempt $129,656 · 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

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 8a · Fundraising events: contributions included on line 1c

    $0

  • 11a · Other revenue: DIRECT RELIEF

    total $37,864 · related or exempt $37,864 · unrelated business $0 · excluded $0

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $37,864

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $0 · program services $0

  • 2 · Grants to domestic individuals

    total $0 · program services $0

  • 3 · Grants to foreign organizations and individuals

    total $0 · program services $0

  • 4 · Benefits paid to or for members

    total $0 · program services $0

  • 5 · Compensation of officers, directors and key employees

    total $842,772 · program services $0 · management and general $842,772 · fundraising $0

  • 6 · Compensation of disqualified persons

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 7 · Other salaries and wages

    total $6,114,617 · program services $5,315,908 · management and general $798,709 · fundraising $0

  • 8 · Pension plan contributions

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 9 · Other employee benefits

    total $630,077 · program services $486,906 · management and general $143,171 · fundraising $0

  • 10 · Payroll taxes

    total $837,523 · program services $647,214 · management and general $190,309 · fundraising $0

  • 11a · Fees: management

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11b · Fees: legal

    total $242,909 · program services $0 · management and general $242,909 · fundraising $0

  • 11c · Fees: accounting

    total $74,081 · program services $0 · management and general $74,081 · fundraising $0

  • 11d · Fees: lobbying

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11e · Fees: professional fundraising services

    total $0 · fundraising $0

  • 11f · Fees: investment management

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11g · Fees: other

    total $22,388,019 · program services $20,763,194 · management and general $1,624,825 · fundraising $0

  • 12 · Advertising and promotion

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 13 · Office expenses

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 14 · Information technology

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 15 · Royalties

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 16 · Occupancy

    total $619,820 · program services $433,874 · management and general $185,946 · fundraising $0

  • 17 · Travel

    total $46,846 · program services $0 · management and general $46,846 · fundraising $0

  • 18 · Travel or entertainment for public officials

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 19 · Conferences, conventions and meetings

    total $78,283 · program services $0 · management and general $78,283 · fundraising $0

  • 20 · Interest

    total $61,235 · program services $0 · management and general $61,235 · fundraising $0

  • 21 · Payments to affiliates

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 22 · Depreciation, depletion and amortization

    total $643,821 · program services $446,580 · management and general $197,241 · fundraising $0

  • 23 · Insurance

    total $222,920 · program services $0 · management and general $222,920 · fundraising $0

  • 24a · Other expenses: SUPPLIES EXPENSE

    total $1,171,180 · program services $864,190 · management and general $306,990

  • 24b · Other expenses: DRUGS AMD MEDICINES

    total $1,112,557 · program services $1,112,557 · management and general $0 · fundraising $0

  • 24c · Other expenses: REPAIRS AND MAINTENANCE

    total $184,134 · program services $0 · management and general $184,134 · fundraising $0

  • 24d · Other expenses: RENTAL OF SPACE AND EQUIPMENT

    total $54,635 · program services $0 · management and general $54,635 · fundraising $0

  • 24e · All other expenses

    total $1,451,681 · program services $49,569 · management and general $1,402,112 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $20,865,893 · end of year $10,330,400

  • 2 · Savings and temporary cash investments

    beginning of year $2,082,470 · end of year $0

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $5,184,264 · end of year $3,272,761

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $2,051,751 · end of year $4,103,502

  • 8 · Inventories for sale or use

    beginning of year $97,236 · end of year $109,153

  • 9 · Prepaid expenses and deferred charges

    beginning of year $61,118 · end of year $61,362

  • 10a · Land, buildings and equipment: cost or other basis

    $18,422,306

  • 10b · Land, buildings and equipment: accumulated depreciation

    $5,653,766

  • 10c · Land, buildings and equipment, net

    beginning of year $12,208,709 · end of year $12,768,540

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $305,779 · end of year $14,050,586

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $102,200 · end of year $385,100

  • 17 · Accounts payable and accrued expenses

    beginning of year $6,620,703 · end of year $5,138,827

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $763,159 · end of year $355,090

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $35,575,558 · end of year $39,587,487

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

Mission and programs · 2022

Mission

TO PROVIDE HIGH QUALITY PRIMARY HEALTH CARE SERVICES TO LOW INCOME INDIVIDUALS AND FAMILIES IN THE AREA OF RINCON, PUERTO RICO AND OTHER ADJACENT AREAS.

Activities or mission (Part I)

TO PROVIDE HIGH QUALITY PRIMARY HEALTH CARE SERVICES TO LOW INCOME INDIVIDUALS AND FAMILIES IN RINCÓN, PUERTO RICO AND ADJACENT AREAS.

  • TO PROVIDE HIGH QUALITY PRIMARY HEALTH CARE SERVICES TO LOW INCOME INDIVIDUALS AND FAMILIES IN THE AREA OF RINCON, PUERTO RICO AND OTHER ADJACENT AREAS.

    Expenses $30,119,992 · Revenue $33,615,992

As filed on the 2022 return.

Listed in Part VII

  • Mrs Susana Perez Maldonado

    EXECUTIVE DIRECTOR

    Total calculated
    $163,454
    From this org
    $163,454
    From related orgs
    $0
    Other
    $0
    Hours/week
    38

    Schedule J breakdown matched by us

    Base
    $163,454
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $163,454

  • Mrs Carmen Cotto

    CHIEF MEDICAL OFFICER

    Total calculated
    $149,489
    From this org
    $149,489
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • Dr Edgar Rodriguez Nazario

    MEDICAL DIRECTOR

    Total calculated
    $136,391
    From this org
    $136,391
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • Dr Rafael Matos Mercado

    INTERNAL MEDICINE

    Total calculated
    $123,244
    From this org
    $123,244
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • Dra Waleska Nieves Maldonado

    PEDIATRICIAN

    Total calculated
    $120,325
    From this org
    $120,325
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • Dra Reina Aneses Gonzalez

    PEDIATRICIAN

    Total calculated
    $119,112
    From this org
    $119,112
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • Dr Jose M Canabal Enriquez

    GENERAL PHYSICIAN

    Total calculated
    $110,032
    From this org
    $110,032
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • Dr Jan Mattei Molini

    DENTIST

    Total calculated
    $106,576
    From this org
    $106,576
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • Wilson Vila Feliciano

    PHARMACY MANAGER

    Total calculated
    $106,125
    From this org
    $106,125
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • Dra Mireya Perez Sanchez

    GENERAL PHYSICIAN

    Total calculated
    $104,851
    From this org
    $104,851
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • Dr Roberto Rodriguez Perez

    INTERNAL MEDICINE

    Total calculated
    $103,786
    From this org
    $103,786
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • Dra Awilda Vera Perez

    FAMILY MEDICINE

    Total calculated
    $103,226
    From this org
    $103,226
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • Dr Ramon Perez Perez

    FAMILY MEDICINE SPECIALIST

    Total calculated
    $102,846
    From this org
    $102,846
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • Dra Zuleyka Mendez Hernandez

    GENERAL PHYSICIAN

    Total calculated
    $102,479
    From this org
    $102,479
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • Dra Michelle Fuentes Valentin

    GENERAL PHYSICIAN

    Total calculated
    $102,094
    From this org
    $102,094
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • Dra Stephanie Ramirez Moreu

    FAMILY MEDICINE

    Total calculated
    $102,094
    From this org
    $102,094
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • Katty Barroso Lopez

    PHARMACEUTICAL

    Total calculated
    $100,570
    From this org
    $100,570
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • Mrs Laura Quinones Torres

    DEPUTY EXECUTIVE DIRECTOR

    Total calculated
    $98,344
    From this org
    $98,344
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • CPA Evelyn Ortiz Espinosa

    CHIEF FINANCE OFFICER

    Total calculated
    $83,850
    From this org
    $83,850
    From related orgs
    $0
    Other
    $0
    Hours/week
    38

  • Mrs Bernice Perez

    CHIEF INNOVATION OFFICER

    Total calculated
    $77,210
    From this org
    $77,210
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • Mrs Yanira Valle Torres

    INSTITUTIONAL PROGRAM DIRECTOR

    Total calculated
    $68,248
    From this org
    $68,248
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • Mrs Omayra Sanchez Lasalle

    COMPLIANCE OFFICER

    Total calculated
    $65,786
    From this org
    $65,786
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

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
2022
Filed
8 January 2024
IRS schema version
2022v5.0
Source object
202430249349301048

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