Form 990 for tax year 2022

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)

  $17,282,174

• 1f · All other contributions, gifts and grants

  $0

• 1g · Noncash contributions included above

  $0

• 2a · Program service revenue: Premium Revenue - PR Health Reform

  total $77,931,378 · related or exempt $77,931,378 · unrelated business $0 · excluded $0

• 2b · Program service revenue: Net Patient Service Revenue

  total $7,519,133 · related or exempt $7,519,133 · unrelated business $0 · excluded $0

• 2c · Program service revenue: Net Pharmacy Revenue

  total $7,630,107 · related or exempt $7,630,107 · unrelated business $0 · excluded $0

• 2d · Program service revenue: Wraparound Reimbursement

  total $24,345,091 · related or exempt $24,345,091 · unrelated business $0 · excluded $0

• 2f · All other program service revenue

  total $5,566,033 · related or exempt $5,566,033 · unrelated business $0 · excluded $0

• 3 · Investment income

  total $79,639 · related or exempt $79,639 · 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 $338,655 · personal property $0

• 6b · Less rental expenses

  real property $0 · personal property $0

• 6c · Rental income or loss

  real property $338,655 · personal property $0

• 6d · Net rental income or loss

  total $338,655 · related or exempt $338,655 · unrelated business $0 · excluded $0

• 7c · Gain or loss

  securities $0 · other assets $0

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

  $0

• 11e · Other revenue, total

  $0

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

• 6 · Compensation of disqualified persons

  total $847,654 · program services $0 · management and general $847,654 · fundraising $0

• 7 · Other salaries and wages

  total $19,712,285 · program services $15,515,130 · management and general $4,197,155 · fundraising $0

• 8 · Pension plan contributions

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

• 9 · Other employee benefits

  total $3,060,317 · program services $2,309,405 · management and general $750,912 · fundraising $0

• 10 · Payroll taxes

  total $2,009,387 · program services $1,516,342 · management and general $493,045 · fundraising $0

• 11a · Fees: management

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

• 11b · Fees: legal

  total $2,260,654 · program services $0 · management and general $2,260,654 · fundraising $0

• 11c · Fees: accounting

  total $68,836 · program services $0 · management and general $68,836 · 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 $3,589,429 · program services $1,584,232 · management and general $2,005,197 · 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 $2,015,431 · program services $880 · management and general $2,014,551 · fundraising $0

• 17 · Travel

  total $177,327 · program services $54,005 · management and general $123,322 · 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 $342,992 · program services $124,630 · management and general $218,362 · fundraising $0

• 20 · Interest

  total $1,809 · program services $1,809 · management and general $0 · fundraising $0

• 21 · Payments to affiliates

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

• 22 · Depreciation, depletion and amortization

  total $3,650,155 · program services $788,671 · management and general $2,861,484 · fundraising $0

• 23 · Insurance

  total $721,503 · program services $2,989 · management and general $718,514 · fundraising $0

• 24a · Other expenses: Claims Paid and IBNR Reserve

  total $71,446,220 · program services $71,446,220 · management and general $0 · fundraising $0

• 24b · Other expenses: Equipment

  total $1,582,228 · program services $1,031,539 · management and general $550,689 · fundraising $0

• 24c · Other expenses: Consumable Supplies

  total $3,040,828 · program services $2,642,670 · management and general $398,158 · fundraising $0

• 24d · Other expenses: Repair and Maintenance

  total $1,440,613 · program services $246,553 · management and general $1,194,060 · fundraising $0

• 24e · All other expenses

  total $1,582,525 · program services $173,253 · management and general $1,409,272 · fundraising $0

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $24,704,193 · end of year $24,930,782

• 2 · Savings and temporary cash investments

  beginning of year $0 · end of year $0

• 3 · Pledges and grants receivable

  beginning of year $0 · end of year $0

• 4 · Accounts receivable

  beginning of year $5,801,266 · end of year $23,949,217

• 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 $0 · end of year $0

• 8 · Inventories for sale or use

  beginning of year $627,118 · end of year $860,549

• 9 · Prepaid expenses and deferred charges

  beginning of year $501,664 · end of year $511,879

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

  $90,751,991

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

  $24,535,200

• 10c · Land, buildings and equipment, net

  beginning of year $59,562,200 · end of year $66,216,791

• 11 · Investments: publicly traded securities

  beginning of year $0 · end of year $0

• 12 · Investments: other securities

  beginning of year $0 · end of year $0

• 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 $2,657,558 · end of year $2,362,466

• 17 · Accounts payable and accrued expenses

  beginning of year $5,324,306 · end of year $6,577,186

• 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 $0 · end of year $0

• 24 · Unsecured notes and loans payable

  beginning of year $0 · end of year $0

• 25 · Other liabilities

  beginning of year $1,792,786 · end of year $2,375,574

• 27 · Net assets without donor restrictions

  beginning of year $83,655,918 · end of year $107,342,629

• 28 · Net assets with donor restrictions

  beginning of year $3,080,989 · end of year $2,536,295

The filer's explanations (Part III)

Schedule J, Part I, Line 1a

The compensation of the Executive Director is determined and approved by the government Board. The compensation is established based on experience, qualifications and performance, in addition it is compared with the compensation of other executives in similar positions in Puerto Rico.

Schedule J, Part I, Line 4

Effective November 1st, 2013 the Organization established an Executive Deferred Compensation Plan, a non-qualified deferred compensation plan covering eligible senior management as defined in the Plan Adoption Agreement. The Plan is designed and operates in accordance with regulations under the Puerto Rico Internal Revenue Code, as amended and is not subject to the provisions of the Employee Retirement Income Security Act of 1974 (ERISA).

Schedule J, Part I, Line 6

Executive deferred compensation plan is accrued based on the institution's excess program income as stated in the adoption plan agreement.