Civic Intelligence

Cossma Inc

EIN 66-0434923 • 501(c)3 • Cidra, PR, RQ

View Organization Page

Profile

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.

PO Box 1330Cidra, PR 00739Rq

www.cossma.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

22nd percentile

0.06x

Higher debt load relative to assets than 22% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

19th percentile

0.12x

Higher debt load relative to revenue than 19% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Net Margin

74th percentile

17%

Higher net margin than 74% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

12th percentile

$194,603

Higher top officer pay than 12% of similar nonprofits.

Top officer pay equals 0.2% of source-year revenue.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Asset Growth

59th percentile

8.1%

Faster asset growth than 59% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

14th percentile

-12%

Faster revenue growth than 14% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets22nd percentile

Assets

Up

$199,078,403

Up $31,028,576 (+18%) from 2024

Liabilities

Up

$28,912,238

Up $18,853,663 (+187%) from 2024

Net Assets

Up

$170,166,165

Up $12,174,913 (+7.7%) from 2024

Operations
Liabilities / Revenue19th percentileNet Margin74th percentile

Revenue

Up

$89,975,529

Up $9,326,984 (+12%) from 2024

Expenses

Up

$77,800,616

Up $10,945,625 (+16%) from 2024

Net Income

Down

$12,174,913

Down $1,618,641 (-12%) from 2024

Trend Graphs

Balance Sheet Trend

Asset Growth59th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$200M$150M$100M$50M$0Assets 2011: $23,234,549Liabilities 2011: $13,578,892Net Assets 2011: $9,655,6572011Assets 2012: $25,383,195Liabilities 2012: $7,799,758Net Assets 2012: $17,583,4372012Assets 2013: $30,497,216Liabilities 2013: $7,386,755Net Assets 2013: $23,110,4612013Assets 2014: $36,110,605Liabilities 2014: $5,659,064Net Assets 2014: $30,451,5412014Assets 2015: $42,375,544Liabilities 2015: $5,639,662Net Assets 2015: $36,735,8822015Assets 2016: $52,235,723Liabilities 2016: $6,664,912Net Assets 2016: $45,570,8112016Assets 2017: $62,196,255Liabilities 2017: $6,756,017Net Assets 2017: $55,440,2382017Assets 2018: $70,685,230Liabilities 2018: $5,976,402Net Assets 2018: $64,708,8282018Assets 2019: $82,991,255Liabilities 2019: $8,781,855Net Assets 2019: $74,209,4002019Assets 2020: $96,920,325Liabilities 2020: $7,072,355Net Assets 2020: $89,847,9702020Assets 2021: $107,333,150Liabilities 2021: $8,717,460Net Assets 2021: $98,615,6902021Assets 2022: $127,949,366Liabilities 2022: $9,074,515Net Assets 2022: $118,874,8512022Assets 2023: $155,469,708Liabilities 2023: $11,272,010Net Assets 2023: $144,197,6982023Assets 2024: $168,049,827Liabilities 2024: $10,058,575Net Assets 2024: $157,991,2522024Assets 2025: $199,078,403Liabilities 2025: $28,912,238Net Assets 2025: $170,166,1652025

Highlighted filing

2025

Assets$199,078,403
Liabilities$28,912,238
Net Assets$170,166,165
Open 2025 Filing

Operations Trend

Revenue Growth14th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$100M$50M$0Expenses 2011: $19,626,4112011Expenses 2012: $23,866,2292012Expenses 2013: $24,928,2352013Revenue 2014: $27,790,210Expenses 2014: $20,454,116Net Income 2014: $7,336,0942014Revenue 2015: $30,031,077Expenses 2015: $23,719,215Net Income 2015: $6,311,8622015Revenue 2016: $35,297,924Expenses 2016: $26,462,995Net Income 2016: $8,834,9292016Revenue 2017: $45,441,824Expenses 2017: $35,572,397Net Income 2017: $9,869,4272017Revenue 2018: $50,178,677Expenses 2018: $40,910,087Net Income 2018: $9,268,5902018Revenue 2019: $57,837,301Expenses 2019: $48,336,729Net Income 2019: $9,500,5722019Revenue 2020: $59,324,028Expenses 2020: $43,685,458Net Income 2020: $15,638,5702020Revenue 2021: $66,362,775Expenses 2021: $57,595,055Net Income 2021: $8,767,7202021Revenue 2022: $84,819,475Expenses 2022: $64,560,314Net Income 2022: $20,259,1612022Revenue 2023: $91,452,024Expenses 2023: $66,129,177Net Income 2023: $25,322,8472023Revenue 2024: $80,648,545Expenses 2024: $66,854,991Net Income 2024: $13,793,5542024Revenue 2025: $89,975,529Expenses 2025: $77,800,616Net Income 2025: $12,174,9132025

Highlighted filing

2025

Revenue$89,975,529
Expenses$77,800,616
Net Income$12,174,913
Open 2025 Filing

Filings

Most recent year

2025 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$199,078,403
Liabilities
$28,912,238
Net assets
$170,166,165
Revenue
$89,975,529
Expenses
$77,800,616
Net income
$12,174,913
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$199$28.9$170$90.0$77.8$12.2
2024Detailed filing. Detailed filing data is available for this year.$168$10.1$158$80.6$66.9$13.8
2023Detailed filing. Detailed filing data is available for this year.$155$11.3$144$91.5$66.1$25.3
2022Detailed filing. Detailed filing data is available for this year.$128$9.07$119$84.8$64.6$20.3
2021Detailed filing. Detailed filing data is available for this year.$107$8.72$98.6$66.4$57.6$8.77
2020Detailed filing. Detailed filing data is available for this year.$96.9$7.07$89.8$59.3$43.7$15.6
2019Detailed filing. Detailed filing data is available for this year.$83.0$8.78$74.2$57.8$48.3$9.50
2018Detailed filing. Detailed filing data is available for this year.$70.7$5.98$64.7$50.2$40.9$9.27
2017Detailed filing. Detailed filing data is available for this year.$62.2$6.76$55.4$45.4$35.6$9.87
2016Detailed filing. Detailed filing data is available for this year.$52.2$6.66$45.6$35.3$26.5$8.83
2015Detailed filing. Detailed filing data is available for this year.$42.4$5.64$36.7$30.0$23.7$6.31
2014Detailed filing. Detailed filing data is available for this year.$36.1$5.66$30.5$27.8$20.5$7.34
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$30.5$7.39$23.1$24.9
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$25.4$7.80$17.6$23.9
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$23.2$13.6$9.66$19.6
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Sep 1, 2024 to Aug 31, 2025
Signed
Feb 13, 2026
Return Version
2024v5.0
Gross Receipts
$89,975,529
Mission and Program Overview

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.

To provide primary health care services to medically undeserved population, agricultural, migrant and seasonal farm workers as to their dependents.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$72,666,784$63,502,765▼ $9,164,019
Savings and Temporary Cash Investments$31,297,055$44,254,876▲ $12,957,821
Land, Buildings, and Equipment, Net$38,392,243$38,158,518▼ $233,725
Accounts Receivable$16,075,525$15,183,642▼ $891,883
Inventories for Sale or Use$802,257$689,446▼ $112,811
Prepaid Expenses and Deferred Charges$421,677$496,724▲ $75,047
Pledges and Grants Receivable$389,844$494,352▲ $104,508
Total Assets$168,049,827$199,078,403▲ $31,028,576
Other Assets Total$8,004,442$36,298,080▲ $28,293,638
Liabilities
Mortgage Notes Payable Secured by Investment Property$2,331,641$21,887,939▲ $19,556,298
Accounts Payable and Accrued Expenses$7,230,261$6,484,739▼ $745,522
Deferred Revenue$496,673$539,560▲ $42,887
Total Liabilities$10,058,575$28,912,238▲ $18,853,663
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$157,991,252$170,166,165▲ $12,174,913
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$157,991,252$170,166,165▲ $12,174,913
Total Liabilities and Net Assets / Fund Balance$168,049,827$199,078,403▲ $31,028,576

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$29,321,472$11,833,698$41,155,170
Equipment$2,858,641$3,282,137$6,140,778
Land$5,661,913-$5,661,913
Other Land Buildings$233,234$2,150,170$2,383,404
Leasehold Improvements$83,258$152,028$235,286
Other Assets Org$2,084,842--
Compensation and Service Providers
Top Officer Pay12th percentile

Employees

NameTitleFull / Part TimeBaseTotal
Norma Rodriguez TorresPsychiatristFT$197,084$197,084
Juan Perez TorresMedical DirectorFT$186,461$186,461
Nelson De JesusFamily DoctorFT$173,174$173,174
Erving Arroyo FloresAllergistFT$162,550$162,550
Daniel Cruz GalarzaGynecologistFT$160,070$160,070
Dania Berroa EmilianoPediatricianFT$156,442$156,442
Norma Antomattei VelazquezExecutive DirectorFT$156,080$156,080
Rosalie Candelario OrtizQuality DirectorFT$149,862$149,862
Marienaldy Berrios DiazClinical Service Deputy DirectorFT$142,025$142,025
Anarelis Almanzar ParedesPharmacy DirectorFT$139,045$139,045
Claribel LaraFinance DirectorFT$96,635$96,635

Board Members and Trustees

NameTitle
Adelma Cintron DiazPresidenta
Leonor Mercedes GuzmanVice Presidenta
Carmen Veguilla MontanezRepresentante Voluntario
Eduardo Munoz OquendoRepresentante Voluntario
Maria T Fred MercadoRepresentante Voluntario
Nydia Ramos MartinezRepresentante Voluntario
Nyvea SepulvedaRepresentante Voluntario
Olga MaldonadoRepresentante Voluntario
Ada L Cotto CartagenaSecretaria
Teofila Rios OrtizTesorera

Highest Paid Contractors

ContractorServicesLocationCompensation
Bm Construction CorpConstructionCarr 183 Km 7 6 Del Valle Industria, San Lorenzo, PR 00754$5,549,004
Guardsnark LLC Dba Allied Universal Security Services LLCSecurity40 PR 165 101, Guaynabo, PR 00966$1,058,266
North Janitorial Services INCMaintance103 AVENIDA CONQUISTADORES, Catano, PR 00962$814,544
Cs And Sf Medical Service LLCMedical ServicesAVE KENNEDY INT, Maunabo, PR 00707$742,875
-Oficinas de Abogados12 C Lopez Flores, Caguas, PR 00725$341,267
Revenue and Support

Revenue Composition

Contributions and Grants
$9,733,774
Program Service Revenue
$76,234,836
Investment Income
$3,835,957
Other Revenue
$170,962
All Other Contributions
$1,396,729
Change in Net Assets
$12,174,913

Audited Revenue Reconciliation

Revenue per Audited Statements
$89,975,529
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$0
Total Revenue per Audited Statements
$89,975,529
Total Revenue per Form 990
$89,975,529
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$51,118,943
Salaries, Compensation, and Employee Benefits$26,681,673
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$17,452,481$4,742,389$0$22,194,870
Fees for Services Other$2,574,944$1,854,336-$4,429,280
Payroll Taxes$3,147,940$935,541$0$4,083,481
Depreciation Depletion$342,739$1,740,865-$2,083,604
Occupancy$114,147$1,227,208-$1,341,355
Insurance$38,773$537,422-$576,195
Other Employee Benefits$364,130$39,192-$403,322
Information Technology$114,652$217,418-$332,070
Office Expenses$178,458$98,845-$277,303
Other Expenses$99,736$147,771$0$247,507
Interest-$240,749-$240,749
Conferences and Meetings$9,764$201,054-$210,818
Travel$103,361$64,411-$167,772
All Other Expenses$851$62,038-$62,889
Advertising$2,895$8,009-$10,904
Total Functional Expenses$63,760,434$14,040,182$0$77,800,616

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$77,800,616
Total Expenses per Audited Statements$77,800,616
Total Expenses per Form 990$77,800,616
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Other Expense Adjustments$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
No
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

“A copy of the return is presented to the Board before filling.”

Form 990, Part VI, Section B, Line 12C

“All Board members are required to sign on annual basis conflict of interest certification and to report any know conflict of interest.”

Form 990, Part VI, Section B, Line 15

“Executive Director salary is determined by the Board of Directors based on comparatives salaries in similar organizations.”

Form 990, Part VI, Section C, Line 19

“Pucblic Documents are available upon request on the main administrative office in Cidra, Puerto Rico.”

Filing and Contact Details

Filer

Filer Name
Cossma Inc
EIN
66-0434923
Phone
7877398182
Address
RQ

Signing Officer

Name
Claribel Lara
Title
Finance Director
Phone
7877398182
Signed
2026-02-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Norma Antomatei
Formed
1987
Legal Domicile
Pr
Voting Board Members
10
Independent Board Members
10
Employees
487
Volunteers
0

Preparer

Firm
Diaz & Candelaria Psc
Address
PMB-294 100, GRAN PASEO BLVD SUITE 112, SAN JUAN, PR 00926-5955
Preparer
Cristino Ariel Diaz-lopez
Phone
7873994556
Raw XML AppendixShowing 400 of 782 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd0X
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt70
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt90
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt110
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt150
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt180
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt190
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt200
IRS990/Form990PartVIISectionAGrp/PersonNm0NORMA RODRIGUEZ TORRES
IRS990/Form990PartVIISectionAGrp/PersonNm1Juan Perez Torres
IRS990/Form990PartVIISectionAGrp/PersonNm2NELSON DE JESUS
IRS990/Form990PartVIISectionAGrp/PersonNm3Erving Arroyo Flores
IRS990/Form990PartVIISectionAGrp/PersonNm4DANIEL CRUZ GALARZA
IRS990/Form990PartVIISectionAGrp/PersonNm5DANIA BERROA EMILIANO
IRS990/Form990PartVIISectionAGrp/PersonNm6NORMA ANTOMATTEI VELAZQUEZ
IRS990/Form990PartVIISectionAGrp/PersonNm7ROSALIE CANDELARIO ORTIZ
IRS990/Form990PartVIISectionAGrp/PersonNm8Marienaldy Berrios Diaz
IRS990/Form990PartVIISectionAGrp/PersonNm9ANARELIS ALMANZAR PAREDES
IRS990/Form990PartVIISectionAGrp/PersonNm10Claribel Lara
IRS990/Form990PartVIISectionAGrp/PersonNm11Adelma Cintron Diaz
IRS990/Form990PartVIISectionAGrp/PersonNm12Ada L Cotto Cartagena
IRS990/Form990PartVIISectionAGrp/PersonNm13Teofila Rios Ortiz
IRS990/Form990PartVIISectionAGrp/PersonNm14Eduardo Munoz Oquendo
IRS990/Form990PartVIISectionAGrp/PersonNm15Maria T Fred Mercado
IRS990/Form990PartVIISectionAGrp/PersonNm16Carmen Veguilla Montanez
IRS990/Form990PartVIISectionAGrp/PersonNm17Olga Maldonado
IRS990/Form990PartVIISectionAGrp/PersonNm18Nyvea Sepulveda
IRS990/Form990PartVIISectionAGrp/PersonNm19Leonor Mercedes Guzman
IRS990/Form990PartVIISectionAGrp/PersonNm20Nydia Ramos Martinez
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt4160070
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IRS990/Form990PartVIISectionAGrp/TitleTxt0PSYCHIATRIST
IRS990/Form990PartVIISectionAGrp/TitleTxt1Medical Director
IRS990/Form990PartVIISectionAGrp/TitleTxt2FAMILY DOCTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3Allergist
IRS990/Form990PartVIISectionAGrp/TitleTxt4GYNECOLOGIST
IRS990/Form990PartVIISectionAGrp/TitleTxt5PEDIATRICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt6EXECUTIVE DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7QUALITY DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8Clinical Service Deputy Director
IRS990/Form990PartVIISectionAGrp/TitleTxt9PHARMACY DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10Finance Director
IRS990/Form990PartVIISectionAGrp/TitleTxt11Presidenta
IRS990/Form990PartVIISectionAGrp/TitleTxt12Secretaria
IRS990/Form990PartVIISectionAGrp/TitleTxt13Tesorera
IRS990/Form990PartVIISectionAGrp/TitleTxt14Representante Voluntario
IRS990/Form990PartVIISectionAGrp/TitleTxt15Representante Voluntario
IRS990/Form990PartVIISectionAGrp/TitleTxt16Representante Voluntario
IRS990/Form990PartVIISectionAGrp/TitleTxt17Representante Voluntario
IRS990/Form990PartVIISectionAGrp/TitleTxt18Representante Voluntario
IRS990/Form990PartVIISectionAGrp/TitleTxt19Vice Presidenta
IRS990/Form990PartVIISectionAGrp/TitleTxt20Representante Voluntario
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IRS990/GrantsToOrganizationsInd00
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IRS990/LocalChaptersInd00
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IRS990/MissionDesc0TO 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.
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IRS990/OtherEmployeeBenefitsGrp/TotalAmt0403322
IRS990/OtherExpensesGrp/Desc0Claims through Health Reform, Medical Supplies, Prescribed drugs and medications.
IRS990/OtherExpensesGrp/Desc1Educational and Community Activities
IRS990/OtherExpensesGrp/Desc2Building Maintenance, Equipment rental and maintenance.
IRS990/OtherExpensesGrp/Desc3Non-Capitalized Equipment
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IRS990/OtherExpensesGrp/FundraisingAmt10
IRS990/OtherExpensesGrp/FundraisingAmt20

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