Civic Intelligence

Cossma Inc.

990 • Fiscal year 2022 • EIN 66-0434923

Sep 01, 2021 to Aug 31, 2022 • Filed on May 03, 2023

Organization Profilewww.cossma.org

View Organization Page

PO Box 1330Cidra, PR 00739Rq

(787) 739-8182

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

23rd percentile

0.07x

Higher debt load relative to assets than 23% of similar nonprofits.

2022 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2022

Liabilities / Revenue

17th percentile

0.11x

Higher debt load relative to revenue than 17% of similar nonprofits.

2022 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2022

Net Margin

78th percentile

24%

Higher net margin than 78% of similar nonprofits.

2022 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2022

Top Officer Pay

7th percentile

$151,958

Higher top officer pay than 7% of similar nonprofits.

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

2022 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2022

Asset Growth

87th percentile

19%

Faster asset growth than 87% of similar nonprofits.

2022 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2021 to 2022

Revenue Growth

82nd percentile

28%

Faster revenue growth than 82% of similar nonprofits.

2022 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2021 to 2022

Balance Sheet
Liabilities / Assets23rd percentile

Assets

Up

$127,949,366

Up $20,616,216 (+19%) from 2021

Net Assets

Up

$118,874,851

Up $20,259,161 (+21%) from 2021

Liabilities

Up

$9,074,515

Up $357,055 (+4.1%) from 2021

Revenue And Expenses
Liabilities / Revenue17th percentileNet Margin78th percentile

Revenue

Up

$84,819,475

Up $18,456,700 (+28%) from 2021

Expenses

Up

$64,560,314

Up $6,965,259 (+12%) from 2021

Net Income

Up

$20,259,161

Up $11,491,441 (+131%) from 2021

Historical Trend

Balance Sheet Trend

Asset Growth87th percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$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

2022

Assets$127,949,366
Liabilities$9,074,515
Net Assets$118,874,851
Open 2022 Filing

Operations Trend

Revenue Growth82nd percentile

Revenue, expenses, and net income across loaded years, with this 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

2022

Revenue$84,819,475
Expenses$64,560,314
Net Income$20,259,161
Open 2022 Filing
Jump To
Filing Snapshot
Filing Period
Sep 1, 2021 to Aug 31, 2022
Signed
May 3, 2023
Return Version
2021v4.0
Gross Receipts
$84,819,475
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$33,727,093$52,102,785▲ $18,375,692
Land, Buildings, and Equipment, Net$35,107,681$35,078,696▼ $28,985
Savings and Temporary Cash Investments$31,327,561$30,369,082▼ $958,479
Accounts Receivable$4,540,229$7,865,591▲ $3,325,362
Inventories for Sale or Use$646,588$773,526▲ $126,938
Pledges and Grants Receivable$853,439$760,755▼ $92,684
Prepaid Expenses and Deferred Charges$283,280$322,192▲ $38,912
Total Assets$107,333,150$127,949,366▲ $20,616,216
Other Assets Total$847,279$676,739▼ $170,540
Liabilities
Accounts Payable and Accrued Expenses$5,974,558$6,491,118▲ $516,560
Mortgage Notes Payable Secured by Investment Property$2,584,322$2,503,611▼ $80,711
Deferred Revenue$158,580$79,786▼ $78,794
Total Liabilities$8,717,460$9,074,515▲ $357,055
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$98,615,690$118,874,851▲ $20,259,161
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$98,615,690$118,874,851▲ $20,259,161
Total Liabilities and Net Assets / Fund Balance$107,333,150$127,949,366▲ $20,616,216

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$26,800,851$7,025,937$33,826,788
Equipment$3,802,727$2,787,562$6,590,289
Land$3,826,631-$3,826,631
Other Land Buildings$504,560$1,415,842$1,920,402
Leasehold Improvements$143,927$91,359$235,286
Compensation and Service Providers
Top Officer Pay7th percentile

Employees

NameTitleFull / Part TimeBaseTotal
Erving Arroyo FloresAllergistFT$151,958$151,958
Juan Perez TorresMedical DirectorFT$138,043$138,043
Anarelis Almanzar ParedesPharmacy DirectorFT$128,769$128,769
Hector Rodriguez MillayesGynecologistFT$127,631$127,631
Liliana Guzman BicchiPediatricianFT$127,472$127,472
Julio Marrero GuadalupeFamily DoctorFT$126,376$126,376
Nelson De JesusFamily DoctorFT$125,626$125,626
Dania Berroa EmilianoPediatricianFT$124,139$124,139
Blanizza Bey VinasPediatricianFT$120,988$120,988
Marienaldy BerriosClinical Service Deputy DirectorFT$120,516$120,516
Rosalie Candelario OrtizQuality DirectorFT$119,870$119,870
Irma Dopazo RodriguezPediatricianFT$119,819$119,819
Maria Roldan FloresPediatricianFT$119,817$119,817
Griselle Pastrana RodriguezFamily DoctorFT$119,455$119,455
Arelys Cabrera SerranoPediatricianFT$118,690$118,690
Maria Sanchez SaldanaPediatricianFT$115,908$115,908
Diany Lopez TorresPediatricianFT$115,657$115,657
Edgardo Soto QuinonesFamily DoctorFT$114,493$114,493
Veronica Colon FalconPediatricianFT$113,250$113,250
Arturo Lluberas GonzalezPediatricianFT$113,172$113,172
Liz Rodriguez LoyolaPharmacistFT$110,631$110,631
Karina Gonzalez RosarioPharmacistFT$109,762$109,762
Sorivette Surillo OrtizFamily DoctorFT$108,632$108,632
Lissette Perez VegaGeneral PractitionerFT$108,415$108,415
Guillermo Bosques MoralesPharmacistFT$108,284$108,284
Anibal Caraballo CintronPharmacistFT$107,554$107,554
Norma Rodriguez TorresPsychiatristFT$107,334$107,334
Rosalyn Ramos FloresPharmacistFT$106,931$106,931
Daniel Cruz GalarzaGynecologistFT$103,427$103,427
Zuania Nunez AldrichGynecologistFT$101,227$101,227
Marlene Cotto PanellHighest compensated employeeFT$100,489$100,489
Norma AntomatteiPharmacistFT$98,662$98,662
Claribel Lara GonzalezFinance DirectorFT$68,793$68,793

Board Members and Trustees

NameTitle
Leonor Mercedes GuzmanPresident
Maria T Fred MercadoVice-President
Teofila Rios OrtizFinance Area Representative
Ada L Cotto CartagenaSecretary/Users Representative Aguas Buenas
Olga MaldonadoUser Representative Aibonito
Carmen Veguilla MontanezUsers Representative Caguas
Miguel A Delgado RamosUsers Representative Cidra
Adelma Cintron DiazUsers Representative Las Piedras
Eduardo Munoz OquendoUsers Representative San Lorenzo

Highest Paid Contractors

ContractorServicesLocationCompensation
Bm Construction CorpConstructionCarr 183 Km 7 6 Del Valle Industria, Km 19 9 PR 1, San Lorenzo, PR 00754$1,076,320
Aireko Construction CorpContructionLas Casas Street, Caguas, PR 00785$805,824
G4s Secure Solutions Pr INCSecurityPlaza Bairoa 1 Ste 211, Lot 20 Bairoa Industrial Park, Caguas, PR 00725$694,096
North Janitorial Services INCMantenimientoBarrio Tortugo, San Juan, PR 00926$360,124
Reno & Cavanaugh PllcAbogado424 Church St 2910, Nashville, TN 37219$225,301
Revenue and Support

Revenue Composition

Contributions and Grants
$12,514,742
Program Service Revenue
$71,904,431
Investment Income
$237,564
Other Revenue
$162,738
All Other Contributions
$1,485,567
Change in Net Assets
$20,259,161

Audited Revenue Reconciliation

Revenue per Audited Statements
$84,819,475
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$0
Total Revenue per Audited Statements
$84,819,475
Total Revenue per Form 990
$84,819,475
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$43,687,312
Salaries, Compensation, and Employee Benefits$20,873,002
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$13,752,454$3,636,594-$17,389,048
Fees for Services Other$1,917,759$1,354,295-$3,272,054
Payroll Taxes$2,227,223$656,915-$2,884,138
Depreciation Depletion$349,814$1,624,122-$1,973,936
Occupancy$48,367$1,183,288-$1,231,655
Other Employee Benefits$501,570$98,246-$599,816
Other Expenses$308,261$230,294$0$538,555
Insurance$23,932$463,164-$487,096
All Other Expenses$161,386$306,847-$468,233
Information Technology$58,236$208,294-$266,530
Office Expenses$166,469$92,127-$258,596
Travel$94,228$101,650-$195,878
Conferences and Meetings$38,685$86,202-$124,887
Interest-$111,736-$111,736
Advertising$17,624$7,105-$24,729
Total Functional Expenses$52,990,381$11,569,933$0$64,560,314

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$64,560,314
Total Expenses per Audited Statements$64,560,314
Total Expenses per Form 990$64,560,314
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
2023-05-03
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Norma Antomatei
Formed
1987
Legal Domicile
Pr
Voting Board Members
9
Independent Board Members
9
Employees
455
Volunteers
0

Preparer

Firm
Diaz & Candelaria Psc
Address
PMB-294 100, GRAN PASEO BLVD SUITE 112, SAN JUAN, PR 00926-5955
Preparer
Jose G Candelaria Castro
Phone
7873994556
Raw XML AppendixShowing 400 of 840 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/PersonNm0Erving Arroyo Flores
IRS990/Form990PartVIISectionAGrp/PersonNm1Juan Perez Torres
IRS990/Form990PartVIISectionAGrp/PersonNm2ANARELIS ALMANZAR PAREDES
IRS990/Form990PartVIISectionAGrp/PersonNm3HECTOR RODRIGUEZ MILLAYES
IRS990/Form990PartVIISectionAGrp/PersonNm4LILIANA GUZMAN BICCHI
IRS990/Form990PartVIISectionAGrp/PersonNm5JULIO MARRERO GUADALUPE
IRS990/Form990PartVIISectionAGrp/PersonNm6NELSON DE JESUS
IRS990/Form990PartVIISectionAGrp/PersonNm7DANIA BERROA EMILIANO
IRS990/Form990PartVIISectionAGrp/PersonNm8BLANIZZA BEY VINAS
IRS990/Form990PartVIISectionAGrp/PersonNm9Marienaldy Berrios
IRS990/Form990PartVIISectionAGrp/PersonNm10ROSALIE CANDELARIO ORTIZ
IRS990/Form990PartVIISectionAGrp/PersonNm11IRMA DOPAZO RODRIGUEZ
IRS990/Form990PartVIISectionAGrp/PersonNm12MARIA ROLDAN FLORES
IRS990/Form990PartVIISectionAGrp/PersonNm13GRISELLE PASTRANA RODRIGUEZ
IRS990/Form990PartVIISectionAGrp/PersonNm14ARELYS CABRERA SERRANO
IRS990/Form990PartVIISectionAGrp/PersonNm15MARIA SANCHEZ SALDANA
IRS990/Form990PartVIISectionAGrp/PersonNm16DIANY LOPEZ TORRES
IRS990/Form990PartVIISectionAGrp/PersonNm17EDGARDO SOTO QUINONES
IRS990/Form990PartVIISectionAGrp/PersonNm18VERONICA COLON FALCON
IRS990/Form990PartVIISectionAGrp/PersonNm19ARTURO LLUBERAS GONZALEZ
IRS990/Form990PartVIISectionAGrp/PersonNm20LIZ RODRIGUEZ LOYOLA
IRS990/Form990PartVIISectionAGrp/PersonNm21KARINA GONZALEZ ROSARIO
IRS990/Form990PartVIISectionAGrp/PersonNm22SORIVETTE SURILLO ORTIZ
IRS990/Form990PartVIISectionAGrp/PersonNm23LISSETTE PEREZ VEGA
IRS990/Form990PartVIISectionAGrp/PersonNm24GUILLERMO BOSQUES MORALES
IRS990/Form990PartVIISectionAGrp/PersonNm25ANIBAL CARABALLO CINTRON
IRS990/Form990PartVIISectionAGrp/PersonNm26NORMA RODRIGUEZ TORRES
IRS990/Form990PartVIISectionAGrp/PersonNm27ROSALYN RAMOS FLORES
IRS990/Form990PartVIISectionAGrp/PersonNm28DANIEL CRUZ GALARZA
IRS990/Form990PartVIISectionAGrp/PersonNm29ZUANIA NUNEZ ALDRICH
IRS990/Form990PartVIISectionAGrp/PersonNm30MARLENE COTTO PANELL
IRS990/Form990PartVIISectionAGrp/PersonNm31Norma Antomattei
IRS990/Form990PartVIISectionAGrp/PersonNm32Claribel Lara Gonzalez
IRS990/Form990PartVIISectionAGrp/PersonNm33Maria T Fred Mercado
IRS990/Form990PartVIISectionAGrp/PersonNm34Ada L Cotto Cartagena
IRS990/Form990PartVIISectionAGrp/PersonNm35Teofila Rios Ortiz
IRS990/Form990PartVIISectionAGrp/PersonNm36Eduardo Munoz Oquendo
IRS990/Form990PartVIISectionAGrp/PersonNm37Carmen Veguilla Montanez
IRS990/Form990PartVIISectionAGrp/PersonNm38Adelma Cintron Diaz
IRS990/Form990PartVIISectionAGrp/PersonNm39Miguel A Delgado Ramos
IRS990/Form990PartVIISectionAGrp/PersonNm40Olga Maldonado
IRS990/Form990PartVIISectionAGrp/PersonNm41Leonor Mercedes Guzman
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt200

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Filings

Displayed year

2022 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$127,949,366
Liabilities
$9,074,515
Net assets
$118,874,851
Revenue
$84,819,475
Expenses
$64,560,314
Net income
$20,259,161
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
Peer Organizations

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