Civic Intelligence

Cossma Inc.

990 • Fiscal year 2023 • EIN 66-0434923

Sep 01, 2022 to Aug 31, 2023 • Filed on Apr 02, 2024

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

24th percentile

0.07x

Higher debt load relative to assets than 24% of similar nonprofits.

2023 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2023

Liabilities / Revenue

17th percentile

0.12x

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

2023 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2023

Net Margin

85th percentile

28%

Higher net margin than 85% of similar nonprofits.

2023 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2023

Top Officer Pay

9th percentile

$168,172

Higher top officer pay than 9% of similar nonprofits.

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

2023 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2023

Asset Growth

85th percentile

22%

Faster asset growth than 85% of similar nonprofits.

2023 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2022 to 2023

Revenue Growth

59th percentile

7.8%

Faster revenue growth than 59% of similar nonprofits.

2023 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2022 to 2023

Balance Sheet
Liabilities / Assets24th percentile

Assets

Up

$155,469,708

Up $27,520,342 (+22%) from 2022

Net Assets

Up

$144,197,698

Up $25,322,847 (+21%) from 2022

Liabilities

Up

$11,272,010

Up $2,197,495 (+24%) from 2022

Revenue And Expenses
Liabilities / Revenue17th percentileNet Margin85th percentile

Revenue

Up

$91,452,024

Up $6,632,549 (+7.8%) from 2022

Expenses

Up

$66,129,177

Up $1,568,863 (+2.4%) from 2022

Net Income

Up

$25,322,847

Up $5,063,686 (+25%) from 2022

Historical Trend

Balance Sheet Trend

Asset Growth85th 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

2023

Assets$155,469,708
Liabilities$11,272,010
Net Assets$144,197,698
Open 2023 Filing

Operations Trend

Revenue Growth59th 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

2023

Revenue$91,452,024
Expenses$66,129,177
Net Income$25,322,847
Open 2023 Filing
Jump To
Filing Snapshot
Filing Period
Sep 1, 2022 to Aug 31, 2023
Signed
Apr 2, 2024
Return Version
2022v5.0
Gross Receipts
$91,452,024
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$52,102,785$72,750,759▲ $20,647,974
Land, Buildings, and Equipment, Net$35,078,696$33,570,861▼ $1,507,835
Savings and Temporary Cash Investments$30,369,082$32,189,154▲ $1,820,072
Accounts Receivable$7,865,591$12,444,573▲ $4,578,982
Inventories for Sale or Use$773,526$830,484▲ $56,958
Pledges and Grants Receivable$760,755$566,036▼ $194,719
Prepaid Expenses and Deferred Charges$322,192$471,600▲ $149,408
Total Assets$127,949,366$155,469,708▲ $27,520,342
Other Assets Total$676,739$2,646,241▲ $1,969,502
Liabilities
Accounts Payable and Accrued Expenses$6,491,118$8,607,518▲ $2,116,400
Mortgage Notes Payable Secured by Investment Property$2,503,611$2,419,447▼ $84,164
Deferred Revenue$79,786$245,045▲ $165,259
Total Liabilities$9,074,515$11,272,010▲ $2,197,495
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$118,874,851$144,197,698▲ $25,322,847
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$118,874,851$144,197,698▲ $25,322,847
Total Liabilities and Net Assets / Fund Balance$127,949,366$155,469,708▲ $27,520,342

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$34,043,534$0$34,043,534
Equipment$5,580,926$0$5,580,926
Land$4,620,294-$4,620,294
Other Land Buildings$-10,909,179$13,292,583$2,383,404
Leasehold Improvements$235,286$0$235,286
Compensation and Service Providers
Top Officer Pay9th percentile

Employees

NameTitleFull / Part TimeBaseTotal
Norma Rodriguez TorresPsychiatristFT$168,172$168,172
Nelson De JesusFamily DoctorFT$164,680$164,680
Juan Perez TorresMedical DirectorFT$160,266$160,266
Erving Arroyo FloresAllergistFT$157,760$157,760
Daniel Cruz GalarzaGynecologistFT$140,497$140,497
Julio Marrero GuadalupeFamily DoctorFT$139,771$139,771
Rosalie Candelario OrtizQuality DirectorFT$138,385$138,385
Dania Berroa EmilianoPediatricianFT$138,224$138,224
Marienaldy Berrios DiazClinical Service Deputy DirectorFT$136,596$136,596
Griselle Pastrana RodriguezFamily DoctorFT$134,476$134,476
Maria Roldan FloresPediatricianFT$133,116$133,116
Zuania Nunez AldrichGynecologistFT$132,705$132,705
Anarelis Almanzar ParedesPharmacy DirectorFT$132,309$132,309
Irma Dopazo RodriguezPediatricianFT$131,540$131,540
Blanizza Bey VinasPediatricianFT$130,292$130,292
Diany Lopez TorresPediatricianFT$129,847$129,847
Arelys Cabrera SerranoPediatricianFT$129,039$129,039
Sorivette Surillo OrtizFamily DoctorFT$127,793$127,793
Edgardo Soto QuinonesFamily DoctorFT$127,302$127,302
Lissette Perez VegaGeneral PractitionerFT$127,214$127,214
Liliana Guzman BicchiPediatricianFT$126,728$126,728
Maria Sanchez SaldanaPediatricianFT$124,826$124,826
Manfredo Vega RodriguezMat PhysicianFT$122,097$122,097
Veronica Colon FalconPediatricianFT$120,403$120,403
Iris Arzuaga GonzalezGeneral PractitionerFT$119,324$119,324
Karina Gonzalez RosarioPharmacistFT$117,007$117,007
Ronald Gonzalez ReyesGeneral PractitionerFT$116,841$116,841
Liz Rodriguez LoyolaPharmacistFT$115,922$115,922
Guillermo Bosques MoralesPharmacistFT$115,735$115,735
Tamia Rodriguez MelendezGeneral PractitionerFT$115,375$115,375
Hector Rodriguez MillayesGynecologistFT$114,814$114,814
Yanelis Munoz CorreaDentistFT$112,904$112,904
Nelida Aguiar FigueroaGeneral PractitionerFT$112,850$112,850
Lynneth Mercado RodriguezGeneral PractitionerFT$112,365$112,365
Iris Grau PabonGeneral PractitionerFT$111,902$111,902
Anibal Caraballo CintronPharmacistFT$110,062$110,062
Jessica Colon BonesGeneral PractitionerFT$109,861$109,861
Lizbeth Rodriguez DelgadoDentistFT$109,047$109,047
Camibi Rivera SanfiorenzoDentistFT$108,198$108,198
Marlene Cotto PanellPharmacistFT$107,617$107,617
Keren Rivera GonzalezGeneral PractitionerFT$106,071$106,071
Jessica Rivera RamosPharmacistFT$104,871$104,871
Ida Arroyo PaganGeneral PractitionerFT$104,532$104,532
Arturo Lluberas GonzalezPediatricianFT$104,448$104,448
Rosalyn Ramos FloresPharmacistFT$103,864$103,864
Nyurka Rosado AponteGeneral PractitionerFT$102,938$102,938
Sue Alvarez GutierrezPharmacistFT$102,531$102,531
Liza Tapia TapiaGeneral PractitionerFT$100,857$100,857

Board Members and Trustees

NameTitle
Carmen Veguilla MontanezPresident
Leonor Mercedes GuzmanVice President
Teofila Rios OrtizFinance Area Representative
Ada L Cotto CartagenaSecretary/Users Representative Aguas Buenas
Olga MaldonadoUser Representative Aibonito
Maria T Fred MercadoUsers Representative
Adelma Cintron DiazUsers Representative Las Piedras
Eduardo Munoz OquendoUsers Representative San Lorenzo
Miguel A Delgado RamosUsers Representative Yabucoa

Highest Paid Contractors

ContractorServicesLocationCompensation
Guardsnark LLC Dba Allied Universal Security Services LLCSecurity40 PR 165 101, Guaynabo, PR 00966$725,951
Platinum Emergency GroupService371 AVE DE DIEGO, San Juan, PR 00924$539,123
North Janitorial Services INCMaintance103 AVENIDA CONQUISTADORES, Catano, PR 00962$522,774
Scf SrlArchitectureLote 3 Calle 1 Metro Office Park, San Juan, PR 00917$332,500
-DoctorHIMA PLAZA I STE 414 500 AVE DEGETA, Caguas, PR 00725$108,105
Revenue and Support

Revenue Composition

Contributions and Grants
$18,310,012
Program Service Revenue
$72,725,977
Investment Income
$366,004
Other Revenue
$50,031
All Other Contributions
$1,078,812
Change in Net Assets
$25,322,847

Audited Revenue Reconciliation

Revenue per Audited Statements
$91,452,024
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$0
Total Revenue per Audited Statements
$91,452,024
Total Revenue per Form 990
$91,452,024
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$43,032,394
Salaries, Compensation, and Employee Benefits$23,096,783
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$15,074,224$4,296,001-$19,370,225
Fees for Services Other$2,293,638$2,409,124-$4,702,762
Occupancy$386,915$2,766,864-$3,153,779
Payroll Taxes$2,420,527$722,683-$3,143,210
Depreciation Depletion$378,850$1,822,644-$2,201,494
Other Employee Benefits$463,920$119,428-$583,348
Other Expenses$266,071$273,766$0$539,837
All Other Expenses$295,659$199,916$0$495,575
Insurance$22,917$444,274-$467,191
Conferences and Meetings$149,773$158,187-$307,960
Information Technology$51,157$249,177-$300,334
Office Expenses$169,499$86,846-$256,345
Travel$109,666$100,062-$209,728
Interest-$108,276-$108,276
Advertising$13,019--$13,019
Total Functional Expenses$50,925,437$15,203,740$0$66,129,177

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$66,129,177
Total Expenses per Audited Statements$66,129,177
Total Expenses per Form 990$66,129,177
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
2024-04-02
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
Cristino Ariel Diaz-lopez
Phone
7873994556
Raw XML AppendixShowing 400 of 1,017 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/OtherCompensationAmt510
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt560
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt570
IRS990/Form990PartVIISectionAGrp/PersonNm0NORMA RODRIGUEZ TORRES
IRS990/Form990PartVIISectionAGrp/PersonNm1NELSON DE JESUS
IRS990/Form990PartVIISectionAGrp/PersonNm2Juan Perez Torres
IRS990/Form990PartVIISectionAGrp/PersonNm3Erving Arroyo Flores
IRS990/Form990PartVIISectionAGrp/PersonNm4DANIEL CRUZ GALARZA
IRS990/Form990PartVIISectionAGrp/PersonNm5JULIO MARRERO GUADALUPE
IRS990/Form990PartVIISectionAGrp/PersonNm6ROSALIE CANDELARIO ORTIZ
IRS990/Form990PartVIISectionAGrp/PersonNm7DANIA BERROA EMILIANO
IRS990/Form990PartVIISectionAGrp/PersonNm8Marienaldy Berrios Diaz
IRS990/Form990PartVIISectionAGrp/PersonNm9GRISELLE PASTRANA RODRIGUEZ
IRS990/Form990PartVIISectionAGrp/PersonNm10MARIA ROLDAN FLORES
IRS990/Form990PartVIISectionAGrp/PersonNm11ZUANIA NUNEZ ALDRICH
IRS990/Form990PartVIISectionAGrp/PersonNm12ANARELIS ALMANZAR PAREDES
IRS990/Form990PartVIISectionAGrp/PersonNm13IRMA DOPAZO RODRIGUEZ
IRS990/Form990PartVIISectionAGrp/PersonNm14BLANIZZA BEY VINAS
IRS990/Form990PartVIISectionAGrp/PersonNm15DIANY LOPEZ TORRES
IRS990/Form990PartVIISectionAGrp/PersonNm16ARELYS CABRERA SERRANO
IRS990/Form990PartVIISectionAGrp/PersonNm17SORIVETTE SURILLO ORTIZ
IRS990/Form990PartVIISectionAGrp/PersonNm18EDGARDO SOTO QUINONES
IRS990/Form990PartVIISectionAGrp/PersonNm19LISSETTE PEREZ VEGA
IRS990/Form990PartVIISectionAGrp/PersonNm20LILIANA GUZMAN BICCHI
IRS990/Form990PartVIISectionAGrp/PersonNm21NORMA RODRIGUEZ TORRES
IRS990/Form990PartVIISectionAGrp/PersonNm22MARIA SANCHEZ SALDANA
IRS990/Form990PartVIISectionAGrp/PersonNm23MANFREDO VEGA RODRIGUEZ
IRS990/Form990PartVIISectionAGrp/PersonNm24VERONICA COLON FALCON
IRS990/Form990PartVIISectionAGrp/PersonNm25IRIS ARZUAGA GONZALEZ
IRS990/Form990PartVIISectionAGrp/PersonNm26KARINA GONZALEZ ROSARIO
IRS990/Form990PartVIISectionAGrp/PersonNm27RONALD GONZALEZ REYES
IRS990/Form990PartVIISectionAGrp/PersonNm28LIZ RODRIGUEZ LOYOLA
IRS990/Form990PartVIISectionAGrp/PersonNm29GUILLERMO BOSQUES MORALES
IRS990/Form990PartVIISectionAGrp/PersonNm30TAMIA RODRIGUEZ MELENDEZ
IRS990/Form990PartVIISectionAGrp/PersonNm31HECTOR RODRIGUEZ MILLAYES
IRS990/Form990PartVIISectionAGrp/PersonNm32YANELIS MUNOZ CORREA
IRS990/Form990PartVIISectionAGrp/PersonNm33NELIDA AGUIAR FIGUEROA
IRS990/Form990PartVIISectionAGrp/PersonNm34LYNNETH MERCADO RODRIGUEZ
IRS990/Form990PartVIISectionAGrp/PersonNm35IRIS GRAU PABON
IRS990/Form990PartVIISectionAGrp/PersonNm36ANIBAL CARABALLO CINTRON
IRS990/Form990PartVIISectionAGrp/PersonNm37JESSICA COLON BONES
IRS990/Form990PartVIISectionAGrp/PersonNm38LIZBETH RODRIGUEZ DELGADO
IRS990/Form990PartVIISectionAGrp/PersonNm39CAMIBI RIVERA SANFIORENZO
IRS990/Form990PartVIISectionAGrp/PersonNm40MARLENE COTTO PANELL
IRS990/Form990PartVIISectionAGrp/PersonNm41KEREN RIVERA GONZALEZ
IRS990/Form990PartVIISectionAGrp/PersonNm42JESSICA RIVERA RAMOS
IRS990/Form990PartVIISectionAGrp/PersonNm43IDA ARROYO PAGAN
IRS990/Form990PartVIISectionAGrp/PersonNm44ARTURO LLUBERAS GONZALEZ

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Filings

Displayed year

2023 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$155,469,708
Liabilities
$11,272,010
Net assets
$144,197,698
Revenue
$91,452,024
Expenses
$66,129,177
Net income
$25,322,847
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

Similar nonprofits based on the same Siviq industry and scale cohort. 2023 filings • 501(c)3 • $100M-$250M nonprofits