COSTA SALUD COMMUNITY HEALTH CENTERS INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
COSTA SALUD COMMUNITY HEALTH CENTERS INC (EIN 66-0428488)
Tax period
2022-04-01 to 2023-03-31
Filed
2024-01-24
IRS object ID
202430249349301048
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-01-24T09:52:16-07:00ReturnTs
Tax Period End2023-03-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN660755792PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RODRIGUEZ RIVERA & TORO PSCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1080AddressLine1Txt
CityMAYAGUEZCityNm
State AbbreviationPRStateAbbreviationCd
ZIP00681ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN660428488EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COSTA SALUD COMMUNITY HEALTH CENTERS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOSTBusinessNameControlTxt
Phone7878235555PhoneNum

Foreign Address ForeignAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 638AddressLine1Txt
CityRINCONCityNm
Province Or StatePRProvinceOrStateNm
CountryRQCountryCd
Foreign Postal00677ForeignPostalCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMRS SUSANA PEREZ MALDONADOPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone7878235555PhoneNum
Signature2024-01-08SignatureDt
Discuss With Paid Preparer0DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCRISTIAN VERA MERCADO CPAPreparerPersonNm
PTINP00856276PTIN
Phone7878343100PhoneNum
Preparation2024-01-08PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer1TrustedCustomerCd
OOB Security Verification11OOBSecurityVerificationCd
Last Submission Rqr OOB1LastSubmissionRqrOOBCd
Authentication Assurance LevelAAL2AuthenticationAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSUSANA PEREZ MALDONADOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 638AddressLine1Txt
CityRINCONCityNm
State AbbreviationPRStateAbbreviationCd
ZIP00677ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$40,789,039GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttp://www.costasalud.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1977FormationYr
Legal Domicile StatePRLegalDomicileStateCd
Activity Or MissionTO PROVIDE HIGH QUALITY PRIMARY HEALTH CARE SERVICES TO LOW INCOME INDIVIDUALS AND FAMILIES IN RINCÓN, PUERTO RICO AND ADJACENT AREAS.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee168TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,032,628PYContributionsGrantsAmt
CY Contributions Grants$6,717,781CYContributionsGrantsAmt
PY Program Service Revenue$34,137,787PYProgramServiceRevenueAmt
CY Program Service Revenue$33,903,738CYProgramServiceRevenueAmt
PY Investment Income$47,122PYInvestmentIncomeAmt
CY Investment Income$129,656CYInvestmentIncomeAmt
PY Other Revenue$6,460,049PYOtherRevenueAmt
CY Other Revenue$37,864CYOtherRevenueAmt
PY Total Revenue$46,677,586PYTotalRevenueAmt
CY Total Revenue$40,789,039CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,003,436PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,424,989CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$31,069,327PYOtherExpensesAmt
CY Other Expenses$28,352,121CYOtherExpensesAmt
PY Total Expenses$38,072,763PYTotalExpensesAmt
CY Total Expenses$36,777,110CYTotalExpensesAmt
PY Revenues Less Expenses$8,604,823PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,011,929CYRevenuesLessExpensesAmt
Total Assets BOY$42,959,420TotalAssetsBOYAmt
Total Assets EOY$45,081,404TotalAssetsEOYAmt
Total Liabilities BOY$7,383,862TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,493,917TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$35,575,558NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$39,587,487NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE HIGH QUALITY PRIMARY HEALTH CARE SERVICES TO LOW INCOME INDIVIDUALS AND FAMILIES IN THE AREA OF RINCON, PUERTO RICO AND OTHER ADJACENT AREAS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$30,119,992ExpenseAmt
Grant$0GrantAmt
Revenue$33,615,992RevenueAmt
DescTO PROVIDE HIGH QUALITY PRIMARY HEALTH CARE SERVICES TO LOW INCOME INDIVIDUALS AND FAMILIES IN THE AREA OF RINCON, PUERTO RICO AND OTHER ADJACENT AREAS.Desc
Total Other Prog Srvc Expense$0TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$30,119,992TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of ArtYes (1)CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee168EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCPA EVELYN ORTIZ ESPINOSAPersonNm
Phone7878235555PhoneNum

Foreign Address ForeignAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 638AddressLine1Txt
CityRINCONCityNm
Province Or StatePRProvinceOrStateNm
CountryRQCountryCd
Foreign Postal00677ForeignPostalCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
MRS SUSANA PEREZ MALDONADO
EXECUTIVE DIRECTOR380Yes (X)$163,454$0$0
MRS CARMEN COTTO
CHIEF MEDICAL OFFICER400Yes (X)$149,489$0$0
DR EDGAR RODRIGUEZ NAZARIO
MEDICAL DIRECTOR400Yes (X)$136,391$0$0
DR RAFAEL MATOS MERCADO
INTERNAL MEDICINE400$123,244$0$0Yes (X)
DRA WALESKA NIEVES MALDONADO
PEDIATRICIAN400$120,325$0$0Yes (X)
DRA REINA ANESES GONZALEZ
PEDIATRICIAN400$119,112$0$0Yes (X)
DR JOSE M CANABAL ENRIQUEZ
GENERAL PHYSICIAN400$110,032$0$0Yes (X)
DR JAN MATTEI MOLINI
DENTIST400$106,576$0$0Yes (X)
WILSON VILA FELICIANO
PHARMACY MANAGER400$106,125$0$0Yes (X)
DRA MIREYA PEREZ SANCHEZ
GENERAL PHYSICIAN400$104,851$0$0Yes (X)
DR ROBERTO RODRIGUEZ PEREZ
INTERNAL MEDICINE400$103,786$0$0Yes (X)
DRA AWILDA VERA PEREZ
FAMILY MEDICINE400$103,226$0$0Yes (X)
DR RAMON PEREZ PEREZ
FAMILY MEDICINE SPECIALIST400$102,846$0$0Yes (X)
DRA ZULEYKA MENDEZ HERNANDEZ
GENERAL PHYSICIAN400$102,479$0$0Yes (X)
DRA MICHELLE FUENTES VALENTIN
GENERAL PHYSICIAN400$102,094$0$0Yes (X)
DRA STEPHANIE RAMIREZ MOREU
FAMILY MEDICINE400$102,094$0$0Yes (X)
KATTY BARROSO LOPEZ
PHARMACEUTICAL400$100,570$0$0Yes (X)
MRS LAURA QUINONES TORRES
DEPUTY EXECUTIVE DIRECTOR400Yes (X)$98,344$0$0
CPA EVELYN ORTIZ ESPINOSA
CHIEF FINANCE OFFICER380Yes (X)$83,850$0$0
MRS BERNICE PEREZ
CHIEF INNOVATION OFFICER400Yes (X)$77,210$0$0
MRS YANIRA VALLE TORRES
INSTITUTIONAL PROGRAM DIRECTOR400Yes (X)$68,248$0$0
MRS OMAYRA SANCHEZ LASALLE
COMPLIANCE OFFICER400Yes (X)$65,786$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,350,132TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K17IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
LABORATORIO CLINICO TOLEDO
CALLE PALMA 51ARECIBOPR00612LABORATORY$165,540
JANI CLEAN SERVICES
PO BOX 876MAYAGUEZPR00681MAINTENANCE$181,832
GREENWAY
PO BOX 203658DALLASTX75320ELECTRONIC RECORD$317,719
GUARDSMARK LLC
10 ROCKEFELLER PLAZANEW YORKNY100201903SECURITY$149,757
CRA FINANCIAL & CONSULTING GROUP
35 AVE JUAN CARLOS DE BORBONGUAYNABOPR00969CONSULTING$208,929
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K9CntrctRcvdGreaterThan100KCnt
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$0FundraisingAmt
Related Organizations$0RelatedOrganizationsAmt
Government Grants$6,717,781GovernmentGrantsAmt
All Other Contributions$0AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$6,717,781TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
CAPITATION INCOME900099$22,253,456$22,253,456$0$0
CO-PAYMENT OF MEDICAL SERVICE900099$514,397$514,397$0$0
MEDICAL INSURANCE INCOME900099$8,794,855$8,794,855$0$0
WRAPAROUND PAYMENTS900099$2,053,284$2,053,284$0$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$287,746TotalRevenueColumnAmt
Related Or Exempt Func Income$287,746RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$33,903,738TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$129,656TotalRevenueColumnAmt
Related Or Exempt Func Income$129,656RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt
FieldValueIRS element (for citing)
Contri Rpt Fundraising Event$0ContriRptFundraisingEventAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescDIRECT RELIEFDesc
Business900099BusinessCd
Total Revenue Column$37,864TotalRevenueColumnAmt
Related Or Exempt Func Income$37,864RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$37,864OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$40,789,039TotalRevenueColumnAmt
Related Or Exempt Func Income$34,071,258RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$842,772TotalAmt
Program Services$0ProgramServicesAmt
Management And General$842,772ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,114,617TotalAmt
Program Services$5,315,908ProgramServicesAmt
Management And General$798,709ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$630,077TotalAmt
Program Services$486,906ProgramServicesAmt
Management And General$143,171ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$837,523TotalAmt
Program Services$647,214ProgramServicesAmt
Management And General$190,309ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$242,909TotalAmt
Program Services$0ProgramServicesAmt
Management And General$242,909ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$74,081TotalAmt
Program Services$0ProgramServicesAmt
Management And General$74,081ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$22,388,019TotalAmt
Program Services$20,763,194ProgramServicesAmt
Management And General$1,624,825ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$619,820TotalAmt
Program Services$433,874ProgramServicesAmt
Management And General$185,946ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$46,846TotalAmt
Program Services$0ProgramServicesAmt
Management And General$46,846ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$78,283TotalAmt
Program Services$0ProgramServicesAmt
Management And General$78,283ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$61,235TotalAmt
Program Services$0ProgramServicesAmt
Management And General$61,235ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$643,821TotalAmt
Program Services$446,580ProgramServicesAmt
Management And General$197,241ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$222,920TotalAmt
Program Services$0ProgramServicesAmt
Management And General$222,920ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SUPPLIES EXPENSE$1,171,180$864,190$306,990
DRUGS AMD MEDICINES$1,112,557$1,112,557$0$0
REPAIRS AND MAINTENANCE$184,134$0$184,134$0
RENTAL OF SPACE AND EQUIPMENT$54,635$0$54,635$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,451,681TotalAmt
Program Services$49,569ProgramServicesAmt
Management And General$1,402,112ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$36,777,110TotalAmt
Program Services$30,119,992ProgramServicesAmt
Management And General$6,657,118ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$20,865,893BOYAmt
EOY$10,330,400EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,082,470BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,184,264BOYAmt
EOY$3,272,761EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$2,051,751BOYAmt
EOY$4,103,502EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$97,236BOYAmt
EOY$109,153EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$61,118BOYAmt
EOY$61,362EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$18,422,306LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,653,766LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$12,208,709BOYAmt
EOY$12,768,540EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$305,779BOYAmt
EOY$14,050,586EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$102,200BOYAmt
EOY$385,100EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$42,959,420BOYAmt
EOY$45,081,404EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,620,703BOYAmt
EOY$5,138,827EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$763,159BOYAmt
EOY$355,090EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,383,862BOYAmt
EOY$5,493,917EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$35,575,558BOYAmt
EOY$39,587,487EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$35,575,558BOYAmt
EOY$39,587,487EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$42,959,420BOYAmt
EOY$45,081,404EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$4,011,929ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$0NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23,583,653CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,062,326CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$29,946,119CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$40,170,415CurrentTaxYearMinus1YearAmt
Current Tax Year$40,621,519CurrentTaxYearAmt
Total$158,384,032TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23,583,653CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,062,326CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$29,946,119CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$40,170,415CurrentTaxYearMinus1YearAmt
Current Tax Year$40,621,519CurrentTaxYearAmt
Total$158,384,032TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$158,384,032PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,813CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,136CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$43,552CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$47,122CurrentTaxYearMinus1YearAmt
Current Tax Year$129,656CurrentTaxYearAmt
Total$250,279TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,174CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,131CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$823,782CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,460,049CurrentTaxYearMinus1YearAmt
Current Tax Year$37,864CurrentTaxYearAmt
Total$7,339,000TotalAmt
FieldValueIRS element (for citing)
Total Support$165,973,311TotalSupportAmt
Public Support CY1700.95427PublicSupportCY170Pct
Public Support PY1700.94885PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests PY170Yes (X)ThirtyThrPctSuprtTestsPY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part II, Line 10FormAndLineReferenceDesc
ExplanationOTHER INCOME ITEMS CONSIST OF MISCELLANEOUS INCOME (INCENTIVES).ExplanationTxt

Schedule D IRS990ScheduleD

Held Works Art HeldWorksArtGrp

FieldValueIRS element (for citing)
Revenues Included$0RevenuesIncludedAmt
Assets Included$0AssetsIncludedAmt

Collection Used Other Purposes CollectionUsedOtherPurposesGrp

FieldValueIRS element (for citing)
Collection Used Other PurposesYes (X)CollectionUsedOtherPurposesInd
Other PurposesPATIENT RELAXATION SETTINGOtherPurposesDesc
FieldValueIRS element (for citing)
Solicited Assets Sale0SolicitedAssetsSaleInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$1,877,249InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Book Value$1,877,249BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$10,708,172InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$2,258,226DepreciationAmt
Book Value$8,449,946BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$428,844InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$203,701DepreciationAmt
Book Value$225,143BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$3,769,294InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$2,697,605DepreciationAmt
Book Value$1,071,689BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$1,638,747InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$494,234DepreciationAmt
Book Value$1,144,513BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$12,768,540TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
US TREASURY BILLS$13,740,461F
EQUITY SECURITIES COOP AHORRO Y CREDITO RINCON$310,125C
FieldValueIRS element (for citing)
Total Book Value Securities$14,050,586TotalBookValueSecuritiesAmt
Total Rev Etc Audited Fincl Stmt$40,789,039TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$0NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants$0RecoveriesPriorYearGrantsAmt
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$40,789,039RevenueSubtotalAmt
Investment Expenses Not Incld$0InvestmentExpensesNotIncldAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$40,789,039TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$36,777,110TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$0DonatedServicesUseFcltsAmt
Prior Year Adjustments$0PriorYearAdjustmentsAmt
Losses Reported$0LossesReportedAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$36,777,110ExpensesSubtotalAmt
Investment Expenses Not Incld2$0InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$36,777,110TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part III, Line 1COSTA SALUD CAPITALIZED ALL PROPERTY AND EQUIPMENT ACQUISITIONS IN EXCESS OF $5,000 AND AN ESTIMATED USEFUL LIFE OF ONE YEAR OR MORE. DONATIONS OF PROPERTY AND EQUIPMENT ARE RECORDED AS SUPPORT AT THEIR ESTIMATED FAIR VALUE AT THE DATE OF DONATION. SUCH DONATIONS AND PROPERTY ACQUIRED ARE REPORTED AS SUPPORT WITHOUT DONOR RESTRICTIONS UNLESS THE DONOR OR GRANTOR HAS RESTRICTED THE ASSET TO A SPECIFIC PURPOSE. ASSETS DONATED OR ACQUIRED WITH EXPLICIT RESTRICTIONS REGARDING THEIR USE AND CONTRIBUTIONS OF CASH THAT MUST BE USED TO ACQUIRE PROPERTY AND EQUIPMENT ARE REPORTED AS SUPPORT WITH DONOR RESTRICTIONS. COSTA SALUD REPORTS EXPIRATION OF RESTRICTIONS WHEN THE ACQUIRED OR DONATED LONG-LIVE ASSETS ARE PLACE IN SERVICE. AT THE TIME NET ASSETS ARE RECLASSIFIED FROM NET ASSETS WITH DONOR RESTRICTIONS TO NET ASSETS WITHOUT DONOR RESTRICTIONS. REPAIR AND MAINTENANCE ARE EXPENSED AS INCURRED. EXPENDITURES THAT INCREASE THE VALUE OR PRODUCTIVE CAPACITY OF ASSETS ARE ALSO CAPITALIZED.
Schedule D, Part III, Line 4THE ARTWORK INCLUDED ON COSTA SALUD FINANCIAL STATEMENTS WERE RECOGNIZED FOLLOWING THE ORGANIZATION CAPITALIZATION POLICY (PROPERTY AND EQUIPMENT ACQUISITIONS IN EXCESS OF $5,000 AND AN ESTIMATED USEFUL LIFE OF ONE YEAR OR MORE ARE CAPITALIZED). THESE ASSETS CONSIST MOSTLY OF ARTWORK LOCATED BETWEEN THE WAITING ROOM AND EMERGENCY ROOM HALL. ITS PURPOSE IS TO CREATE A SETTING TO HELP PATIENTS CALM DOWN AND RELAX DURING THEIR VISIT.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonMRS SUSANA PEREZ MALDONADOPersonNm
TitleEXECUTIVE DIRECTORTitleTxt
Base Compensation Filing Org$163,454BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$163,454TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, Line 11bTHE FORM 990 IS PREPARED BY EXTERNAL AUDITORS USING THE RECORDS AND OTHER INFORMATION AND DATA USED TO PREPARE THE AUDITED FINANCIAL STATEMENTS. ONCE PREPARED, THE FORM IS GIVEN TO THE TOP MANAGEMENT OF THE ORGANIZATION FOR THE REVIEW AND DISCUSSION WITH THE EXTERNAL AUDITORS. ONCE DISCUSSED WITH THE EXTERNAL AUDITORS, THE EXECUTIVE DIRECTOR PRESENT AND DISCUSS THE FORM 990 WITH THE GOVERNING BOARD FOR APPROVAL. ONCE APPROVED BY THE BOARD THE FORM IS SUBMITTED TO THE IRS.
Form 990, Part VI, Section B, Line 12cTHE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY WHICH IS MONITORED BY TOP MANAGEMENT AND THE GOVERNING BOARD. TOP MANAGEMENT OF THE ORGANIZATION AND THE GOVERNING BOARD MONITORS THE CONFLICT OF INTEREST POLICY BY ANALYZING SENSITIVE TRANSACTIONS AND CONTRACTUAL AGREEMENTS AND BY REQUIRING EMPLOYEES AND BOARD MEMBERS TO DISCLOSE ANY INTEREST OR RELATIONSHIP WITH A THIRD PARTY. THE POLICY IS ALSO ENFORCED THROUGHOUT SEMINARS AND CONFERENCES TO OFFICERS AND KEY EMPLOYEES.
Form 990, Part VI, Section B, Line 15THE COMPENSATION OF THE EXECUTIVE DIRECTOR IS DETERMINED AND APPROVED BY THE GOVERNING BOARD. THE COMPENSATION IS DETERMINED BASED ON EXPERIENCE, QUALIFICATIONS, PERFORMANCE AND COMPARABLE DATA OF EXECUTIVE OFFICERS IN PUERTO RICO. COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES SUCH AS THE CHIEF FINANCIAL OFFICER, MEDICAL DIRECTOR, CHIEF OPERATING OFFICER AND OTHERS IS PRIMARILY DETERMINED BASED ON EXPERIENCE, QUALIFICATIONS, PERFORMANCE AND COMPARABLE OR SIMILAR DATA FOR THOSE POSITIONS IN PUERTO RICO. COMPENSATION OF OFFICERS AND KEY EMPLOYEES IS PRESENTED TO THE GOVERNING BOARD FOR APPROVAL.
Form 990, Part VI, Section C, Line 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC INSPECTION AT THE ORGANIZATION'S ADMINISTRATIVE OFFICES. THEY ARE DELIVERED TO THE INTENDED USERS (PUBLIC) BUT UNDER SUPERVISION OF AN OFFICIAL OF THE CORPORATION. THE AVAILABILITY OF SUCH DOCUMENTS MAY DEPEND ON THE PURPOSES AND USE OF SUCH INFORMATION.
Form 990, Part IX, Line 11gOTHER EXPENSES ON THE FEES FOR SERVICES (NON-EMPLOYEES) CATEGORY CONSIST MAINLY OF MEDICAL SERVICES PAID TO THIRD PARTY PROVIDERS ON BEHALH OF THE ORGANIZATION AS A PART OF CAPITATION CONTRACTS WITH THE PUERTO RICO GOVERNMENT HEALTH CARE REFORM. IT ALSO INCLUDES THE COST OF CONTRACTS FOR SERVICES PROVIDED BY INDEPENDENT CONTRACTORS.

Reasonable Cause Explanation ReasonableCauseExplanation

FieldValueIRS element (for citing)
ExplanationNO PENALTIES APPLY CONSIDERING THAT AN EXTENSION REQUEST WAS DULY FILED BEFORE THE RETURN DUE DATE.ExplanationTxt

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.