2018-12-04T14:35:30-07:00 2018-01-31 660561068 Diaz & Candelaria PSC CPA PMB 294 100 Grand Paseo Blvd Ste 112 San Juan PR RQ 00926-5955 990 2017-02-01 660427194 Corporacion de Servicios Medicos Primarios y Prevencion de Hatillo CORP 7878983935 PO Box 907 Hatillo PR RQ 00659-0907 Armando Legarreta Raices Executive Director 7878983935 2018-12-04 1 Jose G Candelaria Castro P01448309 7877606263 2018-12-04 24.42.50.97 2017 2019-02-21 02:37:17Z Armando Legarreta Raices PO Box 907 Hatillo PR RQ 00659-0907 18428936 0 X www.csmpr.org X 1990 PR The Organization operates a comprehhensive primary care program, which provide services to low-income families and medically underserve indigent population in Municipallity of Hatillo, Puerto Rico. 10 10 135 0 0 0 4086736 5142160 5226612 11483661 33687 39844 2136828 1763271 11483863 18428936 0 0 0 0 5532893 7368730 0 0 0 3827740 10782534 9360633 18151264 2123230 277672 17739185 18181734 6966261 7836287 10772924 10345447 The Organization operates a comprehhensive primary care program, which provide services to low-income families and medically underserve indigent population in Municipallity of Hatillo, Puerto Rico. 0 0 5093068 0 0 The project operates a comprehensive primary care program which provides services to low-income families and medically underserved indigent population, in the municipality of Hatillo, Puerto Rico. 0 0 0 5093068 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 135 1 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 X The Corporation 7878983935 PO Box 907 Hatillo PR RQ 00659-0907 Maria De Lourdes Ruiz Morales President 3 0 X 0 0 0 Tomas E Colon Dorta Vice President 3 0 X 0 0 0 Norma Cruz Ortiz Secretary 3 0 X 0 0 0 David M Rosado Roman Treasurer 3 0 X 0 0 0 Rosa Vazquez Soto Member 1 0 X 0 0 0 David Gonzalez Rodriguez Member 1 0 X 0 0 0 Debbie A Cruz Correa Member 1 0 X 0 0 0 Minerva Gonzalez Delgado Member 1 0 X 0 0 0 Pedro Pagan Cruz Member 1 0 X 0 0 0 Pedro Matos Ripoll Member 1 0 X 0 0 0 Nilsa C Valentin Barrios Member 1 0 X 0 0 0 Yessenia Hernandez Rivera Member 1 0 X 0 0 0 Ninoschka Y Cordero Tirado Member 1 0 X 0 0 0 Armando Legarreta Raices Executive Direector 40 0 X 80449 0 0 Aracelis Y Burgos Curbelo Finance Director 40 0 X 57192 0 0 Sol R Rivera Olivencia Human Resources Director 40 0 X 52207 0 0 Maria Figueroa Figueroa Medical Director 40 0 X 108370 0 0 298218 0 0 1 0 0 0 ADP 1590 Ave Ponce De Leon Suite 100 San Juan PR 00926 Payroll 105045 Greenway Health LLC 4301 West Boy Scout Boulevard Suite 800 Tampa FL 33607 EHR 143826 CSCG Inc Carr 417 km 3 Bo Malpaso Aguada PR RQ 00602 Construction 1900885 3 0 0 0 0 5142160 0 0 5142160 Patient Services Self Pay 621990 3121315 3121315 0 0 Capitation Medical Fund 621990 8256096 8256096 0 0 HER Incentive Program 621990 106250 106250 0 0 0 0 0 0 11483661 39844 39844 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Wraparound Payments 900099 1763271 1763271 0 0 0 0 0 0 1763271 18428936 13286776 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6447423 3884498 2562925 0 0 0 0 0 364303 145838 218465 0 557004 348540 208464 0 0 0 0 0 7429 0 7429 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1207205 187069 1020136 0 82870 22057 60813 0 138508 4598 133910 0 40162 2085 38077 0 0 0 0 0 122160 55800 66360 0 43316 2797 40519 0 0 0 0 0 253345 165082 88263 0 0 0 0 0 0 0 0 0 337225 96670 240555 0 73492 6628 66864 0 Claims Paid for Services 6752010 0 6752010 0 Drugs and Medicines 1189026 6116 1182910 0 Utilities 83085 25837 57248 0 Repair & Maintenance 126380 49799 76581 0 326321 89654 236667 0 18151264 5093068 13058196 0 9014896 6157828 522618 1975421 1673240 861986 327669 196722 64451 90449 11373854 2486075 6112262 8887779 24049 11549 17739185 18181734 6123337 6993363 842924 842924 6966261 7836287 X 9425761 10129929 1347163 215518 0 0 10772924 10345447 17739185 18181734 277672 0 0 0 -705149 0 X 0 1 X 1 1 1 X 9821158 14185424 13257290 11450176 18389092 67103140 9821158 14185424 13257290 11450176 18389092 67103140 67103140 17807 34701 29042 33687 39844 155081 67258221 0.99769 0.99740 X 417757 0 417757 8164721 0 857693 7307028 401799 0 173583 228216 1908316 0 1170139 738177 481261 0 284660 196601 8887779 Due to PR Health Department 842924 842924 18428936 0 0 0 0 0 18428936 0 0 0 18428936 18151264 0 0 0 0 0 18151264 0 0 0 18151264 Form 990, Part VI, Section B, Line 11b The form is prepared by our finance department personnel and our external auditors, reviewed by our Executive Director and Finance Director and discussed with our Board of Directors for approval. Form 990, Part VI, Section C, Line 19 The general public has the right to inspect the application from for tax exemption, annual information return, governing documents and financial statements at the organization's principal officers during regular business hours. Each information returns are available for a period of three tears beginning as of the date of return is required to be filed. The general public has the right to inspect and request a copy with a reasonable charge for reproduction and actual portal cost, if apply.