2014-07-09T17:22:00-07:00 2013-08-31 660701886 Reyes-Ramis CPA Group PSC PO Box 801206 Coto Laurel PR 007801206 990 2012-09-01 660434923 COSSMA INC COSSMA INC COSS 7877398182 PO Box 1330 Cidra PR 00739 Claribel Lara 7877398182 2014-05-27 0 Juan Reyes-Ramis P01338385 7878435500 2014-05-27 2012 2015-11-30 17:44:51Z Isolina Miranda PO Box 1330 Cidra PR 00739 29864442 0 X www.cossma.org X 1987 PR TO PROVIDE PRIMARY HEALTH CARE SERVICES TO MEDICALLY UNDESERVED POPULATION,AGRICULTURAL , MIGRANT AND SEASONAL FARM WORKERS AS TO THEIR DEPENDENTS. 9 0 223 9 0 0 4628852 4955220 21625675 24726501 27295 32470 91670 150251 26373492 29864442 0 0 0 0 7056216 7751670 0 0 0 16810013 17176565 23866229 24928235 2507263 4936207 25383195 30497216 7799758 7386755 17583437 23110461 TO PROVIDE AND PROMOTE INTEGRATED PRIMARY HEALTH CARE SERVICES WITH A COMMUNITY FOCUS THAT SUPPORTS THE PHYSICAL, MENTAL AND SOCIAL WELL BEING OF INDIVIDUALS WITH THE COMMITMENT TO IMPROVE THEIR DAILY LIVES. 0 0 22284982 29864442 Health Services- during the year Cossma,Inc. provided primary health services. 401248 0 0 Education and Prevention 450107 0 0 Housing an community services 0 0 0 23136337 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 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 0 223 1 0 0 0 0 0 0 X 9 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X Claribel Lara 7877398182 PO Box 1330 Cidra PR 00739 Eduardo Munoz Oquendo 2 0 X 0 0 0 Angelina Hernandez Sanchez 2 0 X 0 0 0 Teofila Rios Ortiz 2 0 X 0 0 0 Ada L Cotto Cartagena 2 0 X 0 0 0 Maria T Fret Mercado 2 0 X 0 0 0 Angel L Rivera Cruz 2 0 X 0 0 0 Leonor Mercedess Guzman 2 0 X 0 0 0 Isolina Miranda 37.5 0 X X 105164 0 6310 Edgardo Soto Quinones 37.5 0 X X 108293 0 6498 Claribel Lara 37.5 0 X 38749 0 1998 252206 0 14806 2 0 0 0 Quest Diagnostics 3 Giralda Farms Madison NJ 07940 Laboratory 615492 Feldesman Tucker Leifer Fidell LLP 1129 20th Street NW Fourth Floor Washington DC 20036 Profesional Services 318377 Construcciones Aponte Inc PO Box 361989 San Juan PR 009391989 Construction 229545 Pharma Syst Corp 1007 Ave Munoz Rivera Darlington Bld Suite 602 San Juan PR 00925 Construction 197420 Jani Clean Services Inc PO Box 876 Mayaguez PR 00681 Maintenance 113131 8 0 0 0 0 4769197 186023 0 4955220 Premium Revenue-Capitation 621400 13209473 13209473 0 0 Patient Service Fees 621400 2271684 2271684 0 0 Pharmacy 621400 4578449 4578449 0 0 Lawsuit PR Health Department 621400 4666895 4666895 0 0 0 0 0 0 24726501 32470 32470 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150251 150251 0 0 150251 29864442 24909222 0 0 252206 108293 143913 6187947 5010587 1177360 630839 503107 127732 680678 576186 104492 476462 476462 1820407 1794950 25457 44531 44531 331599 251545 80054 791857 791857 56974 23011 33963 140028 137477 2551 829740 829740 84659 71960 12699 Health Claims 9352029 9352029 0 0 Drugs and Medications 1862928 1862928 0 0 Supplies 471863 437183 34680 0 Maintenance 772362 749839 22523 0 141126 114652 26474 0 24928235 23136337 1791898 0 6855300 11540898 562451 996157 228882 172971 316178 264098 0 0 0 0 0 0 92116 582260 45871 59366 19286071 3102443 16209486 16183628 1072911 697838 25383195 30497216 1688684 4119784 26564 337677 2995932 2929294 3088578 0 7799758 7386755 X 17583437 23110461 0 0 0 0 17583437 23110461 25383195 30497216 4936207 0 0 0 590817 0 X 0 1 X 1 1 1 X 12033867 14758418 21437990 18814728 26254527 93299530 12033867 14758418 21437990 18814728 26254527 93299530 93299530 8583 9730 8378 26254 27295 80240 8289 19625 15237 122475 91670 257296 93637066 0.99640 0.9968 X This Other Revenue consists of Vending Machines and Convenience Store Proceeds. 0 2193814 2193814 0 13961182 2303439 11657743 0 372263 42248 330015 0 2359924 756756 1603168 0 398888 0 398888 16183628 0 0 X 29864442 0 0 0 0 0 29864442 0 0 0 29864442 24928235 0 0 0 0 0 24928235 0 0 0 24928235 SchD_P10_S00_L02 Schedule D, Part X, Line 2 The Institution is a non-profit organization that is exempt from federal and state income tax under section 501(c)(3) of the Internal Revenue Code and section 110(8) of the Puerto Rico Tax Code. The Institution follows the provision of FASB ASC 740-10 (Formerly FASB Interpretation No. 48,Accounting for Uncertainty in Income Taxes) which clarifies the accounting for uncertainty in Income Taxes recognized in an Organization's financial statements in accordance with FASB ASC 740. Under the provision for this Interpretation, the Institution is required to evaluate its Income Tax position each year to determine whether the Institution's is more than likely than not to be sustained if examine by the applicable taxing authority. Management of the Institution has evaluated its tax position and has concluded that this requirement had no effect on the Institution's financial position or changes in its net assets. F990_P06_S0B_L11b Form 990, Part VI, Section B, Line 11b A Copy of the form 990 was furnished to the Executive Board Comity and the document was reviewed by the Board in subsequent meeting. F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c All Board members are required to complete a yearly Conflict of Interest Statement that is due in January. F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 The salary for the Executive Director is determined and approved by the Board of Directors and the salaries for other managers and executives is determined by the Executive Director. F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 The Accounting & Finance Policy and Procedures Manual of Cossma,Inc. establishes that the Corporation will make the following forms available to the general public: a.The three most recent Annual Exempt Organization Tax Return (Form 990) , b. The original tax exemption application (Form 1023 or Form 1024) filed with the IRS. It is the policy of the Corporation to follow these rules to fulfill the requirements mentioned above. The Financial Statement Audit and required Single Audit under OMB Circular A 133 had not been concluded a the time the Form 990 return was to be filed so the corporation elected to file an extension until such time as all required documents and information were available for tax return preparation.