COSTA SALUD COMMUNITY HEALTH CENTERS INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
COSTA SALUD COMMUNITY HEALTH CENTERS INC (EIN 66-0428488)
Tax period
2024-04-01 to 2025-03-31
Filed
2026-02-16
IRS object ID
202610489349301891
Schema version
2024v5.0
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)
Return2026-02-16T10:49:20-07:00ReturnTs
Tax Period End2025-03-31TaxPeriodEndDt

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 Begin2024-04-01TaxPeriodBeginDt

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 LAURA M QUINONES TORRESPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone7878235555PhoneNum
Signature2026-01-15SignatureDt
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
Preparation2026-01-15PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMRS LAURA M QUINONES TORRESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 638AddressLine1Txt
CityRINCONCityNm
State AbbreviationPRStateAbbreviationCd
ZIP00677ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$46,576,029GrossReceiptsAmt
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 Employee201TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,835,562PYContributionsGrantsAmt
CY Contributions Grants$4,670,712CYContributionsGrantsAmt
PY Program Service Revenue$40,752,635PYProgramServiceRevenueAmt
CY Program Service Revenue$40,830,635CYProgramServiceRevenueAmt
PY Investment Income$846,426PYInvestmentIncomeAmt
CY Investment Income$1,069,887CYInvestmentIncomeAmt
PY Other Revenue$353,512PYOtherRevenueAmt
CY Other Revenue$4,795CYOtherRevenueAmt
PY Total Revenue$47,788,135PYTotalRevenueAmt
CY Total Revenue$46,576,029CYTotalRevenueAmt
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$8,933,121PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,052,336CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$34,995,659PYOtherExpensesAmt
CY Other Expenses$35,262,976CYOtherExpensesAmt
PY Total Expenses$43,928,780PYTotalExpensesAmt
CY Total Expenses$45,315,312CYTotalExpensesAmt
PY Revenues Less Expenses$3,859,355PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,260,717CYRevenuesLessExpensesAmt
Total Assets BOY$47,651,599TotalAssetsBOYAmt
Total Assets EOY$47,953,724TotalAssetsEOYAmt
Total Liabilities BOY$4,204,757TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,246,165TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$43,446,842NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$44,707,559NetAssetsOrFundBalancesEOYAmt
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$38,311,927ExpenseAmt
Grant$0GrantAmt
Revenue$40,830,635RevenueAmt
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$38,311,927TotalProgramServiceExpensesAmt
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
Employee201EmployeeCnt
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 PolicyYes (1)WhistleblowerPolicyInd
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 (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
MRS SUSANA PEREZ MALDONADO
FORMER EXECUTIVE DIRECTOR380Yes (X)$160,263$0$0
DRA STEPHANIE RAMIREZ MOREU
FAMILY MEDICINE400$140,522$0$0Yes (X)
DR SIBEL PABON REYES
FAMILY MEDICINE400$138,834$0$0Yes (X)
DR EDGAR RODRIGUEZ NAZARIO
MEDICAL DIRECTOR400Yes (X)$135,572$0$0
DRA MICHELLE FUENTES VALENTIN
GENERAL PHYSICIAN400$132,166$0$0Yes (X)
DR CARLOS A ROBLES RIVERA
GENERAL PHYSICIAN400$127,166$0$0Yes (X)
DR RAFAEL MATOS MERCADO
INTERNAL MEDICINE400$122,236$0$0Yes (X)
MRS LAURA QUINONES TORRES
DEPUTY EXECUTIVE DIRECTOR400Yes (X)$96,844$0$0
CPA EVELYN ORTIZ ESPINOSA
CHIEF FINANCE OFFICER380Yes (X)$87,784$0$0
MRS BERNICE PEREZ
CHIEF INNOVATION OFFICER400Yes (X)$77,287$0$0
MRS YANIRA VALLE TORRES
INSTITUTIONAL PROGRAM DIRECTOR400Yes (X)$67,998$0$0
MRS OMAYRA SANCHEZ LASALLE
COMPLIANCE OFFICER400Yes (X)$64,720$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,351,392TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K16IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtAddress Line2ContractorAddress/USAddress/AddressLine2TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
VICENTE LEON LLC
401 CALLE PLUMOSOPASEOS DE PLAN BONITOCABO ROJOPR00623ENGINEERING CONSULTANT$279,360
MANTRA LLC
MANSIONES DEL ATLANTICO256 PASEO LUNAISABELAPR00662CONSTRUCTION$432,771
AMPHEX GROUP LLC
53 CALLE GUAMAAGUADAPR00602CONSTRUCTION$517,896
GUARDSMARK LLC
10 ROCKEFELLER PLAZANEW YORKNY100201903SECURITY$253,765
CRA FINANCIAL & CONSULTING GROUP
35 AVE JUAN CARLOS DE BORBONGUAYNABOPR00969CONSULTING$362,345
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K9CntrctRcvdGreaterThan100KCnt
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$0FundraisingAmt
Related Organizations$0RelatedOrganizationsAmt
Government Grants$4,670,712GovernmentGrantsAmt
All Other Contributions$0AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$4,670,712TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
CO-PAYMENT OF MEDICAL SERVICES621110$288,635$288,635$0$0
WRAPAROUND PAYMENTS621490$2,230,866$2,230,866$0$0
CAPITATION INCOME621498$28,763,142$28,763,142$0$0
MEDICAL INSURANCE INCOME621498$8,663,852$8,663,852$0$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$884,140TotalRevenueColumnAmt
Related Or Exempt Func Income$884,140RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$40,830,635TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,069,887TotalRevenueColumnAmt
Related Or Exempt Func Income$1,069,887RelatedOrExemptFuncIncomeAmt
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)
DescINCENTIVESDesc
Business900099BusinessCd
Total Revenue Column$4,795TotalRevenueColumnAmt
Related Or Exempt Func Income$4,795RelatedOrExemptFuncIncomeAmt
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$4,795OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$46,576,029TotalRevenueColumnAmt
Related Or Exempt Func Income$41,905,317RelatedOrExemptFuncIncomeAmt
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$690,468TotalAmt
Program Services$0ProgramServicesAmt
Management And General$690,468ManagementAndGeneralAmt
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$7,451,240TotalAmt
Program Services$5,939,129ProgramServicesAmt
Management And General$1,512,111ManagementAndGeneralAmt
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$820,280TotalAmt
Program Services$598,057ProgramServicesAmt
Management And General$222,223ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,090,348TotalAmt
Program Services$794,959ProgramServicesAmt
Management And General$295,389ManagementAndGeneralAmt
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$145,904TotalAmt
Program Services$0ProgramServicesAmt
Management And General$145,904ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$76,416TotalAmt
Program Services$0ProgramServicesAmt
Management And General$76,416ManagementAndGeneralAmt
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$29,414,004TotalAmt
Program Services$27,702,546ProgramServicesAmt
Management And General$1,711,458ManagementAndGeneralAmt
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$608,684TotalAmt
Program Services$426,079ProgramServicesAmt
Management And General$182,605ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$58,297TotalAmt
Program Services$0ProgramServicesAmt
Management And General$58,297ManagementAndGeneralAmt
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$99,618TotalAmt
Program Services$0ProgramServicesAmt
Management And General$99,618ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$58,444TotalAmt
Program Services$0ProgramServicesAmt
Management And General$58,444ManagementAndGeneralAmt
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$665,796TotalAmt
Program Services$399,268ProgramServicesAmt
Management And General$266,528ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$427,706TotalAmt
Program Services$0ProgramServicesAmt
Management And General$427,706ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SUPPLIES EXPENSE$1,388,039$824,564$563,475$0
DRUGS AND MEDICINES$1,540,119$1,540,119$0$0
REPAIR AND MAINTENANCE$238,641$0$238,641$0
RENTAL OF SPACE AND EQUIPMENT$75,593$0$75,593$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$465,715TotalAmt
Program Services$87,206ProgramServicesAmt
Management And General$378,509ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$45,315,312TotalAmt
Program Services$38,311,927ProgramServicesAmt
Management And General$7,003,385ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$9,551,385BOYAmt
EOY$7,757,172EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,482,996BOYAmt
EOY$2,626,175EOYAmt

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$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$125,537BOYAmt
EOY$122,682EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$63,587BOYAmt
EOY$74,211EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$22,646,190LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,852,645LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$14,466,395BOYAmt
EOY$15,793,545EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$20,501,481BOYAmt
EOY$21,040,655EOYAmt

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$460,218BOYAmt
EOY$539,284EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$47,651,599BOYAmt
EOY$47,953,724EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,811,096BOYAmt
EOY$2,735,505EOYAmt

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$393,661BOYAmt
EOY$510,660EOYAmt

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$4,204,757BOYAmt
EOY$3,246,165EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$43,446,842BOYAmt
EOY$44,707,559EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$43,446,842BOYAmt
EOY$44,707,559EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$47,651,599BOYAmt
EOY$47,953,724EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,260,717ReconcilationRevenueExpnssAmt
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)
HospitalYes (X)HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$29,946,119CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$40,170,415CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$40,621,519CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$46,588,197CurrentTaxYearMinus1YearAmt
Current Tax Year$45,501,347CurrentTaxYearAmt
Total$202,827,597TotalAmt

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$29,946,119CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$40,170,415CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$40,621,519CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$46,588,197CurrentTaxYearMinus1YearAmt
Current Tax Year$45,501,347CurrentTaxYearAmt
Total$202,827,597TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$202,827,597PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$43,552CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$47,122CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$129,656CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$846,426CurrentTaxYearMinus1YearAmt
Current Tax Year$1,069,887CurrentTaxYearAmt
Total$2,136,643TotalAmt

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$823,782CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,460,049CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$37,864CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$353,512CurrentTaxYearMinus1YearAmt
Current Tax Year$4,795CurrentTaxYearAmt
Total$7,680,002TotalAmt
FieldValueIRS element (for citing)
Total Support$212,644,242TotalSupportAmt
Public Support CY1700.95384PublicSupportCY170Pct
Public Support PY1700.95387PublicSupportPY170Pct
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$3,027,249InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Book Value$3,027,249BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$11,866,877InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$2,834,709DepreciationAmt
Book Value$9,032,168BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$428,844InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$246,585DepreciationAmt
Book Value$182,259BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$5,129,703InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$3,172,085DepreciationAmt
Book Value$1,957,618BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$2,193,517InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$599,266DepreciationAmt
Book Value$1,594,251BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$15,793,545TotalBookValueLandBuildingsAmt

Financial Derivatives FinancialDerivativesGrp

FieldValueIRS element (for citing)
Book Value$21,040,655BookValueAmt
Method ValuationFMethodValuationCd

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

FieldValueIRS element (for citing)
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Securities$21,040,655TotalBookValueSecuritiesAmt
Total Rev Etc Audited Fincl Stmt$46,576,029TotalRevEtcAuditedFinclStmtAmt
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$46,576,029RevenueSubtotalAmt
Investment Expenses Not Incld$0InvestmentExpensesNotIncldAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$46,576,029TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$45,315,312TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$0DonatedServicesUseFcltsAmt
Prior Year Adjustments$0PriorYearAdjustmentsAmt
Losses Reported$0LossesReportedAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$45,315,312ExpensesSubtotalAmt
Investment Expenses Not Incld2$0InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$45,315,312TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part III, Line 1COSTA SALUD CAPITALIZES ALL PROPERTY AND EQUIPMENT ACQUISITIONS IN EXCESS OF $5,000 AND WITH 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 ACQUIRED PROPERTY 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, AS WELL AS CONTRIBUTIONS OF CASH THAT MUST BE USED TO ACQUIRE PROPERTY AND EQUIPMENT, ARE REPORTED AS SUPPORT WITH DONOR RESTRICTIONS. COSTA SALUD REPORTS THE EXPIRATION OF RESTRICTIONS WHEN THE ACQUIRED OR DONATED LONG-LIVED ASSETS ARE PLACED IN SERVICE. AT THAT TIME, NET ASSETS ARE RECLASSIFIED FROM NET ASSETS WITH DONOR RESTRICTIONS TO NET ASSETS WITHOUT DONOR RESTRICTIONS. REPAIRS AND MAINTENANCE ARE EXPENSED AS INCURRED, WHILE EXPENDITURES THAT INCREASE THE VALUE OR PRODUCTIVE CAPACITY OF ASSETS ARE CAPITALIZED.
Schedule D, Part III, Line 4THE ARTWORK INCLUDED IN COSTA SALUD'S FINANCIAL STATEMENTS WAS RECOGNIZED IN ACCORDANCE WITH THE ORGANIZATION'S CAPITALIZATION POLICY (PROPERTY AND EQUIPMENT ACQUISITIONS IN EXCESS OF $5,000 AND WITH AN ESTIMATED USEFUL LIFE OF ONE YEAR OR MORE ARE CAPITALIZED). THESE ASSETS CONSIST MOSTLY OF ARTWORK LOCATED IN THE HALLWAY BETWEEN THE WAITING ROOM AND THE EMERGENCY ROOM. THEIR PURPOSE IS TO CREATE A SETTING THAT HELPS PATIENTS CALM DOWN AND RELAX DURING THEIR VISIT.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
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$160,263BaseCompensationFilingOrgAmt
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$160,263TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3THE COMPENSATION OF THE EXECUTIVE DIRECTOR IS DETERMINED AND APPROVED BY THE GOVERNING BOARD. THE COMPENSATION IS ESTABLISHED BASED ON EXPERIENCE, QUALIFICATIONS, AND PERFORMANCE. IN ADDITION, IT IS COMPARED WITH THE COMPENSATION OF OTHER EXECUTIVES IN SIMILAR POSITIONS IN PUERTO RICO.
Schedule J, Part I, Line 4EFFECTIVE SEPTEMBER 1, 2021, COSTA SALUD ESTABLISHED A DEFERRED COMPENSATION PLAN, A NON-QUALIFIED DEFERRED COMPENSATION PLAN COVERING ELIGIBLE SENIOR MANAGEMENT AS DEFINED IN THE ADOPTION PLAN AGREEMENT. THE PLAN IS DESIGNED AND OPERATES IN ACCORDANCE WITH THE REGULATIONS UNDER THE PUERTO RICO INTERNAL REVENUE CODE, AS AMENDED, AND IS NOT SUBJECT TO THE PROVISIONS OF THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 (ERISA).

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 UTILIZED TO PREPARE THE AUDITED FINANCIAL STATEMENTS. ONCE PREPARED, THE FORM IS PROVIDED TO THE TOP MANAGEMENT OF THE ORGANIZATION FOR REVIEW AND DISCUSSION WITH THE EXTERNAL AUDITORS. AFTER DISCUSSION WITH THE EXTERNAL AUDITORS, THE EXECUTIVE DIRECTOR PRESENTS AND DISCUSSES 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 AND THE GOVERNING BOARD MONITOR THE POLICY BY REVIEWING SENSITIVE TRANSACTIONS AND CONTRACTUAL AGREEMENTS AND BY REQUIRING EMPLOYEES AND BOARD MEMBERS TO DISCLOSE ANY INTEREST OR RELATIONSHIP WITH THIRD PARTIES. THE POLICY IS ALSO ENFORCED THROUGH SEMINARS AND TRAINING SESSIONS FOR 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. IT IS BASED ON EXPERIENCE, QUALIFICATIONS, PERFORMANCE, AND COMPARABLE DATA OF EXECUTIVE OFFICERS IN PUERTO RICO. THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES, INCLUDING 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. ALL COMPENSATION FOR 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, AS AN EXTENSION REQUEST WAS DULY FILED PRIOR TO THE RETURN DUE DATE.ExplanationTxt

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