2015-08-19T15:08:47-07:00 2015-03-31 660755792 Rodriguez Rivera & Toro PSC PO Box 1080 Mayaguez PR RQ 00681-1080 990 2014-04-01 660428488 COSTA SALUD COMMUNITY HEALTH CENTERS INC COST 7878235555 PO BOX 638 Rincon PR RQ 00677 Mrs Susana Perez Executive Director 7878235555 2015-08-18 1 CPA Ivan Santiago Vega P01620794 7878343100 2015-07-01 2014 2016-03-07 17:11:31Z Susana Perez PO Box 638 Rincon PR RQ 00677 12438051 0 X X 1977 PR To provide high quality primary health care service to low income individuals and families in Rincon, Puerto Rico and adjacent areas. 10 10 78 0 0 0 1822209 1849035 10829658 10549922 30739 31853 4765 7241 12687371 12438051 0 0 0 0 2326829 2784721 0 0 0 10336539 10036291 12663368 12821012 24003 -382961 18125306 18021550 6597355 7290723 11527951 10730827 To provide high quality primary health care services to low income individuals and families in the area of Rincon, Puerto Rico and other adjacent areas. 0 0 10055420 12438051 To provide high quality primary health care services to low income individuals and families in the area of Rincon, Puerto Rico and other adjacent areas. 0 0 0 10055420 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 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 78 1 0 0 0 0 0 0 X 10 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 0 1 1 1 0 PR X Mr Pedro Caro Finance Director 7878235555 PO BOX 638 Rincon PR RQ 00677 Mrs Susana Perez Executive Director 37.5 X 135419 0 0 Mr Pedro Caro Finance Director 37.5 X 48527 0 0 Dr Edgardo Rodriguez Medical Director 37.5 0 X 84928 0 0 Mrs Maria I Torres Chief Operational Officer 37.5 0 X 47398 0 0 316272 0 0 1 0 0 0 Jani Clean Guanajibo Industrial Park 1135 Mayagüez Puerto Rico RQ 00681 Maintenance services 154474 Obraxus Corp Urb El Valle Rosales 58 Lajas PR RQ 00667 Informational Technology Assistance 152814 US Security Associates Inc 200 Mansell Court Fifth Floor Roswell GA 30076 Security Services 150524 Feldesman Tucker Leifer Fidell LLP 1129 20th Street NW Suite 400 Washington DC 20036 Legal Service 108384 4 0 0 0 0 1807962 41073 0 1849035 Capitation Income 900099 5472753 5472753 0 0 Copayments of Medical Services 900099 327122 327122 0 0 Medical Insurance Income 900099 3086084 3086084 0 0 Wraparound Income 900099 1083649 1083649 0 0 Other Patient Related Income 900099 580314 580314 0 0 0 0 0 0 10549922 31853 31853 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Miscellaneous 900099 7241 7241 0 0 0 0 0 0 7241 12438051 10589016 0 0 X 316272 0 316272 0 0 0 0 0 1849607 1563633 285974 0 0 0 0 0 364745 258399 106346 0 254097 183433 70664 0 0 0 0 0 116433 0 116433 0 43975 0 43975 0 0 0 0 0 0 0 0 0 0 0 7600145 6584723 1015422 0 69707 0 69707 0 0 0 0 0 0 0 0 0 0 0 0 0 405580 283906 121674 0 24263 2790 21473 0 0 0 0 0 0 0 0 0 177898 0 177898 0 0 0 0 0 571102 413532 157570 0 38577 0 38577 0 Equipment & Space Rental 96410 71807 24603 0 Drugs & Medicines 403114 403114 0 0 Supplies Expense 282289 253944 28345 0 Repair & Maintenance 44357 0 44357 0 162441 36139 126302 0 12821012 10055420 2765592 0 1562754 1901387 1601399 1604352 0 0 759721 693132 0 0 0 0 0 0 50562 69260 19617 19930 14684979 1228494 13815753 13456485 0 0 271598 277004 0 0 0 0 43902 0 18125306 18021550 2919478 3633356 52623 200868 0 0 0 0 0 0 0 0 3625254 3456499 0 0 0 6597355 7290723 X 11527951 10730827 0 0 0 0 11527951 10730827 18125306 18021550 X -382961 0 0 0 0 -414163 X 0 1 X 1 1 1 X 9065794 11013089 13953078 12482499 12398957 58913417 9065794 11013089 13953078 12482499 12398957 58913417 58913417 43199 40086 35139 30739 31583 180746 0 4427 3599 4765 7241 20032 59114195 0.99660 0.99606 X Schedule A, Part II, Line 10 Miscellaneous income other than capital gain related to the principal activity of the organization. 1798249 0 1798249 9395154 0 352318 9042836 0 0 0 0 2278974 0 795730 1483244 1212602 0 80446 1132156 13456485 12438051 0 0 0 0 0 12438051 0 0 0 12438051 13235175 0 0 0 414163 414163 12821012 0 0 0 12821012 Schedule D, Part XII, Line 2d Other expenses consist of $168,279 from provision for bad debts, and $245,884 from write-off of account receivable deemed uncollectible. Form 990, Part VI, Section A, Line 6 For the fiscal year ended on March 31, 2015 the organization has a Governing Board composed of ten members, of which the majority are users/patients of the center. Form 990, Part VI, Section A, Line 7a The organization has a Nominations Committee who evaluates the candidates for the Governing Board. All candidates should file in an application to be considered by the Nomination Committee. The committee then presents recommendations to the Governing Board for consideration and selection of the members. Form 990, Part VI, Section A, Line 7b All decisions of the Governing Board are subject to the approval of the majority of its members. Form 990, Part VI, Section B, Line 11b The form 990 is prepared by the external auditors using the accounting 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 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 12c The organization has a conflict of interest policy which is monitored by the 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 periodic seminars and conferences to officers and key employees. Form 990, Part VI, Section B, Line 15 The compensation of the Executive Director is determined and approved by the Governing Board. The compensation is determined based on experience, qualifications, performance and comparable or similar 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 then presented to the Governing Board for approval. Form 990, Part VI, Section C, Line 19 Governing documents, conflict of interest policy and financial statements are available for public inspection at the administrative offices of the organization. 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 11g Other expenses on the Fees for Services (non-employees) category consists majorly of medical services paid by third parties as part of capitation contracts with the Puerto Rico Government Health Care Reform. It also includes the costs of contracts for services provided by independent contractors. Form 990, Part XI, Line 9 Other changes in net assets consist of $168,279 from provision for bad debts, and $245,885 from write-off of account receivable deemed uncollectible. The financial data are not been updated with the necessary information for the final electronic filing of this informative income tax return.