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COSSMA INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
COSSMA INC (EIN 66-0434923)
Tax period
2011-09-01 to 2012-08-31
Filed
2013-05-14
IRS object ID
201331369349300128
Schema version
2011v1.2
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)
Timestamp2013-05-14T16:15:38-07:00Timestamp
Tax Period End Date2012-08-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN660561068EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DIAZ & CANDELARIA PSCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1SUITE 112 PMB-294 10O GRAN BULEVARAddressLine1
CitySAN JUANCity
StatePRState
ZIP Code00926ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-09-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN660434923EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COSSMA INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOSSNameControl
Phone7877398182Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1330AddressLine1
CityCIDRACity
StatePRState
ZIP Code00739ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameClaribel LaraName
TitleFinance DIRECTORTitle
Phone7877398182Phone
Date Signed2013-01-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJOSE G CANDELARIA CASTROName
PTINP01448309PTIN
Phone7877606263Phone
Date Prepared2013-01-11DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Amended ReturnXAmendedReturn
Name Of Principal Officer PersonISOLINA MIRANDANameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 1330AddressLine1
CityCIDRACity
StatePRState
ZIP Code00739ZIPCode
FieldValueIRS element (for citing)
Gross Receipts26373492GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.COSSMAPR.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1987YearFormation
State Legal DomicilePRStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE PRIMARY HEALTH CARE SERVICES TO MEDICALLY UNDERSERVED POPULATION, AGRICULTURAL MIGRANTS AND SEASONAL FARM WORKERS AS TO THEIR DEPENDENTSActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees271TotalNbrEmployees
Total Nbr Volunteers205TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5709290ContributionsGrantsPriorYear
Contributions Grants Current Year4628852ContributionsGrantsCurrentYear
Program Service Revenue Prior Year15728700ProgramServiceRevenuePriorYear
Program Service Revenue CY21625675ProgramServiceRevenueCY
Investment Income Prior Year15237InvestmentIncomePriorYear
Investment Income Current Year27295InvestmentIncomeCurrentYear
Other Revenue Prior Year8378OtherRevenuePriorYear
Other Revenue Current Year91670OtherRevenueCurrentYear
Total Revenue Prior Year21461605TotalRevenuePriorYear
Total Revenue Current Year26373492TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5891977SalariesEtcPriorYear
Salaries Etc Current Year7056216SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year13734434OtherExpensePriorYear
Other Expenses Current Year16810013OtherExpensesCurrentYear
Total Expenses Prior Year19626411TotalExpensesPriorYear
Total Expenses Current Year23866229TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1835194RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2507263RevenuesLessExpensesCY
Total Assets BOY23234549TotalAssetsBOY
Total Assets EOY25383195TotalAssetsEOY
Total Liabilities BOY13578892TotalLiabilitiesBOY
Total Liabilities EOY7799758TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY9655657NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY17583437NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE AND PROMOTE INTEGRATED PRIMARY HEALTH CARE SERVICES WITH A COMMUNITY FOCUS THAT SUPPORTS THE PHYSICAL MENTAL AND SOCIAL WELL BEING OF THE INDIVIDUAL WITH THE COMMITMENT TO IMPROVE THEIR LIVESMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense19323025Expense
Grants0Grants
Revenue18078804Revenue
DescriptionHeath Services - During this year COSSMA, Inc. provide primary health services with a total of 183,357 encountersDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense450781Expense
Grants0Grants
Revenue0Revenue
DescriptionEduacation and PreventionDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense350355Expense
Grants0Grants
Revenue0Revenue
DescriptionHousing and community servicesDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense20124161TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding0ComplianceWithBackupWitholding
Number Of Employees271NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCLARIBEL LARANamePerson
Telephone Number7877398182TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1AVE EL JIBAROAddressLine1
Address Line2CARR 172 INT KM 13 5AddressLine2
CityCIDRACity
StatePRState
ZIP Code00739ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
EDUARDO MUNOZ OQUENDO
PRESIDENT2X000
MARIA T FRET MERCADO
VICE PRESIDENT1X000
TEOFILA RIOS ORTIZ
TREASURER2X000
ADA COTTO CARTAGENA
SECRETARY2X000
ISOLINA MIRANDA
EXE DIRECTOR3810227206136XXX
EDGARDO SOTO
MEDICAL DIRECTOR389198005519X
CLARIBEL LARA
FINANCE DIRECTOR383330001998X
FieldValueIRS element (for citing)
Total Reportable Comp From Org227552TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation13653TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
QUEST DIAGNOSTICS
3 Giralda FarmsMadisonNJ07940LABORATORY SERVICES619093
FELDESMAN TUCKER LEIFER FIDELL LLP
PO BOX 1330CIDRAPR00739PROFESIONAL SERVICES322918
JOHN HANCOCK
654 Ave Munoz RiveraSAN JUANPR00926PENSION PLAN252986
Knowlity Corporation
89 Ave de DiegoSAN JUANPR00927CONSULTING210429
CONSTRUCCIONES APONTE INC
PO BOX 1330CIDRAPR00739CONSTRUCTION174143
FieldValueIRS element (for citing)
Number Of Contractors GT100 K10NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events0FundraisingEvents
Related Organizations0RelatedOrganizations
Government Grants4472577GovernmentGrants
All Other Contributions156275AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions4628852TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Premium Revenue - Capitation62140011520616115206160$0
Net Patients Services621400674561567456150$0
Lawsuit PR health Department621400335944433594440$0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue21625675TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column27295TotalRevenueColumn
Related Or Exempt Function Income27295RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other
FieldValueIRS element (for citing)
Cntrbtns Rprtd Fundraising Events0CntrbtnsRprtdFundraisingEvents

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column91670TotalRevenueColumn
Related Or Exempt Function Income91670RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue91670TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column26373492TotalRevenueColumn
Related Or Exempt Function Income21744640RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total227552Total
Program Services91980ProgramServices
Management And General135572ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5661505Total
Program Services4556800ProgramServices
Management And General1104705ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total653907Total
Program Services529769ProgramServices
Management And General124138ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total513252Total
Program Services421002ProgramServices
Management And General92250ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total359653Total
Management And General359653ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1766345Total
Program Services1676653ProgramServices
Management And General89692ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total19336Total
Program Services19336ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total125206Total
Program Services94061ProgramServices
Management And General31145ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1191523Total
Program Services227168ProgramServices
Management And General964355ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total78603Total
Program Services28447ProgramServices
Management And General50156ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total62288Total
Program Services42683ProgramServices
Management And General19605ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total402775Total
Management And General402775ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total314959Total
Program Services166182ProgramServices
Management And General148777ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total82950Total
Program Services6887ProgramServices
Management And General76063ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Health Claims9817784981778400
Drugs and Medicines1859938185993800
Supplies522688457366653220

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total205965Total
Program Services128105ProgramServices
Management And General77860ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total23866229Total
Program Services20124161ProgramServices
Management And General3742068ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6029681BOY
EOY6855300EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY562451EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY602254BOY
EOY228882EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY227993BOY
EOY316178EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY7569BOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY73854BOY
EOY92116EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY72255BOY
EOY45871EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis18042929LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1833443LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY15779319BOY
EOY16209486EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY441624BOY
EOY1072911EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY23234549BOY
EOY25383195EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6516903BOY
EOY1688684EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY62805BOY
EOY26564EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY6056463BOY
EOY2995932EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY942721BOY
EOY3088578EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY13578892BOY
EOY7799758EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY9655657BOY
EOY17583437EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9655657BOY
EOY17583437EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY23234549BOY
EOY25383195EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2507263ReconcilationRevenueExpenses
Reconcilation Other Changes5420517ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed0FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12088081CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12033867CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14758418CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21437990CurrentTaxYearMinus1Year
Current Tax Year18814728CurrentTaxYear
Total79133084Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12088081CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12033867CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14758418CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21437990CurrentTaxYearMinus1Year
Current Tax Year18814728CurrentTaxYear
Total79133084Total
FieldValueIRS element (for citing)
Public Support Total17079133084PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years29409CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8583CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9730CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8378CurrentTaxYearMinus1Year
Current Tax Year26254CurrentTaxYear
Total82354Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9261CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8289CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19625CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15237CurrentTaxYearMinus1Year
Current Tax Year122475CurrentTaxYear
Total174887Total
FieldValueIRS element (for citing)
Total Support79390325TotalSupport
Public Support Pertcentage1700.99676PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99770PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationOther Revenue: Vending and Convenience Store - $89,189 Others- $ 33,286GeneralExplanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis2193814OtherCostOrOtherBasis
Book Value2193814BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis13244874OtherCostOrOtherBasis
Depreciation1033799Depreciation
Book Value12211075BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis614846OtherCostOrOtherBasis
Depreciation196741Depreciation
Book Value418105BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1896595OtherCostOrOtherBasis
Depreciation512973Depreciation
Book Value1383622BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis92800OtherCostOrOtherBasis
Depreciation89930Depreciation
Book Value2870BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings16209486TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionResrve for Medical Claims Incurred but not recorded (IBNR)Description
Amount$3,088,578Amount
FieldValueIRS element (for citing)
Total Of Amounts3088578TotalOfAmounts

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P00_S00_L0BForm 990, Header, Line BThe ammend to the return is to use the numbers of the audited financial statements that were not available in the original submission.
F990_P06_S0B_L11bForm 990, Part VI, Section B, Line 11bA copy of the 990 was share with the Board Executive Commite; all government questions were revised by the Board in the December 2012 meeting.
F990_P06_S0B_L12cForm 990, Part VI, Section B, Line 12cAll Board members are required to complete a Conflict of Interest Statement in January each year.
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15Executive Director salary is determined and approved by the Board; others managers salaries are determined by the Executive Director.
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19The accounting & Finance Policy and Procedures Manual of COSSMA, Inc. establishes that:..."the Corporation will make the following forms available to the general public: a. Three most recent annual Return of Organization Exempt from Income Tax (Form 990) b. The original tax exempt application (Form 1023 or Form 1024) filed with the IRS. It is the policy of the Corporation to follow the following rules to fulfill the requirements of the public statements mentiones above.
F990_P11_S00_L05Form 990, Part XI, Line 5On January 2012 COSSMA entered into a settlement agreement and mutual release with Humana Health Plans of Puerto Rico, Inc. and Humana Insurance of Puerto Rico. In this agreement all the parties agreed to settle any and all pending surplus or deficit compensation discrepancies, including but not limited to all the extinguishment of outstanding credits and claims related to the parties Health Care Organization (HCO) Participation Agreement. The agreement includes balances as of October 31, 2011. As of October 31, 2011 COSSMA had a balance payable to Humana of $5,420,517. These balances corresponded entirely to losses accumulated in the Manage Care Contract between COSSMA and Humana up to June 30, 2011.
F990_P12_S00_L03bForm 990, Part XII, Line 3bThe annual audit is in process and will be completed for Marc 2013, including the single audit.