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COSSMA INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
COSSMA INC (EIN 66-0434923)
Tax period
2010-09-01 to 2011-08-31
Filed
2012-04-23
IRS object ID
201201179349300005
Schema version
2010v3.4
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)
Timestamp2012-04-23T18:22:52-07:00Timestamp
Tax Period End Date2011-08-31TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-09-01TaxPeriodBeginDate

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 Signed2012-04-23DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCRISTINO ARIEL DIAZ-LOPEZName
Phone7873994556Phone
Date Prepared2012-04-23DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
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 Line1CARR 172 KM 13-5AddressLine1
CityCIDRACity
StatePRState
ZIP Code00739ZIPCode
FieldValueIRS element (for citing)
Gross Receipts21461605GrossReceipts
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 Employees214TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year6324779ContributionsGrantsPriorYear
Contributions Grants Current Year5709290ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8433639ProgramServiceRevenuePriorYear
Program Service Revenue CY15728700ProgramServiceRevenueCY
Investment Income Prior Year9730InvestmentIncomePriorYear
Investment Income Current Year15237InvestmentIncomeCurrentYear
Other Revenue Prior Year19625OtherRevenuePriorYear
Other Revenue Current Year8378OtherRevenueCurrentYear
Total Revenue Prior Year14787773TotalRevenuePriorYear
Total Revenue Current Year21461605TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5397752SalariesEtcPriorYear
Salaries Etc Current Year5891977SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year9301909OtherExpensePriorYear
Other Expenses Current Year13734434OtherExpensesCurrentYear
Total Expenses Prior Year14699661TotalExpensesPriorYear
Total Expenses Current Year19626411TotalExpensesCurrentYear
Revenues Less Expenses Prior Year88112RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1835194RevenuesLessExpensesCY
Total Assets BOY19310416TotalAssetsBOY
Total Assets EOY23234549TotalAssetsEOY
Total Liabilities BOY11489953TotalLiabilitiesBOY
Total Liabilities EOY13578892TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7820463NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY9655657NetAssetsOrFundBalancesEOY
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 LIVES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense15859868Expense
Grants0Grants
Revenue15728700Revenue
DescriptionHealth Services During the current year the Corporation provide primary health services with a total of 150,939 encounters.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense284266Expense
Grants0Grants
Revenue0Revenue
DescriptionEducation and PreventionDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense337818Expense
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 Expense16481952TotalProgramServiceExpense
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 Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
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 Employees214NumberOfEmployees
Employment Tax Returns Filed0EmploymentTaxReturnsFiled
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 Enforcement0RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledPRStatesWhereCopyOfReturnIsFiled
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 (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployee
EDUARDO MUNOZ OQUENDO
PRESIDENT1X000
MARIA T FRET MERCADO
VICE PRESIDENT1X000
TEOFILA RIOS ORTIZ
TREASURER1X000
ADA COTTO CARTAGENA
SECRETARY1X000
ISOLINA MIRANDA
EXE DIRECTOR389659600X
MARIA LACOMBA
DEPUTY DIRECTOR387174500X
EDGARDO SOTO
MEDICAL DIRECTOR389148000X
CLARIBEL LARA
FINANCE DIRECTOR383310000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org292921TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
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 SERVICES480352
FELDESMAN TUCKER LEIFER FIDELL LLP
PO BOX 1330CIDRAPR00739PROFESIONAL SERVICES327122
COMA COOP
PO BOX 1330CIDRAPR00739CONSTRUCTION283090
PHARMACY ADVISORY GROUP
PO BOX 1330CIDRAPR00739CONSULTING264788
CONSTRUCCIONES APONTE INC
PO BOX 1330CIDRAPR00739CONSTRUCTION246770
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events0FundraisingEvents
Related Organizations0RelatedOrganizations
Government Grants5709290GovernmentGrants
All Other Contributions0AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions5709290TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Capitation - Health Reform621498727915272791520$0
Patient Services Fees621498169670516967050$0
Pharmacy424210341622334162230$0
LAWSUIT PR HEALTH DEPARTMENT621498333662033366200$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 Revenue15728700TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column15237TotalRevenueColumn
Related Or Exempt Function Income15237RelatedOrExemptFunctionIncome
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 Column8378TotalRevenueColumn
Related Or Exempt Function Income8378RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue8378TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column21461605TotalRevenueColumn
Related Or Exempt Function Income15752315RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total292921Total
Program Services91480ProgramServices
Management And General201441ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4551392Total
Program Services3757107ProgramServices
Management And General794285ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total554317Total
Program Services449716ProgramServices
Management And General104601ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total493347Total
Program Services429158ProgramServices
Management And General64189ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total15386Total
Management And General15386ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total351498Total
Program Services351498ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1530717Total
Program Services1450623ProgramServices
Management And General80094ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total22594Total
Program Services22594ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total131670Total
Program Services100001ProgramServices
Management And General31669ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total954413Total
Program Services232197ProgramServices
Management And General722216ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total68101Total
Program Services21326ProgramServices
Management And General46775ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total44837Total
Program Services22154ProgramServices
Management And General22683ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total357760Total
Program Services4331ProgramServices
Management And General353429ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total468736Total
Program Services109493ProgramServices
Management And General359243ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total86856Total
Program Services7015ProgramServices
Management And General79841ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDIC PLAN RECLAMATIONS7559716755971600
Prescribed Drugs and Medications1216176121617600
OTHER EXPENSES5150583523541627040
Bad Debt Expenses11138011138000
Non-Capitalized Equipment299536193633105903

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total19626411Total
Program Services16481952ProgramServices
Management And General3144459ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1472472BOY
EOY6029681EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY734780BOY
EOY602254EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1720503BOY
EOY227993EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY7569EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY59450BOY
EOY73854EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY47726BOY
EOY72255EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis17297802LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1518483LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY15248994BOY
EOY15779319EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY26491BOY
EOY441624EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY19310416BOY
EOY23234549EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4012798BOY
EOY6516903EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY171578BOY
EOY62805EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY6399977BOY
EOY6056463EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY905600BOY
EOY942721EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY11489953BOY
EOY13578892EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7820463BOY
EOY9655657EOY

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)
BOY7820463BOY
EOY9655657EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY19310416BOY
EOY23234549EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1835194ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review1AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Community Trust170b1 AviXCommunityTrust170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11494771CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12088081CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12033867CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14758418CurrentTaxYearMinus1Year
Current Tax Year21437990CurrentTaxYear
Total71813127Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11494771CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12088081CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12033867CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14758418CurrentTaxYearMinus1Year
Current Tax Year21437990CurrentTaxYear
Total71813127Total
FieldValueIRS element (for citing)
Public Support Total17071813127PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years46051CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years29409CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8583CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9730CurrentTaxYearMinus1Year
Current Tax Year8378CurrentTaxYear
Total102151Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10650CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9261CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8289CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19625CurrentTaxYearMinus1Year
Current Tax Year15237CurrentTaxYear
Total63062Total
FieldValueIRS element (for citing)
Total Support71978340TotalSupport
Public Support Pertcentage1700.99770PublicSupportPertcentage170
Public Support Pertcent Prior Year0.9968PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General Explanation_GeneralExplanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis2193814InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Book Value2193814BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis12929848InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation1055101Depreciation
Book Value11874747BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis614845InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation20980Depreciation
Book Value593865BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1466495InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation352472Depreciation
Book Value1114023BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis92800InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation89930Depreciation
Book Value2870BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings15779319TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionReserve for Incurred But Not Reported Health Services ClaimsDescription
Amount$942,721Amount
FieldValueIRS element (for citing)
Total Of Amounts942721TotalOfAmounts
Total Revenue21461605TotalRevenue
Total Expenses19626411TotalExpenses
Excess Or Deficit For Year1835194ExcessOrDeficitForYear
Net Unrealized GL On Investments0NetUnrealizedGLOnInvestments
Donated Services And Facilities0DonatedServicesAndFacilities
Investment Expenses0InvestmentExpenses
Prior Period Adjustments0PriorPeriodAdjustments
Other$0OtherAmount
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS1835194ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt21437990TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments0NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities0DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues0OtherRevenues
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal21437990RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included23615OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt23615RevenueNotRptdOnFinStmt
Total Revenue Per Form99021461605TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt19626411TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities0DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal19626411ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99019626411TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierSchD_P12_S00_L04bIdentifier
Return ReferenceSchedule D, Part XII, Line 4bReturnReference
Explanation_Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P00_S00_L0BForm 990, Header, Line BThe return was amended to include the audit adjustments and to be in accordance with the audited financial statements that were issued on April 2012.
F990_P06_S0B_L11bForm 990, Part VI, Section B, Line 11bAll questions related to Governance, management and disclosures were asked to the Board members by the Executive Director. Form 990 was presented to the Management by the CPA Firm and Management present this to the Board.
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15The Salary of the Executive Director is determined and approved by the Board of Directors based on performance and comparability data from others similar organizations in Puerto Rico. Others Key officers salaries are determined by the Executive Director based on performance and comparability salaries.
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19The policy of the Corporation to follow the following rules to fulfill the requirements of the public statements mentioned above. A. A copy of the forms will be provided to any person that requests in person to inspect those forms during regular business hours. The Finance Director is responsible for keeping a copy and for making it available to the public. B. For requests received by mail, the Corporation will request payment in advance for the costs of copies & shipping charges. If the request does not include payment, the Corporation will notify the person by phone or by mail of its prepayment policy within the seven days after receiving the original request. C. The cost per copy will be $1.00 for the first copy and $0.15 for each additional page. All copies will send to the person that requests them by priority mail within 30 days of receiving the request.

Reasonable Cause Explanation ReasonableCauseExplanation

FieldValueIRS element (for citing)
ExplanationThis is an ammended return, original return was submitted before January 15, 2012.Explanation