Cossma Inc is a 501(c)(3) organization based in Cidra, Puerto Rico, registered in 1989, with $89,975,529 in FY2024 revenue. CharityIndex grades it A, and it directs about 82% of spending to programs.
Revenue (FY2024)
$90.0M
▲ 11.6% vs prior year
Health median: $840K
Expenses (FY2024)
$77.8M
Net assets
$170.2M
Employees
487
Measures how much of every dollar spent actually reaches programs, plus what it costs to raise $100 of donations. The worse of the two measures sets the letter (85%+ to programs is an A; under $15 to raise $100 is an A), averaged over the three most recent filings. For Cossma Inc: 82% to programs · $0 to raise $100 earns a B+ on this criterion. See the exact thresholds →
Measures whether the organization is built to last: how many months its reserves would cover expenses (3+ months earns an A-range score, but hoarding 5+ years of budget is capped) and whether it runs a surplus or a deficit. For Cossma Inc: 26 mo reserves · +14% margin earns a A on this criterion. See the exact thresholds →
Checks how the organization is run, from its own Form 990: an independent board majority, a board of five or more, conflict-of-interest, whistleblower and document-retention policies, and independently audited financials. The share of disclosed checks that pass sets the letter. For Cossma Inc: 6 of 6 checks met earns a A+ on this criterion. See the exact thresholds →
Counts five disclosure signals: a recent filing, a mission statement, program descriptions, a listed website, and the full expense breakdown. More disclosure, better letter. For Cossma Inc: 4 of 5 disclosure signals earns a A on this criterion. See the exact thresholds →
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To provide primary health care services to medically undeserved population, agricultural, migrant and seasonal farm workers as to their dependents.
Revenue grew from $27.8M (FY2013) to $90.0M (FY2024) across 12 reported years.
Financial snapshot
Operating margin
13.5%
Revenue exceeded expenses in the latest fiscal year.
Total assets
$199.1M
Total liabilities
$28.9M
Net assets
$170.2M
Salaries & benefits
$26.7M
34% of expenses
Board members
10
10 independent
| Fiscal year | Revenue | Expenses | Net assets | Total assets | Form |
|---|---|---|---|---|---|
| 2024 | $89,975,529▲11.6% | $77,800,616▲16.4% | $170,166,165▲7.7% | $199,078,403▲18.5% | 990 |
| 2023 | $80,648,545▼11.8% | $66,854,991▲1.1% | $157,991,252▲9.6% | $168,049,827▲8.1% | 990 |
| 2022 | $91,452,024▲7.8% | $66,129,177▲2.4% | $144,197,698▲21.3% | $155,469,708▲21.5% | 990 |
| 2021 | $84,819,475▲27.8% | $64,560,314▲12.1% | $118,874,851▲20.5% | $127,949,366▲19.2% | 990 |
| 2020 | $66,362,775▲11.9% | $57,595,055▲31.8% | $98,615,690▲9.8% | $107,333,150▲10.7% | 990 |
| 2019 | $59,324,028▲2.6% | $43,685,458▼9.6% | $89,847,970▲21.1% | $96,920,325▲16.8% | 990 |
| 2018 | $57,837,301▲15.3% | $48,336,729▲18.2% | $74,209,400▲14.7% | $82,991,255▲17.4% | 990 |
| 2017 | $50,178,677▲10.4% | $40,910,087▲15.0% | $64,708,828▲16.7% | $70,685,230▲13.6% | 990 |
| 2016 | $45,441,824▲28.7% | $35,572,397▲34.4% | $55,440,238▲21.7% | $62,196,255▲19.1% | 990 |
| 2015 | $35,297,924▲17.5% | $26,462,995▲11.6% | $45,570,811▲24.0% | $52,235,723▲23.3% | 990 |
| 2014 | $30,031,077▲8.1% | $23,719,215▲16.0% | $36,735,882▲20.6% | $42,375,544▲17.3% | 990 |
| 2013 | $27,790,210 | $20,454,116▼17.9% | $30,451,541▲31.8% | $36,110,605▲18.4% | 990 |
| 2012 | — | $24,928,235▲4.4% | $23,110,461▲31.4% | $30,497,216▲20.1% | 990 |
| 2011 | — | $23,866,229▲21.6% | $17,583,437▲82.1% | $25,383,195▲9.2% | 990 |
| 2010 | — | $19,626,411 | $9,655,657 | $23,234,549 | 990 |
Original Form 990 PDFs (the Form column) are served by ProPublica Nonprofit Explorer, as filed with the IRS. Create a free account to download the CSV report.
Highest-paid: Norma Rodriguez Torres — $197,084 (0.25% of total expenses)
| Name | Title | Hours/week | Compensation |
|---|---|---|---|
| Norma Rodriguez Torres | Psychiatrist | 40 | $197,084 |
| Juan Perez Torres | Medical Director | 40 | $186,461 |
| Nelson De Jesus | Family Doctor | 40 | $173,174 |
| Erving Arroyo Flores | Allergist | 40 | $162,550 |
| Daniel Cruz Galarza | Gynecologist | 40 | $160,070 |
| Dania Berroa Emiliano | Pediatrician | 40 | $156,442 |
| Norma Antomattei Velazquez | Executive Director | 40 | $156,080 |
| Rosalie Candelario Ortiz | Quality Director | 40 | $149,862 |
| Marienaldy Berrios Diaz | Clinical Service Deputy Director | 40 | $142,025 |
| Anarelis Almanzar Paredes | Pharmacy Director | 40 | $139,045 |
| Claribel Lara | Finance Director | 40 | $96,635 |
| Ada L Cotto Cartagena | Secretaria | 5 | — |
| Adelma Cintron Diaz | Presidenta | 5 | — |
| Carmen Veguilla Montanez | Representante Voluntario | 5 | — |
| Eduardo Munoz Oquendo | Representante Voluntario | 5 | — |
| Leonor Mercedes Guzman | Vice Presidenta | 5 | — |
| Maria T Fred Mercado | Representante Voluntario | 5 | — |
| Nydia Ramos Martinez | Representante Voluntario | 5 | — |
| Nyvea Sepulveda | Representante Voluntario | 5 | — |
| Olga Maldonado | Representante Voluntario | 5 | — |
| Contractor | Services | Paid |
|---|---|---|
| Bm Construction Corp | Construction | $5,549,004 |
| Guardsnark LLC DBA Allied Universal Security Services LLC | Security | $1,058,266 |
| North Janitorial Services Inc | Maintance | $814,544 |
| Cs and Sf Medical Service LLC | Medical Services | $742,875 |
| Tirado Perez Illade Y Asociados | Oficinas De Abogados | $341,267 |
36 grants to Cossma Inc totaling $10.1M, reported by foundations on their Schedule I filings — showing the 15 most recent.
| Grantmaker | Purpose | Year | Amount |
|---|---|---|---|
| Direct Relief | Support to us clinics & health centers for low-income, uninsured patients | 2024 | $135,029 |
| Direct Relief | Support to us clinics & health centers for low-income, uninsured patients | 2023 | $244,480 |
| Direct Relief | Support to us clinics & health centers for low-income, uninsured patients | 2022 | $343,139 |
| Americares Foundation Inc | Ongoing | 2022 | $35,489 |
| Americares Foundation Inc | Ongoing | 2022 | $35,489 |
| Americares Foundation Inc | Emergency | 2022 | $10,000 |
| Americares Foundation Inc | Emergency | 2022 | $10,000 |
| Direct Relief | Support to us clinics & health centers for low-income, uninsured patients | 2021 | $299,397 |
| Americares Foundation Inc | Ongoing | 2021 | $80,403 |
| Americares Foundation Inc | Ongoing | 2021 | $80,403 |
| Direct Relief | Abbvie puerto rico program | 2020 | $403,000 |
| Direct Relief | Abbvie puerto rico program | 2020 | $403,000 |
| Direct Relief | Abbvie puerto rico program | 2020 | $403,000 |
| Direct Relief | Abbvie puerto rico program | 2020 | $403,000 |
| Direct Relief | Support to us clinics & health centers for low-income, uninsured patients | 2020 | $351,674 |
Explore more
Data for Cossma Inc (EIN 66-0434923) comes from the IRS Business Master File and e-filed Form 990 returns, via CharityIndex. Figures reflect what the organization reported to the IRS for each fiscal year.