Cossma INC: FY2022 Nonprofit Profile & Form 990 (EIN 66-0434923)

Revenue by fiscal year
FY2020	$59.3M
FY2021	$66.4M
FY2022	$84.8M
FY2023	$91.5M
FY2024	$80.6M
FY2025	$90.0M

Expenses by fiscal year
FY2020	$43.7M
FY2021	$57.6M
FY2022	$64.6M
FY2023	$66.1M
FY2024	$66.9M
FY2025	$77.8M

Net assets by fiscal year
FY2020	$89.8M
FY2021	$98.6M
FY2022	$118.9M
FY2023	$144.2M
FY2024	$158.0M
FY2025	$170.2M

Is it real?

Yes. Never revoked by the IRS. Latest filing on record: FY2025. IRS ruling in Jul 1989.

IRS Pub. 78 · IRS Auto-Revocation List · IRS Business Master File

Where the money goes

82 cents of each dollar spent went to programs.

82%

18%

Program services 82% · $53.0M Management & general 18% · $11.6M

Form 990 Part IX, line 25, columns B–D. Every line is in By the numbers.

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Who runs it and what they're paid

42 people listed on the 990; $3.8M paid to officers and key staff.

Part VII, Section A · reportable compensation · most recent filed roster (FY2021); the FY2022 filing did not itemize Part VII

Erving Arroyo Flores

Allergist

$151,958Pt VII · Sec A

Juan Perez Torres

Medical Director

$138,043Pt VII · Sec A

Anarelis Almanzar Paredes

Pharmacy Director

$128,769Pt VII · Sec A

Hector Rodriguez Millayes

Gynecologist

$127,631Pt VII · Sec A

Liliana Guzman Bicchi

Pediatrician

$127,472Pt VII · Sec A

Julio Marrero Guadalupe

Family Doctor

$126,376Pt VII · Sec A

Nelson De Jesus

Family Doctor

$125,626Pt VII · Sec A

Dania Berroa Emiliano

Pediatrician

$124,139Pt VII · Sec A

Norma Rodriguez Torres’s $197K as Psychiatrist is at the 20th percentile of top reported officer pay among 2901 $10–100M health care nonprofits. Peer set: organizations in the same NTEE major field of work and revenue-size band, compared on each org’s own highest-paid officer/key-employee, from Form 990 Part VII / 990-PF Part VIII. Descriptive placement, not a verdict on whether the pay is appropriate.

Compensation history total reportable pay by year · 8 named individuals · Part VII

Name	FY2025	FY2024	FY2023	FY2022	FY2021
Norma Rodriguez Torres	$197,084	$194,603	$168,172	$107,334	—
Juan Perez Torres	$186,461	$164,151	$160,266	$138,043	—
Nelson De Jesus	$173,174	$159,427	$164,680	$125,626	—
Erving Arroyo Flores	$162,550	$154,589	$157,760	$151,958	—
Daniel Cruz Galarza	$160,070	$144,430	$140,497	$103,427	—
Dania Berroa Emiliano	$156,442	$141,945	$138,224	$124,139	—
Norma Antomattei Velazquez	$156,080	$148,014	—	—	—
Isolina Miranda Sotillo	—	—	—	—	$154,545

Total reportable compensation (Form 990 Part VII column D / Schedule J column E) by filing year, matched by name within this organization. The Schedule J base / bonus / deferred breakdown is not parsed into this dataset.

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Questions the 990 asks

The form asks each of these directly. These are the filed answers.

Family or business ties among officersPt VI · Ln 2No
Top official's pay set by an independent reviewPt VI · Ln 15aYes

Programs and updates

Offers primary healthcare to farmworkers and their families in underserved areas.

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Provided by the organization

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3 programs · $52.8M · in their own filed words · FY2021

01

Health Services during the year. COSSMA, Inc provide Primary Health Services.

$46.1Mprogram expense

02

Pharmacy Operations

$5.5Mprogram expense

03

Education and Prevention

$1.3Mprogram expense

Funders

Who pays for it.

From grant filings on record. Receipts are incomplete: individual donors are never listed.

Grants

Schedule I · funders on record

Grants received · FY2023

The Quest Diagnostics Foundation INCFY2023$823K

Total grants receivedfrom 1 funder$823K

By the numbers

The FY2022 990, line by line.

Download 990

from philanthropy.org

1The main four

Money inPt VIII

$84.8M

Ln 12

Fees for servicesLn 2g$71.9M

Gifts and grantsLn 1h$12.5M

Investment incomeLn 3$238K

Money outPt IX

$64.6M

Ln 25

Programscol B$53.0M

Managementcol C$11.6M

Owns and owesPt X

$118.9M

net assets · Ln 32

Cash and savingsLn 1–2$82.5M

Total assetsLn 16$127.9M

LiabilitiesLn 26$9.1M

PeoplePt VI, VII

42

listed · VII A

PaidVII A33

Voting boardVI 1a9

IndependentVI 1b9

2In more detail

Revenue in detailPt VIII

Gifts and grantsLn 1h$12.5M

Government grantsLn 1e$11.0M

Noncash giftsLn 1g$0

Fundraising eventsLn 1c$0

Fees for servicesLn 2g$71.9M

Investment incomeLn 3$238K

Other incomeLn 4–11$163K

Total revenueLn 12$84.8M

Assets in detailPt X, end of year

CashLn 1$52.1M

SavingsLn 2$30.4M

Cash and savings togetherLn 1–2$82.5M

Land, buildings, equipmentLn 10c$35.1M

Other assetsLn 15$677K

Total assetsLn 16$127.9M

LiabilitiesLn 26$9.1M

Net assetsLn 32$118.9M

OperationsPt I, VI

EmployeesI 5455

VolunteersI 60

Fiscal year endsHeaderAugust

Conflict-of-interest policyVI 12aYes

Whistleblower policyVI 13Yes

Records policyVI 14Yes

3Year over year

Balance sheet, start vs end of yearPt X · col A, B

Line	Start FY22	End FY22
Cash and savingsLn 1–2	$65.1M	$82.5M
Land, buildings, equipmentLn 10c	$35.1M	$35.1M
Total assetsLn 16	$107.3M	$127.9M
LiabilitiesLn 26	$8.7M	$9.1M
Net assetsLn 32	$98.6M	$118.9M

4Every line

Statement of functional expensesPt IX · every line

Line	Total	Programs	Management	Fundraising
Other salaries and wagesLn 7	$17.4M	$13.8M	$3.6M
Other employee benefitsLn 9	$600K	$502K	$98K
Payroll taxesLn 10	$2.9M	$2.2M	$657K
Other fees for servicesLn 11g	$3.3M	$1.9M	$1.4M
Advertising and promotionLn 12	$25K	$18K	$7K
Office expensesLn 13	$259K	$166K	$92K
Information technologyLn 14	$267K	$58K	$208K
OccupancyLn 16	$1.2M	$48K	$1.2M
TravelLn 17	$196K	$94K	$102K
Conferences, conventions and meetingsLn 19	$125K	$39K	$86K
InterestLn 20	$112K		$112K
Depreciation, depletion and amortizationLn 22	$2.0M	$350K	$1.6M
InsuranceLn 23	$487K	$24K	$463K
Other expenses (24a–d)Ln 24	$35.3M	$33.6M	$1.6M	$0
All other expensesLn 24e	$468K	$161K	$307K
Total functional expensesLn 25	$64.6M	$53.0M	$11.6M	$0

Filing history

Year	Money in	Money out	In minus out	Net assets	Download
FY2025 Latest	$90.0M	$77.8M	$12.2M	$170.2M	990 PDF
FY2024	$80.6M	$66.9M	$13.8M	$158.0M	990 PDF
FY2023	$91.5M	$66.1M	$25.3M	$144.2M	990 PDF
FY2022 Viewing	$84.8M	$64.6M	$20.3M	$118.9M	990 PDF
FY2021	$66.4M	$57.6M	$8.8M	$98.6M	990 PDF
FY2020	$59.3M	$43.7M	$15.6M	$89.8M	990 PDF

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Schedules filed Part IV

III · Programs I · Grants R · Related orgs G · Fundraising L · Interested persons A · Public support F · Foreign M · Noncash

See the full FY2022 990 (6 parts)

Part I · Summary $84,819,475 revenue, 12 lines filed

I-8 Contributions and grantsPrior year $11,601,809$12,514,742

I-9 Program service revenuePrior year $52,554,779$71,904,431

I-10 Investment incomePrior year $633,965$237,564

I-11 Other revenuePrior year $1,572,222$162,738

I-12 Total revenuePrior year $66,362,775$84,819,475

I-13 Grants and similar amounts paidPrior year $0$0

I-14 Benefits paid to membersPrior year $0$0

I-15 Salaries and benefitsPrior year $17,594,391$20,873,002

I-16a Professional fundraising feesPrior year $0$0

I-17 Other expensesPrior year $40,000,664$43,687,312

I-18 Total expensesPrior year $57,595,055$64,560,314

I-19 Revenue less expensesPrior year $8,767,720$20,259,161

Part VI · Governance 9 of 9 board members independent, no flags

VI-1a Voting members of the governing body9

VI-1b Independent voting members9

VI-2 Family or business relationship among officers or directorsNo

VI-12a Written conflict of interest policyYes

VI-13 Written whistleblower policyYes

VI-14 Document retention and destruction policyYes

VI-15a Process for setting top official's payYes

Part VIII · Statement of revenue $84,819,475 across 13 lines filed

Lines not itemized here account for $134,189 of total revenue; see the IRS return.

VIII-1a Federated campaigns$0

VIII-1b Membership dues$0

VIII-1c Fundraising events$0

VIII-1d Related organizations$0

VIII-1e Government grants$11,029,175

VIII-1f All other contributions, gifts and grants$1,485,567

VIII-1g Noncash contributions (included above)$0

VIII-1h Total contributions, gifts and grants$12,514,742

VIII-2a-f Program service revenue, itemized rows (sum of 2a–2f as filed)Related to mission $71,904,431 · Unrelated business $0 · Excluded from tax $0$71,904,431

VIII-3 Investment incomeRelated to mission $237,564 · Unrelated business $0 · Excluded from tax $0$237,564

VIII-5 RoyaltiesRelated to mission $0 · Unrelated business $0 · Excluded from tax $0$0

VIII-6 Net rental income or lossRelated to mission $28,549 · Unrelated business $0 · Excluded from tax $0$28,549

VIII-12 Total revenueRelated to mission $72,304,733 · Unrelated business $0 · Excluded from tax $0$84,819,475

Part IX · Statement of functional expenses $64,560,314 across 15 lines filed

IX-7 Other salaries and wagesPrograms $13,752,454 · Management $3,636,594$17,389,048

IX-9 Other employee benefitsPrograms $501,570 · Management $98,246$599,816

IX-10 Payroll taxesPrograms $2,227,223 · Management $656,915$2,884,138

IX-11g Other fees for servicesPrograms $1,917,759 · Management $1,354,295$3,272,054

IX-12 Advertising and promotionPrograms $17,624 · Management $7,105$24,729

IX-13 Office expensesPrograms $166,469 · Management $92,127$258,596

IX-14 Information technologyPrograms $58,236 · Management $208,294$266,530

IX-16 OccupancyPrograms $48,367 · Management $1,183,288$1,231,655

IX-17 TravelPrograms $94,228 · Management $101,650$195,878

IX-19 Conferences, conventions and meetingsPrograms $38,685 · Management $86,202$124,887

IX-20 InterestManagement $111,736$111,736

IX-22 Depreciation, depletion and amortizationPrograms $349,814 · Management $1,624,122$1,973,936

IX-23 InsurancePrograms $23,932 · Management $463,164$487,096

IX-24 Other expenses (24a–d)Programs $33,632,634 · Management $1,639,348 · Fundraising $0$35,271,982

IX-24e All other expensesPrograms $161,386 · Management $306,847$468,233

IX-25 Total functional expensesPrograms $52,990,381 · Management $11,569,933 · Fundraising $0$64,560,314

Part X · Balance sheet $127,949,366 assets, 16 lines filed

X-1 Cash, non-interest-bearingStart of year $33,727,093$52,102,785

X-2 Savings and temporary cash investmentsStart of year $31,327,561$30,369,082

X-3 Pledges and grants receivableStart of year $853,439$760,755

X-4 Accounts receivableStart of year $4,540,229$7,865,591

X-8 Inventories for sale or useStart of year $646,588$773,526

X-9 Prepaid expenses and deferred chargesStart of year $283,280$322,192

X-10c Land, buildings and equipment, netStart of year $35,107,681$35,078,696

X-15 Other assetsStart of year $847,279$676,739

X-16 Total assetsStart of year $107,333,150$127,949,366

X-17 Accounts payable and accrued expensesStart of year $5,974,558$6,491,118

X-19 Deferred revenueStart of year $158,580$79,786

X-26 Total liabilitiesStart of year $8,717,460$9,074,515

X-27 Net assets without donor restrictionsStart of year $98,615,690$118,874,851

X-28 Net assets with donor restrictionsStart of year $0$0

X-32 Total net assets or fund balancesStart of year $98,615,690$118,874,851

X-33 Total liabilities and net assetsStart of year $107,333,150$127,949,366

Part XI · Reconciliation of net assets $118,874,851 net assets at year end

XI-1 Total revenue$84,819,475

XI-2 Total expenses$64,560,314

XI-3 Revenue less expenses$20,259,161

XI-4 Net assets at start of year$98,615,690

XI-5 Net unrealized gains (losses) on investments$0

XI-6 Donated services and use of facilities$0

XI-7 Investment expenses$0

XI-8 Prior period adjustments$0

XI-9 Other changes in net assets$0

XI-10 Net assets at end of year$118,874,851

Form 990 e-file (XML) FY2022 from the IRS · Classification, formation year and address from the IRS Business Master File

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Cossma INC FY2022 filing

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