2014-11-05T09:06:37-07:00 2014-03-31 660561068 Diaz Y Candelaria CPA PSC Suite 112 PMB 294 100 Gran Bulevar Paseos San Juan PR RQ 00926-5955 990 2013-04-01 660430826 Centro De Servicios Primarios De Salud De Patillas Inc CENT 7878394320 PO Box 697 Patillas PR RQ 00723 Mildred Morel Ortiz Executive Director 7878394320 2014-10-31 1 Cristino Ariel Diaz Lopez P01448309 7873994556 2014-10-31 2013 2015-11-30 17:44:51Z Mildred Morel Ortiz PO Box 697 Patillas PR RQ 00723 10676329 0 X X 1992 PR To provide primary ambulatory, supplemental and enviromental health services to the medically underserved residents around the Municipality of Patillas. 9 9 80 0 0 0 2253665 2605767 7607748 7812964 0 0 289703 257598 10151116 10676329 0 0 0 0 3342419 4149220 0 0 0 5390514 6274372 8732933 10423592 1418183 252737 3794642 3743394 3444675 3140690 349967 602704 To provide primary ambulatory, supplemental and enviromental health services to the medically underserved residents around the Municipality of Patillas. 0 0 5378480 0 0 COMMUNITY HEALTH SERVICES 1317643 0 0 PHARMACY 0 0 0 6696123 1 0 0 0 0 0 0 0 0 0 1 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 0 0 1 0 0 0 80 1 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Graciela Rivera Silva 7878394320 PO Box 697 Patillas PR RQ 00723 Nylsa Acosta Orozco President 2 0 X 0 0 0 Carmen D Morales Rivera Vice President 2 0 X 0 0 0 Ventura De Jesus Gonzalez Secretary 2 0 X 0 0 0 Jose Ramos Santiago Treasurer 2 0 X 0 0 0 Margarita Diaz Semidey Member 2 0 X 0 0 0 Wilma I Borras Rodriguez Member 2 0 X 0 0 0 Francisco Rodriguez Rodriguez Member 2 0 X 0 0 0 Rosa N Santiago Cruz Member 2 0 X 0 0 0 Jorge De Pedro Burgos Member 2 0 X 0 0 0 Iris C Rosa Lopez Member 2 0 X 0 0 0 Ivan R Rios Lopez Member 2 0 X 0 0 0 Mildred Morel Ortiz Executive Director 40 0 X 103287 0 0 Graciela Rivera Silva Finance Director 40 0 X 68330 0 0 Sonia M Tirado Human Resources Director 40 0 X 56552 0 0 Antonio Lozada Contreras Internist 40 0 X 113725 0 0 Luis Mancebo Ortiz Pediatrician 40 0 X 103975 0 0 Aitza B Rios Vivas Pediatrician 40 0 X 103000 0 0 548869 0 0 4 0 0 0 0 0 0 0 0 2605767 0 0 2605767 Managed Care Health Reform 621400 4653184 4653184 0 0 Patient Service Fees 621400 598909 598909 0 0 Pharmacy Revenue 621400 2560871 2560871 0 0 0 0 0 0 7812964 0 0 0 0 0 Puerto Rico Department of Health Contract - ER 900099 228989 228989 0 0 28609 28609 0 0 257598 10676329 8070562 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3267052 2004684 1262368 0 0 0 0 0 0 0 0 0 882168 425805 456363 0 490914 19222 471692 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 324927 324927 0 0 36787 2600 34187 0 17235 0 17235 0 44189 0 44189 0 0 0 0 0 170766 0 170766 0 71705 18668 53037 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 242727 0 242727 0 18816 0 18816 0 Medical Claims & IBNR 2538426 2538426 0 0 Drugs, Medications & Supplies 1389739 1341972 47767 0 Repairs & Maintenance 326207 5712 320495 0 Utilities 322453 12558 309895 0 279481 1549 277932 0 10423592 6696123 3727469 0 1413765 1077532 334392 298143 272223 247899 3500 2676545 645455 1774262 2031090 85230 3794642 3743394 700944 743892 2743731 2396798 3444675 3140690 X 349967 602704 0 0 0 0 349967 602704 3794642 3743394 252737 0 0 0 0 0 X 0 1 X 0 1 1 X 7895997 8992722 9511137 9861413 10647720 46908989 7895997 8992722 9511137 9861413 10647720 46908989 46908989 77063 250424 157780 289703 28609 803579 47712568 0.98316 0.9835 X Schedule A, Part II, Line 10 Other revenues consist of not recurrent revenues as Incentives paid by Health Insurance Companies. 0 0 0 370000 0 22590 347410 284620 0 15517 269103 1577083 0 538489 1038594 444842 0 68859 375983 2031090 0 Due to Department of HEalth of PR 2396798 2396798 Form 990, Part VI, Section B, Line 11b Return presented and discussed in a Board Meeting on October 16, 2014. Form 990, Part VI, Section B, Line 12c Board members are required to sign a Conflict of Interest certification on an annual basis. Form 990, Part VI, Section B, Line 15 Compensation of the Executive Director is established and approved by the Board and based on comparison with Executive Director salaries of similar organizations. Form 990, Part VI, Section C, Line 19 Any public document can be requested at the Center Central office, to the Finance Director. Nominal charges can apply for documents reproduction. An extension was requested and approved by the IRS.