2023-12-18T14:35:08-07:00 2023-06-30 660561068 DIAZ & CANDELARIA PSC PMB-294 100 GRAN PASEO BLVD SUITE 112 SAN JUAN PR 009265955 990 2022-07-01 660426667 SERVICIOS DE SALUD PRIMARIOS DE BARCELONETA INC SERV 7878464412 PO BOX 2045 BARCELONETA PR RQ 00617-2045 LEIDA NAZARIO LEBRON EXECUTIVE DIRECTOR 7878464412 2023-11-21 1 1 JOSE G CANDELARIA CASTRO P01448309 7873994556 2023-11-21 1 11 1 AAL2 X 2022 2023-04-26 12:10:37Z ATLANTIC MEDICAL CENTER LEIDA NAZARIO LEBRON PO BOX 2045 BARCELONETA PR 006172045 32407451 0 X https://atlanticmedical.org/ X 1986 PR To provide comprehensive primary care ambulatory medical services underserved residents of Barceloneta and Arecibo. 11 11 169 0 0 0 5088521 6016269 19142150 25846141 0 0 4707114 545041 28937785 32407451 0 0 0 0 6591480 7302277 0 0 0 17753529 22164997 24345009 29467274 4592776 2940177 32910017 35724790 1073205 947801 31836812 34776989 To provide comprehensive primary care ambulatory medical services underserved residents of Barceloneta and Arecibo. 0 0 13490109 0 0 SPECIALIST AND HOSPITALIZATION-CLAIMS PAID 4191668 0 0 MEDICAL SERVICES 1197427 0 0 EMERGENCY ROOM 1206047 0 0 PHARMACY 832830 0 0 LABORATORY 587828 0 0 ANCILLARY SERVICES 359729 0 0 RADIOLOGY 2986434 0 0 21865638 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 169 1 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 1 0 0 0 X X ATLANTIC MEDICAL CENTER 7878464412 PO BOX 2045 BARCELONETA PR RQ 00617-3244 LEIDA A NAZARIO LEBRON EXECUTIVE DIRECTOR 38 0 X 195080 0 0 EDWIN PEREZ PEREZ MEDICAL DIRECTOR 38 0 X 149443 0 0 ALFREDO RODRIGUEZ RIVERA ASSOCIALTE ADMINISTRATOR 38 0 X 97050 0 0 ARACELIS BURGOS FINANCE DIRECTOR 38 0 X 94373 0 0 OLGA I ROSARIO MAISONET HUMAN RESOURCES DIRECTOR 38 0 X 75800 0 0 MILAGROS LUGO GONZALEZ PRESIDENT 10 0 X 0 0 0 MARIA L OTERO COLON VICE PRESIDENT 10 0 X 0 0 0 IVETTE ROMERO ROSADO SECRETARY 10 0 X 0 0 0 IRIS VELEZ LUGO TREASURER 10 0 X 0 0 0 SONIA N RODRIGUEZ TORRES MEMBER 10 0 X 0 0 0 OLGA I SANTIAGO SERRANO MEMBER 10 0 X 0 0 0 JOSE A SERRANO ROJAS MEMBER 10 0 X 0 0 0 MELVA ARBELO MEMBER 10 0 X 0 0 0 RAUL ORTIZ PAGAN MEMBER 10 0 X 0 0 0 JUAN A SOTO MORALES MEMBER 10 0 X 0 0 0 RICHARD MEDINA MEDINA MEMBER 10 0 X 0 0 0 611746 0 0 2 0 1 0 FELDESMAN TUCKER 1129 20TH STREET NW SUITE 400 WASHINGTON DC DC 20036 LEGAL SERVICES 1448859 CP CORP PO BOX 16313 SAN JUAN PR 009086313 PROFESSIONAL SERVICES 418345 CRA FINANCIAL CONSULTING GRO 35 JUAN C BORBON SUITE 67 GUAYNABO PR 00969 CONSULTING SERVICES 456200 NORTH COAST SECURITY LLC CALLE MARGINAL G-6 URB VISTA AZUL ARECIBO PR 00612 SECURITY SERVICES 169905 LABORATORIO CLINICO TOLEDO 51 CALLE PALMA ARECIBO PR 00612 PURCHASED SERVICES 176578 10 0 0 0 0 6016269 0 0 6016269 CAPITATION PR HEALTH PROGRAM 621400 14829729 14829729 0 0 NET PATIENT SERVICES REVENUES 621400 5945336 5945336 0 0 WRAPAROUND MEDICAL SERVICE REINMBURSEMENT 621400 5071076 5071076 0 0 0 0 0 0 25846141 12000 0 0 0 12000 0 12000 12000 0 0 0 0 0 533041 533041 0 0 533041 32407451 26391182 0 0 611746 611746 5796870 4787522 1009348 340716 199999 140717 552945 414913 138032 1746738 1746738 32662 32662 2253527 930366 1323161 41327 41327 10568 368 10200 283396 25 283371 55816 56 55760 19846 3102 16744 794415 794415 128284 128284 CLAIMS PAID AND IBNR RETENTION 13490109 13490109 0 0 CONSUMABLE SUPPLIES 2231396 1994002 237394 0 REPAIRS AND MAINTENANCE 555181 28578 526603 0 BAD DEBT 203907 0 203907 0 317825 16598 301227 29467274 21865638 7601636 0 18681736 18200317 1094817 5039873 2625765 2858578 1028748 444910 17842 22698 12769375 3613461 9458609 9155914 2500 2500 32910017 35724790 1073205 947801 1073205 947801 X 31836812 34776989 0 0 31836812 34776989 32910017 35724790 2940177 0 0 0 0 0 X 0 1 X 1 1 1 X 620898 0 620898 1675898 0 665828 1010070 5725510 0 892232 4833278 3985245 0 1726865 2258380 761824 0 328536 433288 9155914 32407451 0 0 0 0 0 32407451 0 0 0 32407451 29467274 0 0 0 0 0 29467274 0 0 0 29467274 X X X X 0 0 0 0 0 0 0 0 0 LEIDA A NAZARIO LEBRON EXECUTIVE DIRECTOR 195080 0 0 0 0 0 0 0 0 0 195080 0 0 0 Form 990, Part VI, Section B, Line 11b A COPY OF THE FORM 990 IS PROVIDED TO THE GOVERNING BOARD FINANCE COMMITEE AFTER IS FILLED TO BE REVIEWED AND APPROVED. THE FORM IS FILLED BY OUR ACCOUNTANT CONSULTANT FIRM WHO ALSO ARE CERTIFIED PUBLIC ACCOUNTANTS. THEY ALSO OBTAINS ALL THE DOCUMENTS AND DATA FORM THE ORGANIZATION ACCOUNTING AND HUMAN RESOURCES DEPARTMENTS AND FROM THE CORPORATE OFFICIAL DOCUMENTS. THE EXECUTIVE DIRECTOR SENDS THE FORM TO ALL MEMBERS OF THE FINANCE COMMITEE TO BE REVIEWED. A MEETING OF THE FINANCE COMMITEE IS CONDUCTED TO APPROVE THE FORM BEFORE SENDING. THE APPROVED FORM IS SEND BY MAIL TO ALL GOVERNING MEMBERS. Form 990, Part VI, Section C, Line 19 THE GENERAL PUBLIC HAS THE RIGHT TO INSPECT THE APPLICATION FOR TAX EXEMPTION, ANNUAL INFORMATION RETURN, GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AT THE ORGANIZATION'S PRINCIPAL OFFICES DURING REGULAR BUSINESS HOURS. EACH INFORMATION RETURNS ARE AVAILABLE FOR A PERIOD OF THREE YEARS BEGINNING AS OF DATE THE RETURN OF REQUIRED TO BE FILLED. 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