2024-06-05T12:28:46-07:00 2023-12-31 661037569 FR Accounting & Tax Services LLC HC 3 Box 3920 Florida PR 006509544 990 2023-01-01 660428922 CENTRO DE SERVICIOS PRIMARIOS DE SA LUD INC CENT 7878222170 Po Box 368 Florida Puerto Rico RQ 00650 Rosa Agostini-Vargas Executive Director 7878222170 2024-06-03 0 Rosa Agostini-Vargas 999009999 1 Francisco Rodriguez P01509742 7876385267 2024-06-01 1 11 1 AAL2 2023 2023-04-26 12:10:37Z Rosa Agostini-Vargas PO Box 368 Florida PR 00650 13265045 0 X X 1987 PR Centro de Servicios Primarios de Salud, Inc. (the Center) is a nonprofit corporation incorporated under the laws of the Commonwealth of Puerto Rico. The Center is organized as Federally Qualified Health Center and operate under section 330 of the Public Health Services Act, Department of Health and Human Services (DHHS), whose purpose is to provide primary ambulatory, supplemental and environmental health services to medically underserved residents of the Municipality of Florida, Puerto Rico. 9 9 41 0 0 0 3052265 2585802 8371525 10679243 0 0 0 0 11423790 13265045 0 0 0 0 1369104 1303618 0 0 0 7650285 10122762 9019389 11426380 2404401 1838665 12782505 14607386 86193 72409 12696312 14534977 Provides primary ambulatory, supplemental and environmental health services to medically underserved residents of the Municipality of Florida, Puerto Rico. 0 0 8929913 2585802 10679243 Centro de Servicios Primarios de Salud, Inc. (the Center) is a nonprofit corporation incorporated under the laws of the Commonwealth of Puerto Rico. The Center is organized as Federally Qualified Health Center and operate under section 330 of the Public Health Services Act, Department of Health and Human Services (DHHS), whose purpose is to provide primary ambulatory, supplemental and environmental health services to medically underserved residents of the Municipality of Florida, Puerto Rico. 0 0 0 8929913 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 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 41 1 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 0 0 PR X Centro de Servicios Primarios de Salud Inc 7878222170 PO Box 368 Florida Puerto Rico RQ 00650 Rosa Agostini Executive Director 37.5 X 88725 0 0 Marcos Moran Velez Medical Director 37.5 X 87959 0 0 Yvette Roman Rodriguez President Board of Directors 0.20 X 0 0 0 Edwin Perez Vazquez Vice President 0.20 X 0 0 0 Doris Gonzalez Rios Secretary Board of Directors 0.20 X 0 0 0 Jorge Reina Castellano Treasurer Board of Director 0.20 X 0 0 0 Norberto Serrano Maldonado Member Board of Director 0.20 X 0 0 0 Maria Martinez Cruz Member Board of Directors 0.20 X 0 0 0 Juan Rivera Vega Member Board of Directors 0.20 X 0 0 0 Maria Arias Member Board of Directors 0.20 X 0 0 0 Olga Santiago Serrano Member Board of Director 0.20 X 0 0 0 176684 0 0 0 0 0 0 Toledo Laboratory Reference 51 Calle Palma Arecibo PR 00612 Laboratory Reference 225651 Victor Santiago Noa 3 A Acuarela Street Suite A 2 Guaynabo PR 00669 Psychiatrist 199700 Jose Encarnacion Box 51524 Levittown Toa Baja PR 00950 Reumatologist 144700 Adrian Miro Co PO Box 80676 Coto Laurel PR 00780 Physician 117990 Carmen Santiago Urb La Meceta Calle Los Gonzalez 333 Caguas PR 00725 Billing 119321 6 0 0 0 0 2585802 0 0 2585802 Patient Service Fees 621000 1417519 1417519 0 0 Capitation Revenues 621000 6940354 6940354 0 0 Pharmacy Revenues 621000 2244199 2244199 0 0 Other Income 621000 77171 77171 0 0 0 0 0 0 10679243 0 0 0 0 0 0 13265045 10679243 0 0 X 889956 530405 359551 0 286286 181930 104356 0 127376 74374 53002 0 2184839 1232586 952253 0 18324 0 18324 0 365188 0 365188 0 80552 0 80552 0 Managed Care Claims 6238565 6238565 0 0 Consumable Supplies 700596 561714 138882 0 Utilities 98740 0 98740 0 Contractual Maintenance 65292 0 65292 0 370666 110339 260327 0 11426380 8929913 2496467 0 8964868 11317717 264355 86282 86976 59462 79215 90397 6311120 3257592 3387091 3053528 12782505 14607386 86193 64814 7595 86193 72409 X 12696312 14534977 0 0 12696312 14534977 12782505 14607386 1838665 X 0 0 1 1 X 415000 0 415000 370000 0 331000 39000 4438728 0 2488264 1950464 959806 0 391602 568204 127586 0 46726 80860 3053528 13265045 0 0 0 0 0 13265045 0 0 0 13265045 11426380 0 0 0 0 0 11426380 0 0 0 11426380 1 1 X 1 X 1 X 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 110339 0 421142 273742 147400 X 1 1 1 1 Centro de Servicios Primarios de Salud Inc Po Box 368 Florida PR 00650 X Community Health Center. Centro de Servicios Primarios de Salud Inc 1 1 0 1 X X X X X X X X X 22 1 0 0 1 X 1 22 0 0 0 1 1 1 X X X X 1 X X X 1 X 0 X X X X 1 0 0 Schedule H, Part V, Section B, Line 5-Centro de Servicios Primarios de Salud Inc Input was through the use of key informant interviews and focus groups. Individuals with the knowledge, information, and expertise relevant to the health needs of the community were consulted. Schedule H, Part V, Section B, Line 11-Centro de Servicios Primarios de Salud Inc The Board of Directors assisted by the Executive Director address the needs identified in its most recently conducted CHNA. Schedule H, Part I, Line 7 Not Applicable. Schedule H, Part III, Section A, Line 4 For receivables associated with services provided to patients who have third-party coverage, the organization analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for Bad Debts. If necessary (for example, for expected uncollectible and co-payments on accounts for which the third-party payor has not yet paid, or for payors who are known to be having financial difficulties that make the realization of amounts due unlikely). Schedule H, Part III, Section B, Line 8 Always Schedule H, Part III, Section C, Line 9b Same for all patients. Schedule H, Part VI, Line 2 Direct inquiries to the community. Schedule H, Part VI, Line 3 direct interviews with patients. Schedule H, Part VI, Line 4 Municipality of Florida, Puerto Rico. Form 990, Part VI, Section A, Line 8b No committee act on behalf or the governing board. Form 990, Part VI, Section B, Line 11b The Executive Director with the assistance of Consultant filled the Form 990. The filled Form is discussed in a Board of Directors meeting. Form 990, Part VI, Section B, Line 12c The Board of Directors assisted by Management Monitor, audit and follow up the Conflict of Interest and Whistleblower policies. Form 990, Part VI, Section B, Line 15 The Executive Director salary and compensation is determined by the Board of Directors. The salaries of the staff and employees of the organization is determined by the Executive Director. Form 990, Part VI, Section C, Line 19 Form 990 and related documents are available for inspection upon request to all Federal and State governmental agencies and general public at the organization main office. Form 990, Part IX, Line 11g Professional Services related with the rendering of primary health care services and management and general support. Waiting to finalized the Single Audit the return was not filed at required time and we had a mistake not requesting an extention. At this time we are reviewing the draft of the Single Audit.