Astrelis
health center · PR

COSSMA INC

CCN 401828Latest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A health center in PR. It ran an operating surplus of 13.0% in FY24 on $76.7M of operating revenue. Operating margin improved from 9.2% in FY21 to 13.0% in FY24, though it fell 4.4 points in the most recent year.

Days cash on hand
Not available
vs health centers
Total operating revenue · FY24
$76.7M
5.4 $M vs FY23
vs health centers
Operating margin · FY24
+13.0%
4.4 pts vs FY23
vs health centers
Total margin · incl. nonoperating · FY24
+23.1%
11.5 pts vs FY23
vs health centers

Where COSSMA INC sits among health centers

Operating margin · FY23 pool · n = 1,112 of 4,110 filed

Each point is one health center in the national distribution for this provider type, placed by operating margin. Facilities are not matched on size, case mix, or market — that is the matched-peer comparison in the paid benchmark. The health center median is -36.6%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%health center median -36.625%COSSMA INC +13.04%-20%0%+20%health center median -36.625%COSSMA INC +13.04%
One health centerCOSSMA INChealth center median

Appendix: the Medicare cost-report view

$ thousands · HCRIS cost-report basis · as filed, QA-gated

Read this first: this is a partial, Medicare-centric view. Health centers are grant-funded: HRSA Section 330 grants, Medicaid, and sliding-fee revenue dominate their finance and are not on this cost report, which carries only an income statement. A thin or negative cost-report margin here is not whole-organization distress; the organization-level picture is the UDS section above.

Ratios tell you how this health center is doing. Statements tell you what kind of organization it is, and where the money comes from. Every figure below traces to a public cost-report filing, shown as filed. A ratio renders only when every input is reported in the filing; a year missing its core lines is not shown; a year whose balance sheet does not reconcile is labeled. Not audited by Astrelis.

Operating margin
+13.0% (FY24)
Operating income ÷ total operating revenue · Medicare cost-report scope, not the organization's full financials
HCRIS WS G-3
Total margin
+23.1% (FY24)
Net income ÷ total revenue incl. nonoperating · Medicare cost-report scope, not the organization's full financials
HCRIS WS G-3
Days cash on hand
Not reported in this filing
Cash & investments ÷ daily operating expense
HCRIS WS G / G-3
Current ratio
Not reported in this filing
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
Not reported in this filing
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
Not reported in this filing
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY22FY23FY24
Patient revenue82,53471,30976,734
Total operating revenue82,53471,30976,734
Total operating expenses58,67258,83966,730
Operating income23,86212,47110,003
Operating margin %+28.9%+17.5%+13.0%
Other non-operating, net13,59318,6169,989
Net income37,45531,08719,992
Net income %+39.0%+34.6%+23.1%
HCRIS CMS-224 cost report · $ thousands · FY21–FY24 · Medicare cost-report scope, not the organization’s full financials · FY20–21 may include COVID-era relief funding
A condensed balance sheet is not shown for this health center: the public cost report does not carry substantive balance-sheet detail (assets, liabilities, and net assets that reconcile) for this provider. The income statement and ratio exhibit above are the reliable financial view here. We lead with those rather than render a hollow table.

How it operates

quality & operational context · CMS public reporting

The metrics this health center type is judged on: care quality, patient experience, and scale. Each is labeled by evidence class and public source; descriptive context only, never a ranking or adequacy claim.

Cost per visit ($, Medicare scope)
203.04
Verified fact2024
HCRIS CMS-224
Total visits (Medicare scope)
141,336
Verified fact2024
HCRIS CMS-224

Trajectory

Cost-report basis · 4 reporting years
Operating margin
+9.2%+28.9%+17.5%+13.0%FY21FY22FY23FY24
Days cash on hand
Not available

The county this health center serves

Location, PR
County demographic and economic context (Census, CDC, HRSA sources) extends to this health center cohort in an upcoming release.
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