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.
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 item
FY22
FY23
FY24
Patient revenue
82,534
71,309
76,734
Total operating revenue
82,534
71,309
76,734
Total operating expenses
58,672
58,839
66,730
Operating income
23,862
12,471
10,003
Operating margin %
+28.9%
+17.5%
+13.0%
Other non-operating, net
13,593
18,616
9,989
Net income
37,455
31,087
19,992
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
Days cash on hand
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.
The Board Briefing$1,000
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