Nonprofit
COSSMA INC
COSSMA INC receives grants from 7 organizations whose IRS filings report $1,834,053 to it, the largest being DIRECT RELIEF ($1,419,421). 3 of them have funded it in more than one year.
- Revenue FY2025
- $90M
- Funders on record
- 7
- Grants received
- $1.8M
- Net assets
- $170M
What Cossma Inc does
Mission
To provide and promote integrated primary health case services with a community focus that supports the physical, mental and social well being of individuals with the commitment to improve their daily lives.
As stated on its FY2025 Form 990.
Programs
Health Services during the year. COSSMA, Inc provide Primary Health Services.
$52,047,970 spent82% of program spendingPharmacy Operations
$9,861,834 spent15% of program spendingEducation and Prevention
$1,365,928 spent2% of program spendingEsperanza Village Juncos
$100,946 spent0% of program spendingResearch.
$383,756 spent1% of program spending
The 5 programs described on its FY2024 Form 990, listed largest first by expense. Program spending in total: $63,760,434.
The organization over time
Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.
Balance sheet
Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2024 to 2025, from $168M to $199M (+18%).
How it's funded, over time
Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.
Government-grant reliance: 2017 16% · 2018 16% · 2019 14% · 2020 16% · 2021 16% · 2022 13% · 2023 19% · 2024 9% · 2025 9%. Grants only. Government contracts and fees sit inside program revenue.
11% of COSSMA INC’s revenue is contributions — more donation-reliant than the typical peer (7% for the typical peer).
Surplus & reserves
Operating surplus or deficit each year, and months of liquidity in hand. 0 of the last 9 reported years ran a deficit.
reserve
Leadership and staff
The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.
Chief executive
Norma Antomattei Velazquez
Executive director
As listed on its FY2025 Form 990.
Who funds it, year by year
2017 → 2023: the base broadened from 1 funder to 2 funders, grant income fell $100k → $10k.
1 of 7 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 5% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.
From the IRS filings of COSSMA INC’s funders (the co-funder graph). Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
How concentrated its funding is
COSSMA INC leans on a few funders — its largest provides 77% of grant income and the top three 88%; half comes from just 1 funder.
the vertical line marks half of all grant income — 1 funder to its left
100% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund COSSMA INC.
Largest funder’s share by year: 2017 100% · 2018 26% · 2019 100% · 2020 94% · 2021 86% · 2022 100% · 2023 100% — broadly stable.
“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
Against its field
COSSMA INC runs a healthier operating margin than three-quarters of the 2,843 health nonprofits its size.
this organization peer median middle 50% of peers· 2,843 health nonprofits $10M–$100M, FY2025
Government funding COSSMA INC receives
Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $79.5M on record.
- Department of Health and Human Services$79.5M
Federal grants vs contracts are distinguished; state line items keep their reported category. Matched by name + geography (the BMF), so coverage is partial and precision-first.
Organizations like COSSMA INC
Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.
Nationally
Read directly from this organization’s own Form 990, as neutral context.
Where the money goes
82% of spending goes to programs.
Governance
Screen this organization
A dated, signed PDF of the compliance screen for COSSMA INC: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.
Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf
Questions and answers
- Who funds COSSMA INC?
- COSSMA INC receives grants from 7 organizations whose IRS filings report $1,834,053 to it, the largest being DIRECT RELIEF ($1,419,421). 3 of them have funded it in more than one year.
- How many funders does COSSMA INC have?
- IRS filings report 7 organizations giving $1,834,053 in grants to COSSMA INC, 3 of which have funded it in more than one year.
- Who is the largest funder of COSSMA INC?
- DIRECT RELIEF is the largest funder on record, with $1,419,421 in grants. The full list of funders is on this page.
- How can an organization like COSSMA INC find more funders?
- Start with the funders already giving here, then look at the foundations that back similar organizations. The funding by cause and by state pages list the largest funders for a given area and how to approach them.
Play a game about who funds Cossma →
These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2025 (financials across 2017–2025), and the filings of 7 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing