Cossma
Cossma reported $90.0 million in revenue and $77.8 million in expenses for the fiscal year ending August 31, 2025. Of every $100 it spent, $81.95 went to program services, $18.05 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 84.7% of the total. Government grants made up 9.3%. The highest compensation it reported for one person was $197,084 (PSYCHIATRIST). 57 people received more than $100,000 in reportable compensation. Revenue rose 52% between FY2020 and FY2025. Source: Form 990, FY2025.
Where $100 of spending went
The fiscal year ending August 31, 2025 · Form 990, Part IX, line 25 · total expenses $78MFor context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
The fiscal year ending August 31, 2025 · Form 990, Part VIII · total revenue $90MThe 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 82.0% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 18.0% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.0% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | $0.00 | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 10.8% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 9.3% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 84.7% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $197,084 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 0.25% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 57 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 26.2 | 6.6 |
| Independent voting board members Part VI 1a–1b | 10 of 10 | 88.9% |
A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.
What the money paid for, in its own words
FY2025 · Form 990, Part III · the three largest programs by expenseHealth Services during the year. COSSMA, Inc provide Primary Health Services
Highest reported compensation
FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here| Role | From this org | From related orgs | Other | Total |
|---|---|---|---|---|
| PSYCHIATRIST Highest compensated employee, 40 hrs/week | $197,084 | $0 | $0 | $197,084 |
| Medical Director Key employee, 40 hrs/week | $186,461 | $0 | $0 | $186,461 |
| FAMILY DOCTOR Highest compensated employee, 40 hrs/week | $173,174 | $0 | $0 | $173,174 |
| Allergist Highest compensated employee, 40 hrs/week | $162,550 | $0 | $0 | $162,550 |
| GYNECOLOGIST Highest compensated employee, 40 hrs/week | $160,070 | $0 | $0 | $160,070 |
| PEDIATRICIAN Highest compensated employee, 40 hrs/week | $156,442 | $0 | $0 | $156,442 |
| EXECUTIVE DIRECTOR Key employee, 40 hrs/week | $156,080 | $0 | $0 | $156,080 |
| QUALITY DIRECTOR Key employee, 40 hrs/week | $149,862 | $0 | $0 | $149,862 |
57 people received more than $100,000 in reportable compensation from Cossma (Part VII, line 2).
6 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means- Voting board members, and how many are independent Part VI, lines 1a–1b10 · 10 independent
- Audited financial statements Part XII 2bYes
- Conflict-of-interest policy Part VI 12aYes
- Whistleblower policy Part VI 13Yes
- Document retention policy Part VI 14Yes
- Independent process for top executive pay Part VI 15aYes
- Board given the 990 before filing Part VI 11aYes
- Family or business ties among insiders Part VI 2No
- Aware of a significant diversion of assets Part VI 5No
- Excess benefit transaction with an insider Part IV 25aNo
- Loans to or from insiders outstanding Part IV 26No
- Lobbying, or a 501(h) election in effect Part IV 4No
- Over $15,000 of professional fundraising services Part IV 18No
- Over $10,000 of activity outside the U.S. Part IV 14bNo
- Employees Part I, line 5487
Largest outside contractors
FY2025 · Form 990, Part VII, Section B · businesses only| BM CONSTRUCTION CORP Construction | $5,549,004 |
| GUARDSNARK LLC DBA ALLIED UNIVERSAL SECURITY SERVICES LLC Security | $1,058,266 |
| NORTH JANITORIAL SERVICES INC Maintance | $814,544 |
| CS AND SF MEDICAL SERVICE LLC Medical services | $742,875 |
Individuals listed as contractors are left out. 12 contractors were paid more than $100,000 in all.
Correct a figure or respond
Every number above is copied from Cossma's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Cossma, you can publish a response that is linked from this page.
Share or embed this breakdown
Of every $100 Cossma spent in FY2025, $81.95 went to programs. The full breakdown, from its IRS Form 990:
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Questions people ask
How much of Cossma's spending goes to programs?
In the fiscal year ending August 31, 2025, Cossma reported that 82.0% of its $77.8 million in expenses went to program services, 18.0% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does Cossma pay its top executive?
The largest total compensation Cossma reported for one person in the fiscal year ending August 31, 2025 was $197,084, for the role of PSYCHIATRIST (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Cossma get its money?
Of $90.0 million in revenue in the fiscal year ending August 31, 2025, 10.8% came from contributions and grants (including 9.3% from government grants) and 84.7% from program service revenue (Form 990, Part VIII).
Is Cossma a registered charity?
The IRS lists EIN 66-0434923 as a 501(c)(3) organization (publicly supported organization (170(b)(1)(a)(vi))), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- FY2025: Form 990 for the fiscal year ending August 31, 2025, object 202620729349301902 · read the filing · XML
- FY2024: Form 990 for the fiscal year ending August 31, 2024, object 202541369349301754 · read the filing
- FY2023: Form 990 for the fiscal year ending August 31, 2023, object 202411219349300811 · read the filing
- FY2022: Form 990 for the fiscal year ending August 31, 2022, object 202311429349300026 · read the filing
- FY2021: Form 990 for the fiscal year ending August 31, 2021, object 202211589349300901 · read the filing
- FY2020: Form 990 for the fiscal year ending August 31, 2020, object 202141469349300644 · read the filing
All filings for EIN 66-0434923: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.