COLLIER COUNTY RURAL HEALTH NETWORK INC: Form 990EZ, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- COLLIER COUNTY RURAL HEALTH NETWORK INC (EIN 65-0808917)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-05-06
- IRS object ID
- 202231299349202313
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-06T15:56:01-04:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 260254161 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Tuscan & Company PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12621 World Plaza Lane Bldg 55 | AddressLine1Txt |
| City | Fort Myers | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33907 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 650808917 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Collier County Rural Health Network Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COLL | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1454 Madison Ave W | AddressLine1Txt |
| City | Immokalee | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 34142 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | John Fletcher III | PersonNm |
| Person Title | Director | PersonTitleTxt |
| Phone | 2396583749 | PhoneNum |
| Signature | 2022-05-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | John | PersonFirstNm |
| Person Last | Fletcher III | PersonLastNm |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jeffrey M Tuscan CPA | PreparerPersonNm |
| PTIN | P00184439 | PTIN |
| Phone | 2393332090 | PhoneNum |
| Preparation | 2022-05-06 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| OOB Security Verification | 00 | OOBSecurityVerificationCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Website Address | www.healthcareswfl.org | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $63,555 | GrossReceiptsAmt |
| Contributions Gifts Grants Etc | $63,555 | ContributionsGiftsGrantsEtcAmt |
| Total Revenue | $63,555 | TotalRevenueAmt |
| Fees And Other Pymt To Ind Cntrct | $56,343 | FeesAndOtherPymtToIndCntrctAmt |
| Printing Publications Postage | $7,255 | PrintingPublicationsPostageAmt |
| Total Expenses | $63,598 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$43 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $20,157 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $20,114 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,656 | BOYAmt |
| EOY | $13,966 | EOYAmt |
Land And Buildings LandAndBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,341 | BOYAmt |
| EOY | $10,988 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,997 | BOYAmt |
| EOY | $24,954 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,840 | BOYAmt |
| EOY | $4,840 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,157 | BOYAmt |
| EOY | $20,114 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | See Schedule O | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | To establish, manage, maintain and operate a Rural Health Network in Collier County, Florida. | DescriptionProgramSrvcAccomTxt |
| Program Service Expenses | $63,598 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $63,598 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (11 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|
| Mark Lemke | ||||
| Chairman | 1.00 | $0 | $0 | $0 |
| Susan Golden | ||||
| Vice Chairman | 1.00 | $0 | $0 | $0 |
| Brian Hemmert | ||||
| Treasurer | 1.00 | $0 | $0 | $0 |
| Patricia Ortiz | ||||
| Executive Director | 1.00 | $0 | $0 | $0 |
| Erica Alessandri | ||||
| Director | 1.00 | $0 | $0 | $0 |
| Matthew Allen | ||||
| Director | 1.00 | $0 | $0 | $0 |
| Sandra Danielson | ||||
| Director | 1.00 | $0 | $0 | $0 |
| Paula DiGriogoli | ||||
| Secretary | 1.00 | $0 | $0 | $0 |
| John Fletcher III | ||||
| Director | 1.00 | $0 | $0 | $0 |
| Blanca Gonzalez | ||||
| Director | 1.00 | $0 | $0 | $0 |
| Mark Mansour | ||||
| Manager | 1.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | The Organization | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1454 Madison Ave W | AddressLine1Txt |
| City | Immokalee | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 34142 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2396583749 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (true) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $63,555 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $63,555 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $63,555 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $63,555 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $63,555 | CurrentTaxYearAmt |
| Total | $317,775 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $63,555 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $63,555 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $63,555 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $63,555 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $63,555 | CurrentTaxYearAmt |
| Total | $317,775 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $317,775 | PublicSupportTotal170Amt |
| Total Support | $317,775 | TotalSupportAmt |
| Public Support CY170 | 1.00000 | PublicSupportCY170Pct |
| Public Support PY170 | 1.00000 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Description of other assets Part II line 24 | Category Beginning of Year End of YearPrepaid Insurance 748 395Accounts Receivable 10,593 10,593 |
| Description of total liabilities Part II line 26 | Category Beginning of Year End of YearAccounts Payable 4,840 4,840 |
| Part III response or note to any other line in Part III | To establish, manage, maintain, and operate a Rural Health Network in Collier County, Florida. |