2012-11-09T14:41:16-06:00 2012-03-31 MYERS BRETTHOLTZ & COMPANY PA 12671 WHITEHALL DR FORT MYERS FL 339073626 990 2011-04-01 591741277 COLLIER HEALTH SERVICES INC COLL 2396583000 1454 MADISON AVENUE IMMOKALEE FL 34142 SANDY STEELE 2396583000 2012-08-15 true JOHN M LOPEZ CPA 2399395775 2012-11-09 2011 2016-02-24 21:20:13Z RICHARD AKIN 1454 MADISON AVENUE IMMOKALEE FL 34142 29664603 false X WWW.COLLIER.ORG X 1977 FL TO PROVIDE A QUALITY HEALTHCARE HOME ACCESSIBLE TO EVERYONE IN COLLIER COUNTY. 9 9 324 55 0 8002981 8323364 15412156 19405144 56050 27791 1892403 1890601 25363590 29646900 27988 0 14611529 16140994 0 284971 7127277 8082497 21738806 24251479 3624784 5395421 17164561 22118708 7313062 6850471 9851499 15268237 TO PROVIDE A QUALITY HEALTHCARE HOME ACCESSIBLE TO EVERYONE IN COLLIER COUNTY. false false 21592189 27988 A PRIVATE, NOT-FOR-PROFIT "SAFETY NET" HEALTH CARE PROVIDER WITH 12 HEALTH CARE FACILITIES LOCATED THROUGHOUT COLLIER COUNTY, WHICH INCLUDES THE RONALD MCDONALD CARE MOBILE. OFFERING BASIC PRIMARY AND PREVENTATIVE MEDICAL AND DENTAL HEALTH CARE SERVICES, THE ORGNIZATION PROVIDED SERVICES TO OVER 43,000 PATIENTS (30,000 CHILDREN) FOR A TOTAL OF OVER 154,500 PATIENT VISITS. 21592189 true true false false false false false false false false true false false false true false true true false false false false false false true false false true false true false false false false false false false false false false false false false true true true false false true 44 0 324 true false false false false false false X 9 9 false false false false false false false true true false false true true true true true true true true false X SANDRA STEELE 2396583039 1454 MADISON AVENUE IMMOKALEE FL 34142 MARTA COBURN 2.00 X 0 0 0 DOUG CAMPBELL 2.00 X 0 0 0 MARIA DELAROSA 2.00 X 0 0 0 DOTTIE COOK 2.00 X 0 0 0 RICHARD RICE 2.00 X X 0 0 0 JEAN CASNEL PAUL 2.00 X X 0 0 0 EDWARD OLESKY 2.00 X X 0 0 0 DENNIS BROWN 2.00 X 0 0 0 RICHARD HEERS 2.00 X X 0 0 0 RICHARD AKIN 40.00 X 336910 0 35802 STEVE WEINMAN 40.00 X 256170 0 39962 JERRY WILLIAMSON 40.00 X 222955 0 39322 SANDY STEELE 40.00 X 106547 0 11112 JOSE QUERO 40.00 X 202947 0 31766 RICHARD GONZALEZ 40.00 X 165400 0 18386 CLAUDIA LENIS 40.00 X 163598 0 23320 WILLIAM KUZBYT 40.00 X 161448 0 26313 ALICIA LANGER 40.00 X 161312 0 27379 SHARON ARAGONA X 58791 0 6621 1836078 259983 15 true true false HENRY SCHEIN INC PO BOX 371952 PITTSBURGH PA 15250 DENTAL EQUIP 1045544 COMMUNITY HEALTH CENTER ALLIANCE 140 FOUNTAIN PARKWAY SUITE 210 SAINT PETERSBURG FL 33716 IT SUPPORT 755520 COMMUNITY HEALTH CARE INC PO BOX 413001 NAPLES FL 34101 RENT 285000 DIAGNOSTIC LABS INC PO BOX 12140 BURLINGTON NC 27216 LAB ANALYSIS 218598 STAPLES PO BOX 405386 ATLANTA GA 30384 OFFICE SUPPLIES 214036 5 6980503 1342861 8662 8323364 PATIENT SERVICE FEES 19405144 19405144 19405144 27791 27791 80215 17703 62512 PEDIATRIC PRACTICE MGMT FEES 1223538 1223538 OTHER INCOME 604551 604551 1828089 29646900 19405144 1855880 27988 27988 986966 691978 283261 11727 58791 32335 26456 10897036 9877406 800963 218667 3222198 2823676 375593 22929 976003 865681 90769 19553 360729 276160 84569 43270 28944 9664 4662 98840 84464 9192 5184 748701 715966 30486 2249 1188412 1059506 128906 157528 142878 14650 191340 131802 59538 662474 600864 61610 146942 97678 49264 PATIENT CARE 2239060 2239060 OTHER 1326167 1078232 247935 MAINTENANCE & REPAIRS 354212 322588 31624 SUPPLIES 285752 263089 22663 279070 231894 47176 24251479 21592189 2374319 284971 3290202 7226087 2769001 2588210 637233 219083 1839531 3162047 208651 196003 126712 82713 11475827 4083610 7075812 7392217 574119 605522 146176 147994 497124 498832 17164561 22118708 1281152 1374796 1038526 2567336 2442108 2426048 3033567 7313062 6850471 X 9387754 14815341 463745 452896 9851499 15268237 17164561 22118708 5395421 21317 X false true true X true true X 9569406 8120694 7995237 9280231 9458648 44424216 9569406 8120694 7995237 9280231 9458648 44424216 44424216 118975 64415 22777 56050 27791 290008 516179 1290426 1663060 1892403 1890601 7252669 51966893 19485359 0.85490 0.86980 X PART II, LINE 1 - GIFTS, GRANTS, CONTRIBUTIONS & MEMBERSHIP FEES DETAIL AMOUNTS INCLUDE IN-KIND CONTRIBUTIONS FOR SERVICES AND FACILITIES AS FOLLOWS: 2007 2008 2009 2010 2011 TOTAL --------- --------- --------- --------- --------- ---------- CONTRIB/ GRANTS 8,912,692 6,944,118 6,602,504 8,002,981 8,001,973 38,464,268 IN-KIND 656,714 1,176,576 1,392,733 1,277,250 1,456,675 5,959,948 --------- --------- --------- --------- --------- ---------- TOTAL 9,569,406 8,120,694 7,995,237 9,280,231 9,458,648 44,424,216 PART II, LINE 10 - OTHER INCOME FEES DETAIL 2007 2008 2009 2010 2011 TOTAL --------- --------- ---------- --------- --------- ---------- OTHER 516,179 690,426 1,063,060 838,988 604,551 3,713,204 MANAGEMENT FEES - 600,000 600,000 929,126 1,223,538 3,352,664 FUND RAISING, NET 124,289 62,512 186,801 --------- --------- --------- --------- --------- ---------- TOTAL 516,179 1,290,426 1,663,060 1,892,403 1,890,601 7,252,679 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false 445000 445000 5285776 919352 4366424 2030172 516146 1514026 3060353 2136769 923584 654526 511343 143183 7392217 COMPENSATED ABSENCES 1513232 ACCRUED LIABILITIES 852685 DEFERRED COMPENSATION 428080 PENSION PLAN PAYABLE 239570 3033567 29646900 24251479 5395421 21317 2086765 2108082 7503503 69899351 21317 1456675 42224363 43702355 26196996 3449904 3449904 29646900 62395848 1456675 40155301 41611976 20783872 3467607 3467607 24251479 RECONCILIATION OF CHANGES - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 8 CHS HEALTHCARE FOUNDATION INCOME 55,460 INTEGRAL HEALTH PLAN INCOME 42,168,903 DIRECT FUNDRAISING EXPENSES 17,703 INTERCOMPANY ELIMINATIONS -3,467,607 CHS HEALTHCARE FOUNDATION EXPENSES -82,771 INTEGRAL HEALTH PLAN EXPENSES -40,054,827 DIRECT FUNDRAISING EXPENSES -17,703 INTERCOMPANY ELIMINATIONS 3,467,607 REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 2D CHS HEALTHCARE FOUNDATION INCOME 55,460 INTEGRAL HEALTH PLAN INCOME 42,168,903 REVENUE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 4B DIRECT FUNDRAISING EXPENSES -17,703 INTERCOMPANY ELIMINATIONS 3,467,607 EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XIII, LINE 2D CHS HEALTHCARE FOUNDATION EXPENSES 82,771 INTEGRAL HEALTH PLAN EXPENSES 40,054,827 DIRECT FUNDRAISING EXPENSES 17,703 EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XIII, LINE 4B INTERCOMPANY ELIMINATIONS 3,467,607 FL GOLF TOURNAMENT 80215 80215 16482 1221 80215 80215 16482 1221 17703 62512 false COMMUNITY FOUNDATION OF COLLIER COU 2400 TAMIAMI TRAIL N SUITE 300 NAPLES FL 34103 592396243 501 20011 COLLIER 211 INFORMAT X X X false true false false false false false false false RICHARD AKIN 311547 25363 28241 7561 372712 STEVE WEINMAN 237094 19076 28241 11721 296132 JERRY WILLIAMSON 222629 326 27601 11721 262277 JOSE QUERO 201947 1000 24323 7443 234713 RICHARD GONZALEZ 164487 913 18386 183786 CLAUDIA LENIS 158772 4826 18080 5240 186918 WILLIAM KUZBYT 161285 163 18386 7927 187761 ALICIA LANGER 151966 9346 18921 8458 188691 SHARON ARAGONA 58791 6621 65412 SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 MARTA COBURN 0 1 0 ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B CFO REVIEWS A DRAFT COPY OF THE TAX RETURN FOR ACCURACY AND COMPLETENESS PRIOR TO SIGNING THE TAX RETURN. IN ADDITION, THE ORGANIZATION'S FINANCE COMMITTEE REVIEWS THE TAX RETURN AND THE FULL BOARD RECEIVES COPIES OF THE TAX RETURN BEFORE FILING. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C PROCUREMENT AND CONTRACTING POLICIES INCLUDE REFERENCES TO CONFLICT OF INTEREST POLICY AND PROCUREMENT AND CONTRACTING STAFF MONITORS TRANSACTIONS CLOSELY FOR COMPLIANCE. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A AN INDEPENDENT COMPENSATION CONSULTANT'S SERVICES WERE UTILIZED TO REVIEW SALARIES. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B AN INDEPENDENT COMPENSATION CONSULTANT'S SERVICES WERE UTILIZED TO REVIEW SALARIES. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST WITHOUT CHARGE. INTEGRAL HEALTH PLAN INC 1454 MADISON AVE IMMOKALEE FL 34142 800420631 HEALTHCARE FL 501C3 7 N/A false false false false false false false false false false false true false false false true false false false INTEGRAL HEALTH PLAN INC K 3422607 COST CHS HEALTHCARE FOUNDATION O 3448 COST