COLLIER HEALTH SERVICES INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- COLLIER HEALTH SERVICES INC (EIN 59-1741277)
- Tax period
- 2010-04-01 to 2011-03-31
- Filed
- 2011-11-10
- IRS object ID
- 201103149349302810
- Schema version
- 2010v3.4
- 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) |
|---|---|---|
| Timestamp | 2011-11-10T14:45:09-06:00 | Timestamp |
| Tax Period End Date | 2011-03-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MYERS BRETTHOLTZ & COMPANY PA | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12671 WHITEHALL DR | AddressLine1 |
| City | FORT MYERS | City |
| State | FL | State |
| ZIP Code | 339073626 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-04-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 591741277 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLLIER HEALTH SERVICES INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | COLL | NameControl |
| Phone | 2396583000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1454 MADISON AVENUE | AddressLine1 |
| City | IMMOKALEE | City |
| State | FL | State |
| ZIP Code | 34142 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SANDY STEELE | Name |
| Title | CFO | Title |
| Phone | 2396583000 | Phone |
| Date Signed | 2011-08-17 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ANGELINE K CHOO CPA | Name |
| Phone | 2399395775 | Phone |
| Date Prepared | 2011-11-07 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | RICHARD AKIN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1454 MADISON AVENUE | AddressLine1 |
| City | IMMOKALEE | City |
| State | FL | State |
| ZIP Code | 34142 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 25375718 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.COLLIER.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1977 | YearFormation |
| State Legal Domicile | FL | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE QUALITY MEDICAL AND DENTAL CARE TARGETING UNDERSERVED CHILDREN AND ADULTS IN COLLIER COUNTY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 307 | TotalNbrEmployees |
| Total Nbr Volunteers | 20 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 6602504 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 8002981 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 13777579 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 15412156 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 22777 | InvestmentIncomePriorYear |
| Investment Income Current Year | 56050 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1663060 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1892403 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 22065920 | TotalRevenuePriorYear |
| Total Revenue Current Year | 25363590 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 13846701 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 14611529 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 22975 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 384210 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 7163147 | OtherExpensePriorYear |
| Other Expenses Current Year | 7127277 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 21032823 | TotalExpensesPriorYear |
| Total Expenses Current Year | 21738806 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1033097 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 3624784 | RevenuesLessExpensesCY |
| Total Assets BOY | 11791165 | TotalAssetsBOY |
| Total Assets EOY | 17164561 | TotalAssetsEOY |
| Total Liabilities BOY | 5616590 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 7313062 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 6174575 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 9851499 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROVIDE QUALITY MEDICAL AND DENTAL CARE TARGETING UNDERSERVED CHILDREN AND ADULTS IN COLLIER COUNTY. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 19789425 | Expense |
| Description | 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 48,000 PATIENTS (33,000 CHILDREN) FOR A TOTAL OF OVER 169,000 PATIENT VISITS. | Description |
| Total Program Service Expense | 19789425 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 54 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 307 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | SANDRA STEELE | NamePerson |
| Telephone Number | 2396583039 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1454 MADISON AVENUE | AddressLine1 |
| City | IMMOKALEE | City |
| State | FL | State |
| ZIP Code | 34142 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (19 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| MARTA COBURN | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| MARIA DELAROSA | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| DOTTIE COOK | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| RICHARD RICE | ||||||||
| CHAIRMAN | 2.00 | X | 0 | 0 | 0 | X | ||
| JEAN CASNEL PAUL | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| EDWARD OLESKY | ||||||||
| TREASURER | 2.00 | X | 0 | 0 | 0 | X | ||
| RICHARD HEERS | ||||||||
| SECRETARY | 2.00 | X | 0 | 0 | 0 | X | ||
| KENNETH MURRAY | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| TOM SCHNEIDER | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| RICHARD AKIN | ||||||||
| PRES / CEO | 40.00 | 316401 | 0 | 36255 | X | |||
| STEVE WEINMAN | ||||||||
| VICE PRES / | 40.00 | 243727 | 0 | 36843 | X | |||
| JERRY WILLIAMSON | ||||||||
| CMO | 40.00 | 221299 | 0 | 35035 | X | |||
| SANDY STEELE | ||||||||
| CFO | 40.00 | 97046 | 0 | 9584 | X | |||
| JOSE QUERO | ||||||||
| DOCTOR | 40.00 | 199721 | 0 | 31456 | X | |||
| RICHARD GONZALEZ | ||||||||
| DOCTOR | 40.00 | 164450 | 0 | 17732 | X | |||
| WILLIAM KUZBYT | ||||||||
| DIR. OF PROF | 40.00 | 163725 | 0 | 23658 | X | |||
| STEPHEN LIFTIG | ||||||||
| DOCTOR | 40.00 | 159143 | 0 | 24004 | X | |||
| PATRICIA CONTRERAS | ||||||||
| DOCTOR | 40.00 | 152973 | 0 | 8602 | X | |||
| SHARON ARAGONA | ||||||||
| VICE PRES | 58782 | 0 | 0 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1777267 | TotalReportableCompFromOrg |
| Total Other Compensation | 223169 | TotalOtherCompensation |
| Number Individuals GT100 K | 9 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | Address Line2AddressOfContractor/AddressUS/AddressLine2 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|---|
| COMMUNITY HEALTH CENTER ALLIANCE | ||||||
| 140 FOUNTAIN PARKWAY | SUITE 210 | SAINT PETERSBURG | FL | 33716 | IT SUPPORT | 624582 |
| GATES BUTZ INSTITUTIONAL | ||||||
| 27599 RIVERVIEW BOULEVARD | SUITE 205 | BONITA SPRINGS | FL | 34134 | CONSTRUCTION | 622188 |
| HENRY SCHEIN INC | ||||||
| PO BOX 371952 | PITTSBURGH | PA | 15250 | DENTAL EQUIP & | 466348 | |
| COMMUNITY HEALTH CARE INC | ||||||
| PO BOX 413001 | NAPLES | FL | 34101 | RENT | 285000 | |
| MCKESSON DRUG COMPANY | ||||||
| PO BOX 409521 | ATLANTA | GA | 30384 | PHARMACEUTICAL | 277254 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 18 | NumberOfContractorsGT100K |
| Government Grants | 7249249 | GovernmentGrants |
| All Other Contributions | 753732 | AllOtherContributions |
| Total Contributions | 8002981 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICE FEES | Description |
| Total Revenue Column | 15412156 | TotalRevenueColumn |
| Related Or Exempt Function Income | 15412156 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 15412156 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 56050 | TotalRevenueColumn |
| Exclusion | $56,050 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 136417 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 12128 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 124289 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|
| PEDIATRIC PRACTICE MGMT FEES | 929126 | $929,126 |
| OTHER INCOME | 838988 | $838,988 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1768114 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 25363590 | TotalRevenueColumn |
| Related Or Exempt Function Income | 15412156 | RelatedOrExemptFunctionIncome |
| Exclusion | $1,824,164 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 657174 | Total |
| Program Services | 328587 | ProgramServices |
| Management And General | 328587 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 58782 | Total |
| Program Services | 58782 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10287716 | Total |
| Program Services | 9565708 | ProgramServices |
| Management And General | 417851 | ManagementAndGeneral |
| Fundraising | 304157 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2726613 | Total |
| Program Services | 2462558 | ProgramServices |
| Management And General | 206363 | ManagementAndGeneral |
| Fundraising | 57692 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 881244 | Total |
| Program Services | 815569 | ProgramServices |
| Management And General | 61119 | ManagementAndGeneral |
| Fundraising | 4556 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 386421 | Total |
| Program Services | 273594 | ProgramServices |
| Management And General | 110827 | ManagementAndGeneral |
| Fundraising | 2000 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62190 | Total |
| Program Services | 56342 | ProgramServices |
| Management And General | 5653 | ManagementAndGeneral |
| Fundraising | 195 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 98448 | Total |
| Program Services | 64855 | ProgramServices |
| Management And General | 18344 | ManagementAndGeneral |
| Fundraising | 15249 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 527441 | Total |
| Program Services | 425183 | ProgramServices |
| Management And General | 102258 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1083695 | Total |
| Program Services | 1021999 | ProgramServices |
| Management And General | 61696 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 108360 | Total |
| Program Services | 83597 | ProgramServices |
| Management And General | 24628 | ManagementAndGeneral |
| Fundraising | 135 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 224381 | Total |
| Program Services | 194305 | ProgramServices |
| Management And General | 30027 | ManagementAndGeneral |
| Fundraising | 49 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 612429 | Total |
| Program Services | 562034 | ProgramServices |
| Management And General | 50395 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 144360 | Total |
| Program Services | 103931 | ProgramServices |
| Management And General | 40429 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PATIENT CARE | 1795144 | 1795144 | |
| OTHER | 779289 | 724778 | 54511 |
| PROVISION FOR UNCOLLECTIB | 518962 | 518962 | |
| MAINTENANCE & REPAIRS | 304426 | 297760 | 6666 |
| SUPPLIES | 244040 | 218822 | 25218 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 237691 | Total |
| Program Services | 216915 | ProgramServices |
| Management And General | 20599 | ManagementAndGeneral |
| Fundraising | 177 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21738806 | Total |
| Program Services | 19789425 | ProgramServices |
| Management And General | 1565171 | ManagementAndGeneral |
| Fundraising | 384210 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 429869 | BOY |
| EOY | 3290202 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1940600 | BOY |
| EOY | 2769001 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6485 | BOY |
| EOY | 637233 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1877474 | BOY |
| EOY | 1839531 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 162881 | BOY |
| EOY | 208651 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 78830 | BOY |
| EOY | 126712 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 10692759 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 3616947 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6212479 | BOY |
| EOY | 7075812 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 496204 | BOY |
| EOY | 574119 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 113090 | BOY |
| EOY | 146176 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 473253 | BOY |
| EOY | 497124 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11791165 | BOY |
| EOY | 17164561 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 631867 | BOY |
| EOY | 1281152 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 1038526 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2737635 | BOY |
| EOY | 2567336 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2247088 | BOY |
| EOY | 2426048 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5616590 | BOY |
| EOY | 7313062 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5664775 | BOY |
| EOY | 9387754 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 509800 | BOY |
| EOY | 463745 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6174575 | BOY |
| EOY | 9851499 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11791165 | BOY |
| EOY | 17164561 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 3624784 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 52140 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 7909489 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 9569406 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8120694 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 7995237 | CurrentTaxYearMinus1Year |
| Current Tax Year | 9280231 | CurrentTaxYear |
| Total | 42875057 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 7909489 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 9569406 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8120694 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 7995237 | CurrentTaxYearMinus1Year |
| Current Tax Year | 9280231 | CurrentTaxYear |
| Total | 42875057 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 42875057 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 81614 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 118975 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 64415 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 22777 | CurrentTaxYearMinus1Year |
| Current Tax Year | 56050 | CurrentTaxYear |
| Total | 343831 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 709559 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 516179 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1290426 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1663060 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1892403 | CurrentTaxYear |
| Total | 6071627 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 49290515 | TotalSupport |
| Gross Receipts From Admissions Etc | 68680848 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.86980 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.89060 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
| General Explanation | PART II, LINE 1 - GIFTS, GRANTS, CONTRIBUTIONS & MEMBERSHIP FEES DETAIL AMOUNTS INCLUDE IN-KIND CONTRIBUTIONS FOR SERVICES AND FACILITIES AS FOLLOWS: 2006 2007 2008 2009 2010 TOTAL --------- --------- --------- --------- --------- ---------- CONTRIB/ GRANTS 7,418,500 8,912,692 6,944,118 6,602,504 8,002,981 37,880,795 IN-KIND 490,989 656,714 1,176,576 1,392,733 1,277,250 4,994,262 --------- --------- --------- --------- --------- ---------- TOTAL 7,909,489 9,569,406 8,120,694 7,995,237 9,280,231 42,875,057 PART II, LINE 10 - OTHER INCOME FEES DETAIL 2006 2007 2008 2009 2010 TOTAL --------- --------- ---------- --------- --------- ---------- OTHER 709,559 516,179 690,426 1,063,060 838,988 3,818,212 MANAGEMENT FEES - - 600,000 600,000 929,126 2,129,126 FUND RAISING, NET 124,289 124,289 --------- --------- --------- --------- --------- ---------- TOTAL 709,559 516,179 1,290,426 1,663,060 1,904,237 6,071,627 | GeneralExplanation |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disclosed Orgs Legal Control | false | DisclosedOrgsLegalControl |
| Disclosed For Charitable Purposes | false | DisclosedForCharitablePurposes |
| Written Policy Monitoring | false | WrittenPolicyMonitoring |
| Sect170h Requirements Satisfied | false | Sect170hRequirementsSatisfied |
| Solicited Assets For Sale | false | SolicitedAssetsForSale |
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | false | IncludedOnFS |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 445000 | OtherCostOrOtherBasis |
| Book Value | 445000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5284576 | OtherCostOrOtherBasis |
| Depreciation | 678623 | Depreciation |
| Book Value | 4605953 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 593672 | OtherCostOrOtherBasis |
| Depreciation | 402511 | Depreciation |
| Book Value | 191161 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2622654 | OtherCostOrOtherBasis |
| Depreciation | 2012893 | Depreciation |
| Book Value | 609761 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1746857 | OtherCostOrOtherBasis |
| Depreciation | 522920 | Depreciation |
| Book Value | 1223937 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 7075812 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| COMPENSATED ABSENCES | $1,329,381 |
| ACCRUED LIABILITIES | $975,835 |
| DEFERRED COMPENSATION | $120,832 |
| PENSION PLAN PAYABLE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2426048 | TotalOfAmounts |
| Total Revenue | 25363590 | TotalRevenue |
| Total Expenses | 21738806 | TotalExpenses |
| Excess Or Deficit For Year | 3624784 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 51994 | NetUnrealizedGLOnInvestments |
| Other | -$450,421 | OtherAmount |
| Total Adjustments | -398427 | TotalAdjustments |
| Excess Or Deficit Per FS | 3226357 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 45458155 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 51994 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 1277250 | DonatedSrvcAndUseOfFacilities |
| Other Revenues | 20485144 | OtherRevenues |
| Revenue Not Rptd F990 | 21814388 | RevenueNotRptdF990 |
| Revenue Subtotal | 23643767 | RevenueSubtotal |
| Other Revenues Not Included | 1719823 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 1719823 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 25363590 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 42231798 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 1277250 | DonatedServicesUseOfFacilities |
| Other Expenses Included | 20947693 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 22224943 | ExpensesNotRptdF990 |
| Expenses Subtotal | 20006855 | ExpensesSubtotal |
| Other Expenses Not Included | 1731951 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 1731951 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 21738806 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| RECONCILIATION OF CHANGES - OTHER | SCHEDULE D, PAGE 4, PART XI, LINE 8 | CHS HEALTHCARE FOUNDATION INCOME 50,780 INTEGRAL HEALTH PLAN INCOME 20,434,364 DIRECT FUNDRAISING EXPENSES 12,128 INTERCOMPANY ELIMINATIONS -1,731,951 CHS HEALTHCARE FOUNDATION EXPENSES -6,813 INTEGRAL HEALTH PLAN EXPENSES -20,928,752 DIRECT FUNDRAISING EXPENSES -12,128 INTERCOMPANY ELIMINATIONS 1,731,951 |
| REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER | SCHEDULE D, PAGE 4, PART XII, LINE 2D | CHS HEALTHCARE FOUNDATION INCOME 50,780 INTEGRAL HEALTH PLAN INCOME 20,434,364 |
| REVENUE AMOUNTS INCLUDED ON RETURN - OTHER | SCHEDULE D, PAGE 4, PART XII, LINE 4B | DIRECT FUNDRAISING EXPENSES -12,128 INTERCOMPANY ELIMINATIONS 1,731,951 |
| EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER | SCHEDULE D, PAGE 4, PART XIII, LINE 2D | CHS HEALTHCARE FOUNDATION EXPENSES 6,813 INTEGRAL HEALTH PLAN EXPENSES 20,928,752 DIRECT FUNDRAISING EXPENSES 12,128 |
| EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER | SCHEDULE D, PAGE 4, PART XIII, LINE 4B | INTERCOMPANY ELIMINATIONS 1,731,951 |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed States | FL | LicensedStates |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF TOURNAMENT | NameOfEvent1 |
| Gross Receipts Event1 | 136417 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 136417 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 12069 | RentFacilityCostsEvent1 |
| Other Direct Expenses Event1 | 59 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 136417 | GrossReceiptsTotal |
| Gross Revenue Total Events | 136417 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 12069 | RentFacilityCostsTotalEvents |
| Other Direct Expenses Total Events | 59 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 12128 | DirectExpenseSummaryEvents |
| Net Income Summary | 124289 | NetIncomeSummary |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|---|
| RICHARD AKIN | |||
| 316401 | 28241 | 8014 | 352656 |
| STEVE WEINMAN | |||
| 243727 | 28241 | 8602 | 280570 |
| JERRY WILLIAMSON | |||
| 221299 | 26433 | 8602 | 256334 |
| JOSE QUERO | |||
| 199721 | 23442 | 8014 | 231177 |
| RICHARD GONZALEZ | |||
| 164450 | 17732 | 182182 | |
| WILLIAM KUZBYT | |||
| 163725 | 17531 | 6127 | 187383 |
| STEPHEN LIFTIG | |||
| 159143 | 17195 | 6809 | 183147 |
| PATRICIA CONTRERAS | |||
| 152973 | 8602 | 161575 | |
| SHARON ARAGONA | |||
| 58782 | 58782 | ||
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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. |
| OTHER CHANGES IN NET ASSETS EXPLANATION | FORM 990, PART XI, LINE 5 | FORM 990, PART XI, LINE 5 - OTHER CHANGES IN NET ASSETS OR FUND BALANCES UNREALIZED GAIN ON INVESTMENTS 51,994 PRIOR PERIOD ADJUSTMENT 146 -------- TOTAL OTHER CHANGES IN NET ASSETS 52,140 ======== |