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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

FieldValueIRS element (for citing)
Timestamp2011-11-10T14:45:09-06:00Timestamp
Tax Period End Date2011-03-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MYERS BRETTHOLTZ & COMPANY PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line112671 WHITEHALL DRAddressLine1
CityFORT MYERSCity
StateFLState
ZIP Code339073626ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN591741277EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COLLIER HEALTH SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOLLNameControl
Phone2396583000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11454 MADISON AVENUEAddressLine1
CityIMMOKALEECity
StateFLState
ZIP Code34142ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSANDY STEELEName
TitleCFOTitle
Phone2396583000Phone
Date Signed2011-08-17DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameANGELINE K CHOO CPAName
Phone2399395775Phone
Date Prepared2011-11-07DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRICHARD AKINNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11454 MADISON AVENUEAddressLine1
CityIMMOKALEECity
StateFLState
ZIP Code34142ZIPCode
FieldValueIRS element (for citing)
Gross Receipts25375718GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.COLLIER.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1977YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE QUALITY MEDICAL AND DENTAL CARE TARGETING UNDERSERVED CHILDREN AND ADULTS IN COLLIER COUNTY.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees307TotalNbrEmployees
Total Nbr Volunteers20TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year6602504ContributionsGrantsPriorYear
Contributions Grants Current Year8002981ContributionsGrantsCurrentYear
Program Service Revenue Prior Year13777579ProgramServiceRevenuePriorYear
Program Service Revenue CY15412156ProgramServiceRevenueCY
Investment Income Prior Year22777InvestmentIncomePriorYear
Investment Income Current Year56050InvestmentIncomeCurrentYear
Other Revenue Prior Year1663060OtherRevenuePriorYear
Other Revenue Current Year1892403OtherRevenueCurrentYear
Total Revenue Prior Year22065920TotalRevenuePriorYear
Total Revenue Current Year25363590TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year13846701SalariesEtcPriorYear
Salaries Etc Current Year14611529SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year22975TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year384210TotalFundrsngExpCurrentYear
Other Expense Prior Year7163147OtherExpensePriorYear
Other Expenses Current Year7127277OtherExpensesCurrentYear
Total Expenses Prior Year21032823TotalExpensesPriorYear
Total Expenses Current Year21738806TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1033097RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3624784RevenuesLessExpensesCY
Total Assets BOY11791165TotalAssetsBOY
Total Assets EOY17164561TotalAssetsEOY
Total Liabilities BOY5616590TotalLiabilitiesBOY
Total Liabilities EOY7313062TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6174575NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY9851499NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE QUALITY MEDICAL AND DENTAL CARE TARGETING UNDERSERVED CHILDREN AND ADULTS IN COLLIER COUNTY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense19789425Expense
DescriptionA 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 Expense19789425TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109654NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees307NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSANDRA STEELENamePerson
Telephone Number2396583039TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11454 MADISON AVENUEAddressLine1
CityIMMOKALEECity
StateFLState
ZIP Code34142ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
MARTA COBURN
DIRECTOR2.00X000
MARIA DELAROSA
DIRECTOR2.00X000
DOTTIE COOK
DIRECTOR2.00X000
RICHARD RICE
CHAIRMAN2.00X000X
JEAN CASNEL PAUL
DIRECTOR2.00X000
EDWARD OLESKY
TREASURER2.00X000X
RICHARD HEERS
SECRETARY2.00X000X
KENNETH MURRAY
DIRECTOR2.00X000
TOM SCHNEIDER
DIRECTOR2.00X000
RICHARD AKIN
PRES / CEO40.00316401036255X
STEVE WEINMAN
VICE PRES /40.00243727036843X
JERRY WILLIAMSON
CMO40.00221299035035X
SANDY STEELE
CFO40.009704609584X
JOSE QUERO
DOCTOR40.00199721031456X
RICHARD GONZALEZ
DOCTOR40.00164450017732X
WILLIAM KUZBYT
DIR. OF PROF40.00163725023658X
STEPHEN LIFTIG
DOCTOR40.00159143024004X
PATRICIA CONTRERAS
DOCTOR40.0015297308602X
SHARON ARAGONA
VICE PRES5878200X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1777267TotalReportableCompFromOrg
Total Other Compensation223169TotalOtherCompensation
Number Individuals GT100 K9NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1Address Line2AddressOfContractor/AddressUS/AddressLine2CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
COMMUNITY HEALTH CENTER ALLIANCE
140 FOUNTAIN PARKWAYSUITE 210SAINT PETERSBURGFL33716IT SUPPORT624582
GATES BUTZ INSTITUTIONAL
27599 RIVERVIEW BOULEVARDSUITE 205BONITA SPRINGSFL34134CONSTRUCTION622188
HENRY SCHEIN INC
PO BOX 371952PITTSBURGHPA15250DENTAL EQUIP &466348
COMMUNITY HEALTH CARE INC
PO BOX 413001NAPLESFL34101RENT285000
MCKESSON DRUG COMPANY
PO BOX 409521ATLANTAGA30384PHARMACEUTICAL277254
FieldValueIRS element (for citing)
Number Of Contractors GT100 K18NumberOfContractorsGT100K
Government Grants7249249GovernmentGrants
All Other Contributions753732AllOtherContributions
Total Contributions8002981TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE FEESDescription
Total Revenue Column15412156TotalRevenueColumn
Related Or Exempt Function Income15412156RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue15412156TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column56050TotalRevenueColumn
Exclusion$56,050ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events136417GrossIncomeFundraisingEvents
Fundraising Direct Expenses12128FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column124289TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
PEDIATRIC PRACTICE MGMT FEES929126$929,126
OTHER INCOME838988$838,988
FieldValueIRS element (for citing)
Total Other Revenue1768114TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column25363590TotalRevenueColumn
Related Or Exempt Function Income15412156RelatedOrExemptFunctionIncome
Exclusion$1,824,164ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total657174Total
Program Services328587ProgramServices
Management And General328587ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total58782Total
Program Services58782ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total10287716Total
Program Services9565708ProgramServices
Management And General417851ManagementAndGeneral
Fundraising304157Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2726613Total
Program Services2462558ProgramServices
Management And General206363ManagementAndGeneral
Fundraising57692Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total881244Total
Program Services815569ProgramServices
Management And General61119ManagementAndGeneral
Fundraising4556Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total386421Total
Program Services273594ProgramServices
Management And General110827ManagementAndGeneral
Fundraising2000Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total62190Total
Program Services56342ProgramServices
Management And General5653ManagementAndGeneral
Fundraising195Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total98448Total
Program Services64855ProgramServices
Management And General18344ManagementAndGeneral
Fundraising15249Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total527441Total
Program Services425183ProgramServices
Management And General102258ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1083695Total
Program Services1021999ProgramServices
Management And General61696ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total108360Total
Program Services83597ProgramServices
Management And General24628ManagementAndGeneral
Fundraising135Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total224381Total
Program Services194305ProgramServices
Management And General30027ManagementAndGeneral
Fundraising49Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total612429Total
Program Services562034ProgramServices
Management And General50395ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total144360Total
Program Services103931ProgramServices
Management And General40429ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PATIENT CARE17951441795144
OTHER77928972477854511
PROVISION FOR UNCOLLECTIB518962518962
MAINTENANCE & REPAIRS3044262977606666
SUPPLIES24404021882225218

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total237691Total
Program Services216915ProgramServices
Management And General20599ManagementAndGeneral
Fundraising177Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total21738806Total
Program Services19789425ProgramServices
Management And General1565171ManagementAndGeneral
Fundraising384210Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY429869BOY
EOY3290202EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1940600BOY
EOY2769001EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY6485BOY
EOY637233EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1877474BOY
EOY1839531EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY162881BOY
EOY208651EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY78830BOY
EOY126712EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis10692759LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3616947LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6212479BOY
EOY7075812EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY496204BOY
EOY574119EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY113090BOY
EOY146176EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY473253BOY
EOY497124EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11791165BOY
EOY17164561EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY631867BOY
EOY1281152EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY1038526EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2737635BOY
EOY2567336EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2247088BOY
EOY2426048EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5616590BOY
EOY7313062EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5664775BOY
EOY9387754EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY509800BOY
EOY463745EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6174575BOY
EOY9851499EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11791165BOY
EOY17164561EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses3624784ReconcilationRevenueExpenses
Reconcilation Other Changes52140ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7909489CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9569406CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8120694CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7995237CurrentTaxYearMinus1Year
Current Tax Year9280231CurrentTaxYear
Total42875057Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7909489CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9569406CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8120694CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7995237CurrentTaxYearMinus1Year
Current Tax Year9280231CurrentTaxYear
Total42875057Total
FieldValueIRS element (for citing)
Public Support Total17042875057PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years81614CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years118975CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years64415CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year22777CurrentTaxYearMinus1Year
Current Tax Year56050CurrentTaxYear
Total343831Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years709559CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years516179CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1290426CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1663060CurrentTaxYearMinus1Year
Current Tax Year1892403CurrentTaxYear
Total6071627Total
FieldValueIRS element (for citing)
Total Support49290515TotalSupport
Gross Receipts From Admissions Etc68680848GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.86980PublicSupportPertcentage170
Public Support Pertcent Prior Year0.89060PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationPART 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 6,071,627GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis445000OtherCostOrOtherBasis
Book Value445000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5284576OtherCostOrOtherBasis
Depreciation678623Depreciation
Book Value4605953BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis593672OtherCostOrOtherBasis
Depreciation402511Depreciation
Book Value191161BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2622654OtherCostOrOtherBasis
Depreciation2012893Depreciation
Book Value609761BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1746857OtherCostOrOtherBasis
Depreciation522920Depreciation
Book Value1223937BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7075812TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
COMPENSATED ABSENCES$1,329,381
ACCRUED LIABILITIES$975,835
DEFERRED COMPENSATION$120,832
PENSION PLAN PAYABLE
FieldValueIRS element (for citing)
Total Of Amounts2426048TotalOfAmounts
Total Revenue25363590TotalRevenue
Total Expenses21738806TotalExpenses
Excess Or Deficit For Year3624784ExcessOrDeficitForYear
Net Unrealized GL On Investments51994NetUnrealizedGLOnInvestments
Other-$450,421OtherAmount
Total Adjustments-398427TotalAdjustments
Excess Or Deficit Per FS3226357ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt45458155TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments51994NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities1277250DonatedSrvcAndUseOfFacilities
Other Revenues20485144OtherRevenues
Revenue Not Rptd F99021814388RevenueNotRptdF990
Revenue Subtotal23643767RevenueSubtotal
Other Revenues Not Included1719823OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt1719823RevenueNotRptdOnFinStmt
Total Revenue Per Form99025363590TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt42231798TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities1277250DonatedServicesUseOfFacilities
Other Expenses Included20947693OtherExpensesIncluded
Expenses Not Rptd F99022224943ExpensesNotRptdF990
Expenses Subtotal20006855ExpensesSubtotal
Other Expenses Not Included1731951OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt1731951ExpensesNotRptdOnFinStmt
Total Expenses Per Form99021738806TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION OF CHANGES - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 8CHS 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 - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 2DCHS HEALTHCARE FOUNDATION INCOME 50,780 INTEGRAL HEALTH PLAN INCOME 20,434,364
REVENUE AMOUNTS INCLUDED ON RETURN - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 4BDIRECT FUNDRAISING EXPENSES -12,128 INTERCOMPANY ELIMINATIONS 1,731,951
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 2DCHS HEALTHCARE FOUNDATION EXPENSES 6,813 INTEGRAL HEALTH PLAN EXPENSES 20,928,752 DIRECT FUNDRAISING EXPENSES 12,128
EXPENSE AMOUNTS INCLUDED ON RETURN - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 4BINTERCOMPANY ELIMINATIONS 1,731,951

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Licensed StatesFLLicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event1136417GrossReceiptsEvent1
Gross Revenue Event1136417GrossRevenueEvent1
Rent Facility Costs Event112069RentFacilityCostsEvent1
Other Direct Expenses Event159OtherDirectExpensesEvent1
Gross Receipts Total136417GrossReceiptsTotal
Gross Revenue Total Events136417GrossRevenueTotalEvents
Rent Facility Costs Total Events12069RentFacilityCostsTotalEvents
Other Direct Expenses Total Events59OtherDirectExpensesTotalEvents
Direct Expense Summary Events12128DirectExpenseSummaryEvents
Net Income Summary124289NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
RICHARD AKIN
316401282418014352656
STEVE WEINMAN
243727282418602280570
JERRY WILLIAMSON
221299264338602256334
JOSE QUERO
199721234428014231177
RICHARD GONZALEZ
16445017732182182
WILLIAM KUZBYT
163725175316127187383
STEPHEN LIFTIG
159143171956809183147
PATRICIA CONTRERAS
1529738602161575
SHARON ARAGONA
5878258782

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BCFO 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 POLICYFORM 990, PAGE 6, PART VI, LINE 12CPROCUREMENT AND CONTRACTING POLICIES INCLUDE REFERENCES TO CONFLICT OF INTEREST POLICY AND PROCUREMENT AND CONTRACTING STAFF MONITORS TRANSACTIONS CLOSELY FOR COMPLIANCE.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15AAN INDEPENDENT COMPENSATION CONSULTANT'S SERVICES WERE UTILIZED TO REVIEW SALARIES.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BAN INDEPENDENT COMPENSATION CONSULTANT'S SERVICES WERE UTILIZED TO REVIEW SALARIES.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19THE 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 EXPLANATIONFORM 990, PART XI, LINE 5FORM 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 ========