2011-11-10T14:45:09-06:00 2011-03-31 MYERS BRETTHOLTZ & COMPANY PA 12671 WHITEHALL DR FORT MYERS FL 339073626 990 2010-04-01 591741277 COLLIER HEALTH SERVICES INC COLL 2396583000 1454 MADISON AVENUE IMMOKALEE FL 34142 SANDY STEELE 2396583000 2011-08-17 true ANGELINE K CHOO CPA 2399395775 2011-11-07 2010 2016-02-24 21:20:13Z RICHARD AKIN 1454 MADISON AVENUE IMMOKALEE FL 34142 25375718 false X WWW.COLLIER.ORG X 1977 FL TO PROVIDE QUALITY MEDICAL AND DENTAL CARE TARGETING UNDERSERVED CHILDREN AND ADULTS IN COLLIER COUNTY. 9 9 307 20 0 6602504 8002981 13777579 15412156 22777 56050 1663060 1892403 22065920 25363590 0 0 13846701 14611529 22975 0 384210 7163147 7127277 21032823 21738806 1033097 3624784 11791165 17164561 5616590 7313062 6174575 9851499 TO PROVIDE QUALITY MEDICAL AND DENTAL CARE TARGETING UNDERSERVED CHILDREN AND ADULTS IN COLLIER COUNTY. false false 19789425 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. 19789425 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 false false true false false false false false false false false false false false false false false false false false false true 54 0 307 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 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 0 0 0 EDWARD OLESKY 2.00 X X 0 0 0 RICHARD HEERS 2.00 X X 0 0 0 KENNETH MURRAY 2.00 X 0 0 0 TOM SCHNEIDER 2.00 X 0 0 0 RICHARD AKIN 40.00 X 316401 0 36255 STEVE WEINMAN 40.00 X 243727 0 36843 JERRY WILLIAMSON 40.00 X 221299 0 35035 SANDY STEELE 40.00 X 97046 0 9584 JOSE QUERO 40.00 X 199721 0 31456 RICHARD GONZALEZ 40.00 X 164450 0 17732 WILLIAM KUZBYT 40.00 X 163725 0 23658 STEPHEN LIFTIG 40.00 X 159143 0 24004 PATRICIA CONTRERAS 40.00 X 152973 0 8602 SHARON ARAGONA X 58782 0 0 1777267 223169 9 true true false 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 18 7249249 753732 8002981 PATIENT SERVICE FEES 15412156 15412156 15412156 56050 56050 136417 12128 124289 PEDIATRIC PRACTICE MGMT FEES 929126 929126 OTHER INCOME 838988 838988 1768114 25363590 15412156 1824164 657174 328587 328587 58782 58782 10287716 9565708 417851 304157 2726613 2462558 206363 57692 881244 815569 61119 4556 386421 273594 110827 2000 62190 56342 5653 195 98448 64855 18344 15249 527441 425183 102258 1083695 1021999 61696 108360 83597 24628 135 224381 194305 30027 49 612429 562034 50395 144360 103931 40429 PATIENT CARE 1795144 1795144 OTHER 779289 724778 54511 PROVISION FOR UNCOLLECTIB 518962 518962 MAINTENANCE & REPAIRS 304426 297760 6666 SUPPLIES 244040 218822 25218 237691 216915 20599 177 21738806 19789425 1565171 384210 429869 3290202 1940600 2769001 6485 637233 1877474 1839531 162881 208651 78830 126712 10692759 3616947 6212479 7075812 496204 574119 113090 146176 473253 497124 11791165 17164561 631867 1281152 1038526 2737635 2567336 2247088 2426048 5616590 7313062 X 5664775 9387754 509800 463745 6174575 9851499 11791165 17164561 X 3624784 52140 X false true true true true X 7909489 9569406 8120694 7995237 9280231 42875057 7909489 9569406 8120694 7995237 9280231 42875057 42875057 81614 118975 64415 22777 56050 343831 709559 516179 1290426 1663060 1892403 6071627 49290515 68680848 0.86980 0.89060 X 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 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false 445000 445000 5284576 678623 4605953 593672 402511 191161 2622654 2012893 609761 1746857 522920 1223937 7075812 COMPENSATED ABSENCES 1329381 ACCRUED LIABILITIES 975835 DEFERRED COMPENSATION 120832 PENSION PLAN PAYABLE 2426048 25363590 21738806 3624784 51994 -450421 -398427 3226357 45458155 51994 1277250 20485144 21814388 23643767 1719823 1719823 25363590 42231798 1277250 20947693 22224943 20006855 1731951 1731951 21738806 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 FL GOLF TOURNAMENT 136417 136417 12069 59 136417 136417 12069 59 12128 124289 X X X false false false false false false false false false 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 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 ========