COLLIER HEALTH SERVICES INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: COLLIER HEALTH SERVICES INC (EIN 59-1741277)
Tax period: 2009-04-01 to 2010-03-31
Filed: 2011-01-13
IRS object ID: 201140139349300734
Schema version: 2009v1.7
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-01-13T15:27:12-06:00	Timestamp
Tax Period End Date	2010-03-31	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	2009-04-01	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	2010-11-11	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	2011-01-13	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2009	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	22065920	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c	X	Organization501c
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	304	TotalNbrEmployees
Total Nbr Volunteers	20	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	6944118	ContributionsGrantsPriorYear
Contributions Grants Current Year	6602504	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	13039416	ProgramServiceRevenuePriorYear
Program Service Revenue CY	13777579	ProgramServiceRevenueCY
Investment Income Prior Year	64415	InvestmentIncomePriorYear
Investment Income Current Year	22777	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1290426	OtherRevenuePriorYear
Other Revenue Current Year	1663060	OtherRevenueCurrentYear
Total Revenue Prior Year	21338375	TotalRevenuePriorYear
Total Revenue Current Year	22065920	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	14063269	SalariesEtcPriorYear
Salaries Etc Current Year	13846701	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	22975	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	393660	TotalFundrsngExpCurrentYear
Other Expense Prior Year	7072121	OtherExpensePriorYear
Other Expenses Current Year	7163147	OtherExpensesCurrentYear
Total Expenses Prior Year	21135390	TotalExpensesPriorYear
Total Expenses Current Year	21032823	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	202985	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	1033097	RevenuesLessExpensesCY
Total Assets BOY	10044718	TotalAssetsBOY
Total Assets EOY	11791165	TotalAssetsEOY
Total Liabilities BOY	5029881	TotalLiabilitiesBOY
Total Liabilities EOY	5616590	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	5014837	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	6174575	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	19656676	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. OFFERED BASIC PRIMARY AND PREVENTATIVE MEDICAL AND DENTAL HEALTH CARE SERVICES. IN CALENDAR YEAR 2009, PROVIDED SERVICES TO OVER 47,000 PATIENTS FOR A TOTAL OF OVER 179,000 PATIENT VISITS.	Description
Total Program Service Expense	19656676	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Balance Sheet Amounts Reported	true	BalanceSheetAmountsReported
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	true	ProfessionalFundraising
Fundraising Activities	false	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
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	28	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	304	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
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
CEO / PRES	40.00		300070	0	40327	X
STEVE WEINMAN
VICE PRES/CO	40.00		231681	0	41097	X
JERRY WILLIAMSON
CMO	40.00		218262	0	39150	X
SANDY STEELE
CFO	40.00		96176	0	15263	X
JOSE QUERO
DOCTOR	40.00		180735	0	32394		X
RICHARD GONZALEZ
DOCTOR	40.00		158148	0	17479		X
WILLIAM KUZBYT
DOCTOR	40.00		153287	0	4627		X
ALICJA LANGNER
DOCTOR	40.00		151786	0	27449		X
JORGE CAMINA
DOCTOR	40.00		148340	0	27408		X
SHARON ARAGONA
VICE PRES			139295	0	353			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1777780	TotalReportableCompFromOrg
Total Other Compensation	245547	TotalOtherCompensation
Number Individuals GT100 K	14	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 IN
140 FOUNTAIN PARKWAY	SUITE 210	SAINT PETERSBURG	FL	33716	IT SUPPORT	660096
HENRY SCHEIN INC
PO BOX 371952		PITTSBURGH	PA	15250	DENTAL EQUIP &	342609
COMMUNITY HEALTH CARE INC
PO BOX 413001		NAPLES	FL	34101	RENT	305833
MCKESSON DRUG COMPANY
PO BOX 409521		ATLANTA	GA	30384	PHARMACEUTICAL	285919
MEDICAL EXPRESS INC
15600-13 SAN CARLOS BOULEVARD		FORT MYERS	FL	33908	MEDICAL SUPPLIE	198090

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	14	NumberOfContractorsGT100K
Government Grants	6219498	GovernmentGrants
All Other Contributions	383006	AllOtherContributions
Total Contributions	6602504	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	PATIENT SERVICE FEES	Description
Total Revenue Column	13777579	TotalRevenueColumn
Related Or Exempt Function Income	13777579	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	13777579	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	22777	TotalRevenueColumn
Exclusion	$22,777	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
OTHER INCOME	1063060	$1,063,060
PEDIATRIC PRACTICE MGMT FEES	600000	$600,000

Field	Value	IRS element (for citing)
Total Other Revenue	1663060	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	22065920	TotalRevenueColumn
Related Or Exempt Function Income	13777579	RelatedOrExemptFunctionIncome
Exclusion	$1,685,837	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	846189	Total
Program Services	532226	ProgramServices
Management And General	313963	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	139295	Total
Program Services	139295	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	9617604	Total
Program Services	9126234	ProgramServices
Management And General	176897	ManagementAndGeneral
Fundraising	314473	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	2452212	Total
Program Services	2416377	ProgramServices
Management And General	18556	ManagementAndGeneral
Fundraising	17279	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	791401	Total
Program Services	760375	ProgramServices
Management And General	17203	ManagementAndGeneral
Fundraising	13823	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	48154	Total
Program Services	36527	ProgramServices
Management And General	11627	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	68204	Total
Program Services	29482	ProgramServices
Management And General	38722	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	22975	Total
Fundraising	22975	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	170106	Total
Program Services	72608	ProgramServices
Management And General	95360	ManagementAndGeneral
Fundraising	2138	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	70947	Total
Program Services	65684	ProgramServices
Management And General	5263	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	130935	Total
Program Services	109666	ProgramServices
Management And General	6149	ManagementAndGeneral
Fundraising	15120	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	585465	Total
Program Services	578943	ProgramServices
Management And General	6522	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1470724	Total
Program Services	1439418	ProgramServices
Management And General	31306	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	123833	Total
Program Services	89663	ProgramServices
Management And General	33715	ManagementAndGeneral
Fundraising	455	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	264247	Total
Program Services	262106	ProgramServices
Management And General	2141	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	611397	Total
Program Services	580766	ProgramServices
Management And General	30631	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	151489	Total
Program Services	122011	ProgramServices
Management And General	29478	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PATIENT CARE	1567704	1567361	343
OTHER	770142	632531	137611
PROVISION FOR UNCOLLECTIB	414808	414808
MAINTENANCE & REPAIRS	252995	252357	638
SUPPLIES	215205	208827	6378

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	246792	Total
Program Services	219411	ProgramServices
Management And General	19984	ManagementAndGeneral
Fundraising	7397	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	21032823	Total
Program Services	19656676	ProgramServices
Management And General	982487	ManagementAndGeneral
Fundraising	393660	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1719654	BOY
EOY	429869	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	531734	BOY
EOY	1940600	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	456949	BOY
EOY	6485	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	2259315	BOY
EOY	1877474	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	195728	BOY
EOY	162881	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	21939	BOY
EOY	78830	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	9338655	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	3126176	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	3902558	BOY
EOY	6212479	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	355917	BOY
EOY	496204	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	118187	BOY
EOY	113090	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	482737	BOY
EOY	473253	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	10044718	BOY
EOY	11791165	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	262213	BOY
EOY	631867	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	2369832	BOY
EOY	2737635	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	2397836	BOY
EOY	2247088	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	5029881	BOY
EOY	5616590	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	4239535	BOY
EOY	5664775	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	775302	BOY
EOY	509800	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	5014837	BOY
EOY	6174575	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	10044718	BOY
EOY	11791165	EOY

Field	Value	IRS element (for citing)
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	7154485	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	7909489	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	9569406	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	8120694	CurrentTaxYearMinus1Year
Current Tax Year	7995237	CurrentTaxYear
Total	40749311	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	7154485	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	7909489	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	9569406	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	8120694	CurrentTaxYearMinus1Year
Current Tax Year	7995237	CurrentTaxYear
Total	40749311	Total

Field	Value	IRS element (for citing)
Public Support Total170	40749311	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	51710	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	81614	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	118975	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	64415	CurrentTaxYearMinus1Year
Current Tax Year	22777	CurrentTaxYear
Total	339491	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	638386	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	556193	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	516179	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1290426	CurrentTaxYearMinus1Year
Current Tax Year	1663060	CurrentTaxYear
Total	4664244	Total

Field	Value	IRS element (for citing)
Total Support	45753046	TotalSupport
Gross Receipts From Admissions Etc	66878646	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.89060	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.91790	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170
General Explanation	PART II, LINE 1 - GIFTS, GRANTS, CONTRIBUTIONS, AND MEMBERSHIP FEES RECEIVED DETAIL AMOUNTS INCLUDE IN-KIND CONTRIBUTIONS FOR SERVICES AND FACILITIES AS FOLLOWS: 2005 2006 2007 2008 2009 TOTAL ------- ------- ------- --------- --------- --------- CONTRIB/ GRANTS 6,649,480 7,418,500 8,912,692 6,944,118 6,602,504 36,527,294 IN-KIND 505,005 490,989 656,714 1,176,576 1,392,733 4,222,017 --------- --------- --------- ---------- --------- ---------- TOTAL 7,154,485 7,909,489 9,569,406 8,120,694 7,995,237 40,749,311	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	5259284	OtherCostOrOtherBasis
Depreciation	439120	Depreciation
Book Value	4820164	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	564097	OtherCostOrOtherBasis
Depreciation	444708	Depreciation
Book Value	119389	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2415552	OtherCostOrOtherBasis
Depreciation	1774184	Depreciation
Book Value	641368	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	654722	OtherCostOrOtherBasis
Depreciation	468164	Depreciation
Book Value	186558	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	6212479	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
COMPENSATED ABSENCES	$1,275,042
ACCRUED LIABILITIES	$813,279
DEFERRED COMPENSATION	$106,970
PENSION PLAN PAYABLE	$51,797

Field	Value	IRS element (for citing)
Total Of Amounts	2247088	TotalOfAmounts
Total Revenue	22065920	TotalRevenue
Total Expenses	21032823	TotalExpenses
Excess Or Deficit For Year	1033097	ExcessOrDeficitForYear
Net Unrealized GL On Investments	124541	NetUnrealizedGLOnInvestments
Other	$2,100	OtherAmount
Total Adjustments	126641	TotalAdjustments
Excess Or Deficit Per FS	1159738	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	23585294	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	124541	NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities	1392733	DonatedSrvcAndUseOfFacilities
Other Revenues	2100	OtherRevenues
Revenue Not Rptd F990	1519374	RevenueNotRptdF990
Revenue Subtotal	22065920	RevenueSubtotal
Total Revenue Per Form990	22065920	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	22425556	TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities	1392733	DonatedServicesUseOfFacilities
Expenses Not Rptd F990	1392733	ExpensesNotRptdF990
Expenses Subtotal	21032823	ExpensesSubtotal
Total Expenses Per Form990	21032823	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
RECONCILIATION OF CHANGES - OTHER	SCHEDULE D, PAGE 4, PART XI, LINE 8	AGENCY FUND CONTRIBUTIONS 2,100
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XII, LINE 2D	AGENCY FUND CONTRIBUTIONS 2,100

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Solicitation Of Govt Grants	X	SolicitationOfGovtGrants
Agreement Ref Fundraising	true	AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

Name Of Organization NameOfOrganization

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY HEALTH CENTERS ALLIANCE	BusinessNameLine1

Field	Value	IRS element (for citing)
Activity	GRANTS	Activity
Fundraiser Control Of Funds	false	FundraiserControlOfFunds
Amount Retained By Contractor	22975	AmountRetainedByContractor
Net To Organization	-22975	NetToOrganization

Field	Value	IRS element (for citing)
Total Retained By Contractors	22975	TotalRetainedByContractors
Total Net To Organization	-22975	TotalNetToOrganization
Licensed States	FL	LicensedStates

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	Bonus Filing OrgBonusFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg
RICHARD AKIN
277623	22447	32500	7827	340397
STEVE WEINMAN
214936	16745	32745	8352	272778
JERRY WILLIAMSON
218262		30798	8352	257412
JOSE QUERO
180735		25071	7323	213129
RICHARD GONZALEZ
158148		17479		175627
WILLIAM KUZBYT
153287			4627	157914
ALICJA LANGNER
151786		19445	8004	179235
JORGE CAMINA
148340		19581	7827	175748
SHARON ARAGONA
139295			353	139648

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 11	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.
FUNDRAISING VS. REIMBURSEMENT EXPLANATION	SCHEDULE G, PAGE 1, PART I, LINE 2B, COLUMN (V)	COMMUNITY HEALTH CENTERS ALLIANCE FUNDRAISING