2020-08-14T14:29:07-05:00 2019-09-30 410746749 CLIFTONLARSONALLEN LLP 4501 TAMIAMI TRAIL NORTH SUITE 200 NAPLES FL 341033548 990 2018-10-01 593544102 BONITA COMMUNITY HEALTH CENTER INC BONI 2399491050 3501 HEALTH CENTER BLVD BONITA SPRINGS FL 34135 MICHAEL WAITE CFO 2399491050 2020-08-14 1 AMELIA COOPER P00437898 2392628686 2020-08-14 67.137.57.251 2020-08-14 11:04:27 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 7C9E50716FB973409AABF3CDC52F762CBE1B3BE9 2018 2020-09-22 18:59:49Z MICHAEL WAITE 3501 HEALTH CENTER BLVD BONITA SPRINGS FL 34135 10305939 0 X WWW.BONITAHEALTHCENTER.COM X 1998 FL PROVIDE QUALITY COMPREHENSIVE HEALTHCARE TO THE COMMUNITIES OF BONITA SPRINGS AND ESTERO. 7 0 122 11 0 0 2614678 3295358 6798607 6347676 2377 77754 -85366 172647 9330296 9893435 0 0 0 0 4517259 4634566 0 0 0 4490876 5251509 9008135 9886075 322161 7360 16210497 15192529 20569157 19543829 -4358660 -4351300 OUR MISSION IS TO PROVIDE QUALITY AND COMPREHENSIVE HEALTHCARE IN A CARING ENVIRONMENT TO THE COMMUNITIES OF SOUTHWEST FLORIDA THROUGH THE COLLECTIVE EFFORTS OF LEE HEALTH SYSTEM AND THE NCH HEALTHCARE SYSTEM. 0 0 8013904 0 6347676 BONITA COMMUNITY HEALTH CENTER, INC. ("BCHC") IS A NONPROFIT ORGANIZATION WHICH MEANS REVENUE GENERATED GETS REINVESTED BACK INTO THE COMMUNITY IN TERMS OF IMPROVED EQUIPMENT, SERVICES, AND FACILITIES. BCHC DEVELOPS AND PROVIDES AN OPERATION OF COMPREHENSIVE DIAGNOSTIC TREATMENT AND SURGICAL HEALTHCARE FACILITY SERVING THE BONITA SPRINGS AND ESTERO COMMUNITIES. THE ONE-STOP CENTER OFFERS AN URGENT CARE CENTER, RADIOLOGY SERVICES, REHAB, PHYSICIAN REFERRAL AND PATIENT EDUCATION AREAS IN ADDITION TO OP SURGERY AND PAIN MANAGEMENT. THERE ARE OVER 50 PRIMARY AND SPECIALTY CARE PHYSICIANS UNDER ONE ROOF. IN 2019, BCHC HAD OVER 44,100 PATIENT ENCOUNTERS. 8013904 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 34 0 122 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 0 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 FL X MICHAEL WAITE CFO 2399496119 3501 HEALTH CENTER BLVD BONITA SPRINGS FL 34135 ANNE ROSE CO-CHAIR 2.00 40.00 X X 0 315546 38552 PHILLIP DUTCHER CO-CHAIR 2.00 40.00 X X 0 604372 13484 MICHAEL RILEY SECRETARY/TREASURER 2.00 40.00 X X 0 327578 27807 PATTY DUQUETTE DIRECTOR 2.00 40.00 X 0 312056 29687 NOBLE ARRINGTON DIRECTOR 2.00 40.00 X 0 194664 30780 KRISTI RIGOT DIRECTOR 2.00 40.00 X 0 225944 11044 TERI ISACSON DIRECTOR 2.00 40.00 X 0 230515 22011 KEVIN COOPER DIRECTOR THROUGH JAN 2019 2.00 40.00 X 0 598410 27857 SARA MCCALLUM CEO 40.00 0.00 X 168879 0 10781 MICHAEL WAITE CFO 8.00 0.00 X 26250 0 0 FRANK LAPUMA DIRECTOR REHAB 40.00 0.00 X 107323 0 12871 302452 2809085 224874 2 0 1 0 NAPLES RADIOLOGY PA INC PO BOX 8089 NAPLES FL 34101 RADIOLOGY SERVICES 281753 LMHS-FINANCIAL SERVICES PO BOX 151247 CAPE CORAL FL 33915 PHYSICIAN SERVICES 218575 NAPLES COMMUNITY HOSPITAL PO BOX 413001 NAPLES FL 34101 PHYSICIAN SERVICES 207488 FLORIDA RADIOLOGY CONSULTANTS PA 8791 CONFERENCE DRIVE FORT MYERS FL 33919 RADIOLOGY SERVICES 158762 HITACHI MEDICAL SYSTEMS AMERICA INC PO BOX 78000 DEPT 781378 DETROIT MI 48278 MAINTENANCE ON MRI EQUIPMENT 102000 5 3295358 3295358 PATIENT SERVICES 621400 5886676 5886676 AFFILIATE RENTAL INCOM 531120 461000 461000 6347676 69754 69754 585151 412504 172647 172647 172647 8000 0 8000 8000 8000 9893435 6347676 0 250401 X 198584 198584 3654514 3000021 654493 30792 24325 6467 468769 361053 107716 281907 220079 61828 39169 31168 8001 17476 13906 3570 1117572 1056245 61327 156415 9338 147077 317623 200624 116999 207879 145515 62364 488842 393751 95091 2971 2562 409 10270 8308 1962 516060 415552 100508 882497 704767 177730 137144 104655 32489 MEDICAL SUPPLIES 836376 836376 DRUGS 216930 216930 REPAIRS 211361 178792 32569 LINENS 27317 27317 65607 62620 2987 9886075 8013904 1872171 0 522 522 921578 595032 222435 232324 144703 134582 133090 126386 29778665 15763891 14621171 14014774 166998 88909 16210497 15192529 576623 702491 11816281 11216667 8146038 7612381 30215 12290 20569157 19543829 X -4358660 -4351300 -4358660 -4351300 16210497 15192529 7360 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2520020 2520020 17602390 7918584 9683806 1994703 1347374 647329 7661552 6497933 1163619 14014774 TENANT DEPOSITS 12160 OTHER DEPOSITS 130 12290 10305939 0 10305939 -412504 -412504 9893435 10298579 412504 412504 9886075 0 9886075 PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES REPORTED ON PART VIII LINE 6(B) -412,504. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES REPORTED ON PART VIII LINE 6(B) 412,504. X 0 0 0 0 0 0 0 0 0 ANNE ROSE CO-CHAIR 0 299478 0 16068 0 0 0 0 0 38552 0 354098 0 0 PHILLIP DUTCHER CO-CHAIR 0 497524 0 86062 0 20786 0 11000 0 2484 0 617856 0 0 MICHAEL RILEY SECRETARY/TREASURER 0 259625 0 48265 0 19688 0 11000 0 16807 0 355385 0 0 PATTY DUQUETTE DIRECTOR 0 293488 0 18568 0 0 0 0 0 29687 0 341743 0 0 NOBLE ARRINGTON DIRECTOR 0 179106 0 15144 0 414 0 8021 0 22759 0 225444 0 0 KRISTI RIGOT DIRECTOR 0 214448 0 0 0 11496 0 0 0 11044 0 236988 0 0 TERI ISACSON DIRECTOR 0 230515 0 0 0 0 0 0 0 22011 0 252526 0 0 KEVIN COOPER DIRECTOR THROUGH JAN 2019 0 493074 0 86062 0 19274 0 11000 0 16857 0 626267 0 0 SARA MCCALLUM CEO 168879 0 0 0 0 0 3411 0 7370 0 179660 0 0 0 A LEE COUNTY IDA THE HEALTHCARE FACILITIES BONDS 591793462 2012-05-10 15094000 TO REPAY BONDS PREVIOUSLY OBTAINED BY THE ORGANIZATION 0 0 0 A 2679667 15094000 125000 14969000 0 0 0 1 A 0 0 0 0 0 0 0 A 0 0 1 0 0 0 0 0 1 A 1 FORM 990, PART VI, SECTION A, LINE 2 NOBLE ARRINGTON, KEVIN COOPER, MICHAEL RILEY AND PHILLIP DUTCHER HAVE A BUSINESS RELATIONSHIP. ANNE ROSE, PATTY DUQUETTE, TERI ISACSON AND KRISTI RIGOT HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION SENDS A PDF COPY OF THE FORM 990 TO THE VICE-CHAIRMAN OF THE BOARD FOR REVIEW. ANY FEEDBACK IS SENT TO THE CFO FOR DISCUSSION PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY COVERS THE ENTIRE BOARD OF DIRECTORS AND IS REVIEWED BY THE BOARD EVERY YEAR. ANY PERSON SUBJECT TO THE POLICY SHALL PROMPTLY REPORT THE POSSIBLE EXISTENCE OF A CONFLICT OF INTEREST FOR HIMSELF OR ANY SUCH PERSON SUBJECT TO THE POLICY. THE REPORT SHALL BE MADE TO THE CHAIRMAN. A FULL DISCLOSURE OF ALL FACTS PERTAINING TO ANY TRANSACTION THAT IS SUBJECT TO A CONFLICT OF INTEREST SHALL BE MADE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 483,189. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 483,189. EQUIPMENT SERVICE AGREEMENT: PROGRAM SERVICE EXPENSES 409,452. MANAGEMENT AND GENERAL EXPENSES 14,164. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 423,616. CONSULTANTS: PROGRAM SERVICE EXPENSES 148,145. MANAGEMENT AND GENERAL EXPENSES 42,459. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 190,604. PAYROLL SERVICES: PROGRAM SERVICE EXPENSES 15,459. MANAGEMENT AND GENERAL EXPENSES 4,704. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,163. NCH HEALTHCARE SYSTEM INC PO BOX 413029 NAPLES FL 341013029 592314655 HOLDING COMPANY FL 501(C)(3) LINE 12B, II N/A 0 LEE HEALTH SYSTEM 2776 CLEVELAND AVENUE FORT MYERS FL 33901 590714812 ACUTE CARE HOSPITAL FL GOVERNMENT ENTITY N/A 0 0 0 1 0 1 0 0 0 0 1 0 0 1 0 1 1 0 0 0 LEE HEALTH SYSTEM C 1827679 CASH VALUE LEE HEALTH SYSTEM J 345017 CASH VALUE LEE HEALTH SYSTEM P 96784 CASH VALUE LEE HEALTH SYSTEM O 251079 CASH VALUE