Bonita Community Health Center: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
Bonita Community Health Center (EIN 59-3544102)
Tax period
2017-10-01 to 2018-09-30
Filed
2019-08-12
IRS object ID
201932249349300328
Schema version
2017v2.3
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)
Return2019-08-12T10:08:27-05:00ReturnTs
Tax Period End2018-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746479PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14501 TAMIAMI TRAIL NORTH SUITE 200AddressLine1Txt
CityNAPLESCityNm
State AbbreviationFLStateAbbreviationCd
ZIP341033548ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN593544102EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BONITA COMMUNITY HEALTH CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBONIBusinessNameControlTxt
Phone2399491050PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13501 HEALTH CENTER BLVDAddressLine1Txt
CityBONITA SPRINGSCityNm
State AbbreviationFLStateAbbreviationCd
ZIP34135ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSARA M MCCALLUMPersonNm
Person TitleCEOPersonTitleTxt
Phone2399491050PhoneNum
Signature2019-08-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMELIA COOPERPreparerPersonNm
PTINP00437898PTIN
Phone2392628686PhoneNum
Preparation2019-08-08PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.137.57.251IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-08-08IPDt
IP Tm14:24:24IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDBA0DE0710B3CC388F2BEE46780927D00A68B01BAtSubmissionCreationDeviceId
At Submission Filing Device IdEA0BC44E696478C1A6AEB4BB9D79FEFFE3751F35AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSARA M MCCALLUMPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13501 HEALTH CENTER BLVDAddressLine1Txt
CityBONITA SPRINGSCityNm
State AbbreviationFLStateAbbreviationCd
ZIP34135ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$9,876,186GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BONITAHEALTHCENTER.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1998FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionPROVIDE QUALITY COMPREHENSIVE HEALTHCARE TO THE COMMUNITIES OF BONITA SPRINGS AND ESTERO.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee123TotalEmployeeCnt
Total Volunteers13TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,886,522PYContributionsGrantsAmt
CY Contributions Grants$2,614,678CYContributionsGrantsAmt
PY Program Service Revenue$6,717,916PYProgramServiceRevenueAmt
CY Program Service Revenue$6,798,607CYProgramServiceRevenueAmt
PY Investment Income$11,340PYInvestmentIncomeAmt
CY Investment Income$2,377CYInvestmentIncomeAmt
PY Other Revenue-$12,786PYOtherRevenueAmt
CY Other Revenue-$85,366CYOtherRevenueAmt
PY Total Revenue$9,602,992PYTotalRevenueAmt
CY Total Revenue$9,330,296CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,272,290PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,517,259CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,318,503PYOtherExpensesAmt
CY Other Expenses$4,490,876CYOtherExpensesAmt
PY Total Expenses$8,590,793PYTotalExpensesAmt
CY Total Expenses$9,008,135CYTotalExpensesAmt
PY Revenues Less Expenses$1,012,199PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$322,161CYRevenuesLessExpensesAmt
Total Assets BOY$16,225,976TotalAssetsBOYAmt
Total Assets EOY$16,210,497TotalAssetsEOYAmt
Total Liabilities BOY$20,906,797TotalLiabilitiesBOYAmt
Total Liabilities EOY$20,569,157TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$4,680,821NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$4,358,660NetAssetsOrFundBalancesEOYAmt
MissionOUR 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$7,464,083ExpenseAmt
Revenue$6,798,607RevenueAmt
DescBONITA 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 2018, BCHC HAD OVER 52,900 PATIENT ENCOUNTERS.Desc
Total Program Service Expenses$7,464,083TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document26IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee123EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHAEL WAITE CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2399496119PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13501 HEALTH CENTER BLVDAddressLine1Txt
CityBONITA SPRINGSCityNm
State AbbreviationFLStateAbbreviationCd
ZIP34135ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
ANNE ROSE
CO-CHAIR2.0040.00Yes (X)Yes (X)$0$286,910$24,200
PHILLIP DUTCHER
CO-CHAIR2.0040.00Yes (X)Yes (X)$0$524,439$24,924
MICHAEL RILEY
SECRETARY/TREASURER2.0040.00Yes (X)Yes (X)$0$296,655$42,541
PATTY DUQUETTE
DIRECTOR2.0040.00Yes (X)$0$268,104$13,271
NOBLE ARRINGTON
DIRECTOR2.0040.00Yes (X)$0$175,284$45,565
KRISTI RIGOT
DIRECTOR2.0040.00Yes (X)$0$187,843$0
TERI ISACSON
DIRECTOR2.0040.00Yes (X)$0$235,109$13,271
KEVIN COOPER
DIRECTOR2.0040.00Yes (X)$0$517,919$50,024
SARA MCCALLUM
CEO40.000.00Yes (X)$162,071$0$11,785
COLLEEN COLLIGAN
CFO40.000.00Yes (X)$97,693$0$6,767
DONNA NEWHARD
ADVANCED REGISTERED NURSE PRACTITIONER40.000.00$109,300$0$7,945Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$369,064TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,492,263TotReportableCompRltdOrgAmt
Total Other Compensation$240,293TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
NAPLES RADIOLOGY PA INC
PO BOX 8089NAPLESFL34101RADIOLOGY SERVICES$393,980
NAPLES COMMUNITY HOSPITAL
PO BOX 413001NAPLESFL34101PHYSICIAN SERVICES$280,872
LMHS-FINANCIAL SERVICES
PO BOX 151247CAPE CORALFL33915PHYSICIAN SERVICES$243,876
CORONET CLEANING SERVICE
8368 SILVER BIRCH WAYLEHIGH ACRESFL33971JANITORIAL SERVICES$118,790
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Related Organizations$2,614,678RelatedOrganizationsAmt
Total Contributions$2,614,678TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES621400$6,130,907$6,130,907
AFFILIATE RENTAL INCOM531120$667,700$667,700
FieldValueIRS element (for citing)
Total Program Service Revenue$6,798,607TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,377TotalRevenueColumnAmt
Exclusion$2,377ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$460,524RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$545,890RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$85,366RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$85,366TotalRevenueColumnAmt
Exclusion-$85,366ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,330,296TotalRevenueColumnAmt
Related Or Exempt Func Income$6,798,607RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$82,989ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$187,527TotalAmt
Management And General$187,527ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,509,468TotalAmt
Program Services$2,873,984ProgramServicesAmt
Management And General$635,484ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$35,423TotalAmt
Program Services$30,150ProgramServicesAmt
Management And General$5,273ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$506,069TotalAmt
Program Services$399,424ProgramServicesAmt
Management And General$106,645ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$278,772TotalAmt
Program Services$217,280ProgramServicesAmt
Management And General$61,492ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$4,042TotalAmt
Program Services$2,435ProgramServicesAmt
Management And General$1,607ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$21,000TotalAmt
Program Services$14,070ProgramServicesAmt
Management And General$6,930ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$736,444TotalAmt
Program Services$670,157ProgramServicesAmt
Management And General$66,287ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$95,633TotalAmt
Program Services$64,074ProgramServicesAmt
Management And General$31,559ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$198,172TotalAmt
Program Services$87,612ProgramServicesAmt
Management And General$110,560ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,790TotalAmt
Program Services$2,539ProgramServicesAmt
Management And General$1,251ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$532,395TotalAmt
Program Services$491,034ProgramServicesAmt
Management And General$41,361ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$21,514TotalAmt
Program Services$20,402ProgramServicesAmt
Management And General$1,112ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$6,864TotalAmt
Program Services$5,754ProgramServicesAmt
Management And General$1,110ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$465,580TotalAmt
Program Services$423,621ProgramServicesAmt
Management And General$41,959ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$734,263TotalAmt
Program Services$645,278ProgramServicesAmt
Management And General$88,985ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$88,773TotalAmt
Program Services$59,478ProgramServicesAmt
Management And General$29,295ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$581,133$581,133
EQUIPMENT EXPENSE$484,850$463,715$21,135
DRUGS$187,329$187,329
LINENS$26,985$26,985

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$302,109TotalAmt
Program Services$197,629ProgramServicesAmt
Management And General$104,480ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$9,008,135TotalAmt
Program Services$7,464,083ProgramServicesAmt
Management And General$1,544,052ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$643BOYAmt
EOY$522EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,058,065BOYAmt
EOY$921,578EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$159,106BOYAmt
EOY$222,435EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$110,336BOYAmt
EOY$144,703EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$143,755BOYAmt
EOY$133,090EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$29,495,616LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$14,874,445LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$14,662,243BOYAmt
EOY$14,621,171EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$91,828BOYAmt
EOY$166,998EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$16,225,976BOYAmt
EOY$16,210,497EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$527,924BOYAmt
EOY$576,623EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,377,095BOYAmt
EOY$11,816,281EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$7,942,346BOYAmt
EOY$8,146,038EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$59,432BOYAmt
EOY$30,215EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$20,906,797BOYAmt
EOY$20,569,157EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$4,680,821BOYAmt
EOY-$4,358,660EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$4,680,821BOYAmt
EOY-$4,358,660EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$16,225,976BOYAmt
EOY$16,210,497EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$322,161ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,520,020OtherCostOrOtherBasisAmt
Book Value$2,520,020BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,602,390OtherCostOrOtherBasisAmt
Depreciation$7,481,793DepreciationAmt
Book Value$10,120,597BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,867,297OtherCostOrOtherBasisAmt
Depreciation$1,279,462DepreciationAmt
Book Value$587,835BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,505,909OtherCostOrOtherBasisAmt
Depreciation$6,113,190DepreciationAmt
Book Value$1,392,719BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$14,621,171TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
TENANT DEPOSITS$12,160
DUE TO RADIOLOGISTS$17,925
OTHER DEPOSITS$130
FieldValueIRS element (for citing)
Total Liability$30,215TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$7,261,508TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$7,261,508RevenueSubtotalAmt
Other Revenues Not Included$2,068,788OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$2,068,788RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$9,330,296TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$9,554,025TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$545,890OtherExpensesIncludedAmt
Expenses Not Reported$545,890ExpensesNotReportedAmt
Expenses Subtotal$9,008,135ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$9,008,135TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART XI, LINE 4B - OTHER ADJUSTMENTS:CAPITAL CONTRIBUTIONS 2,614,678. RENTAL EXPENSES REPORTED ON PART VIII LINE 6(B) -545,890.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES REPORTED ON PART VIII LINE 6(B) 545,890.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ANNE ROSE
CO-CHAIR$0$286,910$0$0$0$0$0$0$0$24,200$0$311,110$0$0
PHILLIP DUTCHER
CO-CHAIR$0$451,523$0$52,630$0$20,286$0$21,400$0$3,524$0$549,363$0$0
MICHAEL RILEY
SECRETARY/TREASURER$0$247,951$0$29,516$0$19,188$0$21,400$0$21,141$0$339,196$0$0
PATTY DUQUETTE
DIRECTOR$0$268,104$0$0$0$0$0$0$0$13,271$0$281,375$0$0
NOBLE ARRINGTON
DIRECTOR$0$172,607$0$0$0$2,677$0$16,024$0$29,541$0$220,849$0$0
KRISTI RIGOT
DIRECTOR$0$187,843$0$0$0$0$0$0$0$0$0$187,843$0$0
TERI ISACSON
DIRECTOR$0$235,109$0$0$0$0$0$0$0$13,271$0$248,380$0$0
KEVIN COOPER
DIRECTOR$0$446,875$0$52,630$0$18,414$0$21,400$0$28,624$0$567,943$0$0
SARA MCCALLUM
CEO$162,071$0$0$0$0$0$3,311$0$8,474$0$173,856$0$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1LEE COUNTY IDA THE HEALTHCARE FACILITIES BONDSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN591793462BondIssuerEIN
Bond Issued2012-05-10BondIssuedDt
Issue Price$15,094,000IssuePriceAmt
PurposeTO REPAY BONDS PREVIOUSLY OBTAINED BY THE ORGANIZATIONPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$2,679,667RetiredAmt
Total Proceeds$15,094,000TotalProceedsAmt
Issuance Costs From Proceeds$125,000IssuanceCostsFromProceedsAmt
Other Spent Proceeds$14,969,000OtherSpentProceedsAmt
Current Refunding0CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation Made0FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To RebateYes (1)ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2NOBLE 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 11BTHE 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 12CTHE 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 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
NCH HEALTHCARE SYSTEM INC
PO BOX 413029NAPLESFL341013029592314655HOLDING COMPANYFL501(C)(3)LINE 12B, IIN/A0
LEE HEALTH SYSTEM
2776 CLEVELAND AVENUEFORT MYERSFL33901590714812ACUTE CARE HOSPITALFLGOVERNMENT ENTITYN/A0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmt
LEE HEALTH SYSTEM
C$827,339
LEE HEALTH SYSTEM
J$515,677
LEE HEALTH SYSTEM
P$89,356
LEE HEALTH SYSTEM
O$246,191

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