Bonita Community Health Center: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- Bonita Community Health Center (EIN 59-3544102)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-08-05
- IRS object ID
- 201332179349300963
- Schema version
- 2011v1.5
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-05T13:06:11-05:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410746749 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4099 TAMIAMI TRAIL N STE 300 | AddressLine1 |
| City | NAPLES | City |
| State | FL | State |
| ZIP Code | 34103 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593544102 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BONITA COMMUNITY HEALTH CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | BONI | NameControl |
| Phone | 2399491050 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3501 HEALTH CENTER BLVD | AddressLine1 |
| City | BONITA SPRINGS | City |
| State | FL | State |
| ZIP Code | 34135 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SARA M MCCALLUM | Name |
| Title | CEO | Title |
| Phone | 2399491050 | Phone |
| Date Signed | 2013-07-31 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | AMELIA COOPER CPA | Name |
| PTIN | P00437898 | PTIN |
| Phone | 2392628686 | Phone |
| Date Prepared | 2013-07-24 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | SARA M MCCALLUM | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3501 HEALTH CENTER BLVD | AddressLine1 |
| City | BONITA SPRINGS | City |
| State | FL | State |
| ZIP Code | 34135 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 9683602 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.BONITAHEALTHCENTER.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1998 | YearFormation |
| State Legal Domicile | FL | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE QUALITY AND COMPREHENSIVE HEALTHCARE IN A CARING ENVIRONMENT TO THE COMMUNITIES OF BONITA SPRINGS AND ESTERO. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 8 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 98 | TotalNbrEmployees |
| Total Nbr Volunteers | 20 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2480160 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2433812 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 5534268 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 6111170 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 4868 | InvestmentIncomePriorYear |
| Investment Income Current Year | 12113 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -283090 | OtherRevenuePriorYear |
| Other Revenue Current Year | -330375 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 7736206 | TotalRevenuePriorYear |
| Total Revenue Current Year | 8226720 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 3124974 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 3542083 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 4441202 | OtherExpensePriorYear |
| Other Expenses Current Year | 4396253 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 7566176 | TotalExpensesPriorYear |
| Total Expenses Current Year | 7938336 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 170030 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 288384 | RevenuesLessExpensesCY |
| Total Assets BOY | 18098962 | TotalAssetsBOY |
| Total Assets EOY | 17561485 | TotalAssetsEOY |
| Total Liabilities BOY | 26687166 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 25259143 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -8588204 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -7697658 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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 MEMORIAL HEALTHCARE SYSTEM AND THE NCH HEALTHCARE SYSTEM. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 6394879 | Expense |
| Revenue | 5780795 | Revenue |
| Description | 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. EXAMPLES INCLUDE URGENT CARE CLINIC, RADIOLOGY SERVICES, AND A REHABILITATION CENTER. CONTINUED ON SCHEDULE OEQUIPPED WITH THE LATEST TECHNOLOGY, OUR STATE-OF-THE-ART CENTER PROVIDES A WIDE SPECTRUM OF HEALTH SERVICES AND PROGRAMS. IN ADDITION TO A WALK-IN CLINIC, PHYSICIAN REFERRAL AND PATIENT EDUCATION AREAS, THE BONITA COMMUNITY HEALTH CENTER OFFERS A ONE-STOP CENTER THAT CATERS TO ALL FACETS OF HEALTHCARE. THERE ARE OVER 50 PRIMARY AND SPECIALTY CARE PHYSICIANS UNDER ONE ROOF SERVING APPROXIMATELY 35,000 PATIENTS THROUGHOUT THE COMMUNITY. | Description |
| Total Program Service Expense | 6394879 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 19 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 98 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 8 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | GENE HIGGINS CFO | NamePerson |
| Telephone Number | 2399491050 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3501 HEALTH CENTER BLVD | AddressLine1 |
| City | BONITA SPRINGS | City |
| State | FL | State |
| ZIP Code | 34135 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (10 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| DAVID CATO | ||||||
| DIRECTOR | 2.00 | X | 0 | 175903 | 19908 | |
| PHILLIP DUTCHER | ||||||
| DIRECTOR | 2.00 | X | 0 | 439343 | 10436 | |
| NOBLE ARRINGTON | ||||||
| VICE CHAIRMAN | 2.00 | X | 0 | 162660 | 29083 | X |
| KEVIN NEWINGHAM | ||||||
| CHAIR | 2.00 | X | 0 | 214631 | 21442 | X |
| KEVIN D COOPER | ||||||
| DIRECTOR | 2.00 | X | 0 | 436945 | 18855 | |
| SUZANNE BRADACH | ||||||
| DIRECTOR | 2.00 | X | 0 | 173367 | 20051 | |
| MICHAEL RILEY | ||||||
| SECRETARY/TREASURER | 2.00 | X | 0 | 235572 | 31876 | X |
| DR AVRA BOWERS | ||||||
| DIRECTOR | 2.00 | X | 0 | 281717 | 24836 | |
| SARA MCCALLUM | ||||||
| CEO | 40.00 | 0 | 0 | 0 | X | |
| BERTRAND GENE HIGGINS | ||||||
| CFO | 40.00 | 111828 | 0 | 4699 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 111828 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2120138 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 181186 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| NAPLES RADIOLOGY | |||||
| P O BOX 8089 | NAPLES | FL | 34101 | RADIOLOGY SERVICES | 405409 |
| LEE MEMORIAL HEALTH SYSTEMS | |||||
| 636 DEL PRADO BLVD | CAPE CORAL | FL | 33990 | PHYSICIAN SERVICES | 237969 |
| NAPLES COMMUNITY HOSPTAL | |||||
| P O BOX 413001 | NAPLES | FL | 34101 | PHYSICIAN SERVICES | 203984 |
| CORONET CLEANING SERVICES LTD | |||||
| 1876 SW 11TH TERRACE 204 | MIAMI | FL | 33135 | JANITORIAL SERVICES | 100801 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| Related Organizations | 2433812 | RelatedOrganizations |
| Total Contributions | 2433812 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICES | Description |
| Business Code | 990999 | BusinessCode |
| Total Revenue Column | 6111170 | TotalRevenueColumn |
| Related Or Exempt Function Income | 6111170 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 6111170 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 516 | TotalRevenueColumn |
| Exclusion | $516 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1123653 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1454028 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -330375 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -330375 | TotalRevenueColumn |
| Related Or Exempt Function Income | -330375 | RelatedOrExemptFunctionIncome |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 14451 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 2854 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 11597 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11597 | TotalRevenueColumn |
| Exclusion | $11,597 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8226720 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5780795 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $12,113 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 191894 | Total |
| Management And General | 191894 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2809605 | Total |
| Program Services | 2033979 | ProgramServices |
| Management And General | 775626 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29840 | Total |
| Program Services | 23787 | ProgramServices |
| Management And General | 6053 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 245216 | Total |
| Program Services | 187309 | ProgramServices |
| Management And General | 57907 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 265528 | Total |
| Program Services | 213682 | ProgramServices |
| Management And General | 51846 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37400 | Total |
| Program Services | 25058 | ProgramServices |
| Management And General | 12342 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21000 | Total |
| Program Services | 14070 | ProgramServices |
| Management And General | 6930 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 663857 | Total |
| Program Services | 590833 | ProgramServices |
| Management And General | 73024 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 165820 | Total |
| Program Services | 147580 | ProgramServices |
| Management And General | 18240 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 169148 | Total |
| Program Services | 131568 | ProgramServices |
| Management And General | 37580 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 85027 | Total |
| Program Services | 56968 | ProgramServices |
| Management And General | 28059 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 203286 | Total |
| Program Services | 198716 | ProgramServices |
| Management And General | 4570 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3690 | Total |
| Program Services | 2472 | ProgramServices |
| Management And General | 1218 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 696303 | Total |
| Program Services | 510833 | ProgramServices |
| Management And General | 185470 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 476893 | Total |
| Program Services | 425471 | ProgramServices |
| Management And General | 51422 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 83513 | Total |
| Program Services | 77956 | ProgramServices |
| Management And General | 5557 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SUPPLIES | 675182 | 675182 | |
| LEASE ON EQUIPMENT | 405528 | 400836 | 4692 |
| EQUIPMENT SERVICE CONTR | 337695 | 325169 | 12526 |
| BAD DEBT ALLOWANCE | 167068 | 167068 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 204843 | Total |
| Program Services | 186342 | ProgramServices |
| Management And General | 18501 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7938336 | Total |
| Program Services | 6394879 | ProgramServices |
| Management And General | 1543457 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3449 | BOY |
| EOY | 4513 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 167139 | BOY |
| EOY | 333170 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 417255 | BOY |
| EOY | 355635 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 110982 | BOY |
| EOY | 104854 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 83805 | BOY |
| EOY | 105590 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 26604125 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 10148854 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16900070 | BOY |
| EOY | 16455271 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 372502 | BOY |
| EOY | 154836 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43760 | BOY |
| EOY | 47616 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18098962 | BOY |
| EOY | 17561485 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 543497 | BOY |
| EOY | 587451 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5900000 | BOY |
| EOY | 14944000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19082205 | BOY |
| EOY | 9623488 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1161464 | BOY |
| EOY | 104204 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26687166 | BOY |
| EOY | 25259143 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -8588204 | BOY |
| EOY | -7697658 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -8588204 | BOY |
| EOY | -7697658 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18098962 | BOY |
| EOY | 17561485 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 288384 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 602162 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
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
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2520020 | OtherCostOrOtherBasis |
| Book Value | 2520020 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13277676 | OtherCostOrOtherBasis |
| Depreciation | 3784092 | Depreciation |
| Book Value | 9493584 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5786452 | OtherCostOrOtherBasis |
| Depreciation | 1760999 | Depreciation |
| Book Value | 4025453 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4540869 | OtherCostOrOtherBasis |
| Depreciation | 4241650 | Depreciation |
| Book Value | 299219 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 479108 | OtherCostOrOtherBasis |
| Depreciation | 362113 | Depreciation |
| Book Value | 116995 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 16455271 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| INTEREST PAYABLE | $55,793 |
| TENANT DEPOSITS | $9,560 |
| DUE TO NAPLES RADIOLOGY | $28,825 |
| OTHER DEPOSITS | $10,026 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 104204 | TotalOfAmounts |
| Total Revenue | 8226720 | TotalRevenue |
| Total Expenses | 7938336 | TotalExpenses |
| Excess Or Deficit For Year | 288384 | ExcessOrDeficitForYear |
| Other | $602,162 | OtherAmount |
| Total Adjustments | 602162 | TotalAdjustments |
| Excess Or Deficit Per FS | 890546 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 10282910 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 2056190 | OtherRevenues |
| Revenue Not Rptd F990 | 2056190 | RevenueNotRptdF990 |
| Revenue Subtotal | 8226720 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 8226720 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 9392364 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 1454028 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 1454028 | ExpensesNotRptdF990 |
| Expenses Subtotal | 7938336 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 7938336 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 602,162. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 602,162. RENTAL EXPENSES REPORTED ON PART VIII LINE 6(B) 1,454,028. |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES REPORTED ON PART VIII LINE 6(B) 1,454,028. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | X | WrittenEmploymentContract |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DAVID CATO | |||||||||||||
| 0 | 175903 | 0 | 0 | 0 | 0 | 0 | 8975 | 0 | 10933 | 0 | 195811 | 0 | 0 |
| PHILLIP DUTCHER | |||||||||||||
| 0 | 403975 | 0 | 35368 | 0 | 0 | 0 | 9800 | 0 | 636 | 0 | 449779 | 0 | 0 |
| NOBLE ARRINGTON | |||||||||||||
| 0 | 155108 | 0 | 4550 | 0 | 3002 | 0 | 6601 | 0 | 22482 | 0 | 191743 | 0 | 0 |
| KEVIN NEWINGHAM | |||||||||||||
| 0 | 214631 | 0 | 0 | 0 | 0 | 0 | 10732 | 0 | 10710 | 0 | 236073 | 0 | 0 |
| KEVIN D COOPER | |||||||||||||
| 0 | 385077 | 0 | 35368 | 0 | 16500 | 0 | 9800 | 0 | 9055 | 0 | 455800 | 0 | 0 |
| SUZANNE BRADACH | |||||||||||||
| 0 | 173367 | 0 | 0 | 0 | 0 | 0 | 8668 | 0 | 11383 | 0 | 193418 | 0 | 0 |
| MICHAEL RILEY | |||||||||||||
| 0 | 216123 | 0 | 19449 | 0 | 0 | 0 | 8901 | 0 | 22975 | 0 | 267448 | 0 | 0 |
| DR AVRA BOWERS | |||||||||||||
| 0 | 281717 | 0 | 0 | 0 | 0 | 0 | 14086 | 0 | 10750 | 0 | 306553 | 0 | 0 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEE COUNTY IDATE HEALTHCARE FACILITIES BONDS 2012 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 591793462 | IssuerEIN |
| Date Issued | 2012-05-10 | DateIssued |
| Issue Price | 15094000 | IssuePrice |
| Description Of Purpose | TO REPAY BONDS PREVIOUSLY OBTAINED BY THE ORGANIZATION. | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | NOBLE ARRINGTON, KEVIN COOPER, MICHAEL RILEY, AND PHILLIP DUTCHER HAVE A BUSINESS RELATIONSHIP. SUSANNE BRADACH, KEVIN NEWINGHAM, DAVID CATO, AND DR. AVRA BOWERS HAVE A BUSINESS RELATIONSHIP. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE ORGANIZATION SENDS A PDF COPY OF THE ENTIRE FORM 990 TO THE BOARD OF DIRECTORS 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 IS REVIEWED BY THE BOARD EVERY YEAR AND SIGNED BY THE CHAIRPERSON. IT STATES 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 B, LINE 15 | THE CEO IS A LOANED EXECUTIVE FROM THE LEE MEMORIAL HEALTH SYSTEM. THE CEO PAY IS DETERMINED BASED ON MARKET SURVEYS AND IS APPROVED BY THE LMHS BOARD OF DIRECTORS. COMPENSATION PROCESS FOR OFFICERS PAY IS DETERMINED BASED ON MARKET SURVEYS AND APPROVAL BY THE CEO. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION DOES MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. | |
| FORM 990, PART XI, LINE 5: | CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 602,162. TOTAL TO FORM 990, PART XI, LINE 5: 602,162. | CHANGES IN NET ASSETS OR FUND BALANCES: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| NCH HEALTHCARE SYSTEM INC | ||||||||||
| PO BOX 413029 | NAPLES | FL | 341013029 | 592314655 | HOLDING COMPANY | FL | 501(C)(3) | LINE 8 | N/A | 0 |
| LEE MEMORIAL HEALTH SYSTEM | ||||||||||
| 2776 CLEVELAND AVENUE | FORT MYERS | FL | 33901 | 590714812 | ACUTE CARE HOSPITAL | FL | N/A | 0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| LEE MEMORIAL HEALTH SYSTEM | |
| C | 1216906 |
| NCH HEALTHCARE SYSTEM | |
| C | 1216906 |
| LEE MEMORIAL HEALTH SYSTEM | |
| L | 237966 |
| NCH HEALTHCARE SYSTEM | |
| L | 203984 |
| LEE MEMORIAL HEALTH SYSTEM | |
| I | 368421 |
| NCH HEALTHCARE SYSTEM | |
| I | 77367 |
| LEE MEMORIAL HEALTH SYSTEM | |
| E | 630314 |
| NCH HEALTHCARE SYSTEM | |
| E | 630314 |
| LEE MEMORIAL HEALTH SYSTEM | |
| O | 46304 |
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