Bonita Community Health Center: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
Bonita Community Health Center (EIN 59-3544102)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-12
IRS object ID
201112249349300616
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-08-12T07:43:34-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LarsonAllen LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line14099 Tamiami Trail N Ste 300AddressLine1
CityNaplesCity
StateFLState
ZIP Code34103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN593544102EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BONITA COMMUNITY HEALTH CENTER incBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBONINameControl
Phone2399491050Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13501 HEALTH CENTER BLVDAddressLine1
CityBONITA SPRINGSCity
StateFLState
ZIP Code34135ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSuzanne BradachName
TitleCEOTitle
Phone2399491050Phone
Date Signed2011-08-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAmelia Cooper CPAName
Phone2392628686Phone
Date Prepared2011-08-09DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSuzanne BradachNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13501 HEALTH CENTER BLVDAddressLine1
CityBONITA SPRINGSCity
StateFLState
ZIP Code34135ZIPCode
FieldValueIRS element (for citing)
Gross Receipts8167855GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.bonitahealthcenter.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1998YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionTo provide quality and comprehensive healthcare in a caring environment to the communities of Bonita Springs and Estero.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees104TotalNbrEmployees
Total Nbr Volunteers35TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year2229473ContributionsGrantsCurrentYear
Program Service Revenue Prior Year5691193ProgramServiceRevenuePriorYear
Program Service Revenue CY4900896ProgramServiceRevenueCY
Investment Income Prior Year53376InvestmentIncomePriorYear
Investment Income Current Year154InvestmentIncomeCurrentYear
Other Revenue Prior Year-692457OtherRevenuePriorYear
Other Revenue Current Year-392965OtherRevenueCurrentYear
Total Revenue Prior Year5052112TotalRevenuePriorYear
Total Revenue Current Year6737558TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3413975SalariesEtcPriorYear
Salaries Etc Current Year2901114SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5068373OtherExpensePriorYear
Other Expenses Current Year4345965OtherExpensesCurrentYear
Total Expenses Prior Year8482348TotalExpensesPriorYear
Total Expenses Current Year7247079TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-3430236RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-509521RevenuesLessExpensesCY
Total Assets BOY19666117TotalAssetsBOY
Total Assets EOY18504478TotalAssetsEOY
Total Liabilities BOY28989013TotalLiabilitiesBOY
Total Liabilities EOY28154052TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-9322896NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-9649574NetAssetsOrFundBalancesEOY
Mission DescriptionOur 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.The Bonita Community Health Center was established as a partnership between two of the most experienced and respected names in Southwest Florida healthcare: Lee Memorial Health System and NCH Healthcare System. As a result, the facility is a comprehensive diagnostic, treatment, rehabilitation and surgical center specifically designed with our patients' care and comfort in mindEquipped 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense5849698Expense
Revenue4507931Revenue
DescriptionBonita 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. Equipped 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 30,000 patients throughout the community.Description
Total Program Service Expense5849698TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109611NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees104NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonGene Higgins CFONamePerson
Telephone Number2399491050TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13501 Health Center BlvdAddressLine1
CityBonita SpringsCity
StateFLState
ZIP Code34135ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
Michael Riley
Director2.00X019486431815
Vicki D Orr
Co Chairman2.00X030037133494
Kevin D Cooper
director2.00X030430626597
Noble Arrington
Treasurer2.00X015013921402
Suzanne Bradach
Director & CEO40.00X01732318662X
Kevin Newingham
Secretary2.00X01781268906
David Cato
Co chairman2.00X01323936620
Mike German
Director2.00X01949209746
Bertrand Gene Higgins
CFO40.0010859708454X
Michael Mastej
CEO40.0017872605500X
Jean Auger
COO40.001030020200X
FieldValueIRS element (for citing)
Total Reportable Comp From Org390325TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1628350TotalReportableCompFrmRltdOrgs
Total Other Compensation161396TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Naples Radiology
PO Box 8089NaplesFL341018089Radiology Services353441
Lee Memorial Health Systems
636 Del Prado BlvdCape CoralFL33990Physician Services202302
Collier Anesthesia PA
1336 Creekside Blvd Suite 1NaplesFL34108Anesthesia Services161969
Naples Community Hospital
PO Box 413001NaplesFL34101Physician Services136170
Coronet Clearing Services LTD
1876 SW 11th Terrace 204MiamiFL33135Janitorial Services103846
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Related Organizations2229473RelatedOrganizations
Total Contributions2229473TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPatient ServicesDescription
Business Code990999BusinessCode
Total Revenue Column4900896TotalRevenueColumn
Related Or Exempt Function Income4900896RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue4900896TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column154TotalRevenueColumn
Exclusion$154ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1037332Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1430297Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-392965Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-392965TotalRevenueColumn
Related Or Exempt Function Income-392965RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6737558TotalRevenueColumn
Related Or Exempt Function Income4507931RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$154ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total149007Total
Management And General149007ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2203903Total
Program Services1816189ProgramServices
Management And General387714ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total26512Total
Program Services18753ProgramServices
Management And General7759ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total382328Total
Program Services271654ProgramServices
Management And General110674ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total139364Total
Program Services132967ProgramServices
Management And General6397ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total61617Total
Program Services41283ProgramServices
Management And General20334ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total21751Total
Program Services14573ProgramServices
Management And General7178ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total732343Total
Program Services719922ProgramServices
Management And General12421ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total171879Total
Program Services112437ProgramServices
Management And General59442ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total193444Total
Program Services87330ProgramServices
Management And General106114ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total270788Total
Program Services254165ProgramServices
Management And General16623ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total2837Total
Program Services1335ProgramServices
Management And General1502ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total695833Total
Program Services466208ProgramServices
Management And General229625ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total619403Total
Program Services411610ProgramServices
Management And General207793ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total85546Total
Program Services57316ProgramServices
Management And General28230ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Supplies5208485208480
Lease on Equipment3543663507903576
Equipment Service Contr30396929307110898
Bad Debt Allowance1317191317190
Software License Fees758245080225022

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total103798Total
Program Services96726ProgramServices
Management And General7072ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7247079Total
Program Services5849698ProgramServices
Management And General1397381ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY350BOY
EOY250EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY205078BOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY402391BOY
EOY415342EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY136127BOY
EOY128819EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY85136BOY
EOY110577EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis26728174LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec9518537LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY17994526BOY
EOY17209637EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY169134BOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY673375BOY
EOY639853EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY19666117BOY
EOY18504478EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY727916BOY
EOY720285EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY6315000BOY
EOY6110000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY19716829BOY
EOY19278093EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2229268BOY
EOY2045674EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY28989013BOY
EOY28154052EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-9322896BOY
EOY-9649574EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-9322896BOY
EOY-9649574EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY19666117BOY
EOY18504478EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis2520020InvestmentCostOrOtherBasis
Book Value2520020BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis13277676InvestmentCostOrOtherBasis
Depreciation3120208Depreciation
Book Value10157468BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis5333158InvestmentCostOrOtherBasis
Depreciation1329797Depreciation
Book Value4003361BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis5105338InvestmentCostOrOtherBasis
Depreciation4751560Depreciation
Book Value353778BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis491982InvestmentCostOrOtherBasis
Depreciation316972Depreciation
Book Value175010BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings17209637TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
Interest Rate Swap Obligation$1,899,552
Interest Payable$94,364
Tenant Deposits$10,556
Due to Naples Radiology$32,652
Other Deposits$8,550
FieldValueIRS element (for citing)
Total Of Amounts2045674TotalOfAmounts
Total Revenue6737558TotalRevenue
Total Expenses7247079TotalExpenses
Excess Or Deficit For Year-509521ExcessOrDeficitForYear
Other$182,843OtherAmount
Total Adjustments182843TotalAdjustments
Excess Or Deficit Per FS-326678ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt8350698TotRevenueEtcAuditedFinclStmt
Other Revenues182843OtherRevenues
Revenue Not Rptd F990182843RevenueNotRptdF990
Revenue Subtotal8167855RevenueSubtotal
Other Revenues Not Included-1430297OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-1430297RevenueNotRptdOnFinStmt
Total Revenue Per Form9906737558TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt8677376TotExpensesEtcAuditedFinclStmt
Other Expenses Included1430297OtherExpensesIncluded
Expenses Not Rptd F9901430297ExpensesNotRptdF990
Expenses Subtotal7247079ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9907247079TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part X:Description of Uncertain Tax Positions Under FIN 48:The organization has been recognized by the Internal Revenue Service (IRS) as a not-for-profit corporation as described in Section 501(c)(3) of the Internal Revenue Code (the Code) and is exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Should that status be challenged in the future, the Organization's 2007 to 2009 tax years are open for examination by the IRS.
Part XI, Line 8 - Other Adjustments:Change in Fair Value of Interest Rate Swap: 182843.
Part XII, Line 2d - Other Adjustments:Change in Fair Value of Interest Rate Swap: 182843.
Part XII, Line 4b - Other Adjustments:Rental Expesnes: -1430297.
Part XIII, Line 2d - Other Adjustments:Rental expenses: 1430297.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Michael Riley
0182631043350789807926023889022667900
Vicki D Orr
026730306803300009800023694033386500
Kevin D Cooper
027123806803300002018606411033090300
Noble Arrington
01241980365802228306320015082017154100
Suzanne Bradach
017323100000866200018189300
Kevin Newingham
017812600000890600018703200
Mike German
019492000000974600020466600
Michael Mastej
17872600000907045930184226000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 2Business Relationship Noble Arrington NCH Director Employee Suzanne Bradach Lee Memorial Director Employee Kevin Newingham Lee Memorial Director Employee David Cato Lee Memorial Director Employee Kevin Cooper NCH Director Employee Michael Riley NCH Director Employee Vicki Orr NCH Director Employee Mike German Lee Memorial Director Employee
Form 990, Part VI, Section B, line 11The Organization sends a PDF copy of the 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 12cThe 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 15The 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 19The organization does not make its governing documents, conflict of interest policy, and financial statements available to the public.
Form 990, Part XI, Line 2c: Financial CommitteeThe organization has not changed the oversight process or selection process during the tax year regarding the financial committee.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
NCH Healthcare System Inc
PO BOX 413029NaplesFL341013029592314655Holding CompanyFL501(c)(3)8,11N/A
Lee Memorial Health System
2776 Cleveland AvenueFort MyersFL33901590714812Acute Care HospitalFL501(c)(3)6N/A
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
NCH Healthcare System
C1114736
Lee Memorial Health System
C1114736

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