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Agenda 06/12/2018 Item #16F 506/12/2018 EXECUTIVE SUMMARY Recommendation to approve, and authorize the Chairman to sign, a Charitable Organization Impact Fee Deferral in the amount of $100,000 for Neighborhood Health Clinic, Incorporated in accordance with Section 74-203(i) of the Collier County Code of Laws and Ordinances which provides criteria for impact fee deferrals available to charitable organizations. OBJECTIVE: To approve a Charitable Organization Impact Fee Deferral Agreement for Neighborhood Health Clinic, Inc. (Clinic) CONSIDERATIONS: Section 74-203 (i) of the Collier County Code of Laws and Ordinances (Code) provides criteria for the deferral of impact fees for charitable organizations and charitable trusts. The program provides a 10-year deferral of impact fees for specified, tax exempted, not-for-profit, charitable entities that provide services of substantial benefit to low income residents of Collier County who are citizens of the United States or legal aliens that permanently reside in the United States. Under the adopted provisions, an applicant may be provided a deferral in an amount up to $100,000. The cumulative total of deferrals granted per fiscal year may not exceed $200,000. A lien is placed on the subject property, in the amount of the fees due, as security. The impact fees assessed on City of Naples building permit #174608 for an addition to the Neighborhood Health Clinic, located at 121 Goodlette Road North, total $118,647.51. As noted above, the maximum deferral amount is $100,000. On March 13, 2018, the Clinic submitted a written request to the County for a deferral in the amount of $100,000. The request (Attachment A) included a summary of the specific elements rendering the entity eligible for the deferral as well as additional detailed information about the organization. A letter from the Internal Revenue Service was also submitted confirming that the organization is exempt under 501(c) (3) of the Internal Revenue Code. The Clinic is the first organization to apply for a deferral in Fiscal Year 2018. Rec ipients of deferrals in the past ten years were Collier Health Services and Fun Time Academy in Fiscal Year 2007, First Assembly of God in Fiscal Year 2008, and New Hope Ministries in Fiscal Year 2011. FISCAL IMPACT: The current year’s remaining balance available for charitable organization impact fee deferrals is $200,000. The maximum amount the applicant may receive is $100,000. The impact fees proposed to be deferred for this project total $100,000 in Road Impact Fees (Road District 3). If the Board of County Commissioners elects to defer the impact fees in the amount of $100,000, the fiscal impact to the County would be the loss of this prospective income to the impact fee trust funds for the 10-year period of the deferral. A lien will be placed on the subject property, in the amount of the impact fees due, as security. At the direction of the Board, the program does not have an interest component. The subject property will be monitored by the staff of the Impact Fee Administration. In the event the property/business is sold, no longer operates as a facility that qualifies for the charitable organization program and/or if the business ceases to legally operate, the impact fees will become immediately due and payable as detailed in the deferral agreement. This monitoring takes place as long as the use of the property remains eligible for the charitable organization program and will be discontinued when the impact fees are repaid, in full, to the County. GROWTH MANAGEMENT IMPACT: This request is consistent with Policy 1.1 of the Economic Element of Collier County’s Growth Management Plan which states: “Collier County will encourage the development of diverse cultural facilities through public, private, or public/private partnerships that meet the needs of the residents and visitors of the County” and Objective 4 (Nonprofit and Civic Organizations 16.F.5 Packet Pg. 1881 06/12/2018 and Local Groups/Programs) of the Economic Element of the GMP which states: “Recognizing the significant economic and social benefits and the overall quality of place attributable in large part to the vast array of nonprofit organizations, civic and community associations, and other local groups and programs in Collier County and in the southwest Florida region, the County, where appropriate, will support the community involvement efforts and economic development goals of such organizations, associations, groups and programs.” LEGAL CONSIDERATIONS: This item has been reviewed by the County Attorney, is approved as to form and legality, and requires majority vote for approval. Please note that not-for-profit deferrals are discretionary (with the Board's decision final) and impact fees collected by the County for water, wastewater, educational facilities and fire impact fees are not deferred under this pro gram. -JAK RECOMMENDATION: To approve, and authorize the Chairman to sign, a Charitable Organization Impact Fee Deferral Agreement in the amount of $100,000 for Neighborhood Health Clinic, Incorporated in accordance with Section 74-203(i) of the Collier County Code of Laws and Ordinances which provides criteria for impact fee deferrals available to charitable organizations. Prepared by: Paula Fleishman, Senior Operations Analyst Capital Project Planning, Impact Fees and Program Management Division Growth Management Department ATTACHMENT(S) 1. NHC Deferral Agreement (PDF) 2. Attachment A - NHC Request (PDF) 16.F.5 Packet Pg. 1882 06/12/2018 COLLIER COUNTY Board of County Commissioners Item Number: 16.F.5 Doc ID: 5565 Item Summary: Recommendation to approve, and authorize the Chairman to sign, a Charitable Organization Impact Fee Deferral in the amount of $100,000 for Neighborhood Health Clinic, Incorporated in accordance with Section 74-203(i) of the Collier County Code of Laws and Ordinances which provides criteria for impact fee deferrals available to charitable organizations. Meeting Date: 06/12/2018 Prepared by: Title: Operations Analyst, Senior – Capital Project Planning, Impact Fees, and Program Management Name: Paula Fleishman 05/03/2018 10:27 AM Submitted by: Title: Operations Coordinator – Office of Management and Budget Name: Valerie Fleming 05/03/2018 10:27 AM Approved By: Review: Capital Project Planning, Impact Fees, and Program Management Amy Patterson Additional Reviewer Completed 05/08/2018 10:52 AM Growth Management Department Thaddeus Cohen Additional Reviewer Completed 05/08/2018 1:55 PM Office of Management and Budget Valerie Fleming Level 3 OMB Gatekeeper Review Completed 05/08/2018 4:46 PM County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 05/09/2018 1:28 PM Office of Management and Budget Susan Usher Additional Reviewer Completed 05/11/2018 9:15 PM County Manager's Office Nick Casalanguida Level 4 County Manager Review Completed 06/03/2018 5:37 PM Board of County Commissioners MaryJo Brock Meeting Pending 06/12/2018 9:00 AM 16.F.5 Packet Pg. 1883 Prepared by Jeffrey A. Klatzkow Collier County Att'y. 3301 TamiamiTrail East Naples, FL 341l2 This space for recording AGREEMENT FOR DEFERRAL OF COLLIER COUNTY IMPACT FEES CHARITABLE ORGANIZATION IMPACT FEE DEFERRAL PROGRAM This Agreement 1br the Delerral of Impact Fees is entered into this _ day of , 2018, by and between Collier County, a political subdivision ofthe State of Florida, through its Board of County Commissioners, hereinafter referred to as "County," and Neighborhood Health Clinic, Incorporated, hereinafter referred to as "Charitable Entity," collectively referred to as the "Parties." RECITALS: WHEREAS, Sec. 74-203(i) of the Collier County Consolidated Impact Fee Ordinance, as amended, provides for defenals of impact fees for qualified charitable organizations and charitable trusts (hereinafter referred to as the "Charitable Organization Impact Fee Defenal Program"); and WHEREAS, Charitable Entity has applied for a deferral of $100,000 in impact fees as authorized by the Charitable Organization Impact Fee Deferral Program. A copy of this request is on file in the Impact Fee Administrator's office; and WHEREAS, the County Manager, or his designee, has reviewed the Charitable Entity's request and has found that it complies rvith the requirements for deferral of impact fees as outlined in the Charitable Organization Impact Fee Deferral Program; and WHEREAS, by signing this Agreement, the County hereby approves a deferral of impact fees subject to the conditions set forth herein. NOW, THEREFORE, in consideration of the foregoing Recitals, and other good and valuable consideration, the receipt and sufficiency of which is hereby mutually acknowledged, the Parties covenant and agree as follows: Page I 16.F.5.a Packet Pg. 1884 Attachment: NHC Deferral Agreement (5565 : Neighborhood Health Clinic Charitable Organization Deferral) l. The foregoing Recitals are true and correct and are incorporated by reference herein. 2. The address and legal description of the property which is the subject of this impact fee deferral (hereinafter referred to as the "Subject Property") is attached as Exhibit "A." 3. The County hereby defers the sum of $100,000 in impact fees, which Charitable Entity acknowledges would be otherwise due and owing. These deferred impact fees are itemized in Exhibit "B." 4. These impact fees will be deferred for a period of ten years from the date of this agreement, so long as the Charitable Entity utilizes the Subject Premises in the manner set forth in the request. Should this stated use end lor any reason whatsoever, or should the Charitable Entity lose its status which qualified it for eligibility under the Charitable Organization Impact Fee Deferral Program, then this deferral period will end, and the deferred impact fees will be due and owing. Charitable Entity shall provide County within 30 days of written request with proof of its continued eligible status on request, I'ailing which County may terminate this defenal. 6. This Agreement is personal to the Charitable Entity, and as such, this Agreement may not be assigned or otherwise transfened to anyone without County's prior written consent, which consent may be freely withheld. 7. This Agreement and the deferral of impact fees will constitute a lien on the Subject Prope(y, which lien may be foreclosed upon in the event of non-compliance with the requirements of this Agreement 8. Except as otherwise provided herein, this Agreement shall only be amended by mutual written consent of the parties hereto or by their successors in interest. All notices and other communications required or permitted hereunder shall be in writing and shall be sent by Certified Mail, retum receipt requested, or by a nationally recognized ovemight delivery service, and addressed as follows: Page 2 16.F.5.a Packet Pg. 1885 Attachment: NHC Deferral Agreement (5565 : Neighborhood Health Clinic Charitable Organization Deferral) To County: Collier County Capital Project Planning, Impact Fees, and Program Management Division Growth Management Department 2685 Horseshoe Drive South Naples, Florida 34104 Attn: Amy Patterson, Director To Charitable Entify: Neighborhood Health Clinic, Inc. 1 21 Goodlette Road North Naples, Florida 341 02 Attn: Leslie Lascheid, Chief Executive Officer Notice shall be deemed to have beerr given on the next successive business day to the date of the courier way bill ifsent by nationally recognized ovemight delivery service. 13. This Agreement shall be recorded by the County in the Official Records of Collier County, Florida, within fourteen (14) days after the County enters into this Agreement. The County shall provide a copy of the recorded document to Charitable Entity upon request. 14. In the event of a dispute r.rnder this Agreement, the pa(ies shall first use the County's then-current Altemative Dispute Resolution Procedure. Following the conclusion of this procedure, either party may file an action for relief in the Circuit Court of Collier County to enforce the terms ofthis Agreement, which shall be the sole venue for any such disputes. REMAINDER OF PAGI] INTENTIONALLY LEFT BLANK SIGNATURE PAGE TO FOLLOW Page 3 \9 16.F.5.a Packet Pg. 1886 Attachment: NHC Deferral Agreement (5565 : Neighborhood Health Clinic Charitable Organization Deferral) IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by their appropriate officials, as of the date first above written. AS TO CHARITABLE ENTITY: WITNESS:NEIGHBO ooD TH IC. INC.qL^ dBy: LO Print Name:/eilc ,/nPrint Name: WITNE Print Name:c STATE OF FLORIDA COUNTY OF COLLIER The fore CI l nlc,Incorporated, who is identification INoTARTAL SEALI Po^ Print Title:0€o lL-c.cl going instrument was acknowled ged before me this 2018. by t rlic llv known to me or has s D00 produced for Neighborhood Health as E.day of S Print. Type, or Stamp Commissioned Name of Notary Public) N b Florida) rI Ilt,l cYirHtt Goiz&tz lot.ry P$lh - 6trta ol florftrr Conmltlloo , tt 0l 4060 lly Co0m. trpl.r lor 13, 2019 Ecred XIq$ l!0od li.ry lrtn. Page 4 16.F.5.a Packet Pg. 1887 Attachment: NHC Deferral Agreement (5565 : Neighborhood Health Clinic Charitable Organization Deferral) ATTEST: DWIGHT E. BROCK, CLERK BY: Deputy Clerk tegality: Jeffrey County Attomey BOARD OF COUNTY COMMISSIONERS COLLIER COTINTY, FLORIDA BY: Andy Solis, CHAIRMAN ,II III I Page 5 l,i 16.F.5.a Packet Pg. 1888 Attachment: NHC Deferral Agreement (5565 : Neighborhood Health Clinic Charitable Organization Deferral) EXHIBIT *A" LEGAL DESCRIPTION OF CHARITABLE ENTITY ADDRESS Folio # 14360000024 Address: 122 Goodlette-Frank Road North, Naples, Florida 34102 A PARCEL OF LAND LYING IN AND BEING A PART OF THE NORTHWEST 1/4 OF SECTION J, TOWNSHIP 50 SOUTH, RANGE 25 EAST, COLLIER COUNTY, FLORIDA, BEINC MORE PARTICULARLY OESCRIBED AS FOLLOWS: COMMENCING AT THE INTERSECTION OF THE CENTERLINE OF FIRST AVENUE SOUTH WITH THE SOUTHERLY EXTENSION OF THE FAST LINE OF THE SEAEOARD OOWNTOWN SUBDIVISION. AS RECOROED IN PLAT BOOK 13, PACES 61 AND 62, PUELIC RECORDS OF COLLIER COUNTY; FLORIDA; TIIENCE ALONG SAID EAST LINE; NORIH 785.02 FEET TO AN INTERSECTION WITH THE EASTERLY ETTENSION OF THE SOUIH LINE OF FIRST AVENUE NORTH AND THE POINT OF BEGINNING OF THE HEREIN DESCRIBED LANDS; THENCE CONTINUE NORTH 204.16 FEET TO THE NORTHEAST CORNER OF LOT I OF SAID SEABOARD DOWNTOWN SUBOIVISION; THENCE ALoNG THE NORTH LINE OF SAID LOT 9 ANO THE WESTERLY EXIENSION OF SAID NORTH LINE, WEST 145.00 FEil; THENCE SOUTH 155.86 FEFI'I THENCE N8J'27'09" E 51.85 FEET; THENCE S06'J2'51"E 64.s0 FEEI ro A POINT 0N THE EASTERLY EXIENSION OF IHE SOUTH LINE OF FIRST AVENUE NORTH; THENCE ALONG SAID EASTERLY ETTENSION, N83'27,09,,E 86.71 FEET TO THE POINT OF BEGINNING; TOGETHER WITH AN EASEMENI FOR INGRESS AND EGRESS OVER AND ACROSS THE FOLLOWING DESCRIBED LANDS: COMMENCING,AT THE INIERSECTION OF THE CENTERLINE OF FIRST AVENUE SOUTH WITH THE SOUTHERLY EXTENSION OF THE EAST LINE OF IHE SEABOARD DOWNTOWN SUBDIVISION, AS RECORDED IN PLAT BOOK'1J, PAGES 61 ANO 62, PUBLIC RECORDS Or COLLIER COUNry, FLORIDA; THENCE ALONG SAID EAST LINE NORTH 785.02 FEET TO AN INTERSECTION WITII THE EASTERLY EXTENSION OF THE SOUTH LINE OF FIRST AVENUE NORTH; THENCE ALONG SAID EASTERLY EXTENSION S83'27'09"W 86,71 FEET; THENCE N06'32'51"W 52.50 FEET T0 THE POINT oF tsEGINN|NG oF THE HERETN DESCRIBID EASEMENT; THENCE S83'27'09"W 55.22lLLl; IHLNCE NORII-l 12.0/ FEEI; IHENCE S83'27,09,,W 110.04 FEil TO THE EAST LINE OF 1zTH STREET NORTH AS DESCRIBED IN DEED BOOK 22, PACT 546, PUBLIC RECORDS OF COLLIER COUNry, FLORIDAI TH:NCE ALONG SAID EASI LINE, N01'58'J8"!Y 20.07 FEET; THENCE N83'27'09"E 100.56 FEfi; THENCE NORTH 166.88 FEfI; THENCE EAST J2.sO FEEI TO A POINT ON THE NORTHEASTERLY LINE OF LOT 9 OF SAID SEABOARO DOWNTOWN SUBDIVISION; THENCE J7.46 FEEI ALONG THE ARC 0F A CURVE TO THE RIGHT, HAVING A RADIUS OF 431 .24 FEET AND SUBTENDED BY A CHORD WHICH BEARS S56'47,37,,E J7.44 FEIT TO THE, SOUTHWEST CORNER OF LOT 4 OF SAID SEABOARD DOWNIOWN SUBDrvlSloN; THENCE WEST 45.00 FEEr; THENCE SoUTH 155.86 FEET; THENCE N8J'27'09"E 51.85 FEET; THENCE SO6'J2,5I,.E 12.00 FEET TO THE POINT OF BECINNING. SUBJECT TO AN EASEMENT f:OR INGRISS AND EGRESS OVER AND ACROSS THE WEST 10 FEET TIIEREOF; ".APage 6 16.F.5.a Packet Pg. 1889 Attachment: NHC Deferral Agreement (5565 : Neighborhood Health Clinic Charitable Organization Deferral) Folio #14360000040 Address: 1 00 Goodlette-Frank Road North, Naples, Florida 341 02 A PARCEL OF LAND LYING IN SECTION 3, TOWNSHIP 50 SOUTH, RANGE 25 EAST, COLLIER COUNTY, TLORIDA AND A PORTION OF LOT 5 SEABOARD DOWNTOWN SUBDIVISION AS RECORDED IN PLAT BOOK 13. PAGE 61. BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE INTERSECTION OF THE CENTERLINE OF FIRST AVENUE SOUTH WITH THE SOUTHERLY EXTENSION OF THE EAST LINE OF THE SEABOARO DOWNTOWN SUBDIVISION. AS RECORDED IN PLAT BOOK 13 PAGE 62 OF THE PUBLIC RECORDS OF COLLIER COUNTY, FLORIDA: THENCE NORTH 634.04 FEil ALONG SAID EAST LINE TO AN INTERSECTION WITH A LINE 15O.OO FEET SOUTH AND PARALLEL WITH THE EASTERLY EXTENSION OF THE SOUTH RIGHT-OF_WAY LINE OF FIRST AVENUE NORTH, SAID POINT BEING THE POINT OF BEGINNING: THENCE CONTINUE NORTH ALONG SAID EAST LINE 150.98 FEET TO AN INTERSECTION WITH THE EASTERLY EXTENSION OF THE SOUTH RIGHT-OF-WAY LINE OF FIRST AVENUE NORTH; THENCE SOUTH 83'27'09" WEST ALONG SAID EASTERLY EXTENSION 254.13 FEET TO AN INTERSECTION WITH THE EAST RIGHT-OF-WAY LINE OF TWELFTH STRETT NORTH. AS RECORDED IN DEED BOOK 22, PAGE 346 OF THE PUBLIC RECORDS OF COLLIER COUNTY. FLORIDA THENCE SOUTH O1 '38,J8,, EAST ALONG SAID EAST RIGHT_OF-WAY LINE 150.55 FEET TO AN INTERSECTION WITH A LINE 15O.OO FEET SOUTH END PARALLEL WITH THE EASTERLY EXTENSION OF THE SOUTH RIGHT-OF_WAY LINE OF FIRST AVENUE NORTH: THENCE NORTH 83'27'09" EAST ATONG SAID PARALLEL LINE 249.78 FEET TO THE POINT OF BEGINNING. Page 7 Lt 16.F.5.a Packet Pg. 1890 Attachment: NHC Deferral Agreement (5565 : Neighborhood Health Clinic Charitable Organization Deferral) EXHIBIT "B" DEFERRED IMPACT FEE BREAKDOWN Type of Impact Fee Road Impact Fee Amount $ 100,000.00 Page 8 TOTAL DEFERRED IMPACT FEES $IO(),()OO.()() \r. 16.F.5.a Packet Pg. 1891 Attachment: NHC Deferral Agreement (5565 : Neighborhood Health Clinic Charitable Organization Deferral) IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by their appropriate officials, as of the date first above written. AS TO CiIARITABLE ENTITY: WITNESS:NEIGHBORHOOD HEALTH CLINIC, INC. By: Print Name:Print Name: Print Title: WITNESS: Print Name: STATE OF FLORIDA COTINTY OF COLLIER The tbregoing instrument was acknowledged before me this day of 2018, by AS for Neighborhood Health asClinic, Incorporated, who is personally known to me or has produced identification. INOTARIAL SEAL] Signature of Notary Public - State ofFlorida) Print, Type, or Stamp Commissioned Name of Notary Public) Page 4 16.F.5.a Packet Pg. 1892 Attachment: NHC Deferral Agreement (5565 : Neighborhood Health Clinic Charitable Organization Deferral) rL Neishborhood uelttrr Chnic Board of Directors John P. Cardillo, Esq. Choir C. Michacl Armstrong Linda A. Bilodeau Thomas C. Brick DMD Barbara Ann Britten MD Adriana Buitrogo Craig J. Eichler MD George W. F€rguson MD Vincent Foglia Paul O. Jones I{D Nancy Lascheid BSN, RN Robert J. Meli MD Robert W. Payne DDS Catherine A. Perez Katherine C. Sachs Janet H. Vasey David J- Wolff Lcslie Lascheid ChiefEreative Oflicer Keith Maples Chief Developuent Olfi cer 121 Cood lette Road North, Naples, Florida 34102 PHoN E ?3 9.261.6600 rAx 239.261.6582 tt'tr',r1eighborlrcodhealtlrclinic.org March 12,2018 Email to PaulaFleishman Paula.Fleishman@colliercountvfl.qov Senior Operations Analyst Capital Project Planning, lmpact Fees and Program Mgmt. Division 2685 Horseshoe Drive South, Unit 103 Naples ,FL 34104 RE: Neighborhood Health Clinic Dear Ms. Fleishman Please accept this letter as the Neighborhood Health Clinic's request for the Charitable Organization Deferral Program regarding the Clinic's impact fees of $118,647.51 and seek the exemption of the first $100,000. The balance will be paid as directed I have attached the following: 1.) IRS 501-c-3 tax exemption 2.) The Clinic's information sheet detailing not only our mission, but the patient population, services we provide, and the impact we have in the community. Please do not hesitate to conlact me if and additional information or documenlation is needed. Sincerely, @trrrrr"*AY,,%;rrlrra* Shannon W. Anderson Director of Community Outreach Neighborhood Health Clinic 121 Goodlette Road North Naples, FL 34102 Phone: (239) 529-2253 I have been given direction to act on behalf of the Clinic by Leslie Lascheid, the Chief Executive Otficer. 16.F.5.b Packet Pg. 1893 Attachment: Attachment A - NHC Request (5565 : Neighborhood Health Clinic Charitable Organization Deferral) N hborhood Health Clinice *.1.:-,. -1. : tr.. : , ,: ,: t l, , , .. ,-t,j:,:. ) Mrssion.'To deliver quality medical and dental care to low-income, working but unrnsured Collier County adults using a professional volunteer staff and funded by private philanthropy. Community Facts: I Collier County is home to more than 50,000 uninsured workers, if sick could qualify for Clinic services. I Only county in Florida that provides no public funding for general medical services. I Local health department provrdes for pregnant women and children, HlV, AIDS and Tuberculosis care only. "l'm a Clinic graduate, because they helped me with my sickness, I'm improved and was moved to a higher level job. I'm a regularly paid employee now with insurance. Because of the Clinic's care my life just gets better and better." - Eddy Neighborhood Health Clinic Facts: r Founded by Dr. Bill and Nancy Lascheid in 1999, the Neighborhood Health Clinic was created to deliver quality medical and dental care to low-income, working but uninsured Collier County adults, using a volunteer professional staff and funded solely by private philanthropy. - Volunteer driven 50'1(c)3 not-for-profit organization with approximately 250 physicians, 42 dentists, 100 nurses and 300 non-medical personnel donating their expertise and supported by 13 fulltime and 7 part{ime paid staff. - Annual budget of $2,370,000 funded completely through individual donations, foundations, grants, businesses, religious and civic organizations; such as United Way and Community Foundation. [ 90 cents of every dollar goes directly to patient services. I Patients must be uninsured with !e government health benefits, such as Medicaid, Medicare or Veterans Benefits. Patients must be at or below 200% of the Federal Poverty Guidelines, reside in Collier County, be uninsured and work a minimum of 80 hours a month, aged '19-64 years. f Provides care for more than 200 patients a week, providing more than 9,900 patient vtsits with working, uninsured men and women in fiscal year 20'16. i Performed over 26,951 patient procedures in fiscal yeat 2016. New patients contribute $30 for their first visit; returning patients contribute $5-$25 per visit (including medications). Patients makes contributions and are not billed or charged a fee. - The Clinic is open daily. ! Access to general practitioners and specialty clinics for complex conditions: o Cardiology o Dermatology o Endocrinology o Otolaryngology (ENT) o Hepatology o Lipids o Neurologyo Rheumatologyo Urologyo Hepatitis Co Dentalo GYN ! Onsite medication room allows patients to leave appointments with their non-narcotic medications, increasing adherence and improving health outcomes. Provides patient education and research poects, including: o Diabetes Self-Management o Healthy Lifestyles o Breast Health Awareness o Smoking Cessation o Pain Management o Colon Cancer Screening o Hepatitis C Treatment and Support 16.F.5.b Packet Pg. 1894 Attachment: Attachment A - NHC Request (5565 : Neighborhood Health Clinic Charitable Organization Deferral) o Social ServicesI Onsite laboratory basic tests for established patrents. Referrals requested by Neighborhood Health Clinic providers are available at no additional fee or donation by the following medical facilities:o LabCorp and Naples Pathology Associates provide complex laboratory procedures. o Radiology Regional, 2lstCentury Oncology, Naples Radiologists, LLC provide radiology services.o NCH Healthcare Systems, Physicians Regional Medical Centers and Physicians Day Surgery provide hospital procedures and admission services. David Lawrence Mental Health Center provides behavioral health services.o Gastroenterology Group of Naples provides professional services. "Every $1 million in the Clinic's budget equates to $7 million ln servlces to patients, translating to $16.5 million in services provided annually to women and men in Collier County." lnteresting lnformation: I Received the coveted Four Star Charity Navigator rating 5 years in a row and Guidestar's 2017 Gold Seal of Transparency.- All medical and dental professionals have active Florida-licenses.- Section 766.115, Florida Statutes provides malpractice protection for all Clinic healthcare volunteers, including Florida licensed physicians, dentists and nurses. ti Does not accept any form of government funding, government grants or patient reimbursement. ! Paid staff account for only 4% of the total soo-person workforce.. Governed by a Board of Directors comprised of community leaders and supported by Ambassadors, Stewards and Next Generation committees. -, Serves working adults ages 19-64 experiencing situational poverty. ! Average patient is a 47 year-old woman with children. ! Patients who do not qualify for Clinic care are referred to other safety net providers. tl Does not provide well patient or general physical exams.- The annual $74,000 prescription budget equates to $4.2 million in retail medication costs.- Medications are sourced through samples from doctors' offices, pharmaceutical companies' Patient Assistance Programs (PAP) and purchased at a discount bulk rate. it lntentionally situated on a countywide bus route to accommodate patients and close to a local hospital to accommodate volunteer medical staff (121 Goodlette Road N.). Dollars and Sense: I $733: average retail cost of medication per patient per monthly visit. $1,000: average cost per patient monthly, including medications. - $180,000: cost to treat 1 Hepatitis C patient annually. -r $6,500: cost to open the Clinic doors each day. f $45,576: cost to serve patients each week. I $197,500: cost to provide medical access to patients in-need each month. I $2,370,000: cost to operate the Clinic for one year. - Every $1,000,000 in budget equates to $7,000,000 in services provided by the Clinic. - Deliver over $16,500,000 in services to our patients annually. For more information and to support the Neighborhood Health Clinic, please contact: Keith Maples, Chief Development Officer a|239.529.2264, or visit www. NeighborhoodHealthClinic.org. '121 Goodlette Road North Naples 34102 o 239.26'1.6600 o www. NeighborhoodHealthclinic org 16.F.5.b Packet Pg. 1895 Attachment: Attachment A - NHC Request (5565 : Neighborhood Health Clinic Charitable Organization Deferral) l.li"l NE I6HBORHOOD HEALTH CLINIC INC Z NINA GRAY CEO 121 GOODLETTE RD N NAPLES FL 34]02 iifD t Rs r:nllri"Jiiilix'. iiijlr,'r.? OGDEN UT B42O1.OO5B Emp loyer Identification Number: Persorl to Contact: To 1I Free Telephone Nulrber; In reply refer to t O441671457 Nov. 30,2009 LTR 4I68C E0 59-354688q 000000 00 R 00034039 BODC r TE 026967 59-35468A{1 S.GalIegos l"-877'.829-5500 Dear Taxpayer: This is in response to your llov. 18, ?O09, request for infornation regarding your t ax - exemp t status. 0ur records indicate that your organization was under section 501(c) (5) of the Internal Revenue determination letter issued in l,1ay 1995, recognized as exenrpt Code in a Our records also indicate that you are not a private foundation witlrin the neaning of section 509(a) of the Co de because Vou are described in section(s) 509(a) (l) and 170(b) (l) (A) (iii). Donors mav deduct contributions to you as provided in section 170 of the Code. Bequests, legacies, devises, tnansfers, or gifts to you or for your use are deduct i b 1e for Federal estate and gift tax purposes if t hey me et tlre applicable provisions of sections 2055, 2106, and 2522 ot t lre Cod e , If you have any questions, please caIl us at the telephone numbe r shown in the head i ng of this letter. Sincerely yours, ?*aa-&m.--, Ri.ta A. Leete Accounts Management II 16.F.5.b Packet Pg. 1896 Attachment: Attachment A - NHC Request (5565 : Neighborhood Health Clinic Charitable Organization Deferral)