NAPLES COMMUNITY HOSPITAL INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: NAPLES COMMUNITY HOSPITAL INC (EIN 59-0694358)
Tax period: 2018-10-01 to 2019-09-30
Filed: 2020-08-09
IRS object ID: 202042229349300004
Schema version: 2018v3.2
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-08-09T19:24:14-05:00	ReturnTs
Tax Period End	2019-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	420714325	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	RSM US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	ONE SOUTH WACKER STE 800	AddressLine1Txt
City	CHICAGO	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60606	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	590694358	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NAPLES COMMUNITY HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	NAPL	BusinessNameControlTxt
Phone	2396246338	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 413029	AddressLine1Txt
City	NAPLES	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	341013029	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	RICK WYLES	PersonNm
Person Title	CHIEF FINANCIAL OFFICER	PersonTitleTxt
Phone	2396246338	PhoneNum
Signature	2020-08-05	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	REBEKUH ELEY	PreparerPersonNm
PTIN	P01247672	PTIN
Phone	3126343400	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	67.184.218.2	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-08-05	IPDt
IP Tm	12:01:49	IPTm
IP Timezone	CD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	64E34636FEC2DFD844E3D394C3B342543AC68841	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-09-23 17:36:50Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	RICK WYLES	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 413029	AddressLine1Txt
City	NAPLES	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	341013029	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$649,607,731	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.NCHMD.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1957	FormationYr
Legal Domicile State	FL	LegalDomicileStateCd
Activity Or Mission	HELPING EVERYONE LIVE A LONGER, HAPPIER, AND HEALTHIER LIFE.OUR VISION IS TO BE A WORLD-CLASS LEADER OF EXCELLENCE IN HEALTHCARE AND TO PROVIDE EXCELLENCE IN EVERY PATIENT EXPERIENCE. NAPLES COMMUNITY HOSPITAL, INC. LOCATED IN COLLIER COUNTY, FLORIDA, CONSISTS OF TWO HOSPITALS WITH 713 BEDS. THE DOWNTOWN HOSPITAL CAMPUS IS A 391-BED ACUTE CARE FACILITY AND NORTH NAPLES HOSPITAL CAMPUS IS A 322-BED ACUTE CARE FACILIY. THE HOSPITAL ALSO HAS A BLOOD CENTER AND VARIOUS OTHER OUTPATIENT CENTERS LOCATED THROUGHOUT THE COMMUNITY.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	3789	TotalEmployeeCnt
Total Volunteers	973	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$19,218,317	PYContributionsGrantsAmt
CY Contributions Grants	$17,104,627	CYContributionsGrantsAmt
PY Program Service Revenue	$574,879,798	PYProgramServiceRevenueAmt
CY Program Service Revenue	$516,992,282	CYProgramServiceRevenueAmt
PY Investment Income	$15,106,115	PYInvestmentIncomeAmt
CY Investment Income	$12,901,077	CYInvestmentIncomeAmt
PY Other Revenue	$13,059,418	PYOtherRevenueAmt
CY Other Revenue	$14,980,420	CYOtherRevenueAmt
PY Total Revenue	$622,263,648	PYTotalRevenueAmt
CY Total Revenue	$561,978,406	CYTotalRevenueAmt
PY Grants And Similar Paid	$9,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$6,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$226,315,337	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$242,818,295	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$9,391	CYTotalFundraisingExpenseAmt
PY Other Expenses	$324,137,348	PYOtherExpensesAmt
CY Other Expenses	$266,932,851	CYOtherExpensesAmt
PY Total Expenses	$550,461,685	PYTotalExpensesAmt
CY Total Expenses	$509,757,146	CYTotalExpensesAmt
PY Revenues Less Expenses	$71,801,963	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$52,221,260	CYRevenuesLessExpensesAmt
Total Assets BOY	$860,487,353	TotalAssetsBOYAmt
Total Assets EOY	$816,364,702	TotalAssetsEOYAmt
Total Liabilities BOY	$236,617,887	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$189,315,894	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$623,869,466	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$627,048,808	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	HELPING EVERYONE LIVE A LONGER, HAPPIER, AND HEALTHIER LIFE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$442,679,312	ExpenseAmt
Grant	$6,000	GrantAmt
Revenue	$530,009,567	RevenueAmt
Desc	SEE SCHEDULE ONAPLES COMMUNITY HOSPITAL, INC. (NCH) PROVIDES INPATIENT AND OUTPATIENT HEALTHCARE SERVICES WITHOUT REGARD TO A PATIENT'S ABILITY TO PAY. FROM ITS TWO HOSPITALS, CANCER TREATMENT CENTERS, WOUND CARE CENTERS AND OUTPATIENT REHABILITATION CENTERS, NCH PROVIDED $109,321,347 OF CHARITY CARE TO PATIENTS WHO WERE UNABLE TO PAY AND NOT COVERED BY ANY GOVERNMENTAL OR PRIVATE INSURANCE PROGRAM. ADDITIONALLY, NCH WROTE OFF $1,284,406 CLASSIFIED AS BAD DEBTS, MUCH OF WHICH REPRESENTED SERVICES DELIVERED TO INDIGENT PATIENTS, WHO DID NOT RECEIVE A CHARITY CARE DETERMINATION IN ACCORDANCE WITH THE STATE'S CRITERIA.THE SERVICES OFFERED AT NCH ARE EXTENSIVE AND INCLUDE MEDICAL, SURGICAL, OBSTETRIC, PEDIATRIC, REHABILITATIVE, PSYCHIATRIC, DIAGNOSTIC, AND EMERGENCY TREATMENT. A TOTAL OF 650 ACTIVE AND ASSOCIATE PHYSICIANS, 2,944 FULL-TIME EQUIVALENT EMPLOYEES, AND 973 VOLUNTEERS COMPRISE THE OUTSTANDING MEDICAL TEAM WORKING TOGETHER TO PROVIDE THESE SERVICES.THE TWO HOSPITALS ARE COMPRISED OF 617 ACUTE CARE BEDS, A 54 BED REHABILITATIVE UNIT, 19 NICU BEDS, AND A 23 BED PSYCHIATRIC UNIT. ADDITIONAL SPECIALTY SERVICES FOR THE CARE OF CERTAIN CRITICAL AND LIFE THREATENING MEDICAL CONDITIONS INCLUDE THE MEDICAL INTENSIVE CARE UNIT, SURGICAL INTENSIVE CARE UNIT, CARDIAC CARE UNIT, CARDIAC CATHETERIZATION UNIT AND INTERMEDIATE CARE UNIT. OTHER SPECIALTIES INCLUDE ONCOLOGY, DIAGNOSTIC SERVICES(CARDIO-DIAGNOSTICS, MAMMOGRAPHY, COMPUTERIZED TOPOGRAPHIC SCANNING (CT), AND MAGNETIC RESONANCE IMAGING (MRI), AND SPECIAL PROCEDURES SUCH AS BIOPSY, ANGIOGRAPHY, AND ANGIOPLASTY).DURING THE 2019 FISCAL YEAR, NCH HAD 30,993 INPATIENT ADMISSIONS RESULTING IN 136,981 DAYS OF CARE. ADDITIONALLY, 120,098 PATIENTS WERE TREATED IN OUR EMERGENCY CARE CENTERS.NAPLES COMMUNITY HOSPITAL, INC. RECEIVES VOLUNTEER ASSISTANCE FOR OPERATING ITS HOSPITALITY, GIFT, AND RETAIL SHOPS.NAPLES COMMUNITY HOSPITAL, INC. ALSO PROVIDES HEALTH ENHANCING EDUCATIONAL PROGRAMS IN ADDITION TO MEDICAL CARE. THESE PROGRAMS INCLUDE: WHITAKER WELLNESS CENTER; BETTER BREATHERS CLUB; MENDED HEARTS; DIABETES EDUCATION PROGRAM; CHILDBIRTH CLASSES; HEALTH FAIRS; AND CAREER DAYS. IN ADDITION, NCH SUPPORTS THE FOLLOWING: NURSES IN THE COLLIER COUNTY PUBLIC SCHOOL SYSTEM AND ATHLETIC TRAINERS AT THE LOCAL HIGH-SCHOOLS AND SPORTING EVENTS.	Desc
Total Program Service Expenses	$442,679,312	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	414	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3789	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RICK WYLESCHIEF FINANCIAL OFFICER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2396244005	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	350 SEVENTH STREET NORTH	AddressLine1Txt
City	NAPLES	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	341023029	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MARIANN MACDONALD
CHAIRWOMAN	0.50	1.50	Yes (X)	Yes (X)	$0	$0	$0
THOMAS J GAZDIC
1ST VICE CHAIRMAN/TREASURER	0.50	1.50	Yes (X)	Yes (X)	$0	$0	$0
GREGORY RUSSO
SECRETARY	0.50	1.50	Yes (X)	Yes (X)	$0	$0	$0
WILLIAM ALLYN
TRUSTEE	0.50	1.50	Yes (X)		$0	$0	$0
JAY BAKER START 0319
TRUSTEE	0.50	1.50	Yes (X)		$0	$0	$0
KEVIN BEEBE
TRUSTEE	0.50	1.50	Yes (X)		$0	$0	$0
JO BORDONARO RN TERM 0319
TRUSTEE	40.50	1.50	Yes (X)		$84,904	$0	$10,721
CHRISTINA CARRANZA RN
TRUSTEE START 03/19	40.50	1.50	Yes (X)		$66,434	$0	$30,585
KERRY EDWARDS
TRUSTEE	0.50	1.50	Yes (X)		$0	$0	$0
ALAN EINHORN START 0919
TRUSTEE	0.50	1.50	Yes (X)		$0	$0	$0
GEORGE FERGUSON
TRUSTEE	0.50	1.50	Yes (X)		$0	$0	$0
STEPHEN LANGE MD TERM 0919
TRUSTEE	0.50	1.50	Yes (X)		$0	$0	$0
SCOTT LUTGERT START 0319
TRUSTEE	0.50	1.50	Yes (X)		$0	$0	$0
JOHN LEWIS MD
TRUSTEE	0.50	1.50	Yes (X)		$0	$0	$0
PATRICK MULCAHY START 0319
TRUSTEE	40.50	1.50	Yes (X)		$88,610	$0	$12,011
BILL PEREZ START 0919
TRUSTEE	0.50	1.50	Yes (X)		$0	$0	$0
DAVEY SCOON START 0919
TRUSTEE	0.50	1.50	Yes (X)		$0	$0	$0
PAULA VYVERBERG
TRUSTEE	40.50	1.50	Yes (X)		$131,055	$0	$6,009
MICHAEL WYNN
TRUSTEE	0.50	1.50	Yes (X)		$0	$0	$0
PAUL HILTZ START 0919
PRESIDENT/CEO/TRUSTEE	40.00	5.00	Yes (X)	Yes (X)	$0	$0	$0
ALLEN S WEISS MD TERM 0119
PRESIDENT/CEO/TRUSTEE	40.00	5.00	Yes (X)	Yes (X)	$1,029,607	$0	$27,520
PHILLIP DUTCHER
COO/INTERIM PRESIDENT/CEO/TRUSTEE	40.00	5.00	Yes (X)	Yes (X)	$604,372	$0	$13,485
KEVIN D COOPER TERM 0119
CHIEF OF STAFF	40.00	5.00		Yes (X)	$598,410	$0	$27,856
RICK WYLES
CFO/ASSISTANT TREASURER	40.00	5.00		Yes (X)	$465,333	$0	$33,663
FRANK ASTOR MD
CHIEF MEDICAL OFFICER	40.00	5.00		Yes (X)	$557,859	$0	$27,757
MICHAEL RILEY
CHIEF STRATEGY OFFICER	40.00	5.00		Yes (X)	$327,578	$0	$27,807
RENEE M THIGPEN
CHIEF HR OFFICER	40.00	5.00		Yes (X)	$327,935	$0	$28,459
ELIZABETH MARTIN
ASSISTANT SECRETARY	40.00	5.00		Yes (X)	$71,393	$0	$11,771
GARY TOMCIK
CHIEF EXPERIENCE OFFICER	40.00	5.00		Yes (X)	$265,594	$0	$33,081
ZACHARY BOSTOCK
CHIEF ADMINISTRATIVE OFFICER	40.00	5.00		Yes (X)	$451,934	$0	$33,634
JONATHAN KLINGRN
CHIEF NURSING OFFICER	40.00	5.00		Yes (X)	$335,586	$0	$32,134
LINDA ROEBACK START 0119
GENERAL COUNSEL	40.00	5.00		Yes (X)	$218,128	$0	$30,383
CHARLES GRAEBER MD
PROGRAM DIRECTOR, INTERNAL	40.00	0.00			$352,745	$0	$12,022	Yes (X)
KIM THORP
DIRECTOR OF PHARMACY NCH HEALTHCARE	40.00	0.00			$202,795	$0	$31,665	Yes (X)
ILIA ECHEVARRIA RN
ASSOCIATE CHIEF NURSE PROF. PRACTICE	40.00	0.00			$199,240	$0	$23,852	Yes (X)
JAMES BATES
RADIOLOGY DIRECTOR	40.00	0.00			$197,555	$0	$30,290	Yes (X)
GINA TEEGARDEN RN
ASSOCIATE CHIEF NURSE OPERATIONS	40.00	0.00			$195,372	$0	$17,046	Yes (X)
JAMES K MARTIN TERM 0517
FORMER CHIEF DEVELOPMENT OFFICER	0.00	0.00			$120,552	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,892,991	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$501,751	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	337	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
WALTBILLIG AND HOOD GENERAL CONTRACTORS
1004 COLLIER CTR WAY 100	NAPLES	FL	34110	GENERAL CONTRACTOR	$14,139,786
CERNER CORPORATION
PO BOX 412702	KANSAS CITY	MO	64141	IT SUPPORT	$12,395,904
NTHRIVE
PO BOX 733492	DALLAS	TX	753733492	MEDICAL RECORDS SUPPORT	$10,274,185
SODEXO INC AND AFFLIATES
PO BOX 536922	ATLANTA	GA	303536922	DIETARY AND ENVIRONMENTAL SERVICES	$10,085,521
BRASFIELD & GORRIE LLC
941 WEST MORSE BLVD SUITE 200	WINTER PARK	FL	32789	GENERAL CONTRACTOR	$8,530,627

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	79	CntrctRcvdGreaterThan100KCnt
Fundraising	$352,834	FundraisingAmt
Related Organizations	$30,000	RelatedOrganizationsAmt
All Other Contributions	$16,721,793	AllOtherContributionsAmt
Noncash Contributions	$1,813,246	NoncashContributionsAmt
Total Contributions	$17,104,627	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICE REVENUE	Desc
Business	621990	BusinessCd
Total Revenue Column	$516,992,282	TotalRevenueColumnAmt
Related Or Exempt Func Income	$516,992,282	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$516,992,282	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,780,377	TotalRevenueColumnAmt
Exclusion	$9,780,377	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,249	TotalRevenueColumnAmt
Exclusion	$1,249	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,627,367	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$47,789	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,579,578	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,579,578	TotalRevenueColumnAmt
Exclusion	$1,579,578	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$90,351,164	SecuritiesAmt
Other	$134,354	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$87,308,195	SecuritiesAmt
Other	$57,872	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,042,969	SecuritiesAmt
Other	$76,482	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,119,451	TotalRevenueColumnAmt
Exclusion	$3,119,451	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$599,026	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$352,834	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$215,469	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$383,557	TotalRevenueColumnAmt
Exclusion	$383,557	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
WELLNESS CENTER	713940	$3,275,593	$3,275,593
SCHOOL NURSE	621990	$3,251,986	$3,251,986
DIETARY	722514	$2,652,579	$2,652,579

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,837,127	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,837,127	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$13,017,285	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$561,978,406	TotalRevenueColumnAmt
Related Or Exempt Func Income	$530,009,567	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$14,864,212	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$6,000	TotalAmt
Program Services	$6,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,779,232	TotalAmt
Management And General	$5,779,232	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$262,308	TotalAmt
Program Services	$262,308	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$202,094,329	TotalAmt
Program Services	$171,840,808	ProgramServicesAmt
Management And General	$30,245,563	ManagementAndGeneralAmt
Fundraising	$7,958	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,299,677	TotalAmt
Program Services	$4,506,315	ProgramServicesAmt
Management And General	$793,362	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$14,577,317	TotalAmt
Program Services	$12,395,093	ProgramServicesAmt
Management And General	$2,181,400	ManagementAndGeneralAmt
Fundraising	$824	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$14,805,432	TotalAmt
Program Services	$12,589,059	ProgramServicesAmt
Management And General	$2,215,764	ManagementAndGeneralAmt
Fundraising	$609	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,258,577	TotalAmt
Management And General	$2,258,577	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$288,228	TotalAmt
Management And General	$288,228	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$57,950,597	TotalAmt
Program Services	$49,275,394	ProgramServicesAmt
Management And General	$8,675,203	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,313,666	TotalAmt
Program Services	$1,967,310	ProgramServicesAmt
Management And General	$346,356	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$19,150,389	TotalAmt
Program Services	$16,283,577	ProgramServicesAmt
Management And General	$2,866,812	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$16,800,721	TotalAmt
Program Services	$14,285,653	ProgramServicesAmt
Management And General	$2,515,068	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$10,278,215	TotalAmt
Program Services	$8,739,566	ProgramServicesAmt
Management And General	$1,538,649	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$391,342	TotalAmt
Program Services	$332,758	ProgramServicesAmt
Management And General	$58,584	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,620,211	TotalAmt
Program Services	$4,778,865	ProgramServicesAmt
Management And General	$841,346	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$38,996,232	TotalAmt
Program Services	$33,158,496	ProgramServicesAmt
Management And General	$5,837,736	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,090,776	TotalAmt
Program Services	$3,478,387	ProgramServicesAmt
Management And General	$612,389	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL SUPPLIES	$107,414,806	$107,414,806
BAD DEBT EXPENSE	$1,284,406	$1,284,406

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$94,685	TotalAmt
Program Services	$80,511	ProgramServicesAmt
Management And General	$14,174	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$509,757,146	TotalAmt
Program Services	$442,679,312	ProgramServicesAmt
Management And General	$67,068,443	ManagementAndGeneralAmt
Fundraising	$9,391	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$68,170,179	BOYAmt
EOY	$17,465,308	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$9,238,041	BOYAmt
EOY	$6,118,450	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$24,692,516	BOYAmt
EOY	$21,306,009	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$63,966,172	BOYAmt
EOY	$69,189,390	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$50,000	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$6,029	BOYAmt
EOY	$7,643	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$11,027,734	BOYAmt
EOY	$11,120,787	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,689,476	BOYAmt
EOY	$4,583,082	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$839,928,264	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$502,951,911	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$322,726,342	BOYAmt
EOY	$336,976,353	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$19,057,772	BOYAmt
EOY	$23,556,105	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,126,467	BOYAmt
EOY	$654,468	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$334,786,625	BOYAmt
EOY	$325,337,107	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$860,487,353	BOYAmt
EOY	$816,364,702	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$52,162,050	BOYAmt
EOY	$51,667,798	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$262,098	BOYAmt
EOY	$247,421	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$145,073,867	BOYAmt
EOY	$97,732,705	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$39,119,872	BOYAmt
EOY	$39,667,970	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$236,617,887	BOYAmt
EOY	$189,315,894	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$571,458,369	BOYAmt
EOY	$574,987,502	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$36,826,700	BOYAmt
EOY	$36,430,095	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$15,584,397	BOYAmt
EOY	$15,631,211	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$623,869,466	BOYAmt
EOY	$627,048,808	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$860,487,353	BOYAmt
EOY	$816,364,702	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$52,221,260	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$3,555,770	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$45,486,148	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

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)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$15,584,397	BeginningYearBalanceAmt
Contributions	$3,907	ContributionsAmt
Investment Earnings Or Losses	$42,907	InvestmentEarningsOrLossesAmt
End Year Balance	$15,631,211	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,783,076	BeginningYearBalanceAmt
Contributions	$601,291	ContributionsAmt
Investment Earnings Or Losses	$200,030	InvestmentEarningsOrLossesAmt
End Year Balance	$15,584,397	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,561,078	BeginningYearBalanceAmt
Contributions	$6,000	ContributionsAmt
Investment Earnings Or Losses	$215,998	InvestmentEarningsOrLossesAmt
End Year Balance	$14,783,076	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,426,617	BeginningYearBalanceAmt
Contributions	$7,000	ContributionsAmt
Investment Earnings Or Losses	$127,461	InvestmentEarningsOrLossesAmt
End Year Balance	$14,561,078	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,766,111	BeginningYearBalanceAmt
Contributions	$36,529	ContributionsAmt
Investment Earnings Or Losses	-$376,023	InvestmentEarningsOrLossesAmt
End Year Balance	$14,426,617	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$26,725,329	OtherCostOrOtherBasisAmt
Book Value	$26,725,329	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$430,080,976	OtherCostOrOtherBasisAmt
Depreciation	$219,556,831	DepreciationAmt
Book Value	$210,524,145	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,861,742	OtherCostOrOtherBasisAmt
Depreciation	$6,467,688	DepreciationAmt
Book Value	$394,054	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$325,439,706	OtherCostOrOtherBasisAmt
Depreciation	$270,821,682	DepreciationAmt
Book Value	$54,618,024	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$50,820,511	OtherCostOrOtherBasisAmt
Depreciation	$6,105,710	DepreciationAmt
Book Value	$44,714,801	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$336,976,353	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
ASSETS LIMITED AS TO USE	$321,770,487
OTHER ASSETS	$1,737,718
DEPOSITS	$193,063
THIRD-PARTY RECEIVABLE	$1,635,839

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$325,337,107	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
DUE TO RELATED ORGANIZATIONS	$22,956,311
SELF-INSURANCE LIABILITIES	$8,906,339
PUBLIC MEDICAL FUND PAYABLE	$3,469,845
ACCRUED INTEREST	$2,771,190
OTHER LIABILITIES	$1,564,285

Field	Value	IRS element (for citing)
Total Liability	$39,667,970	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS ALL ENDOWMENT FUNDS MAINTAINED BY NAPLES COMMUNITY HOSPITAL, INC. ARE USED IN FURTHERANCE OF THE ORGANIZATION'S TAX-EXEMPT PURPOSES.

PART X, LINE 2:

THE SYSTEM AND ALL OF ITS NOT-FOR-PROFIT SUBSIDIARIES ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE (THE CODE). THE SYSTEM AND ALL OF ITS NOT-FOR-PROFIT SUBSIDIARIES DO NOT HAVE SIGNIFICANT UNRELATED BUSINESS INCOME; HOWEVER, SUCH STATUS IS SUBJECT TO FINAL DETERMINATION UPON EXAMINATION OF THE RELATED INCOME TAX RETURNS BY THE APPROPRIATE TAXING AUTHORITIES. THE SYSTEM IS GENERALLY NO LONGER SUBJECT TO TAX EXAMINATIONS IN THE MAJOR U.S. TAXING JURISDICTIONS IN WHICH THEY OPERATE FOR TAX YEARS PRIOR TO 2015.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	HOSPITAL BALL	Event1Nm
Gross Receipts Event1	$951,860	GrossReceiptsEvent1Amt
Charitable Contri Event1	$352,834	CharitableContriEvent1Amt
Gross Revenue Event1	$599,026	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$34,691	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$119,061	FoodAndBeverageEvent1Amt
Entertainment Event1	$27,558	EntertainmentEvent1Amt
Other Direct Expenses Event1	$34,159	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$951,860	GrossReceiptsTotalAmt
Charitable Contributions Tot	$352,834	CharitableContributionsTotAmt
Gross Revenue Total Events	$599,026	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$34,691	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$119,061	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$27,558	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$34,159	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$215,469	DirectExpenseSummaryEventsAmt
Net Income Summary	$383,557	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,821,816	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$22,821,816	NetCommunityBenefitExpnsAmt
Total Expense	0.04750	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$58,257,307	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$32,757,557	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,499,750	NetCommunityBenefitExpnsAmt
Total Expense	0.05400	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$81,079,123	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$32,757,557	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$48,321,566	NetCommunityBenefitExpnsAmt
Total Expense	0.10150	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$823,516	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$823,516	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,344	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$38,344	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$861,860	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$861,860	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$81,940,983	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$32,757,557	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$49,183,426	NetCommunityBenefitExpnsAmt
Total Expense	0.10320	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$188,748	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$188,748	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$110,148	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$110,148	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$298,896	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$298,896	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$268,131	BadDebtExpenseAmt
Bad Debt Expense Attributable	$5,255	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$265,387,176	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$298,856,085	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$33,468,909	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NAPLES COMMUNITY HOSPITAL INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	350 7TH STREET NORTH	AddressLine1Txt
City	NAPLES	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	34102	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.NCHMD.ORG	WebsiteAddressTxt
State License	LICENSE #4113	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	NAPLES COMMUNITY HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTP://WWW.NCHMD.ORG/ABOUT-US/ANNUAL-REPORTS	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTP://WWW.NCHMD.ORG/ABOUT-US/ANNUAL-REPORTS	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTP://WWW.NCHMD.ORG/PATIENTS-AND-VISITORS/BILLING-INFO	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTP://WWW.NCHMD.ORG/PATIENTS-AND-VISITORS/BILLING-INFO	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTP://WWW.NCHMD.ORG/PATIENTS-AND-VISITORS/BILLING-INFO	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
NAPLES COMMUNITY HOSPITAL, INC.	PART V, SECTION B, LINE 5: CHNA TAKING INTO ACCOUNT INPUT FROM THE COMMUNITYTHE NCH LEADERSHIP TEAM IS ACTIVELY INVOLVED AND PARTICIPATES IN MANY COMMUNITY RELATED ORGANIZATIONS AND GROUPS THAT ARE CONTINUALLY ASSESSING UNMET NEEDS WITHIN COLLIER COUNTY. NCH HAS HISTORICALLY WORKED WITH OUR BOARD OF TRUSTEES, COLLIER COUNTY CHILDREN'S ALLIANCE, COLLIER COUNTY PUBLIC SCHOOLS, BLUE ZONES PROJECT OF SWFL AND OTHER AGENCIES THROUGHOUT THE COMMUNITY IN ASSESSING AND COLLABORATING IN EFFORTS TO IMPROVE THE HEALTH OF OUR COMMUNITY.NCH WORKS COLLABORATIVELY WITH THE FLORIDA DEPARTMENT OF HEALTH IN COLLIER COUNTY, THE COUNTY AND CITY GOVERNMENT, THE NAPLES AREA CHAMBER OF COMMERCE AND SEVERAL OTHER COMMUNITY GROUPS TO FORM THE COMMUNITY ASSESSMENT DESIGN GROUP. THE PURPOSE IS TO ASSESS THE COMMUNITY'S STRENGTHS AND OPPORTUNITIES. THE CURRENT COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) BEGAN IN 2016 AND A NEW COMMUNITY HEALTH ASSESSMENT WAS COMPLETED IN 2019. THE 2017-2019 CHIP PRIORITIES WERE ESTABLISHED IN 2016 BY THE LEADERSHIP FOR COMMUNITY HEALTH IMPROVEMENT PLANNING (LCHIP) COMMITTEE. DOH-COLLIER FACILITATED THE CHIP PROCESS BY USING THE NATIONAL ASSOCIATION OF CITY AND COUNTY HEALTH OFFICIALS MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) STRATEGIC PLANNING MODEL. USING THE MOBILIZING FOR ACTION THROUGH THE PLANNING AND PARTNERSHIP (MAPP) FRAMEWORK, THE LCHIP COMMITTEE REVIEWED THE 2016 COMMUNITY HEALTH ASSESSMENT (CHA) AND HELD DISCUSSIONS REGARDING GROUP PRIORITIES AND OBJECTIVES GOING FORWARD. FOR THE PAST FEW YEARS, THE COLLECTIVE FOCUS WAS REDUCING OBESITY. THE COMMITTEE AGREED TO FOCUS ON REDUCING OBESITY AND BEHAVIORAL HEALTH.THE LCHIP COMMITTEE DEVELOPED THE HEALTHIEST COLLIER OBESITY AND BEHAVIORAL HEALTH OBJECTIVES TO PROMOTE AWARENESS AND PROVIDE OPPORTUNITIES FOR CHILDREN AND ADULTS TO MAKE CONSISTENT, INFORMED CHOICES ABOUT HEALTHY EATING, ACTIVE LIVING AND SOCIAL WELL-BEING. THE CHIP EC ESTABLISHED THE FOLLOWING GOALS FOR OBESITY AND BEHAVIORAL HEALTH: OBESITY 1.INCREASE THE INITIATION, DURATION AND EXCLUSIVITY OF BREASTFEEDING 2.MAKE HEALTHIER CHOICES EASIER FOR STUDENTS 3.LONG, HEALTHY LIFE FOR INFANTS AND TODDLERS 4.LONG, HEALTHY LIFE FOR ADULTS 5.RAISE WELL-BEING IN SWFL THROUGH A COMPREHENSIVE APPROACH TO HEALTH IMPROVEMENT 6.SHARE EFFECTIVE STRATEGIES AND MESSAGES THAT SUPPORT HEALTHY BEHAVIORS 7.PROMOTE ALL ASPECTS OF HEALTH AND WELLNESS FOR SENIORS BEHAVIORAL HEALTH 1.PROMOTE EMOTIONAL, PSYCHOLOGICAL AND SOCIAL WELL-BEING PROGRAMS IN 2018, THE NAME OF THE CHIP STEERING COMMITTEE WAS CHANGED FROM LCHIP TO THE EXECUTIVE COMMITTEE FOR COMMUNITY HEALTH PLANING (CHIP EC).THE CHIP EC MET TO REVIEW THE GOALS, STRATEGIES, OBJECTIVES, INDICATORS, OUTCOMES AND STATUS OF THE 7 HEALTHIEST COLLIER OBESITY OBJECTIVES AND THE 1 HEALTHIEST COLLIER BEHAVIORAL HEALTH OBJECTIVE.THE FOLLOWING ACCOMPLISHMENTS WERE MADE IN COLLIER COUNTY IN 2019 IN REGARD TO THE GOALS ESTABLISHED BY THE CHIP EC COMMITTEE.OBESITY GOAL 1. INCREASE THE INITIATION, DURATION, AND EXCLUSIVITY OF BREASTFEEDING OBJECTIVE: DOUBLE NUMBER OF BREASTFEEDING FRIENDLY (BFF) CHILDCARES.ACCOMPLISHMENT: THE CURRENT LEVEL IS 11 WITH THE INCREASED TARGET OF 12. CURRENT STRATEGIES WILL CONTINUE TO CERTIFY ALL 15 CHILDCARE PROVIDERS IN THE COUNTY.COMMUNITY BENEFIT: BREASTFEEDING SAVES LIVES. RESEARCH SHOWS THAT IF 90% OF FAMILIES BREASTFED EXCLUSIVELY FOR 6 MONTHS, NEARLY 1,000 DEATHS AMONG INFANTS COULD BE SAVED.OBESITY GOAL 2. MAKE HEALTHIER CHOICES EASIER FOR STUDENTSOBJECTIVE: INCREASE THE NUMBER OF BLUE ZONE APPROVED SCHOOLS BY THREE PER YEAR. ACCOMPLISHMENT: THERE ARE 24 BLUE ZONE APPROVED SCHOOLS AND THE REMAINING PUBLIC SCHOOLS ARE IN PROCESS. CURRENT STRATEGIES WILL CONTINUE TO APPROVE ALL SCHOOLS IN THE COUNTY.COMMUNITY BENEFIT: SCHOOLS THAT OBTAIN BLUE ZONE APPROVAL DEMONSTRATE A COMMITMENT TO PROVIDING A LEARNING ENVIRONMENT THAT SUPPORTS WELLNESS, NUTRITION, AND AN ACTIVE LIFESTYLE THROUGH A VARIETY OF INITIATIVES INVOLVING STUDENTS, STAFF AND FAMILIES.OBESITY GOAL 3. LONG, HEALTHY LIFE FOR INFANTS AND TODDLERS.OBJECTIVE: DECREASE THE PERCENTAGE OF OVERWEIGHT/OBESE CHILDREN 24 TO 60 MONTHS OLD CERTIFIED IN THE COLLIER WIC PROGRAM FROM 34.8% TO 34.5%.ACCOMPLISHMENT: THE CURRENT LEVEL IS 37.7% WITH A TARGET OF 34.5%. NEW STRATEGIES ARE BEING CONSIDERED BY PROGRAM MANAGERS.COMMUNITY BENEFIT: CHANGING HEALTH RELATED BEHAVIORS CAN PRODUCE LONG-TERM HEALTH BENEFITS.OBESITY GOAL 4.: LONG, HEALTHY LIFE FOR ADULTS.OBJECTIVE: BLUE ZONE WILL ENGAGE 10 FAITH BASED ORGANIZATIONS TO BECOME BLUE ZONE APPROVED.ACCOMPLISHMENT: TARGET INCREASED TO 15 FOR 2019 AND THE CURRENT LEVEL IS 13. CURRENT STRATEGIES WILL BE IMPLEMENTED TO MEET AND EXCEED THE TARGET.COMMUNITY BENEFIT: REGULAR PHYSICIAL ACTIVITY AND HEALTHY EATING CAN PRODUCE LONG-TERM HEALTH BENEFITS.OBESITY GOAL 5. RAISE WELL-BEING IN SWFL THROUGH A COMPREHENSIVE APPROACH TO HEALTH IMPROVEMENT.OBJECTIVE: IMPROVE 8 OR MORE INDICATORS OVER AN 8-YEAR PERIOD (BY SEPT 2022).ACCOMPLISHMENT: GALLUO-HEALTHWAYS WELL-BEING INDEX. 8 INDICATORS INCREASED FROM 2015-2017. THE CURRENT LEVEL IS 44% WITH A TARGET OF 40%. THE CURRENT STRATEGY WILL BE IMPLEMENTED TO MEET THE 8-YEAR TARGET OF 70%.COMMUNITY BENEFIT: CHANGING HEALTH RELATED BEHAVIORS CAN PRODUCE LONG-TERM HEALTH BENEFITS.OBESITY GOAL 6. SHARE EFFECTIVE STRATEGIES AND MESSAGES THAT SUPPORT HEALTH BEHAVIORS.OBJECTIVE: PASSIVE NUTRITION EDUCATION IS VISIBLE NEAR VENDING MACHINES AT COLLIER COUNTY PARKS AND RECREATION SITES.ACCOMPLISHMENT: CURRENT LEVEL IS 8 WITH A TARGET OF 4. THE STRATEGY USED IS NOW STANDARD PRACTICE.COMMUNITY BENEFIT: A NUMBER OF FACTORS DETERMINE WHAT PEOPLE EAT, BUT ACCESS TO HEALTHY FOOD AND BEVERAGES HAS A MAJOR INFLUENCE. HEALTHIER VENDOR OPTIONS PROVIDES ACCESS TO HIGHER QUALITY OF FOOD CHOICES. OBESITY GOAL 7. PROMOTE ALL ASPECTS OF HEALTH AND WELLNESS IN SENIORSOBJECTIVE: MAINTAIN CURRENT LEVEL OF PROGRAMMING IN SENIOR CENTERS ON NUTRITION, EXERCISE, AND GENERAL HEALTH (# OF SESSIONS).ACCOMPLISHMENT: CURRENTLY THERE ARE OVER 180 PROGRAMS ON NUTRITION, EXERCISE AND GENERAL HEALTH AND WELLNESS WITH A TARGET OF 100. THE STRATEGY USED IS NOW STANDARD PRACTICE.COMMUNITY BENEFIT: REGULAR PHYSICAL ACTIVITY CAN PRODUCE LONG-TERM HEALTH BENEFITS.BEHAVIORAL HEALTH GOAL 1. PROMOTE EMOTIONAL, PSYCHOLOGICAL AND SOCIAL WELL-BEING PROGRAMSOBJECTIVE: INFORMATION AND RESOURCES POSTED ON ELECTRONIC SITES USED BY MEDICAL PROFESSIONS. ACCOMPLISHMENT: CURRENT LEVEL IS 5 WITH A TARGET OF 4. THE STRATEGY USED IS NOW STANDARD PRACTICE.COMMUNITY BENEFIT: THERE IS EMERGING EVIDENCE THAT POSITIVE BEHAVIORAL HEALTH IS ASSOCIATED WITH IMPROVED HEALTH OUTCOMES. POSITIVE BEHAVIORAL HEALTH IS DIRECTLY RELATED TO EMOTIONAL, PSYCHOLOGICAL AND SOCIAL WELL-BEING, WHICH IS CRUCIAL TO LIVING A LONG AND HEALTHY LIFE.THE CHIP SERVES AS A ROADMAP FOR CONTINUOUS IMPROVEMENT. THE CHIP WILL CONTINUE TO EVALUATE THE NEEDS OF THE COMMUNITY AND BY WORKING TOGETHER, WE CAN HAVE A SIGNIFICANT IMPACT ON COLLIER COUNTY'S HEALTH AND WELL-BEING AWARENESS.
NAPLES COMMUNITY HOSPITAL, INC.	PART V, SECTION B, LINE 6A: CHNA CONDUCTED WITH ONE OR MORE HOSPITAL FACILITIESAS PART OF AN INTEGRATED HEALTHCARE SYSTEM, THE CHNA FOR NAPLES COMMUNITY HOSPITAL AND MARCO ISLAND HOSPITAL WAS PREPARED JOINTLY.
NAPLES COMMUNITY HOSPITAL, INC.	PART V, SECTION B, LINE 11: ADDRESSING THE NEEDS IDENTIFIED IN THE CHNATHE CHNA IDENTIFIED PROBLEM AREAS THAT NEEDED TO BE ADDRESSED. THESE INCLUDE SUFFICIENT JOB EMPLOYMENT, ECONOMIC OPPORTUNITIES, ACCESS TO AFFORDABLE HOUSING, DRUG AND ALCOHOL ABUSE, SAFE ROADWAYS FOR BICYCLIST AND PEDESTRIANS, PRIMARY CARE RESOURCES, ACCESS TO AFFORDABLE HEALTHY FOOD, ACCESS TO LONG TERM CARE NEEDS, COMMUNICABLE DISEASE, OBESITY, CHRONIC DISEASE, MENTAL HEALTH, DENTAL HEALTH, ACCESS TO CARE, DISABILITIES AND UNINTENTIONAL INJURIES.UPON REVIEW OF THE FINDINGS OF THE CHNA, THE NCH LEADERSHIP TEAM CAME UP WITH FIVE KEY AREAS TO FOCUS ON WHICH INCLUDED MENTAL HEALTH, CHRONIC DISEASE (ONCOLOGY), MATERNAL AND INFANT HEALTH, HEALTH OF THE OLDER POPULATION AND HEALTH BEHAVIORS AND OUTCOMES. BELOW IS A SUMMARY OF ACTIVITIES AND INITIATIVES NCH ACHIEVED IN THE PAST THREE YEARS IN THESE SPECIFIC KEY AREAS.MENTAL HEALTHIN AN EFFORT TO EXPAND ACCESS OF OUTPATIENT BEHAVIORAL HEALTH SERVICE NCH CO-LOCATED PHYSICIAN PRACTICES AND NCH HAS BEEN PARTICIPATING IN THE COLLIER COUNTY COMMISSIONERS AD HOC TASK FORCE ON MENTAL HEALTH AND ADDITION NEEDS IN COLLIER COUNTY. THE COMMITTEE SPONSORED A ONE-CENT SALES TAX, WHICH WAS APPROVED FOR $25 MILLION FOR IMPROVING MENTAL HEALTH IN COLLIER. IN RESPONSE TO MANAGING HIGH-RISK PSYCHIATRIC PATIENTS, NCH HAS PLACED CASE MANAGERS IN NCH EMERGENCY DEPARTMENTS TO WORK WITH FREQUENT USERS OF ED AND INPATIENT SERVICES.IN ORDER TO TARGET SEVERE DEPRESSION NCH WILL SOON BE IMPLEMENTING AN ELECTRO CONVULSIVE THERAPY PROGRAM (ECT) AND A TRANS MAGNETIC SIMULATION PROGRAM (TMS), AS WELL AS IV KETAMINE AND INTRA NASAL KETAMINE PROGRAMS WHEN APPROVED BY THE FDA.CHRONIC DISEASE (ONCOLOGY)MAMMOGRAM SCREENINGS ARE OFFERED AND PROVIDED TO UNINSURED AND UNDERINSURED PATIENTS. IN ADDITION, A COMMUNITY FAIR IS SCHEDULED EACH YEAR AT LOCAL CHURCHES, CP-3 SCREENINGS AND AN AMERICAN CANCER ASSOCIATION STUDY HAS ALSO BEEN COMPLETED.NCH HIRED CARDIO THORACIC SURGEONS WHO DEVELOPED A COMPREHENSIVE LUNG CANCER PROGRAM FOCUSING ON SCREENING, NAVIGATION, SURVIVORSHIP AND SURGICAL INTERVENTION.NCH EXPANDED ITS NURSE NAVIGATION PROGRAM WITH FOCUS ON FOLLOWING ONCOLOGY PATIENTS THROUGHOUT THE CONTINUUM OF CARE WITH SPECIAL EMPHASIS ON BREAST AND LUNG PATIENTS AS WELL AS SCREENING ACTIVITIES.MATERNAL AND INFANT HEALTHNCH'S INITIAL LATCH MEASUREMENT IS 87%. NCH IS IMPLEMENTING SKIN TO SKIN IN THE DELIVERY ROOM. THE SKIN TO SKIN RATE IS 93%. NCH RECEIVED IN 2019 A GRANT FROM THE FLORIDA DEPARTMENT OF HEALTH TO ATTAIN "BABY USA" HOSPITAL DESIGNATION. ALL REGISTERED NURSES IN LABOR AND DELIVERY, MOTHER/BABY, NEONATAL INTENSIVE CARE UNIT, PEDIATRICS AND PEDIATRICS ED ARE EDUCATED IN BREASTFEEDING. NCH MAINTAINS A BREASTFEEDING RATE OF 46%. NCH EMPLOYS 3 FULL-TIME EQUIVALENT LACTATION CONSULTANTS WHICH ARE AVAILABLE 7 DAYS A WEEK 16 HOURS PER DAY. NCH ALSO HOSTS THE COLLIER COUNTY BREASTFEEDING COALITION WITH AN OVERALL GOAL TO INCREASE BREASTFEEDING RATES IN COLLIER COUNTY.NCH IS A HOST MEMBER OF A SUBSTANCE ABUSE COALITION AND SPONSORS REGULAR MEETINGS HELD AT NCH. THE COALITION REPORTS DATA TO THE STATE AND ALSO SUPPORTS NURSE EDUCATIONAL PROGRAMS FOR PARENTS ON THE DETRIMENTAL EFFECTS OF SUBSTANCE ABUSE FOR NEWBORNS. ALL PATIENTS AND PARENTS ARE OFFERED TDAP IMMUNIZATION AND CURRENTLY ON WOMEN AND CHILDREN'S AND PEDIATRIC NURSING UNITS A STANDING ORDER FOR TDAP ADMINISTRATION IF STATUS IS UNKNOWN. IN ADDITION, IN WOMEN AND CHILDREN'S AND PEDIATRIC NURSING UNITS ALL NCH STAFF HAVE RECEIVED THE TDAP VACCINE AS WELL AS ANY NEW STAFF.HEALTH OF THE OLDER POPULATIONNCH HAS EXPANDED GERIATRIC MEDICINE TO MULTIPLE NCH PHYSICIAN PRACTICES.TWO NCH PHYSICIANS ARE MEDICAL DIRECTORS OF TWO SKILLED NURSING FACILITIES IN COLLIER COUNTY.NCH CONDUCTS THE POWERFUL TOOLS FOR CAREGIVERS PROGRAM IN COLLIER COUNTY BY PROVIDING AGE WELL TOOL KITS TO ALL SENIORS THAT ATTEND HEALTH FAIRS AND COMMUNITY EVENTS.DIABETES MANAGEMENTNCH HEALTHCARE SYSTEM'S VON ARX DIABETES CENTER HAS TWO RECOGNIZED AMERICAN DIABETES PROGRAMS THAT MAINTAIN DATA COLLECTION AND REPORTING REQUIREMENTS. DIABETES SUPPORT GROUPS ARE PROVIDED TO THE COMMUNITY. ALSO, FREE PRE-DIABETES SEMINARS AND COMMUNITY LECTURES ARE OFFERED THROUGHOUT THE YEAR. PHILANTHROPIC FUNDS HAVE BEEN ALLOCATED FOR PEDIATRICS TO ASSURE THEY HAVE APPOINTMENTS SCHEDULED WITH REGISTERED DIETICIANS OR NURSES FOR UNDERINSURED OR UNINSURED CHILDREN. PHILANTHROPIC FUNDS ARE ALSO USED FOR GESTATIONAL PATIENTS PROVIDING EDUCATIONAL CLASSES, AND SUPPLIES. OUR RESULTS INCLUDE 80% OF WOMEN ACHIEVED TARGET RANGES FOR BLOOD GLUCOSE LEVELS AND 85% OF BABIES BORN MET BIRTH WEIGHT GOALS (<9 LBS.).ACCOMPLISHMENTS FOR 2019 INCLUDE, BUT ARE NOT LIMITED TO: I. THE VON ARX DIABETES CENTER SERVED 3,805 OUTPATIENT VISITS; II. SERVICES WERE EXPANDED TO MARCO ISLAND AND BONITA SPRINGS; III. EXPANDED GROCERY STORE TOURS; IV. MAINTAINED ACCREDITATION WITH THE AMERICAN DIABETES ASSOCIATION NCH WORKING WITH THE FLORIDA DEPARTMENT OF HEALTH - COLLIER COUNTY PARTICIPATED AGAIN IN THE COLLIER COUNTY COMMUNITY ASSESSMENT DESIGN GROUP. THE SCOPE OF THE GROUP IS TO DESIGN A COMMUNITY STRENGTHS/OPPORTUNITIES SURVEY. A SURVEY WAS PREPARED AND SENT OUT TO THE HEALTH CARE LEADERS, COMMUNITY FOCUS GROUPS AND HEALTH CARE STAFF. IDENTIFIED PROBLEM AREAS INCLUDED THE FOLLOWING:CHRONIC DISEASE AND MORTALITYINFECTIOUS DISEASEMATERNAL AND INFANT HEALTHINJURIESACCESS TO HEALTHCAREHEALTH BEHAVIORS AND HEALTH STATUSMENTAL HEALTHORAL HEALTHTHE HEALTH OF THE OLDER POPULATIONSUBSEQUENTLY, THE LEADERSHIP FOCUS GROUP MET TO DISCUSS BOTH THE POSITIVE AND NEGATIVE FACTORS THAT INFLUENCED THESE AREAS.THE NEXT STEP IN THE PROCESS WAS TO CONDUCT GEOGRAPHICAL AREA COMMUNITY FOCUS GROUPS. THESE GROUPS WERE CHOSEN TO REFLECT AND INCLUDE THE DIVERSITY OF COMMUNITY LOCATIONS, ETHNICITY, AND SOCIO-ECONOMIC FACTORS. THE DISTINCT AREAS OF THE COUNTY REPRESENTED UNIQUE DEMOGRAPHIC AND SOCIOECONOMIC CHARACTERISTICS. THE DIFFERENCES WERE VALUABLE AND USEFUL FOR ASSESSING AND PRIORITIZING HEALTHCARE NEEDS WITHIN OUR COMMUNITY. IN ADDITION, WE PROVIDED INPUT INTO THE ANALYSIS ON VARIOUS HEALTH INDICATORS WHICH INCLUDED THE FOLLOWING: POPULATION SOCIOECONOMIC CHARACTERISTICS INFECTIOUS DISEASE HEALTH BEHAVIORS AND HEALTH STATUS MORTALITY INDICATORS MATERNAL AND INFANT HEALTH HEALTH OF THE OLDER POPULATIONUPON REVIEW OF THE FINDINGS OF THE (CHNA) THE NCH LEADERSHIP TEAM REVIEWED THE FINDINGS. A PRIORITIZATION SESSION WAS COMPLETED WHICH WAS BASED ON THE MISSION, VISION AND CORE VALUES OF THE NCH HEALTHCARE SYSTEM WITH A PRIMARY FOCUS ON THE GOAL OF COLLIER COUNTY BECOMING THE HEALTHIEST COUNTY IN THE UNITED STATES. UPON MUCH DISCUSSION THE TEAM CAME UP WITH FOUR KEY AREAS OF FOCUS WHICH INCLUDE: MENTAL HEALTH ACCESS TO CARE CHRONIC DISEASE HEALTH OF OLDER ADULTSUNADDRESSED IDENTIFIED NEEDSALTHOUGH SEVERAL COMMUNITY NEEDS WERE IDENTIFIED, NCH MUST FOCUS OUR EXISTING CLINICAL STRENGTHS AND INFRASTRUCTURE WHERE WE CAN MAXIMIZE OUR RESOURCES TO BENEFIT THE GREATEST NUMBER OF PEOPLE IN THE COMMUNITY. NCH WILL CONTINUE TO RE-EVALUATE THE UNADDRESSED IDENTIFIED NEEDS AND PURSUE ACTION WHEN AND WHERE RESOURCES ALLOW.
NAPLES COMMUNITY HOSPITAL, INC.	PART V, SECTION B, LINE 13B: NCH HAS A POLICY THAT ALLOWS A DISCOUNT FOR SELF-PAY UNINSURED OR UNDERINSURED PATIENTS WITH INCOME AND ASSETS GREATER THAN 200% OF FPG WHEN THE FAP APPLICATION AND SUPPORTING DOCUMENTATION IS PROVIDED.
NAPLES COMMUNITY HOSPITAL, INC.	PART V, SECTION B, LINE 13H: NAPLES COMMUNITY HOSPITAL, INC.:BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS.ANOTHER FACTOR NAPLES COMMUNITY HOSPITAL, INC. USES IN DETERMINING AMOUNTS CHARGED TO PATIENTS IS FAMILY SIZE.

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	N/A
PART I, LINE 6A:	RELATED PARTY DISCLOSURENAPLES COMMUNITY HOSPITAL, INC. ("NCH") IS AN AFFILIATE OF NCH HEALTHCARE SYSTEM, INC. ("NCHS"). NCHS PREPARES A COMMUNITY BENEFIT REPORT ANNUALLY AND INCLUDES THIS REPORT WITH ITS FORM 990 TAX RETURN FILING.THE COMMUNITY BENEFIT REPORT PREPARED INCLUDES ALL ORGANIZATIONS OF THE SYSTEM, INCLUDING NAPLES COMMUNITY HOSPITAL, INC.
PART I, LINE 7:	COSTING METHOD USEDTHE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINE 7 ARE BASED ON THE COST TO CHARGE RATIO. THE COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2.
PART I, LN 7 COL(F):	BAD DEBT EXPENSE INCLUDED FORM 990, PART IX, LINE 25THE BAD DEBT EXPENSE AMOUNT INCLUDED ON FORM 990, PART IX, COLUMN 25(A) WAS $1,284,406 FOR THE YEAR ENDED SEPTEMBER 30, 2019. THIS AMOUNT HAS BEEN SUBTRACTED FOR THE PURPOSE OF CALCULATING THE PERCENTAGE REPORTED ON THE SCHEDULE H, PART I, LINE 7 TABLE.
PART II, COMMUNITY BUILDING ACTIVITIES:	COMMUNITY BUILDING ACTIVITIESSHARING OUR SPACEWHEN SPACE IS AVAILABLE, NCH PROVIDES SPACE AT NO COST TO NEEDY, NOT-FOR-PROFIT ORGANIZATIONS. THE TELFORD EDUCATION CENTER IS AVAILABLE TO NOT-FOR-PROFIT HEALTHCARE RELATED GROUPS SUCH AS MENDED HEARTS AND THOSE THAT PROVIDE SUPPORT FOR STROKE AND KIDNEY PATIENTS. RESIDENTS OF MARCO BENEFITED WITH THE USE OF OUR FACILITY FOR COMMUNITY EDUCATION AND THE HOSPICE SUPPORT GROUP.CLINICAL NURSING SCHOOLTHE CLINICAL NURSING SCHOOL OF FLORIDA SOUTHWESTERN STATE COLLEGE IS PROVIDED HERE AT NCH. FOR YEARS, NCH HAS ALWAYS WELCOMED STUDENTS OF FLORIDA SOUTHWESTERN STATE COLLEGE AND LORENZO WALKER INSTITUTE OF TECHNOLOGY TO OUR FACILITIES. NCH PROVIDES ON-SITE CLASSROOMS FOR CLINICAL EDUCATION.NURSING AND RADIOLOGY SCHOLARSHIPS ARE GENEROUSLY FUNDED AT BOTH FLORIDA SOUTHWESTERN STATE COLLEGE AND FGCU.SHARING OUR EXPERTISEMEMBERS OF NCH MANAGEMENT SERVE ON COMMUNITY BOARDS IN VARIOUS CAPACITIES. WE ALSO PROVIDE EXPERTISE TO OTHER COMMUNITY ISSUES SUCH AS WORKFORCE HOUSING AND WORKFORCE DEVELOPMENT.EMPLOYING THE COMMUNITYNCH IS GROWING OUR OWN HEALTHCARE PROFESSIONALS, AND HELPING OTHERS SEEKING WORK, TO FIND IT. CAREER DAYS, JOB SHADOWING, AND LECTURES AT LOCAL MIDDLE AND HIGH SCHOOLS ENLIGHTEN STUDENTS ABOUT THE MANY OPPORTUNITIES IN THE HEALTHCARE WORLD.
PART III, LINE 2:	BAD DEBT EXPENSE, COSTING METHODOLOGY USEDTHE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES2 AND 3 ARE BASED ON THE COST TO CHARGE RATIO.
PART III, LINE 3:	BAD DEBT EXPENSENCH PROVIDES CARE WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHEDRATES TO PATIENTS WHO MEET SPECIFIC CRITERIA UNDER ITS CHARITY CARE GUIDELINES BECAUSE NCH DOES NOT PURSUE COLLECTION OF ACCOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. THESE AMOUNTS ARE NOT REPORTED AS REVENUE BUT DEEMED AN ITEM OF COMMUNITY BENEFIT.
PART III, LINE 4:	BAD DEBT FOOTNOTEBAD DEBTS REPRESENT CHARGES DEEMED UNCOLLECTIBLE DUE TO EITHER: (A) A PATIENT'S INABILITY TO QUALIFY AS CHARITY, WELFARE, OR MEDICAID, YET CLEAR FINANCIAL INDICATIONS EXIST THAT DEMONSTRATE AN INABILITY TO PAY, OR (B) A PATIENT'S REFUSAL TO PAY FOR SERVICES PROVIDED AND THE SYSTEM'S DECISION TO CEASE FURTHER COLLECTION EFFORTS. THE BAD DEBT EXPENSE FOOTNOTE DISCLOSURES CAN BE FOUND ON PAGE 17 OF THE ATTACHED CONSOLIDATED FINANCIAL STATEMENTS FOR THE NCH HEALTHCARE SYSTEM, INC. AND SUBSIDIARIES.
PART III, LINE 8:	COSTING METHODOLOGY, MEDICARETHE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 6 IS BASED ON A COST TO CHARGE RATIO. THE COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2.CONSISTENT WITH THE CHARITABLE HEALTHCARE MISSION OF NCH AND THE COMMUNITY BENEFIT STANDARD SET FORTH IN IRS REVENUE RULING 69-545, THE HOSPITAL PROVIDES CARE FOR ALL PATIENTS COVERED BY MEDICARE SEEKING MEDICAL CARE. SUCH CARE IS PROVIDED FOR SUCH SERVICES MEETS OR EXCEEDS THE COSTS INCURRED BY THE HOSPITAL TO PROVIDE SUCH SERVICES.AS A RESULT, NAPLES COMMUNITY HOSPITAL, INC. VIEWS ANY SHORTFALL REPORTED IN LINE 7 AS AN ADDITIONAL ITEM OF COMMUNITY BENEFIT PROVIDED BY THE ORGANIZATION.
PART III, LINE 9B:	COLLECTION PRACTICESNAPLES COMMUNITY HOSPITAL, INC. PROVIDES URGENT/EMERGENT MEDICAL SERVICES WITHOUT REGARD TO ABILITY TO PAY. NAPLES COMMUNITY HOSPITAL, INC. ALSO PROVIDES CARE WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES TO PATIENTS WHO MEET SPECIFIC CRITERIA UNDER THE STATE'S CHARITY CARE GUIDELINES. BECAUSE NAPLES COMMUNITY HOSPITAL, INC. DOES NOT PURSUE COLLECTION OF ACCOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THESE AMOUNTS ARE NOT REPORTED AS REVENUE.
PART VI, LINE 2:	NEEDS ASSESSMENTTHE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES IN VARIOUS WAYS. OUR LEADERSHIP TEAM IS ACTIVELY INVOLVED AND PARTICIPATES IN MANY COMMUNITY RELATED ORGANIZATIONS AND GROUPS THAT ARE CONTINUALLY ASSESSING UNMET NEEDS WITHIN COLLIER COUNTY. WE HAVE HISTORICALLY WORKED WITH OUR BOARD OF TRUSTEES, COLLIER COUNTY CHILDREN'S ALLIANCE, COLLIER COUNTY PUBLIC SCHOOLS, THE IMMOKALEE FOUNDATION, CHILDREN'S MEDICAL SERVICES, AND OTHER AGENCIES THROUGHOUT OUR COMMUNITY IN ASSESSING AND COLLABORATING IN EFFORTS TO IMPROVE THE HEALTH OF OUR COMMUNITY.NCH PROVIDES MANY HEALTH-ENHANCING EDUCATIONAL PROGRAMS AND RESOURCES IN PROMOTING HEALTH TO THE COMMUNITY. THE CURRENT PROGRAMS AND RESOURCES PROVIDED TO THE COMMUNITY INCLUDE THE FOLLOWING: HEALTH SEMINARS, COMMUNITY HEALTH FAIRS, FREE DIAGNOSTIC AND SCREENING TESTING, THE NEIGHBORHOOD HEALTH CLINIC, HEART PROGRAMS, CANCER SURVIVAL AWARENESS, PATIENT SUPPORT GROUPS, TWO WELLNESS CENTERS, VON ARX DIABETES CENTER, PASTORAL CARE SERVICES, AND SPONSOR AND SUPPORT CLINICAL NURSING SCHOOLS.IN ADDITION TO THE PROGRAMS LISTED, WE ARE ALSO WORKING WITH THE SAFE AND HEALTHY CHILDREN'S COALITION OF COLLIER COUNTY TO DEVELOP PROGRAMS FOR DROWNING PREVENTION, CHILDHOOD OBESITY, SAFE SLEEP EFFORTS, AND BREASTFEEDING PROGRAMS.DURING 2019, WE COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND HAVE POSTED THIS REPORT ON OUR WEBSITE (HTTP://WWW.NCHMD.ORG/ABOUT-US/ANNUAL-REPORTS). WE ARE COMMITTED TO PROMOTING EXISTING AND POTENTIAL NEW PROGRAMS TO THE COMMUNITY IN RESPONSE TO THE COMMUNITY HEALTH NEEDS ASSESSMENT. PLEASE REFER TO THIS REPORT AND DETAILED PLAN WHICH WAS REVIEWED BY THE NCH HEALTHCARE SYSTEM BOARD OF TRUSTEES AND APPROVED AT THE SEPTEMBER 25, 2019 BOARD OF TRUSTEE MEETING. INCLUDED IN THE 2019 REPORT IS THE BLUE ZONE PROJECT WHICH BEGAN IN 2015 AND IS SPONSORED BY NCH. THE BLUE ZONE PROJECT IS A COMPREHENSIVE WELL-BEING IMPROVEMENT INITIATIVE DESIGNED TO HELP PEOPLE LIVE LONGER AND BETTER BY BUILDING STRONG SOCIAL NETWORKS AND ENCOURAGING SUSTAINABLE CHANGES THROUGHOUT THE COMMUNITY THAT LEADS TO HEALTHIER CHOICES.
PART VI, LINE 3:	INFORMATION REGARDING PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCENAPLES COMMUNITY HOSPITAL, INC. RECOGNIZES ITS RESPONSIBILITY TO COMMUNICATE ITS FINANCIAL POLICIES AND EXPECTATIONS TO PATIENTS. THE HOSPITAL INFORMS AND EDUCATES PATIENTS BY PROVIDING PATIENTS WITH THE NCH HEALTHCARE SYSTEM PATIENT RIGHTS AND RESPONSIBILITIES. INCLUDED IN THESE RIGHTS IS THE RIGHT TO BE GIVEN, UPON REQUEST, FULL MEDICAL INFORMATION AND FINANCIAL COUNSELING. IN ADDITION, A PATIENT REPRESENTATIVE WILL CONTACT PATIENTS PRIOR TO SERVICES TO EVALUATE THE PATIENT'S ABILITY TO PAY. THIS PROCESS INCLUDES OBTAINING THE PATIENT'S CURRENT FINANCIAL INFORMATION, OBTAINING A CREDIT REPORT AND REVIEWING THE PATIENT'S PAYMENT HISTORY WITH NAPLES COMMUNITY HOSPITAL, INC. PERSONS REQUIRING ASSISTANCE WITH THE UNFUNDED PORTION OF THEIR BILLS ARE ENCOURAGED TO REQUEST A CHARITY EVALUATION. NCH ALSO PROVIDES ASSISTANCE FOR PATIENTS TO APPLY FOR MEDICAID COVERAGE OR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS WHICH MAY ASSIST WITH PAYMENT FOR MEDICAL SERVICES.
PART VI, LINE 4:	COMMUNITY INFORMATIONNAPLES COMMUNITY HOSPITAL, INC. SERVES A DIVERSE AND SEASONAL COMMUNITY. THE POPULATION IS APPROXIMATELY 397,802. THE MEDIAN AGE OF RESIDENTS IS 51. THE ESTIMATED MEDIAN HOUSEHOLD INCOME IS $63,535. THE UNEMPLOYMENT RATE IS APPROXIMATELY 3.8%. THE PERCENTAGE OF RESIDENTS BELOW THE POVERTY LEVEL IS APPROXIMATELY 7.9%.
PART VI, LINE 5:	INFORMATION REGARDING PROMOTION OF COMMUNITY HEALTHNAPLES COMMUNITY HOSPITAL, INC. PROVIDES HEALTH-ENHANCING EDUCATIONAL PROGRAMS AND RESOURCES IN PROMOTING THE HEALTH OF OUR COMMUNITY. THE TYPE OF PROGRAMS/RESOURCES PROVIDED INCLUDE: HEALTH SEMINARS, COMMUNITY HEALTH FAIRS AND TESTING, REGISTERED NURSES EDUCATING FUTURE PATIENTS, SUPPORTING THE NEIGHBORHOOD HEALTH CLINIC, PHYSICIAN LED ACCESS NETWORK OF COLLIER COUNTY, HEART PROGRAMS, CANCER SURVIVAL AWARENESS, SUPPORT OF PATIENT FAMILIES, DR. JOHN BRIGGS WELLNESS CENTER, AS WELL AS THE SHARING OF SPACE AT NO COST TO NEEDY, NOT-FOR-PROFIT ORGANIZATIONS. THE ORGANIZATION ALSO SPONSORS AND SUPPORTS THE CLINICAL NURSING SCHOOLS IN THE COMMUNITY.THE ORGANIZATION'S CIVIC INVOLVEMENT INCLUDES MEMBERS OF NCH MANAGEMENT SERVING ON COMMUNITY BOARDS IN VARIOUS CAPACITIES. THE HOSPITALS HAVE ALWAYS PROVIDED EXEMPLARY PASTORAL CARE SERVICES. NCH IS ENCOURAGING THEIR OWN HEALTHCARE PROFESSIONAL BY SPONSORING CAREER DAYS, JOB SHADOWING, AND LECTURES AT LOCAL MIDDLE AND HIGH SCHOOLS ON THE MANY OPPORTUNITIES IN THE HEALTHCARE FIELD. FOR ADDITIONAL COMMUNITY ACTIVITIES THAT NAPLES COMMUNITY HOSPITAL, INC. SUPPORTS, PLEASE REFER TO FORM 990, SCHEDULE O, PART III, PROGRAM SERVICES.
PART VI, LINE 6:	AFFILIATED HEALTHCARE SYSTEM INFORMATIONNAPLES COMMUNITY HOSPITAL, INC. IS AN AFFILIATE OF THE NCH HEALTHCARE SYSTEM, INC. NCH HEALTHCARE SYSTEM, INC. PROVIDES HEALTH-ENHANCING EDUCATIONAL PROGRAMS AND RESOURCES IN PROMOTING THE HEALTH OF OUR COMMUNITY. IN ADDITION TO NAPLES COMMUNITY HOSPITAL, INC., THE NCH HEALTHCARE SYSTEM ALSO INCLUDES THE FOLLOWING NON-PROFIT ORGANIZATIONS:> MARCO ISLAND HOSPITAL, INC., OPERATES AN 11 1/2-HOUR/7-DAYS A WEEK URGENT CARE FACILITY AND SERVICES PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY. DURING FYE 09/30/2019, 8,562 PATIENTS WERE TREATED. OF THESE PATIENTS, 9.57 % WERE CLASSIFIED AS MEDICAID, CHARITY, OR BAD DEBTS.> COLLIER HEALTH CARE, INC. OWNS AND LEASES HEALTHCARE FACILITIES IN NAPLES AND IMMOKALEE, FLORIDA. THIS ORGANIZATION ALSO OPERATES CHILDREN'S MEDICAL SERVICES, A PROGRAM SERVING CHRONICALLY ILL AND SPECIAL NEEDS CHILDREN UNDER TITLE V AND THE FLORIDA KIDCARE PROGRAM THROUGH TITLE XXI. THE CHILDREN'S MEDICAL SERVICES AND THE FLORIDA KIDCARE PROGRAM THROUGH THE TITLE XXI GRANT ENDED JANUARY 31, 2019.> NCHMD, INC. OWNS AND OPERATES PHYSICIAN MEDICAL PRACTICES AND OUTPATIENT RADIOLOGY SERVICES IN COLLIER AND LEE COUNTY, FLORIDA.
PART VI, LINE 7, REPORTS FILED WITH STATES	FL

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	EDUCATIONAL SCHOLARSHIPS	GrantTypeTxt
Recipient	3	RecipientCnt
Cash Grant	$6,000	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS NAPLES COMMUNITY HOSPITAL AUXILIARIES ARE PROUD TO MAKE SCHOLARSHIPS AVAILABLE TO STUDENTS VIA THE AUXILIARY SCHOLARSHIP PROGRAM. THE PURPOSE OF THIS SCHOLARSHIP IS TO HELP ENCOURAGE STUDENTS TO ENTER THE HEALTHCARE FIELD. THE PROGRAM IS OPEN TO STUDENTS STUDYING IN APPROVED AREAS OF HEALTHCARE. AS DETAILED BELOW, APPLICANTS WISHING CONSIDERATION FOR THE SCHOLARSHIP PROGRAM MUST BE AN ACTIVE NCH AUXILIARY VOLUNTEER OR A DEPENDENT CHILD OF AN NCH EMPLOYEE AND MUST SUBMIT A COMPLETED SCHOLARSHIP APPLICATION AND ATTACH THE FOLLOWING INFORMATION: 1. SHOW PROOF THAT YOU ARE AN ACTIVE NCH AUXILIARY VOLUNTEER AND IN GOOD STANDING (VOLUNTEER A MINIMUM OF 50 HOURS PRIOR TO THE TIME APPLICATION) OR HAVE A PARENT THAT IS A CURRENT NCH EMPLOYEE WITH AT LEAST ONE YEAR OF SERVICE. 2. SEEK A CAREER IN THE HEALTHCARE FIELD. 3. HAVE A MINIMUM OF 3.0 GPA, UNWEIGHTED. 4. COMPLETE AND ATTACH A 500 WORD ESSAY ON WHY THE APPLICANT HAS CHOSEN HEALTHCARE AS A CAREER PATH AND WHY YOU FEEL YOU ARE A TOP CANDIDATE TO BE CHOSEN FOR THIS SCHOLARSHIP. IN LIEU OF AN ESSAY, VOLUNTEERS CAN SERVE AN ADDITIONAL 50 HOURS AS AN NCH AUXILIARY VOLUNTEER. 5. PROOF OF PAID RECENT ENROLLMENT. 6. OFFICIAL SCHOOL TRANSCRIPT (NO MORE THAN 30 DAYS OLD). 7. TWO PROFESSIONAL LETTERS OF REFERENCE (NO MORE THAN 30 DAYS OLD).	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ALLEN S WEISS MD TERM 0119
PRESIDENT/CEO/TRUSTEE	$858,436	$0	$148,963	$0	$22,208	$0	$11,000	$0	$16,520	$0	$1,057,127	$0	$0	$0
PHILLIP DUTCHER
COO/INTERIM PRESIDENT/CEO/TRUSTEE	$497,524	$0	$86,062	$0	$20,786	$0	$11,000	$0	$2,485	$0	$617,857	$0	$0	$0
KEVIN D COOPER TERM 0119
CHIEF OF STAFF	$493,074	$0	$86,062	$0	$19,274	$0	$11,000	$0	$16,856	$0	$626,266	$0	$0	$0
RICK WYLES
CFO/ASSISTANT TREASURER	$379,299	$0	$66,346	$0	$19,688	$0	$11,000	$0	$22,663	$0	$498,996	$0	$0	$0
FRANK ASTOR MD
CHIEF MEDICAL OFFICER	$453,666	$0	$83,407	$0	$20,786	$0	$11,000	$0	$16,757	$0	$585,616	$0	$0	$0
MICHAEL RILEY
CHIEF STRATEGY OFFICER	$259,625	$0	$48,265	$0	$19,688	$0	$11,000	$0	$16,807	$0	$355,385	$0	$0	$0
RENEE M THIGPEN
CHIEF HR OFFICER	$262,218	$0	$46,443	$0	$19,274	$0	$11,000	$0	$17,459	$0	$356,394	$0	$0	$0
GARY TOMCIK
CHIEF EXPERIENCE OFFICER	$208,942	$0	$36,964	$0	$19,688	$0	$10,809	$0	$22,272	$0	$298,675	$0	$0	$0
ZACHARY BOSTOCK
CHIEF ADMINISTRATIVE OFFICER	$368,699	$0	$64,555	$0	$18,680	$0	$11,000	$0	$22,634	$0	$485,568	$0	$0	$0
JONATHAN KLINGRN
CHIEF NURSING OFFICER	$271,321	$0	$45,495	$0	$18,770	$0	$11,000	$0	$21,134	$0	$367,720	$0	$0	$0
LINDA ROEBACK START 0119
GENERAL COUNSEL	$200,440	$0	$16,915	$0	$773	$0	$8,939	$0	$21,444	$0	$248,511	$0	$0	$0
CHARLES GRAEBER MD
PROGRAM DIRECTOR, INTERNAL	$326,515	$0	$22,522	$0	$3,708	$0	$10,500	$0	$1,522	$0	$364,767	$0	$0	$0
KIM THORP
DIRECTOR OF PHARMACY NCH HEALTHCARE	$186,418	$0	$15,603	$0	$774	$0	$8,355	$0	$23,310	$0	$234,460	$0	$0	$0
ILIA ECHEVARRIA RN
ASSOCIATE CHIEF NURSE PROF. PRACTICE	$183,950	$0	$15,110	$0	$180	$0	$8,102	$0	$15,750	$0	$223,092	$0	$0	$0
JAMES BATES
RADIOLOGY DIRECTOR	$181,077	$0	$15,290	$0	$1,188	$0	$8,138	$0	$22,152	$0	$227,845	$0	$0	$0
GINA TEEGARDEN RN
ASSOCIATE CHIEF NURSE OPERATIONS	$180,063	$0	$15,039	$0	$270	$0	$7,961	$0	$9,085	$0	$212,418	$0	$0	$0
JAMES K MARTIN TERM 0517
FORMER CHIEF DEVELOPMENT OFFICER	$0	$0	$0	$0	$120,552	$0	$0	$0	$0	$0	$120,552	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 4A

DETAIL OF SEVERANCE PAYMENTS CHIEF DEVELOPMENT OFFICER RESIGNED 05/27/2017 AND RECEIVED A SEVERANCE PAYMENT OF $120,552 FOR CALENDAR YEAR 2018.

PART I, LINE 7

PROVISIONS OF NON-FIXED PAYMENTS THIS ORGANIZATION IS AN AFFILIATE OF NCH HEALTHCARE SYSTEM, INC. ("THE SYSTEM"). THE SYSTEM MAY PROVIDE DISCRETIONARY BONUS AND/OR INCENTIVE COMPENSATION PAYMENTS TO ELIGIBLE EMPLOYEES. COMPENSATION PAYMENTS FOR ALL EMPLOYEES EXCLUDING THE CEO AND SENIOR LEADERSHIP TEAM IS DETERMINED BY THE SYSTEM BOARD OF TRUSTEES HUMAN RESOURCES COMMITTEE AND/OR CEO. COMPENSATION PAYMENTS MADE TO ANY DISQUALIFIED PERSON IS APPROVED BY THE SYSTEM THROUGH THE PROCESS DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 15.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
COLLIER CTY INDSTL DEVLMT AUTHORITY
A	591695679	2010-12-30	$30,000,000	NEW CAPITAL EQUIPMENT	0	0	0
COLLIER CTY INDSTL DEVLMT AUTHORITY
B	591695679	2011-04-14	$100,955,824	REFINANCE 93/96 BONDS & NEW CAPITAL EQUIPMENT	0	0	0	194641AK2
COLLIER CTY INDSTL DEVLMT AUTHORITY
C	591695679	2011-10-31	$46,340,000	REFINANCE 02/04 BONDS	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Refunding EscrowRefundingEscrowAmt
A	$22,628,241	$30,050,966	$159,198	$29,891,768	2013	0	Yes (1)	Yes (1)
B	$10,480,000	$101,013,628	$1,414,549	$50,376,517	2014	Yes (1)	Yes (1)	Yes (1)	$49,222,562
C	$46,340,000	$46,343,042	$180,000		2011	Yes (1)	Yes (1)	Yes (1)	$46,160,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0	0	Yes (1)
B	0	0	0	0	0	0	Yes (1)
C	0	0	0	0	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Exception To RebateExceptionToRebateInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	0	Yes (1)
B	Yes (1)	0	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE K, PART II, LINE 3	FormAndLineReferenceDesc
Explanation	FOR COLLIER COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY-SERIES 2010, THE TOTAL PROCEEDS OF ISSUE REPORTED INCLUDES $50,966 IN INVESTMENT EARNINGS. FOR COLLIER COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY-SERIES 2011 PUBLIC, THE TOTAL PROCEEDS OF ISSUE REPORTED INCLUDES $1,159,176 IN NET ORIGINAL ISSUE DISCOUNTS AND $57, 804 IN INVESTMENT EARNINGS.	ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	PAUL HILTZ	PersonNm
Relationship With Org	CEO/PRESIDENT	RelationshipWithOrgTxt
Loan Purpose	RETAIN - RETENTION INCENTIVE	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$50,000	OriginalPrincipalAmt
Balance Due	$50,000	BalanceDueAmt
Default	0	DefaultInd
Board Or Committee Approval	Yes (1)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (1)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$50,000	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
SHARIE TOMCIK
FMLY MEMBER/OFFICER	$20,920	PYMT COMP	0
WYNN PROPERTIES
OWNER/TRUSTEE	$100,668	RENTAL PAYMENTS	0
SUNSHINE ACE HARDWARE
OWNER/TRUSTEE	$13,464	PURCHASES	0
LAUREN AYERS
FMLY MEMBER/OFFICER	$18,347	PYMT COMP	0
MEGAN RILEY
FMLY MEMBER/OFFICER	$28,550	PYMT COMP	0
BRENDA WHITAKER
FMLY MEMBER/TRUSTEE	$48,611	PYMT COMP	0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE L, PART IV	FormAndLineReferenceDesc
Explanation	LAUREN AYERS IS THE DAUGHTER OF LINDA ROEBACK, GENERAL COUNSEL.MEGAN RILEY IS THE DAUGHTER OF MICHAEL RILEY, CHIEF STRATEGY OFFICER. SHARIE TOMCIK, R.N., IS THE SPOUSE OF GARY TOMCIK, CHIEF EXPERIENCE OFFICER.BRENDA WHITAKER, R.N., IS THE SPOUSE OF PATRICK MULCAHY, TRUSTEE.MICHAEL WYNN IS A TRUSTEE AND AN OWNER OF WYNN PROPERTIES WHICH NCH PAYS FOR RENTAL SPACE.MICHAEL WYNN IS A TRUSTEE AND AN OWNER OF SUNSHINE ACE HARDWARE WHERE NCH PURCHASES SUPPLIES.	ExplanationTxt

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$482,941	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	20	ContributionCnt
Noncash Contributions Rpt F990	$1,303,970	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	JEWELRY	1	$14,500	FMV
Yes (X)	ENTERTAINMENT	9	$6,835	FMV
Yes (X)	SPORT EVENTS	1	$5,000	FMV

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, COLUMN (B):	FormAndLineReferenceDesc
Explanation	NAPLES COMMUNITY HOSPITAL, INC. IS REPORTING IN PART I, COLUMN (B) THE NUMBER OF CONTRIBUTIONS.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4	BYLAWS AMENDED AND RESTATED NCH HEALTHCARE SYSTEM, INC. AMENDED AND RESTATED ITS BYLAWS IN FISCAL YEAR 2019. ARTICLE II BOARD OF TRUSTEES 2.2.1 NUMBER, ELECTION AND TENURE WERE REVISED TO INCLUDE "NO TRUSTEE MAY SERVE AS CHAIR OF THE BOARD FOR MORE THAN SIX YEARS, NOR MAY ANY TRUSTEE SERVE IN ANY OTHER OFFICE POSITION (E.G., VICE CHAIR, TREASURER OR SECRETARY) FOR MORE THAN THREE YEARS. NOTHING IN THIS SECTION IS INTENDED TO PROHIBIT A TRUSTEE FROM SERVING IN DIFFERENT OFFICER POSITIONS DURING CONSECUTIVE TERMS". 2.6 QUORUM REVISED FROM EIGHT TO "A MAJORITY OF THE VOTING MEMBERS OF THE BOARD OF TRUSTEES SHALL BE NECESSARY TO CONSTITUTE A QUOROM FOR THE TRANSACTIONS OF BUSINESS AT MEETINGS OF THE BOARD. TRUSTEES MAY NOT APPOINT PROXIES TO ACT FOR THEM".
FORM 990, PART VI, SECTION A, LINE 6	GOVERNING BODY AND MANAGEMENT NCH HEALTHCARE SYSTEM, INC. IS THE SOLE MEMBER OF THIS ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A	GOVERNING BODY AND MANAGEMENT NCH HEALTHCARE SYSTEM, INC. SOLE MEMBER OF THIS ORGANIZATION, ELECTS THIS ORGANIZATION'S DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	GOVERNING BODY AND MANAGEMENT ALL OF THE GOVERNANCE DECISIONS FOR NAPLES COMMUNITY HOSPITAL, INC. ARE RESERVED TO THE GOVERNING BODY OF NCH HEALTHCARE SYSTEM, INC.
FORM 990, PART VI, SECTION B, LINE 11B	REVIEW PROCESS INFORMATION RELATED TO NAPLES COMMUNITY HOSPITAL, INC.'S ("NCH") FORM 990 FILING IS GATHERED BY FINANCE STAFF AND PROVIDED TO RSM US LLP, FOR REVIEW. AFTER THE REVIEW BY RSM US LLP, THE FORM 990 IS REVIEWED BY THE NCH HEALTHCARE SYSTEM CHIEF FINANCIAL OFFICER. THE FORM 990 IS THEN REVIEWED BY OUTSIDE COUNSEL FOR THE BOARD. PRIOR TO BOARD APPROVAL, THE FORM 990 IS PROVIDED TO ALL OF THE FINANCE COMMITTEE BOARD OF TRUSTEES FOR THEIR REVIEW VIA THE BOARD PORTAL. AT THE CONCLUSION OF THIS REVIEW PROCESS THE FORM 990 IS APPROVED BY THE BOARD OF TRUSTEES PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY ANNUALLY, ALL NCH HEALTHCARE SYSTEM, INC. OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE INTERESTS THAT COULD POTENTIALLY GIVE RISE TO CONFLICTS. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. MANAGEMENT SHALL DISCLOSE OTHER POTENTIAL CONFLICTS WITH THE COMPLIANCE OFFICER. AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE CORPORATION CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINED UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED TRUSTEES WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE CORPORATION AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. THE COMPLIANCE OFFICER WILL DETERMINE IF A MANAGEMENT TEAM MEMBER OR EMPLOYEE SHOULD BE EXCUSED FROM A DISCUSSION OR PARTICIPATE IN A DECISION IN WHICH THERE MAY BE A CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION PROCESS THIS ORGANIZATION IS AN AFFILIATE OF THE NCH HEALTHCARE SYSTEM, INC. ("THE SYSTEM"). COMPENSATION ARRANGEMENTS INVOLVING OUR CEO AND SENIOR LEADERSHIP TEAM ARE ESTABLISHED BY THE SYSTEM BOARD OF TRUSTEES COMPENSATION COMMITTEE PURSUANT TO A PROCESS THAT SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR SECTION 4958 EXCESS BENEFIT TRANSACTION TAX PURPOSES (WHICH REQUIRES A REVIEW OF COMPENSATION DETERMINATION BY DISINTERESTED PERSONS, USE OF APPROPRIATE COMPARABILITY DATA, AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS).
FORM 990, PART VI, SECTION C, LINE 19	DOCUMENTS AVAILABLE TO THE PUBLIC THE FORMS 1023 AND 990, GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY OF NAPLES COMMUNITY HOSPITAL, INC. ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FINANCIAL STATEMENTS ARE ALSO AVAILABLE VIA OUR WEBSITE: HTTP://WWW.NCHMD.ORG/ABOUT-US/ANNUAL-REPORTS. DOCUMENTS AVAILABLE FOR REQUEST ARE AVAILABLE PURSUANT TO THE PERIOD OF DISCLOSURE PROVIDED IN SECTION 6104(D).
FORM 990, PART IX, LINE 11G	PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 1,256,188. MANAGEMENT AND GENERAL EXPENSES 221,159. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,477,347. RECRUITING: PROGRAM SERVICE EXPENSES 985,039. MANAGEMENT AND GENERAL EXPENSES 173,422. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,158,461. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 34,889,920. MANAGEMENT AND GENERAL EXPENSES 6,142,561. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 41,032,481. COLLECTION FEES: PROGRAM SERVICE EXPENSES 3,280,741. MANAGEMENT AND GENERAL EXPENSES 577,592. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,858,333. CONSULTING FEES: PROGRAM SERVICE EXPENSES 2,445,633. MANAGEMENT AND GENERAL EXPENSES 430,567. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,876,200. MEMBERSHIP FEES: PROGRAM SERVICE EXPENSES 516,817. MANAGEMENT AND GENERAL EXPENSES 90,989. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 607,806. PUBLIC MEDICAL ASSISTANCE TRUST FUND (FL) FEES: PROGRAM SERVICE EXPENSES 5,901,056. MANAGEMENT AND GENERAL EXPENSES 1,038,913. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,939,969.
FORM 990, PART XI, LINE 9:	TRANSFERS TO RELATED ORGANIZATIONS -45,486,148.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
NCH HEALTHCARE SYSTEM INC
PO BOX 413029	NAPLES	FL	341013029	592314655	NOT-FOR-PROFIT HOLDING COMPANY	FL	501(C)(3)	LINE 12B, II	N/A	0
MARCO ISLAND HOSPITAL INC
40 HEATHWOOD DRIVE	MARCO ISLAND	FL	34145	592315435	HEALTHCARE	FL	501(C)(3)	LINE 3		Yes (1)	NCH SYSTEM
COLLIER HEALTH CARE INC
PO BOX 413029	NAPLES	FL	341013029	650244276	HEALTHCARE	FL	501(C)(3)	LINE 3		Yes (1)	NCH SYSTEM
COMMUNITY HOME SERVICES INC
PO BOX 413029	NAPLES	FL	341013029	592440516	SUPPORT ORGANIZATION	FL	501(C)(3)	LINE 12B, II		Yes (1)	NCH SYSTEM
NCHMDINC
PO BOX 413029	NAPLES	FL	341013029	331075317	HEALTHCARE	FL	501(C)(3)	LINE 10		Yes (1)	NCH SYSTEM

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
HEALTH RESOURCES CORPORATION
350 7TH STREET NORTH	NAPLES	FL	34102	592568003	HOLDING COMPANY	FL	NCH HEALTHCARE SYSTEM	C	Yes (1)
COMMUNITY HOME CARE INC
350 7TH STREET NORTH	NAPLES	FL	34102	592372966	HOME HEALTH	FL	HEALTH RESOURCES CORPORTATION	C	Yes (1)
COMMUNITY IMAGING INC
350 7TH STREET NORTH	NAPLES	FL	34102	592446336	RADIOLOGY LAB	FL	HEALTH RESOURCES CORPORTATION	C	Yes (1)
AMBULATORY SURGICAL CARE CENTER INC
350 7TH STREET NORTH	NAPLES	FL	34102	592568029	OUTPATIENT SURGERY	FL	HEALTH RESOURCES CORPORTATION	C	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	Yes (1)	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
COLLIER HEALTH CARE INC
K	-$64,500	FMV
NCHMD INC
P	-$1,210,032	FMV
NCHMD INC
P	-$1,441,776	FMV
NCHMD INC
P	-$624,162	FMV
COLLIER HEALTH CARE INC
Q	-$257,279	FMV
MARCO ISLAND HOSPITAL INC
Q	-$1,236,818	FMV
NCHMD INC
Q	$46,182,830	FMV
NCH ACO LLC
Q	$824,900	FMV