2020-08-09T19:24:14-05:00 2019-09-30 420714325 RSM US LLP ONE SOUTH WACKER STE 800 CHICAGO IL 60606 990 2018-10-01 590694358 NAPLES COMMUNITY HOSPITAL INC NAPL 2396246338 PO BOX 413029 NAPLES FL 341013029 RICK WYLES CHIEF FINANCIAL OFFICER 2396246338 2020-08-05 1 REBEKUH ELEY P01247672 3126343400 67.184.218.2 2020-08-05 12:01:49 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 64E34636FEC2DFD844E3D394C3B342543AC68841 2018 2020-09-23 17:36:50Z RICK WYLES PO BOX 413029 NAPLES FL 341013029 649607731 0 X WWW.NCHMD.ORG X 1957 FL 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. 17 13 3789 973 0 0 19218317 17104627 574879798 516992282 15106115 12901077 13059418 14980420 622263648 561978406 9000 6000 0 0 226315337 242818295 0 0 9391 324137348 266932851 550461685 509757146 71801963 52221260 860487353 816364702 236617887 189315894 623869466 627048808 X HELPING EVERYONE LIVE A LONGER, HAPPIER, AND HEALTHIER LIFE. 0 0 442679312 6000 530009567 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. 442679312 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 0 1 1 1 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 1 1 1 0 0 1 414 0 1 3789 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 17 13 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X X RICK WYLESCHIEF FINANCIAL OFFICER 2396244005 350 SEVENTH STREET NORTH NAPLES FL 341023029 MARIANN MACDONALD CHAIRWOMAN 0.50 1.50 X X 0 0 0 THOMAS J GAZDIC 1ST VICE CHAIRMAN/TREASURER 0.50 1.50 X X 0 0 0 GREGORY RUSSO SECRETARY 0.50 1.50 X X 0 0 0 WILLIAM ALLYN TRUSTEE 0.50 1.50 X 0 0 0 JAY BAKER START 0319 TRUSTEE 0.50 1.50 X 0 0 0 KEVIN BEEBE TRUSTEE 0.50 1.50 X 0 0 0 JO BORDONARO RN TERM 0319 TRUSTEE 40.50 1.50 X 84904 0 10721 CHRISTINA CARRANZA RN TRUSTEE START 03/19 40.50 1.50 X 66434 0 30585 KERRY EDWARDS TRUSTEE 0.50 1.50 X 0 0 0 ALAN EINHORN START 0919 TRUSTEE 0.50 1.50 X 0 0 0 GEORGE FERGUSON TRUSTEE 0.50 1.50 X 0 0 0 STEPHEN LANGE MD TERM 0919 TRUSTEE 0.50 1.50 X 0 0 0 SCOTT LUTGERT START 0319 TRUSTEE 0.50 1.50 X 0 0 0 JOHN LEWIS MD TRUSTEE 0.50 1.50 X 0 0 0 PATRICK MULCAHY START 0319 TRUSTEE 40.50 1.50 X 88610 0 12011 BILL PEREZ START 0919 TRUSTEE 0.50 1.50 X 0 0 0 DAVEY SCOON START 0919 TRUSTEE 0.50 1.50 X 0 0 0 PAULA VYVERBERG TRUSTEE 40.50 1.50 X 131055 0 6009 MICHAEL WYNN TRUSTEE 0.50 1.50 X 0 0 0 PAUL HILTZ START 0919 PRESIDENT/CEO/TRUSTEE 40.00 5.00 X X 0 0 0 ALLEN S WEISS MD TERM 0119 PRESIDENT/CEO/TRUSTEE 40.00 5.00 X X 1029607 0 27520 PHILLIP DUTCHER COO/INTERIM PRESIDENT/CEO/TRUSTEE 40.00 5.00 X X 604372 0 13485 KEVIN D COOPER TERM 0119 CHIEF OF STAFF 40.00 5.00 X 598410 0 27856 RICK WYLES CFO/ASSISTANT TREASURER 40.00 5.00 X 465333 0 33663 FRANK ASTOR MD CHIEF MEDICAL OFFICER 40.00 5.00 X 557859 0 27757 MICHAEL RILEY CHIEF STRATEGY OFFICER 40.00 5.00 X 327578 0 27807 RENEE M THIGPEN CHIEF HR OFFICER 40.00 5.00 X 327935 0 28459 ELIZABETH MARTIN ASSISTANT SECRETARY 40.00 5.00 X 71393 0 11771 GARY TOMCIK CHIEF EXPERIENCE OFFICER 40.00 5.00 X 265594 0 33081 ZACHARY BOSTOCK CHIEF ADMINISTRATIVE OFFICER 40.00 5.00 X 451934 0 33634 JONATHAN KLINGRN CHIEF NURSING OFFICER 40.00 5.00 X 335586 0 32134 LINDA ROEBACK START 0119 GENERAL COUNSEL 40.00 5.00 X 218128 0 30383 CHARLES GRAEBER MD PROGRAM DIRECTOR, INTERNAL 40.00 0.00 X 352745 0 12022 KIM THORP DIRECTOR OF PHARMACY NCH HEALTHCARE 40.00 0.00 X 202795 0 31665 ILIA ECHEVARRIA RN ASSOCIATE CHIEF NURSE PROF. PRACTICE 40.00 0.00 X 199240 0 23852 JAMES BATES RADIOLOGY DIRECTOR 40.00 0.00 X 197555 0 30290 GINA TEEGARDEN RN ASSOCIATE CHIEF NURSE OPERATIONS 40.00 0.00 X 195372 0 17046 JAMES K MARTIN TERM 0517 FORMER CHIEF DEVELOPMENT OFFICER 0.00 0.00 X 120552 0 0 6892991 0 501751 337 1 1 0 WALTBILLIG AND HOOD GENERAL CONTRACTORS 1004 COLLIER CTR WAY 100 NAPLES FL 34110 GENERAL CONTRACTOR 14139786 CERNER CORPORATION PO BOX 412702 KANSAS CITY MO 64141 IT SUPPORT 12395904 NTHRIVE PO BOX 733492 DALLAS TX 753733492 MEDICAL RECORDS SUPPORT 10274185 SODEXO INC AND AFFLIATES PO BOX 536922 ATLANTA GA 303536922 DIETARY AND ENVIRONMENTAL SERVICES 10085521 BRASFIELD & GORRIE LLC 941 WEST MORSE BLVD SUITE 200 WINTER PARK FL 32789 GENERAL CONTRACTOR 8530627 79 352834 30000 16721793 1813246 17104627 NET PATIENT SERVICE REVENUE 621990 516992282 516992282 516992282 9780377 9780377 1249 1249 1627367 47789 1579578 1579578 1579578 90351164 134354 87308195 57872 3042969 76482 3119451 3119451 599026 352834 215469 383557 383557 WELLNESS CENTER 713940 3275593 3275593 SCHOOL NURSE 621990 3251986 3251986 DIETARY 722514 2652579 2652579 3837127 3837127 13017285 561978406 530009567 0 14864212 X 6000 6000 5779232 5779232 262308 262308 202094329 171840808 30245563 7958 5299677 4506315 793362 14577317 12395093 2181400 824 14805432 12589059 2215764 609 2258577 2258577 288228 288228 57950597 49275394 8675203 2313666 1967310 346356 19150389 16283577 2866812 16800721 14285653 2515068 10278215 8739566 1538649 391342 332758 58584 5620211 4778865 841346 38996232 33158496 5837736 4090776 3478387 612389 MEDICAL SUPPLIES 107414806 107414806 BAD DEBT EXPENSE 1284406 1284406 94685 80511 14174 509757146 442679312 67068443 9391 68170179 17465308 9238041 6118450 24692516 21306009 63966172 69189390 50000 6029 7643 11027734 11120787 5689476 4583082 839928264 502951911 322726342 336976353 19057772 23556105 1126467 654468 334786625 325337107 860487353 816364702 52162050 51667798 262098 247421 145073867 97732705 39119872 39667970 236617887 189315894 X 571458369 574987502 36826700 36430095 15584397 15631211 623869466 627048808 860487353 816364702 X 52221260 -3555770 -45486148 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 15584397 3907 42907 15631211 14783076 601291 200030 15584397 14561078 6000 215998 14783076 14426617 7000 127461 14561078 14766111 36529 -376023 14426617 1.00000 0 0 26725329 26725329 430080976 219556831 210524145 6861742 6467688 394054 325439706 270821682 54618024 50820511 6105710 44714801 336976353 ASSETS LIMITED AS TO USE 321770487 OTHER ASSETS 1737718 DEPOSITS 193063 THIRD-PARTY RECEIVABLE 1635839 325337107 DUE TO RELATED ORGANIZATIONS 22956311 SELF-INSURANCE LIABILITIES 8906339 PUBLIC MEDICAL FUND PAYABLE 3469845 ACCRUED INTEREST 2771190 OTHER LIABILITIES 1564285 39667970 X 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. HOSPITAL BALL 951860 352834 599026 34691 119061 27558 34159 951860 352834 599026 34691 119061 27558 34159 215469 383557 1 1 X 1 X 1 X 1 1 0 1 1 22821816 22821816 0.04750 58257307 32757557 25499750 0.05400 81079123 32757557 48321566 0.10150 823516 823516 0.00160 38344 38344 0.00010 861860 861860 0.00170 81940983 32757557 49183426 0.10320 188748 188748 0.00040 110148 110148 0.00020 298896 298896 0.00060 1 268131 5255 265387176 298856085 -33468909 X 1 1 1 1 NAPLES COMMUNITY HOSPITAL INC 350 7TH STREET NORTH NAPLES FL 34102 WWW.NCHMD.ORG LICENSE #4113 X X X NAPLES COMMUNITY HOSPITAL INC 1 0 0 1 X X X X X X X X X 18 1 1 0 1 X HTTP://WWW.NCHMD.ORG/ABOUT-US/ANNUAL-REPORTS X 1 18 1 HTTP://WWW.NCHMD.ORG/ABOUT-US/ANNUAL-REPORTS 0 1 X 200.000000000000 400.000000000000 X X X X X X X 1 1 X X X 1 X HTTP://WWW.NCHMD.ORG/PATIENTS-AND-VISITORS/BILLING-INFO X HTTP://WWW.NCHMD.ORG/PATIENTS-AND-VISITORS/BILLING-INFO X HTTP://WWW.NCHMD.ORG/PATIENTS-AND-VISITORS/BILLING-INFO X X X X X X 1 X 0 X X X X 1 X 0 0 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. 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 1 EDUCATIONAL SCHOLARSHIPS 3 6000 PART I, LINE 2: 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). X X X X 1 0 0 0 0 0 0 1 0 ALLEN S WEISS MD TERM 0119 PRESIDENT/CEO/TRUSTEE 858436 0 148963 0 22208 0 11000 0 16520 0 1057127 0 0 0 PHILLIP DUTCHER COO/INTERIM PRESIDENT/CEO/TRUSTEE 497524 0 86062 0 20786 0 11000 0 2485 0 617857 0 0 0 KEVIN D COOPER TERM 0119 CHIEF OF STAFF 493074 0 86062 0 19274 0 11000 0 16856 0 626266 0 0 0 RICK WYLES CFO/ASSISTANT TREASURER 379299 0 66346 0 19688 0 11000 0 22663 0 498996 0 0 0 FRANK ASTOR MD CHIEF MEDICAL OFFICER 453666 0 83407 0 20786 0 11000 0 16757 0 585616 0 0 0 MICHAEL RILEY CHIEF STRATEGY OFFICER 259625 0 48265 0 19688 0 11000 0 16807 0 355385 0 0 0 RENEE M THIGPEN CHIEF HR OFFICER 262218 0 46443 0 19274 0 11000 0 17459 0 356394 0 0 0 GARY TOMCIK CHIEF EXPERIENCE OFFICER 208942 0 36964 0 19688 0 10809 0 22272 0 298675 0 0 0 ZACHARY BOSTOCK CHIEF ADMINISTRATIVE OFFICER 368699 0 64555 0 18680 0 11000 0 22634 0 485568 0 0 0 JONATHAN KLINGRN CHIEF NURSING OFFICER 271321 0 45495 0 18770 0 11000 0 21134 0 367720 0 0 0 LINDA ROEBACK START 0119 GENERAL COUNSEL 200440 0 16915 0 773 0 8939 0 21444 0 248511 0 0 0 CHARLES GRAEBER MD PROGRAM DIRECTOR, INTERNAL 326515 0 22522 0 3708 0 10500 0 1522 0 364767 0 0 0 KIM THORP DIRECTOR OF PHARMACY NCH HEALTHCARE 186418 0 15603 0 774 0 8355 0 23310 0 234460 0 0 0 ILIA ECHEVARRIA RN ASSOCIATE CHIEF NURSE PROF. PRACTICE 183950 0 15110 0 180 0 8102 0 15750 0 223092 0 0 0 JAMES BATES RADIOLOGY DIRECTOR 181077 0 15290 0 1188 0 8138 0 22152 0 227845 0 0 0 GINA TEEGARDEN RN ASSOCIATE CHIEF NURSE OPERATIONS 180063 0 15039 0 270 0 7961 0 9085 0 212418 0 0 0 JAMES K MARTIN TERM 0517 FORMER CHIEF DEVELOPMENT OFFICER 0 0 0 0 120552 0 0 0 0 0 120552 0 0 0 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. A COLLIER CTY INDSTL DEVLMT AUTHORITY 591695679 2010-12-30 30000000 NEW CAPITAL EQUIPMENT 0 0 0 B COLLIER CTY INDSTL DEVLMT AUTHORITY 591695679 194641AK2 2011-04-14 100955824 REFINANCE 93/96 BONDS & NEW CAPITAL EQUIPMENT 0 0 0 C COLLIER CTY INDSTL DEVLMT AUTHORITY 591695679 2011-10-31 46340000 REFINANCE 02/04 BONDS 0 0 0 A 22628241 30050966 159198 29891768 2013 0 0 1 1 B 10480000 101013628 49222562 1414549 50376517 2014 1 0 1 1 C 46340000 46343042 46160000 180000 2011 1 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 C 0 0 1 0 1 0 0 0 1 A 1 B 1 C 1 FORM 990, SCHEDULE K, PART II, LINE 3 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. PAUL HILTZ CEO/PRESIDENT RETAIN - RETENTION INCENTIVE X 50000 50000 0 1 1 50000 SHARIE TOMCIK FMLY MEMBER/OFFICER 20920 PYMT COMP 0 WYNN PROPERTIES OWNER/TRUSTEE 100668 RENTAL PAYMENTS 0 SUNSHINE ACE HARDWARE OWNER/TRUSTEE 13464 PURCHASES 0 LAUREN AYERS FMLY MEMBER/OFFICER 18347 PYMT COMP 0 MEGAN RILEY FMLY MEMBER/OFFICER 28550 PYMT COMP 0 BRENDA WHITAKER FMLY MEMBER/TRUSTEE 48611 PYMT COMP 0 FORM 990, SCHEDULE L, PART IV 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. X 482941 FMV X 20 1303970 FMV X JEWELRY 1 14500 FMV X ENTERTAINMENT 9 6835 FMV X SPORT EVENTS 1 5000 FMV 0 0 1 0 PART I, COLUMN (B): NAPLES COMMUNITY HOSPITAL, INC. IS REPORTING IN PART I, COLUMN (B) THE NUMBER OF CONTRIBUTIONS. 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. 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 NCH SYSTEM 1 COLLIER HEALTH CARE INC PO BOX 413029 NAPLES FL 341013029 650244276 HEALTHCARE FL 501(C)(3) LINE 3 NCH SYSTEM 1 COMMUNITY HOME SERVICES INC PO BOX 413029 NAPLES FL 341013029 592440516 SUPPORT ORGANIZATION FL 501(C)(3) LINE 12B, II NCH SYSTEM 1 NCHMDINC PO BOX 413029 NAPLES FL 341013029 331075317 HEALTHCARE FL 501(C)(3) LINE 10 NCH SYSTEM 1 HEALTH RESOURCES CORPORATION 350 7TH STREET NORTH NAPLES FL 34102 592568003 HOLDING COMPANY FL NCH HEALTHCARE SYSTEM C 1 COMMUNITY HOME CARE INC 350 7TH STREET NORTH NAPLES FL 34102 592372966 HOME HEALTH FL HEALTH RESOURCES CORPORTATION C 1 COMMUNITY IMAGING INC 350 7TH STREET NORTH NAPLES FL 34102 592446336 RADIOLOGY LAB FL HEALTH RESOURCES CORPORTATION C 1 AMBULATORY SURGICAL CARE CENTER INC 350 7TH STREET NORTH NAPLES FL 34102 592568029 OUTPATIENT SURGERY FL HEALTH RESOURCES CORPORTATION C 1 1 1 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 COLLIER HEALTH CARE INC K -64500 FMV NCHMD INC P -1210032 FMV NCHMD INC P -1441776 FMV NCHMD INC P -624162 FMV COLLIER HEALTH CARE INC Q -257279 FMV MARCO ISLAND HOSPITAL INC Q -1236818 FMV NCHMD INC Q 46182830 FMV NCH ACO LLC Q 824900 FMV