NAPLES COMMUNITY HOSPITAL INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: NAPLES COMMUNITY HOSPITAL INC (EIN 59-0694358)
Tax period: 2015-10-01 to 2016-09-30
Filed: 2017-08-15
IRS object ID: 201742279349301849
Schema version: 2015v3.0
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	2017-08-15T14:05:52-05:00	ReturnTs
Tax Period End	2016-09-30	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	2015-10-01	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	2396244005	PhoneNum
Signature	2017-08-11	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	WAYNE HARDER	PreparerPersonNm
PTIN	P00294296	PTIN
Phone	3126343400	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	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	350 SEVENTH STREET NORTH	AddressLine1Txt
City	NAPLES	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	341023029	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$624,514,324	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.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	3824	TotalEmployeeCnt
Total Volunteers	1025	TotalVolunteersCnt
Total Gross UBI	$955	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$661	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$30,450,450	PYContributionsGrantsAmt
CY Contributions Grants	$9,579,679	CYContributionsGrantsAmt
PY Program Service Revenue	$480,892,543	PYProgramServiceRevenueAmt
CY Program Service Revenue	$508,512,294	CYProgramServiceRevenueAmt
PY Investment Income	$16,635,045	PYInvestmentIncomeAmt
CY Investment Income	$7,885,256	CYInvestmentIncomeAmt
PY Other Revenue	$12,134,880	PYOtherRevenueAmt
CY Other Revenue	$12,746,291	CYOtherRevenueAmt
PY Total Revenue	$540,112,918	PYTotalRevenueAmt
CY Total Revenue	$538,723,520	CYTotalRevenueAmt
PY Grants And Similar Paid	$8,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$7,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$176,264,001	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$201,962,978	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$10,210	CYTotalFundraisingExpenseAmt
PY Other Expenses	$260,944,665	PYOtherExpensesAmt
CY Other Expenses	$280,785,395	CYOtherExpensesAmt
PY Total Expenses	$437,216,666	PYTotalExpensesAmt
CY Total Expenses	$482,755,373	CYTotalExpensesAmt
PY Revenues Less Expenses	$102,896,252	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$55,968,147	CYRevenuesLessExpensesAmt
Total Assets BOY	$725,050,683	TotalAssetsBOYAmt
Total Assets EOY	$762,196,340	TotalAssetsEOYAmt
Total Liabilities BOY	$244,197,256	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$234,038,543	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$480,853,427	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$528,157,797	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	$430,409,972	ExpenseAmt
Grant	$7,000	GrantAmt
Revenue	$519,035,582	RevenueAmt
Desc	NAPLES 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 $77,786,123 OF CHARITY CARE TO PATIENTS WHO WERE UNABLE TO PAY AND NOT COVERED BY ANY GOVERNMENTAL OR PRIVATE INSURANCE PROGRAM. ADDITIONALLY, NCH WROTE OFF $52,322,095 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 516 ACTIVE AND ASSOCIATE PHYSICIANS, 2,605 FULL-TIME EQUIVALENT EMPLOYEES, AND 1,025 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 CATHERIZATION 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 2016 FISCAL YEAR, NCH HAD 28,813 INPATIENT ADMISSIONS RESULTING IN 132,832 DAYS OF CARE. ADDITIONALLY, 111,436 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	$430,409,972	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	0	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	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	428	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3824	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
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
Form8282 Filed	0	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	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 (35 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
KAY GOW
2ND VICE CHAIRWOMAN	0.50	1.50	Yes (X)	Yes (X)	$0	$0	$0
JOHN LEWIS MD
SECRETARY	0.50	1.50	Yes (X)	Yes (X)	$0	$0	$0
PAMELA ALEXANDER RN
TRUSTEE	40.50	1.50	Yes (X)		$122,114	$0	$29,127
WILLIAM ALLYN START 0316
TRUSTEE	0.50	1.50	Yes (X)		$0	$0	$0
MICHELLE BARRETT
TRUSTEE	40.50	1.50	Yes (X)		$72,894	$0	$25,362
TERRANCE FLYNN
TRUSTEE	0.50	1.50	Yes (X)		$0	$0	$0
GEORGE FERGUSONMDSTART 0316
TRUSTEE	0.50	1.50	Yes (X)		$0	$0	$0
HERMES KOOP MD TERM 0316
TRUSTEE	0.50	1.50	Yes (X)		$0	$0	$0
STEPHEN LANGE MD
TRUSTEE	0.50	1.50	Yes (X)		$0	$0	$0
VINCENT MONA
TRUSTEE	0.50	1.50	Yes (X)		$0	$0	$0
ROBERT MOSES TERM 0316
TRUSTEE	0.50	1.50	Yes (X)		$0	$0	$0
GREGORY RUSSO
TRUSTEE	0.50	1.50	Yes (X)		$0	$0	$0
MICHAEL WYNN START 0316
TRUSTEE	0.50	1.50	Yes (X)		$0	$0	$0
ALLEN S WEISS MD
PRESIDENT/CEO/TRUSTEE	40.00	5.00	Yes (X)	Yes (X)	$897,804	$0	$33,347
KEVIN D COOPER
GNRL COUNSEL/CHF OF STAFF	40.00	5.00		Yes (X)	$521,934	$0	$41,826
PHILLIP DUTCHER
COO, NCH HEALTHCARE SYSTEM	40.00	5.00		Yes (X)	$528,905	$0	$14,702
RICK WYLES START 1015
CFO/ASSISTANT TREASURER	40.00	5.00		Yes (X)	$65,404	$0	$4,967
FRANK ASTOR MD
CHIEF MEDICAL OFFICER	40.00	5.00		Yes (X)	$355,420	$0	$14,886
MICHELE THOMAN RN
CHIEF NURSING OFFICER	40.00	5.00		Yes (X)	$396,304	$0	$42,410
MICHAEL RILEY
CHIEF STRATEGY OFFICER	40.00	5.00		Yes (X)	$295,359	$0	$42,372
SARAH RICHARDSON TERM 0216
CHIEF INFORMATION OFFICER	40.00	5.00		Yes (X)	$250,440	$0	$10,475
RENEE M THIGPEN
CHIEF HR OFFICER	40.00	5.00		Yes (X)	$244,987	$0	$36,674
ELIZABETH MARTIN
ASSISTANT SECRETARY	40.00	5.00		Yes (X)	$65,790	$0	$23,158
JAMES K MARTIN
CHIEF DEVELOPMENT OFFICER	11.00	34.00		Yes (X)	$140,756	$193,978	$37,719
GARY TOMCIK START 1115
CHIEF EXPERIENCE OFFICER	40.00	5.00		Yes (X)	$23,269	$0	$3,198
ZACHARY BOSTOCK
CHIEF ADMINISTRATIVE OFFICER	11.00	34.00		Yes (X)	$155,655	$210,175	$39,257
JAMES BATES
DIR RADIOLOGY/COO NDIC	40.00	0.00			$211,385	$0	$36,844	Yes (X)
BRIAN D WILSON MD
PHYSICIAN BONITA HEALTH	40.00	0.00			$210,745	$0	$28,663	Yes (X)
KIMBERLY THORP
DIRECTOR OF PHARMACY NCH HEALTHCARE	40.00	0.00			$210,497	$0	$36,328	Yes (X)
LINDA ROEBACK
CORPORATE COUNSEL	40.00	0.00			$200,221	$0	$34,768	Yes (X)
NOBLE F ARRINGTON
CONTROLLER NCH HEALTHCARE	40.00	0.00			$197,655	$0	$34,983	Yes (X)
MICHAEL STEPHENS TERM 0715
FORMER CHIEF FINANCIAL OFFICER	0.00	0.00			$281,664	$0	$33,081		Yes (X)
VICKI DORR TERM 0513
FORMER CHIEF FINANCIAL OFFICER	0.00	0.00			$165,085	$0	$13,747		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,614,287	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$404,153	TotReportableCompRltdOrgAmt
Total Other Compensation	$617,894	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	203	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
DEANGELIS DIAMOND CONSTRUCTION INC
6635 WILLOW PARK ROAD	NAPLES	FL	34109	CONSTRUCTION COMPANY	$17,646,298
CERNER CORPORATION
PO BOX 412702	KANSAS CITY	MO	64141	IT SUPPORT	$14,507,433
SODEXO INC AND AFFILIATES
PO BOX 536922	ATLANTA	GA	303536922	DIETARY AND ENVIRONMENTAL SERVICES	$10,940,217
PRECYSE SOLUTIONS
DEPT 1736 PO BOX 11407	BIRMINGHAM	AL	35246	MEDICAL RECORDS SUPPORT	$5,151,569
BLUE ZONE PROJECT
DEPT 3079 75 REMITTANCE DRIVE	CHICAGO	IL	606753079	HEALTH AND WELL-BEING CONSULTANTS	$2,416,002

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	76	CntrctRcvdGreaterThan100KCnt
Fundraising	$516,513	FundraisingAmt
Related Organizations	$8,445	RelatedOrganizationsAmt
Government Grants	$10,000	GovernmentGrantsAmt
All Other Contributions	$9,044,721	AllOtherContributionsAmt
Noncash Contributions	$5,252,413	NoncashContributionsAmt
Total Contributions	$9,579,679	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICE REVENUE	Desc
Business	621990	BusinessCd
Total Revenue Column	$508,512,294	TotalRevenueColumnAmt
Related Or Exempt Func Income	$508,512,294	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$508,512,294	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,190,778	TotalRevenueColumnAmt
Exclusion	$7,190,778	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$29,290	TotalRevenueColumnAmt
Exclusion	$29,290	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,920,266	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$122	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,920,144	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,920,144	TotalRevenueColumnAmt
Exclusion	$1,920,144	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$86,171,030	SecuritiesAmt
Other	$7,628	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$85,512,671	SecuritiesAmt
Other	$799	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$658,359	SecuritiesAmt
Other	$6,829	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$665,188	TotalRevenueColumnAmt
Exclusion	$665,188	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$579,116	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$516,513	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$277,212	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$301,904	TotalRevenueColumnAmt
Exclusion	$301,904	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
WELLNESS CENTER	900099	$3,138,569	$3,138,569
SCHOOL NURSE	900099	$2,637,299	$2,637,299
DIETARY SERVICES	900099	$2,626,514	$2,626,514

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,121,861	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,120,906	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$955	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$10,524,243	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$538,723,520	TotalRevenueColumnAmt
Related Or Exempt Func Income	$519,035,582	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$955	UnrelatedBusinessRevenueAmt
Exclusion	$10,107,304	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	$7,000	TotalAmt
Program Services	$7,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,470,811	TotalAmt
Management And General	$4,470,811	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$200,525	TotalAmt
Program Services	$200,525	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$171,166,678	TotalAmt
Program Services	$146,706,960	ProgramServicesAmt
Management And General	$24,451,419	ManagementAndGeneralAmt
Fundraising	$8,299	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,200,037	TotalAmt
Program Services	$3,599,852	ProgramServicesAmt
Management And General	$600,001	ManagementAndGeneralAmt
Fundraising	$184	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$9,098,236	TotalAmt
Program Services	$7,798,098	ProgramServicesAmt
Management And General	$1,299,046	ManagementAndGeneralAmt
Fundraising	$1,092	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$12,826,691	TotalAmt
Program Services	$10,993,757	ProgramServicesAmt
Management And General	$1,832,299	ManagementAndGeneralAmt
Fundraising	$635	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,334,147	TotalAmt
Program Services	$1,143,497	ProgramServicesAmt
Management And General	$190,650	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$336,120	TotalAmt
Program Services	$288,088	ProgramServicesAmt
Management And General	$48,032	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$52,085,079	TotalAmt
Program Services	$44,642,123	ProgramServicesAmt
Management And General	$7,442,956	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,555,088	TotalAmt
Program Services	$1,332,866	ProgramServicesAmt
Management And General	$222,222	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$14,390,793	TotalAmt
Program Services	$12,334,350	ProgramServicesAmt
Management And General	$2,056,443	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$18,123,740	TotalAmt
Program Services	$15,533,858	ProgramServicesAmt
Management And General	$2,589,882	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,894,608	TotalAmt
Program Services	$7,623,569	ProgramServicesAmt
Management And General	$1,271,039	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$517,516	TotalAmt
Program Services	$443,563	ProgramServicesAmt
Management And General	$73,953	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,094,367	TotalAmt
Program Services	$6,080,582	ProgramServicesAmt
Management And General	$1,013,785	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$28,972,153	TotalAmt
Program Services	$24,832,032	ProgramServicesAmt
Management And General	$4,140,121	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,374,716	TotalAmt
Program Services	$3,749,569	ProgramServicesAmt
Management And General	$625,147	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL SUPPLIES	$90,733,295	$90,733,295
BAD DEBT EXPENSE	$52,322,095	$52,322,095

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$51,678	TotalAmt
Program Services	$44,293	ProgramServicesAmt
Management And General	$7,385	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$482,755,373	TotalAmt
Program Services	$430,409,972	ProgramServicesAmt
Management And General	$52,335,191	ManagementAndGeneralAmt
Fundraising	$10,210	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$36,125,028	BOYAmt
EOY	$40,085,720	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$7,851,560	BOYAmt
EOY	$3,241,586	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$30,282,831	BOYAmt
EOY	$25,758,271	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$52,940,461	BOYAmt
EOY	$56,219,557	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$55,838	BOYAmt
EOY	$55,692	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$8,201,538	BOYAmt
EOY	$9,551,644	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,393,817	BOYAmt
EOY	$3,183,264	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$706,658,241	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$422,497,702	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$272,112,528	BOYAmt
EOY	$284,160,539	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$25,712,200	BOYAmt
EOY	$29,107,612	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,595,086	BOYAmt
EOY	$2,085,943	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$286,779,796	BOYAmt
EOY	$308,746,512	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$725,050,683	BOYAmt
EOY	$762,196,340	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$39,121,961	BOYAmt
EOY	$37,140,322	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$329,255	BOYAmt
EOY	$310,032	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$163,287,139	BOYAmt
EOY	$157,879,598	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$41,458,901	BOYAmt
EOY	$38,708,591	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$244,197,256	BOYAmt
EOY	$234,038,543	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$426,726,795	BOYAmt
EOY	$480,607,060	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$39,700,015	BOYAmt
EOY	$32,989,659	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$14,426,617	BOYAmt
EOY	$14,561,078	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$480,853,427	BOYAmt
EOY	$528,157,797	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$725,050,683	BOYAmt
EOY	$762,196,340	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$55,968,147	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$17,124,558	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$25,788,335	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	$14,426,617	BeginningYearBalanceAmt
Contributions	$7,000	ContributionsAmt
Investment Earnings Or Losses	$127,461	InvestmentEarningsOrLossesAmt
End Year Balance	$14,561,078	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$17,536,191	BeginningYearBalanceAmt
Contributions	$529,058	ContributionsAmt
Other Expenditures	$3,299,138	OtherExpendituresAmt
End Year Balance	$14,766,111	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$15,249,881	BeginningYearBalanceAmt
Contributions	$604,497	ContributionsAmt
Investment Earnings Or Losses	$1,347,505	InvestmentEarningsOrLossesAmt
Other Expenditures	-$334,308	OtherExpendituresAmt
End Year Balance	$17,536,191	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,353,908	BeginningYearBalanceAmt
Contributions	$2,315,160	ContributionsAmt
Investment Earnings Or Losses	$1,740,813	InvestmentEarningsOrLossesAmt
Other Expenditures	$160,000	OtherExpendituresAmt
End Year Balance	$15,249,881	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	$12,978,793	OtherCostOrOtherBasisAmt
Book Value	$12,978,793	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$356,830,514	OtherCostOrOtherBasisAmt
Depreciation	$178,178,973	DepreciationAmt
Book Value	$178,651,541	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,741,255	OtherCostOrOtherBasisAmt
Depreciation	$6,222,082	DepreciationAmt
Book Value	$519,173	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$291,795,772	OtherCostOrOtherBasisAmt
Depreciation	$232,739,014	DepreciationAmt
Book Value	$59,056,758	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$38,311,907	OtherCostOrOtherBasisAmt
Depreciation	$5,357,633	DepreciationAmt
Book Value	$32,954,274	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$284,160,539	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
OTHER ASSETS	$1,531,553
DEPOSITS	$157,024
ASSETS LIMITED AS TO USE	$305,334,175
UNAMORTIZED BOND ISSUE COST	$968,288
UNAMORTIZED BOND DISCOUNTS	$755,472

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$308,746,512	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
SELF-INSURANCE LIABILITIES	$11,872,596
ACCRUED INTEREST	$2,962,587
DUE TO RELATED ORGANIZATIONS	$16,993,371
PUBLIC MEDICAL FUND PAYABLE	$3,092,715
OTHER LIABILITIES	$1,783,241
THIRD-PARTY PAYABLES	$2,004,081

Field	Value	IRS element (for citing)
Total Liability	$38,708,591	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 2012.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	HOSPITAL BALL	Event1Nm
Gross Receipts Event1	$1,095,629	GrossReceiptsEvent1Amt
Charitable Contri Event1	$516,513	CharitableContriEvent1Amt
Gross Revenue Event1	$579,116	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$67,431	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$124,446	FoodAndBeverageEvent1Amt
Entertainment Event1	$32,610	EntertainmentEvent1Amt
Other Direct Expenses Event1	$52,725	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$1,095,629	GrossReceiptsTotalAmt
Charitable Contributions Tot	$516,513	CharitableContributionsTotAmt
Gross Revenue Total Events	$579,116	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$67,431	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$124,446	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$32,610	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$52,725	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$277,212	DirectExpenseSummaryEventsAmt
Net Income Summary	$301,904	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	$16,854,382	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,854,382	NetCommunityBenefitExpnsAmt
Total Expense	0.03920	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$50,682,911	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$36,767,389	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,915,522	NetCommunityBenefitExpnsAmt
Total Expense	0.03230	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$67,537,293	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$36,767,389	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,769,904	NetCommunityBenefitExpnsAmt
Total Expense	0.07150	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,246,356	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,246,356	NetCommunityBenefitExpnsAmt
Total Expense	0.00750	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$34,720	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$34,720	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,281,076	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,281,076	NetCommunityBenefitExpnsAmt
Total Expense	0.00760	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$70,818,369	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$36,767,389	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,050,980	NetCommunityBenefitExpnsAmt
Total Expense	0.07910	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$269,970	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$269,970	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$111,996	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$111,996	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,497	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,497	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$384,463	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$384,463	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$11,336,940	BadDebtExpenseAmt
Bad Debt Expense Attributable	$306,097	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$228,606,763	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$250,917,178	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$22,310,415	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	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
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	15	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/ANNUAL-REPORTS.HTML	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTP://WWW.NCHMD.ORG/ANNUAL-REPORTS.HTML	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
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/BILLING-INFORMATION.HTML	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WEBSITE HTTP://WWW.NCHMD.ORG/BILLING-INFORMATION.HTML	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTP://WWW.NCHMD.ORG/BILLING-INFORMATION.HTML	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
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Average Negotiated Rates	Yes (X)	AverageNegotiatedRatesInd
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, THE IMMOKALEE FOUNDATION, CHILDREN'S MEDICAL SERVICES, 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 NEEDS ASSESSMENT (CHNA) WAS COMPLETED IN 2016. SINCE 2013, LOCAL PUBLIC HEALTH SYSTEM PARTNERS HAVE CONVENED THE LEADERSHIP FOR COMMUNITY HEALTH IMPROVEMENT PLANNING (LCHIP) COMMITTEE MEETINGS TO GUIDE THE DEVELOPMENT OF THE CHIP FOR COLLIER COUNTY. USING THE MOBILIZING FOR ACTION THROUGH THE PLANNING AND PARTNERSHIP (MAPP) FRAMEWORK, THE LCHIP COMMITTEE REVIEWED THE 2016 CHNA AND HELD DISCUSSIONS REGARDING GROUP PRIORITIES AND OBJECTIVES GOING FORWARD. FOR THE LAST THREE YEARS, THE COLLECTIVE FOCUS WAS REDUCING OBESITY. CURRENTLY, ONLY 36 PERCENT OF FLORIDIANS ARE AT A HEALTHY WEIGHT. ON OUR CURRENT TREND, BY 2030, ALMOST 60 PERCENT WILL BE OBESE. ADDITIONALLY, THERE IS EMERGING EVIDENCE THAT POSITIVE BEHAVIORAL HEALTH IS ASSOCIATED WITH IMPROVED HEALTH OUTCOMES.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 PROCESS MODEL USED IS CALLED MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP). MAPP IS A COMMUNITY-WIDE STRATEGIC PLANNING TOOL FOR IMPROVING COMMUNITY HEALTH. THE DOH-COLLIER AND COMMUNITY PARTNERS MET TOGETHER FOR THE PURPOSE OF EVALUATING THE HEALTH STATUS OF THE RESIDENTS OF COLLIER COUNTY IN ORDER TO DEVELOP HEALTH IMPROVEMENT INTERVENTIONS. USING THE MAPP MODEL, A STRATEGIC APPROACH TO COMMUNITY HEALTH IMPROVEMENT WAS DEVELOPED. THE MODEL USES SIX DISTINCT PHASES:1. PARTNERSHIP DEVELOPMENT AND ORGANIZING FOR SUCCESS2. VISIONING3. THE FOUR MAPP ASSESSMENTS COMMUNITY HEALTH STATUS ASSESSMENT COMMUNITY THEMES AND STRENGTH ASSESSMENT LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT FORCES OF CHANGE ASSESSMENT4. IDENTIFYING STRATEGIC ISSUES5. FORMULATING GOALS AND STRATEGIES6. ACTION (PROGRAM PLANNING, IMPLEMENTATION, EVALUATION)ADDITIONALLY, IN 2016 THE DOH-COLLIER IN PARTNERSHIP WITH NCH HEALTHCARE SYSTEM, OBTAINED COMMUNITY INPUT REGARDING THE HEALTH AND QUALITY OF LIFE ISSUES FOR THOSE RESIDING IN COLLIER COUNTY VIA COMPLETION OF A COMMUNITY SURVEY AND TWELVE FOCUS GROUP DISCUSSIONS. THE MOST IMPORTANT ISSUES FOUND WERE: CHRONIC DISEASES (HEART DISEASE, DIABETES, CANCER) MENTAL HEALTH ACCESS TO CARE ALCOHOL AND DRUG ABUSE OBESITYIN ADDITION TO THE INFORMATION OBTAINED BY THE SURVEYS AND FOCUS GROUPS ALL OTHER INFORMATION OBTAINED REGARDING THE HEALTH AND WELL-BEING OF THE COMMUNITY DISCOVERED FROM THE BLUE ZONE PROJECT IS INCORPORATED INTO THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT. BLUE ZONE PROJECTTHE NCH HEALTHCARE SYSTEM'S MISSION AND FOCUS ON POPULATION HEALTH PROVIDES AN EXCELLENT FOUNDATION FOR THE INTRODUCTION OF THE BLUE ZONES PROJECT IN SOUTHWEST FLORIDA. NCH IS SPONSORING THIS DECADE LONG INITIATIVE IN PARTNERSHIP WITH HEALTHWAYS WHICH SUPPORTS THE VISION TO MAKE OUR COMMUNITY AN EVEN HEALTHIER, HAPPIER AND MORE VIBRANT PLACE TO LIVE.THE NCH HEALTHCARE SYSTEM AND HEALTHWAYS SHARE A COMMITMENT TO IMPROVING THE WELL-BEING OF SOUTHWEST FLORIDA, THEREBY LOWERING HEALTHCARE COSTS, INCREASING PRODUCTIVITY, AND IMPROVING THE ECONOMY AND QUALITY OF LIFE FOR ALL RESIDENTS.THE CURRENT EFFORTS UNDERWAY WITH POLICY LEADERS, SCHOOLS, WORKSITES, HEALTHCARE, AND CIVIC ORGANIZATIONS, COMBINED WITH COMMITMENTS OF EARLY ADOPTERS, DEMONSTRATE A COMMUNITY PRIMED FOR TRANSFORMATION AND IMPROVED WELL-BEING. COMMUNITY STAKEHOLDERS FROM SOUTHWEST FLORIDA DEMONSTRATE TREMENDOUS SUPPORT AND COLLABORATIVE SPIRIT IN SUPPORT OF THE BLUE ZONES PROJECT.THE NCH SPONSORED INITIATIVE IS FOCUSING EFFORTS ON BECOMING A CATALYST FOR CHANGE INCLUDING:> IMPROVING WELL-BEING, AS MEASURED BY THE GALLUP-HEALTHWAYS WELL-BEING INDEX BEYOND BEST COMPARABLE RESULTS IN FLORIDA AND THE REGION> GENERATING SIGNIFICANT MEDICAL COST SAVINGS AND PRODUCTIVITYIMPROVEMENT OVER THE PROJECT TERM> LOWERING THE OBESITY RATE> LOWERING SMOKING RATES> INCREASING VEGETABLE CONSUMPTION> BOOSTING ECONOMIC VITALITY> INCREASING DAILY PHYSICAL ACTIVITY LEVELS > POSITIONING SOUTHWEST FLORIDA AS NATIONWIDE INNOVATORS AND LEADERS IN PREVENTATIVE HEALTHPRIOR TO THE DEVELOPMENT OF THE STEERING COMMITTEES AND SUB COMMITTEES, HEALTHWAYS WORKING CLOSELY WITH NCH AND COMMUNITY LEADERS COMPLETED A HEALTH ASSESSMENT FOR THE SERVICE AREA SERVED BY NCH. A COPY OF THAT ASSESSMENT IS ON OUR WEBSITE HTTP://WWW.NCHMD.ORG/ANNUAL-REPORTS.HTML.
NAPLES COMMUNITY HOSPITAL, INC.	PART V, SECTION B, LINE 6A: CHNA CONDUCTED WITH ONE OR MORE HOSPITAL FACILITIESAS PART OF AN INTERGRATED 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 CHNANCH INITIALLY PARTICIPATED IN THE 2012 COLLIER COUNTY COMMUNITY ASSESSMENT DESIGN GROUP WITH KEY PARTICIPANTS BEING THE COLLIER COUNTY HEALTH DEPARTMENT, CITY AND COUNTY GOVERNMENT, AND THE CHAMBER OF COMMERCE. UPON COMPLETION OF THIS PROCESS NCH DEVELOPED THEIR FIRST COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) SEPTEMBER 30, 2013.THE CHNA IDENTIFIED PROBLEM AREAS THAT NEEDED TO BE ADDRESSED. THESE INCLUDE SUFFICIENT JOB EMPLOYMENT, ECONOMIC OPPORTUNITIES, ACCESS TO AFFORDABLE HOUSING, DRUG AND ALCOHOL ABUSE, SAGE 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 CARDIOVASCULAR HEALTH, CANCERS, DIABETES, MATERNAL AND INFANT HEALTH AND OBESITY. BELOW IS A SUMMARY OF ACTIVITIES AND INITIATIVES NCH ACHIEVED IN THE PAST THREE YEARS IN THESE SPECIFIC KEY AREAS.CARDIOVASCULAR HEALTH1. ALIGNED WITH POPULATION HEALTH, NCH IS SPONSORING THE SOUTHWEST FLORIDA BLUE ZONE INITIATIVE WHICH WAS LAUNCHED IN THE SUMMER OF 2015. THE WELL-BEING INDEX, AND IMPORTANT METRIC IN THE BLUE ZONE ASSESSMENT IS AN AVERAGE OF SIX SUB-INDICES INCLUDING PHYSICAL HEALTH SCREENINGS, A KEY COMPONENT IN ASSESSING BASELINE PHYSICAL HEALTH INCLUDING CARDIAC ISSUES WHICH ARE ALSO USED FOR MEASURING IMPROVEMENT.2. A DOZEN COMMUNITY LECTURES RELATED TO CARDIOVASCULAR HEALTH AND PREVENTION WERE PRESENTED TO THE COMMUNITY AT VARIOUS LOCATIONS THROUGHOUT SOUTHWEST FLORIDA. TOPICS INCLUDE "KEEPING YOUR HEART HEALTHY", "PREVENTING CORONARY HEART DISEASE AND "HEALTHY LIFESTYLE" ARE PROVIDED BY CARDIOLOGISTS, PRIMARY CARE PHYSICIANS, REGISTERED DIETICIANS AND OTHERS.3. CARDIOVASCULAR SCREENING PROGRAMS AT DISCOUNTED RATES HAVE BEEN IMPLEMENTED AT DESIGNATED TIMES THROUGHOUT THE YEAR. MEDICAL SPECIALISTS PROVIDED SAME-DAY, ONE-ON-ONE CONSULTATIONS BASED ON SCREENING RESULTS WITH EVERY PARTICIPANT. FUTURE PLANS INCLUDE THE POSSIBILITY OF ESTABLISHING OR PARTNERING WITH A MOBILE UNIT TO PROVIDE ADDITIONAL SCREENING AND OUTREACH TO THE COMMUNITY.ONCOLOGYMAMMOGRAM 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.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 2016 INCLUDE, BUT ARE NOT LIMITED TO: I. THE VON ARX DIABETES CENTER SEEING 8,433 PATIENTS; II. SERVICES WERE EXPANDED TO MARCO ISLAND AND BONITA SPRINGS; III. EXPANDED GROCERY STORE TOURS; IV. MAINTAINED ACCREDITATION WITH THE AMERICAN DIABETES ASSOCIATION MATERNAL AND INFANT HEALTHNCH'S INITIAL LATCH MEASUREMENT IS 90%. NCH IS IMPLEMENTING SKIN TO SKIN IN THE DELIVERY ROOM. THE SKIN TO SKIN RATE IS 83%. NCH RECEIVED IN 2016 A GRANT FROM THE FLORIDA DEPARTMENT OF HEALTH TO ATTAIN "BABY USA" HOSPITAL DESIGNATION. ALL REGISTERED NURSES IN LABOR AND DELIVERY, MB, NICU, PEDIATRICS AND PEDIATRICS ED ARE EDUCATED IN BREASTFEEDING. NCH MAINTAINS A BREASTFEEDING RATE OF 76%. NCH EMPLOYS 3 FTE 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.OBESITYNCH IS A MEMBER OF THE SHAC COUNCIL AND MEETS ON A REGULAR BASIS TO ADDRESS SCHOOL NUTRITION, DIET AND EXERCISE FOR HEALTH LIVING STUDENTS. NCH ALSO SPONSORS A YOUTH OBESITY SUPPORT GROUP WHERE PEDIATRIC PATIENTS ARE TREATED AT THE VON ARX DIABETES AND NUTRITION CENTER ON A MONTHLY BASIS. THE KEY INITIATIVES THAT WILL ADDRESS THE COMMUNITY TO REDUCE OBESITY IS THE BLUE ZONE PROJECT WHICH WAS MENTIONED IN MUCH DETAIL EARLIER IN THIS REPORT. NCH WORKING WITH THE FLORIDA DEPARTMENT OF HEALTH - COLLIER COUNTY PARTICIPATED AGAIN IN THE COLLIER COUNTY COMMUNITY ASSESSMENT DESIGN GROUP. SIMILAR TO THE 2012 PROJECT THE SCOPE OF THE GROUP WAS 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: SUFFICIENT JOB EMPLOYMENT ECONOMIC OPPORTUNITIES ACCESS TO AFFORDABLE HOUSING DRUG AND ALCOHOL ABUSE SAFE ROADWAYS FOR BICYCLISTS AND PEDESTRIANS PRIMARY CARE RESOURCES ACCESS TO AFFORDABLE HEALTH FOOD ACCESS TO LONG-TERM CARE BEDS COMMUNICABLE DISEASE OBESITY CHRONIC DISEASE MENTAL HEALTH DENTAL HEALTH HEALTH OF THE ELDERLY ACCESS TO CARE DISABILITIES UNINTENTIONAL INJURIESSUBSEQUENTLY, 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 POPULATION ACCESS TO HEALTH CARE MENTAL HEALTH CHRONIC DISEASES INJURIESUPON 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 FIVE KEY AREAS OF FOCUS WHICH INCLUDE: CHRONIC DISEASE CANCER MENTAL HEALTH HEALTH OF THE OLDER POPULATION OBESITYUNADDRESSED 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 $52,322,095 FOR THE YEAR ENDED SEPTEMBER 30, 2016. THIS AMOUNT HAS BEEN SUBTRACTED FOR THE PURPOSE OF CALCULATING THE PERCENTAGE REPORTED ON THE SCHEDULE H, PART I, LINE 7 TABLE. THE BAD DEBT EXPENSE FOOTNOTE DISCLOSURE CAN BE FOUND ON PAGES 16-17 OF THE ATTACHED CONSOLIDATED FINANCIAL STATEMENTS FOR THE NCH HEALTHCARE SYSTEM, INC. AND SUBSIDIARIES.
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 METHODOLGY 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:	THE ORGANIZATION PROVIDES CARE WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES TO PATIENTS WHO MEET SPECIFIC CRITERIA UNDER ITS CHARITY CARE GUIDELINES BECAUSE MIH 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 INABLILITY 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 16-17 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.
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, PARTNERING WITH THE SPIRIT OF WOMEN, 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 2016, WE COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND HAVE POSTED THIS REPORT ON OUR WEBSITE (WWW.NCHMD.ORG). 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 28, 2016 BOARD OF TRUSTEE MEETING. INCLUDED IN THE 2016 REPORT IS THE BLUE ZONE PROJECT WHICH BEGAN IN 2014 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 424,210. THE MEDIAN AGE OF RESIDENTS IS 49.9. THE ESTIMATED MEDIAN HOUSEHOLD INCOME IS $59,020. THE UNEMPLOYMENT RATE IS APPROXIMATELY 5.5%. THE PERCENTAGE OF RESIDENTS BELOW THE POVERTY LEVEL IS APPROXIMATELY 14.2%.
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, THE SPIRIT OF WOMEN, 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 09/30/2016, 9,525 PATIENTS WERE TREATED. OF THESE PATIENTS, 11.59% 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.> NCHMD, INC. OWNS AND OPERATES PHYSICIAN MEDICAL PRACTICES 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	HEALTHCARE EDUCATIONAL SCHOLARSHIPS	GrantTypeTxt
Recipient	7	RecipientCnt
Cash Grant	$7,000	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 (18 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
PAMELA ALEXANDER RN
TRUSTEE	$115,709	$0	$6,405	$0	$0	$0	$4,709	$0	$24,418	$0	$151,241	$0	$0	$0
ALLEN S WEISS MD
PRESIDENT/CEO/TRUSTEE	$763,144	$0	$116,660	$0	$18,000	$0	$10,600	$0	$22,747	$0	$931,151	$0	$0	$0
KEVIN D COOPER
GNRL COUNSEL/CHF OF STAFF	$436,535	$0	$67,399	$0	$18,000	$0	$11,313	$0	$30,513	$0	$563,760	$0	$0	$0
PHILLIP DUTCHER
COO, NCH HEALTHCARE SYSTEM	$443,506	$0	$67,399	$0	$18,000	$0	$11,469	$0	$3,233	$0	$543,607	$0	$0	$0
FRANK ASTOR MD
CHIEF MEDICAL OFFICER	$327,420	$0	$10,000	$0	$18,000	$0	$0	$0	$14,886	$0	$370,306	$0	$0	$0
MICHELE THOMAN RN
CHIEF NURSING OFFICER	$327,738	$0	$50,566	$0	$18,000	$0	$13,250	$0	$29,160	$0	$438,714	$0	$0	$0
MICHAEL RILEY
CHIEF STRATEGY OFFICER	$242,036	$0	$35,323	$0	$18,000	$0	$11,021	$0	$31,351	$0	$337,731	$0	$0	$0
SARAH RICHARDSON TERM 0216
CHIEF INFORMATION OFFICER	$232,440	$0	$0	$0	$18,000	$0	$0	$0	$10,475	$0	$260,915	$0	$0	$0
RENEE M THIGPEN
CHIEF HR OFFICER	$206,884	$0	$14,149	$0	$23,954	$0	$8,293	$0	$28,381	$0	$281,661	$0	$0	$0
JAMES K MARTIN
CHIEF DEVELOPMENT OFFICER	$132,448	$141,983	$0	$42,303	$8,308	$9,692	$0	$9,555	$13,571	$14,593	$154,327	$218,126	$0	$0
ZACHARY BOSTOCK
CHIEF ADMINISTRATIVE OFFICER	$147,347	$157,089	$0	$43,394	$8,308	$9,692	$0	$11,589	$13,342	$14,326	$168,997	$236,090	$0	$0
JAMES BATES
DIR RADIOLOGY/COO NDIC	$178,208	$0	$17,594	$0	$15,583	$0	$7,660	$0	$29,184	$0	$248,229	$0	$0	$0
BRIAN D WILSON MD
PHYSICIAN BONITA HEALTH	$210,745	$0	$0	$0	$0	$0	$8,318	$0	$20,345	$0	$239,408	$0	$0	$0
KIMBERLY THORP
DIRECTOR OF PHARMACY NCH HEALTHCARE	$180,431	$0	$11,614	$0	$18,452	$0	$7,365	$0	$28,963	$0	$246,825	$0	$0	$0
LINDA ROEBACK
CORPORATE COUNSEL	$173,617	$0	$12,540	$0	$14,064	$0	$7,158	$0	$27,610	$0	$234,989	$0	$0	$0
NOBLE F ARRINGTON
CONTROLLER NCH HEALTHCARE	$169,652	$0	$11,725	$0	$16,278	$0	$7,195	$0	$27,788	$0	$232,638	$0	$0	$0
MICHAEL STEPHENS TERM 0715
FORMER CHIEF FINANCIAL OFFICER	$211,219	$0	$60,752	$0	$9,693	$0	$17,986	$0	$15,095	$0	$314,745	$0	$0	$0
VICKI DORR TERM 0513
FORMER CHIEF FINANCIAL OFFICER	$0	$0	$0	$0	$165,085	$0	$0	$0	$13,747	$0	$178,832	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 4A

DETAIL OF SEVERANCE PAYMENTS VICKI D. ORR, CHIEF FINANCIAL OFFICER/ASSISTANT TREASURER RESIGNED 05/22/2013 AND RECEIVED A SEVERANCE PAYMENT OF $168,759 FOR CALENDAR YEAR 2015.

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	Current RefundingCurrentRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Refunding EscrowRefundingEscrowAmt	UnspentUnspentAmt
A	$12,355,402	$30,050,966	$159,198	$29,891,768	2013	0	Yes (1)	Yes (1)
B	$5,590,000	$101,013,628	$1,414,549	$50,376,517	2014	Yes (1)	Yes (1)	Yes (1)	$49,222,562
C	$2,630,000	$46,343,036	$180,000		2011	Yes (1)	Yes (1)	Yes (1)	$46,160,000	$3,036

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. FOR COLLIER COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY-SERIES 2011 BANK QUALIFIED, THE TOTAL PROCEEDS OF ISSUE REPORTED INCLUDES $3,036 IN INVESTMENT EARNINGS.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
BRITTNEY THOMAN
FMLY MEMBER/OFFICER	$53,516	PYMT COMP	0
JODI S COOPER
FMLY MEMBER/OFFICER	$111,014	PYMT COMP	0
JAMES ORR MD
FMLY MEMBER/OFFICER	$526,926	RENTAL INC	0
SHARIE TOMCIK
FMLY MEMBER/OFFICER	$35,995	PYMT COMP	0
WYNN PROPERTIES
OWNER/TRUSTEE	$94,952	RENTAL PAYMENTS	0
SUNSHINE ACE HARDWARE
OWNER/TRUSTEE	$5,955	PURCHASES	0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE L, PART IV	FormAndLineReferenceDesc
Explanation	BRITTNEY THOMAN IS THE DAUGHTER OF MICHELE THOMAN, CHIEF NURSING OFFICER.JODI S. COOPER, DIRECTOR OF THE LABORATORY, IS THE SPOUSE OF OFFICER KEVIN D. COOPER, GENERAL COUNSEL/CHIEF OF STAFF.JAMES ORR, M.D. IS THE SPOUSE OF VICKI D. ORR, FORMER CFO/ASSISTANT TREASURER. HE HAS A MINORITY EQUITY INTEREST IN 21ST CENTURY ONCOLOGY WHICH PAYS NCH RENTAL INCOME FOR THE LUTGERT EAST BUILDING.SHARIE TOMCIK, R.N., IS THE SPOUSE OF GARY TOMCIK,CHIEF EXPERIENCE OFFICER.MICHAEL WYNN IS A TRUSTEE AND THE OWNER OF WYNN PROPERTIES WHICH NCH PAYS FOR RENTAL SPACE.MICHAEL WYNN IS A TRUSTEE AND THE 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	$449,877	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	21	ContributionCnt
Noncash Contributions Rpt F990	$4,586,455	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$78,359	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)	ENTERTAINMENT	59	$63,010	FMV
Yes (X)	SPORT EVENTS	19	$45,832	FMV
Yes (X)	JEWELRY	4	$28,880	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 (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 11	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 OF STAFF AND CHIEF FINANCIAL OFFICER. THE FORM 990 IS THEN REVIEWED BY THE CHAIRMAN OF THE NCH FINANCE COMMITTEE AND OUTSIDE COUNSEL FOR THE BOARD. PRIOR TO BOARD APPROVAL, THE FORM 990 IS PROVIDED TO ALL OF THE 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 (EXECUTIVE COMMITTEE) 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 APPROPIATE 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: WWW.NCHMD.ORG. 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 3,459,045. MANAGEMENT AND GENERAL EXPENSES 576,710. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,035,755. EDUCATION SERVICES: PROGRAM SERVICE EXPENSES 360,481. MANAGEMENT AND GENERAL EXPENSES 60,101. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 420,582. RECRUITING: PROGRAM SERVICE EXPENSES 899,247. MANAGEMENT AND GENERAL EXPENSES 149,927. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,049,174. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 29,237,203. MANAGEMENT AND GENERAL EXPENSES 4,874,571. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 34,111,774. COLLECTION FEES: PROGRAM SERVICE EXPENSES 2,805,929. MANAGEMENT AND GENERAL EXPENSES 467,818. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,273,747. CONSULTING FEES: PROGRAM SERVICE EXPENSES 2,073,589. MANAGEMENT AND GENERAL EXPENSES 345,719. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,419,308. MEMBERSHIP FEES: PROGRAM SERVICE EXPENSES 505,098. MANAGEMENT AND GENERAL EXPENSES 84,212. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 589,310. PUBLIC MEDICAL ASSISTANCE TRUST FUND (FL) FEES: PROGRAM SERVICE EXPENSES 5,301,531. MANAGEMENT AND GENERAL EXPENSES 883,898. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,185,429.
FORM 990, PART XI, LINE 9:	TRANSFERS TO RELATED ORGANIZATIONS -25,788,335.

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 11B, II	N/A	0
MARCO ISLAND HOSPITAL INC
40 HEATHWOOD DRIVE	MARCO ISLAND	FL	34145	592315435	HEALTHCARE	FL	501 (C) (3)	LINE 3		0	NCH SYSTEM
COLLIER HEATH CARE INC
PO BOX 413029	NAPLES	FL	341013029	650244276	HEALTHCARE	FL	501 (C) (3)	LINE 3		0	NCH SYSTEM
COMMUNITY HOME SERVICES INC
PO BOX 413029	NAPLES	FL	341013029	592440516	SUPPORT ORGANIZATION	FL	501 (C) (3)	LINE 11B, II		0	NCH SYSTEM
NCHMDINC
PO BOX 413029	NAPLES	FL	341013029	331075317	HEALTHCARE	FL	501 (C) (3)	LINE 9		0	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	0
AMBULATORY SURGICAL CARE CENTER INC
350 7TH STREET NORTH	NAPLES	FL	34102	592568029	OUTPATIENT SURGERY	FL	HEALTH RESOURCES CORPORTATION	C	0
COMMUNITY HOME CARE INC
350 7TH STREET NORTH	NAPLES	FL	34102	592372966	HOME HEALTH	FL	HEALTH RESOURCES CORPORTATION	C	0
COMMUNITY IMAGING INC
350 7TH STREET NORTH	NAPLES	FL	34102	592446336	RADIOLOGY LAB	FL	HEALTH RESOURCES CORPORTATION	C	0

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