2017-08-15T14:05:52-05:00 2016-09-30 420714325 RSM US LLP ONE SOUTH WACKER STE 800 CHICAGO IL 60606 990 2015-10-01 590694358 NAPLES COMMUNITY HOSPITAL INC NAPL 2396246338 PO BOX 413029 NAPLES FL 341013029 RICK WYLES CHIEF FINANCIAL OFFICER 2396244005 2017-08-11 1 WAYNE HARDER P00294296 3126343400 2015 2021-01-29 14:40:06Z RICK WYLES 350 SEVENTH STREET NORTH NAPLES FL 341023029 624514324 0 X WWW.NCHMD.ORG X 1957 FL HELPING EVERYONE LIVE A LONGER, HAPPIER, AND HEALTHIER LIFE. 14 10 3824 1025 955 -661 30450450 9579679 480892543 508512294 16635045 7885256 12134880 12746291 540112918 538723520 8000 7000 0 0 176264001 201962978 0 0 10210 260944665 280785395 437216666 482755373 102896252 55968147 725050683 762196340 244197256 234038543 480853427 528157797 X HELPING EVERYONE LIVE A LONGER, HAPPIER, AND HEALTHIER LIFE. 0 0 430409972 7000 519035582 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. 430409972 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 0 1 1 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 1 0 0 0 1 428 0 1 3824 1 1 1 0 0 0 0 1 1 0 0 0 0 0 X 14 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X X RICK WYLESCHIEF FINANCIAL OFFICER 2396244005 350 SEVENTH STREET NORTH NAPLES FL 341023029 MARIANN MACDONALD CHAIRWOMAN 0.50 1.50 X X 0 0 0 THOMAS J GAZDIC 1ST VICE CHAIRMAN/TREASURER 0.50 1.50 X X 0 0 0 KAY GOW 2ND VICE CHAIRWOMAN 0.50 1.50 X X 0 0 0 JOHN LEWIS MD SECRETARY 0.50 1.50 X X 0 0 0 PAMELA ALEXANDER RN TRUSTEE 40.50 1.50 X 122114 0 29127 WILLIAM ALLYN START 0316 TRUSTEE 0.50 1.50 X 0 0 0 MICHELLE BARRETT TRUSTEE 40.50 1.50 X 72894 0 25362 TERRANCE FLYNN TRUSTEE 0.50 1.50 X 0 0 0 GEORGE FERGUSONMDSTART 0316 TRUSTEE 0.50 1.50 X 0 0 0 HERMES KOOP MD TERM 0316 TRUSTEE 0.50 1.50 X 0 0 0 STEPHEN LANGE MD TRUSTEE 0.50 1.50 X 0 0 0 VINCENT MONA TRUSTEE 0.50 1.50 X 0 0 0 ROBERT MOSES TERM 0316 TRUSTEE 0.50 1.50 X 0 0 0 GREGORY RUSSO TRUSTEE 0.50 1.50 X 0 0 0 MICHAEL WYNN START 0316 TRUSTEE 0.50 1.50 X 0 0 0 ALLEN S WEISS MD PRESIDENT/CEO/TRUSTEE 40.00 5.00 X X 897804 0 33347 KEVIN D COOPER GNRL COUNSEL/CHF OF STAFF 40.00 5.00 X 521934 0 41826 PHILLIP DUTCHER COO, NCH HEALTHCARE SYSTEM 40.00 5.00 X 528905 0 14702 RICK WYLES START 1015 CFO/ASSISTANT TREASURER 40.00 5.00 X 65404 0 4967 FRANK ASTOR MD CHIEF MEDICAL OFFICER 40.00 5.00 X 355420 0 14886 MICHELE THOMAN RN CHIEF NURSING OFFICER 40.00 5.00 X 396304 0 42410 MICHAEL RILEY CHIEF STRATEGY OFFICER 40.00 5.00 X 295359 0 42372 SARAH RICHARDSON TERM 0216 CHIEF INFORMATION OFFICER 40.00 5.00 X 250440 0 10475 RENEE M THIGPEN CHIEF HR OFFICER 40.00 5.00 X 244987 0 36674 ELIZABETH MARTIN ASSISTANT SECRETARY 40.00 5.00 X 65790 0 23158 JAMES K MARTIN CHIEF DEVELOPMENT OFFICER 11.00 34.00 X 140756 193978 37719 GARY TOMCIK START 1115 CHIEF EXPERIENCE OFFICER 40.00 5.00 X 23269 0 3198 ZACHARY BOSTOCK CHIEF ADMINISTRATIVE OFFICER 11.00 34.00 X 155655 210175 39257 JAMES BATES DIR RADIOLOGY/COO NDIC 40.00 0.00 X 211385 0 36844 BRIAN D WILSON MD PHYSICIAN BONITA HEALTH 40.00 0.00 X 210745 0 28663 KIMBERLY THORP DIRECTOR OF PHARMACY NCH HEALTHCARE 40.00 0.00 X 210497 0 36328 LINDA ROEBACK CORPORATE COUNSEL 40.00 0.00 X 200221 0 34768 NOBLE F ARRINGTON CONTROLLER NCH HEALTHCARE 40.00 0.00 X 197655 0 34983 MICHAEL STEPHENS TERM 0715 FORMER CHIEF FINANCIAL OFFICER 0.00 0.00 X 281664 0 33081 VICKI DORR TERM 0513 FORMER CHIEF FINANCIAL OFFICER 0.00 0.00 X 165085 0 13747 5614287 404153 617894 203 1 1 0 DEANGELIS DIAMOND CONSTRUCTION INC 6635 WILLOW PARK ROAD NAPLES FL 34109 CONSTRUCTION COMPANY 17646298 CERNER CORPORATION PO BOX 412702 KANSAS CITY MO 64141 IT SUPPORT 14507433 SODEXO INC AND AFFILIATES PO BOX 536922 ATLANTA GA 303536922 DIETARY AND ENVIRONMENTAL SERVICES 10940217 PRECYSE SOLUTIONS DEPT 1736 PO BOX 11407 BIRMINGHAM AL 35246 MEDICAL RECORDS SUPPORT 5151569 BLUE ZONE PROJECT DEPT 3079 75 REMITTANCE DRIVE CHICAGO IL 606753079 HEALTH AND WELL-BEING CONSULTANTS 2416002 76 516513 8445 10000 9044721 5252413 9579679 NET PATIENT SERVICE REVENUE 621990 508512294 508512294 508512294 7190778 7190778 29290 29290 1920266 122 1920144 1920144 1920144 86171030 7628 85512671 799 658359 6829 665188 665188 579116 516513 277212 301904 301904 WELLNESS CENTER 900099 3138569 3138569 SCHOOL NURSE 900099 2637299 2637299 DIETARY SERVICES 900099 2626514 2626514 2121861 2120906 955 10524243 538723520 519035582 955 10107304 X 7000 7000 4470811 4470811 200525 200525 171166678 146706960 24451419 8299 4200037 3599852 600001 184 9098236 7798098 1299046 1092 12826691 10993757 1832299 635 1334147 1143497 190650 336120 288088 48032 52085079 44642123 7442956 1555088 1332866 222222 14390793 12334350 2056443 18123740 15533858 2589882 8894608 7623569 1271039 517516 443563 73953 7094367 6080582 1013785 28972153 24832032 4140121 4374716 3749569 625147 MEDICAL SUPPLIES 90733295 90733295 BAD DEBT EXPENSE 52322095 52322095 51678 44293 7385 482755373 430409972 52335191 10210 36125028 40085720 7851560 3241586 30282831 25758271 52940461 56219557 55838 55692 8201538 9551644 2393817 3183264 706658241 422497702 272112528 284160539 25712200 29107612 2595086 2085943 286779796 308746512 725050683 762196340 39121961 37140322 329255 310032 163287139 157879598 41458901 38708591 244197256 234038543 X 426726795 480607060 39700015 32989659 14426617 14561078 480853427 528157797 725050683 762196340 X 55968147 17124558 -25788335 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 14426617 7000 127461 14561078 14766111 36529 -376023 14426617 17536191 529058 3299138 14766111 15249881 604497 1347505 -334308 17536191 11353908 2315160 1740813 160000 15249881 1.00000 0 0 12978793 12978793 356830514 178178973 178651541 6741255 6222082 519173 291795772 232739014 59056758 38311907 5357633 32954274 284160539 OTHER ASSETS 1531553 DEPOSITS 157024 ASSETS LIMITED AS TO USE 305334175 UNAMORTIZED BOND ISSUE COST 968288 UNAMORTIZED BOND DISCOUNTS 755472 308746512 SELF-INSURANCE LIABILITIES 11872596 ACCRUED INTEREST 2962587 DUE TO RELATED ORGANIZATIONS 16993371 PUBLIC MEDICAL FUND PAYABLE 3092715 OTHER LIABILITIES 1783241 THIRD-PARTY PAYABLES 2004081 38708591 X PART V, LINE 4: INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS ALL ENDOWMENT FUNDS MAINTAINED BY NAPLES COMMUNITY HOSPITAL, INC. ARE USED IN FURTHERANCE OF THE ORGANIZATION'S TAX-EXEMPT PURPOSES. PART X, LINE 2: THE SYSTEM AND ALL OF ITS NOT-FOR-PROFIT SUBSIDIARIES ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE (THE CODE). THE SYSTEM AND ALL OF ITS NOT-FOR-PROFIT SUBSIDIARIES DO NOT HAVE SIGNIFICANT UNRELATED BUSINESS INCOME; HOWEVER, SUCH STATUS IS SUBJECT TO FINAL DETERMINATION UPON EXAMINATION OF THE RELATED INCOME TAX RETURNS BY THE APPROPRIATE TAXING AUTHORITIES. THE SYSTEM IS GENERALLY NO LONGER SUBJECT TO TAX EXAMINATIONS IN THE MAJOR U.S. TAXING JURISDICTIONS IN WHICH THEY OPERATE FOR TAX YEARS PRIOR TO 2012. HOSPITAL BALL 1095629 516513 579116 67431 124446 32610 52725 1095629 516513 579116 67431 124446 32610 52725 277212 301904 1 1 X 1 X 1 X 1 1 0 1 1 16854382 16854382 0.03920 50682911 36767389 13915522 0.03230 67537293 36767389 30769904 0.07150 3246356 3246356 0.00750 34720 34720 0.00010 3281076 3281076 0.00760 70818369 36767389 34050980 0.07910 269970 269970 0.00060 111996 111996 0.00030 2497 2497 0.00000 384463 384463 0.00090 1 11336940 306097 228606763 250917178 -22310415 X 1 1 1 1 NAPLES COMMUNITY HOSPITAL INC 350 7TH STREET NORTH NAPLES FL 34102 WWW.NCHMD.ORG 4113 X X X NAPLES COMMUNITY HOSPITAL INC 1 0 0 1 X X X X X X X X X 15 1 1 0 1 X HTTP://WWW.NCHMD.ORG/ANNUAL-REPORTS.HTML X 1 15 1 HTTP://WWW.NCHMD.ORG/ANNUAL-REPORTS.HTML 0 0 1 X 200.000000000000 400.000000000000 X X X X X X X 1 1 X X X 1 X HTTP://WWW.NCHMD.ORG/BILLING-INFORMATION.HTML X WEBSITE HTTP://WWW.NCHMD.ORG/BILLING-INFORMATION.HTML X HTTP://WWW.NCHMD.ORG/BILLING-INFORMATION.HTML X X X X X 1 X 0 X X X X 1 X 0 0 NAPLES COMMUNITY HOSPITAL, INC. PART V, SECTION B, LINE 5: CHNA TAKING INTO ACCOUNT INPUT FROM THE COMMUNITYTHE NCH LEADERSHIP TEAM IS ACTIVELY INVOLVED AND PARTICIPATES IN MANY COMMUNITY RELATED ORGANIZATIONS AND GROUPS THAT ARE CONTINUALLY ASSESSING UNMET NEEDS WITHIN COLLIER COUNTY. NCH HAS HISTORICALLY WORKED WITH OUR BOARD OF TRUSTEES, COLLIER COUNTY CHILDREN'S ALLIANCE, COLLIER COUNTY PUBLIC SCHOOLS, 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. 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 1 HEALTHCARE EDUCATIONAL SCHOLARSHIPS 7 7000 PART I, LINE 2: PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS NAPLES COMMUNITY HOSPITAL AUXILIARIES ARE PROUD TO MAKE SCHOLARSHIPS AVAILABLE TO STUDENTS VIA THE AUXILIARY SCHOLARSHIP PROGRAM. THE PURPOSE OF THIS SCHOLARSHIP IS TO HELP ENCOURAGE STUDENTS TO ENTER THE HEALTHCARE FIELD. THE PROGRAM IS OPEN TO STUDENTS STUDYING IN APPROVED AREAS OF HEALTHCARE. AS DETAILED BELOW, APPLICANTS WISHING CONSIDERATION FOR THE SCHOLARSHIP PROGRAM MUST BE AN ACTIVE NCH AUXILIARY VOLUNTEER OR A DEPENDENT CHILD OF AN NCH EMPLOYEE AND MUST SUBMIT A COMPLETED SCHOLARSHIP APPLICATION AND ATTACH THE FOLLOWING INFORMATION: 1. SHOW PROOF THAT YOU ARE AN ACTIVE NCH AUXILIARY VOLUNTEER AND IN GOOD STANDING (VOLUNTEER A MINIMUM OF 50 HOURS PRIOR TO THE TIME APPLICATION) OR HAVE A PARENT THAT IS A CURRENT NCH EMPLOYEE WITH AT LEAST ONE YEAR OF SERVICE. 2. SEEK A CAREER IN THE HEALTHCARE FIELD. 3. HAVE A MINIMUM OF 3.0 GPA, UNWEIGHTED. 4. COMPLETE AND ATTACH A 500 WORD ESSAY ON WHY THE APPLICANT HAS CHOSEN HEALTHCARE AS A CAREER PATH AND WHY YOU FEEL YOU ARE A TOP CANDIDATE TO BE CHOSEN FOR THIS SCHOLARSHIP. IN LIEU OF AN ESSAY, VOLUNTEERS CAN SERVE AN ADDITIONAL 50 HOURS AS AN NCH AUXILIARY VOLUNTEER. 5. PROOF OF PAID RECENT ENROLLMENT. 6. OFFICIAL SCHOOL TRANSCRIPT (NO MORE THAN 30 DAYS OLD). 7. TWO PROFESSIONAL LETTERS OF REFERENCE (NO MORE THAN 30 DAYS OLD). X X X X 1 0 0 0 0 0 0 1 0 PAMELA ALEXANDER RN TRUSTEE 115709 0 6405 0 0 0 4709 0 24418 0 151241 0 0 0 ALLEN S WEISS MD PRESIDENT/CEO/TRUSTEE 763144 0 116660 0 18000 0 10600 0 22747 0 931151 0 0 0 KEVIN D COOPER GNRL COUNSEL/CHF OF STAFF 436535 0 67399 0 18000 0 11313 0 30513 0 563760 0 0 0 PHILLIP DUTCHER COO, NCH HEALTHCARE SYSTEM 443506 0 67399 0 18000 0 11469 0 3233 0 543607 0 0 0 FRANK ASTOR MD CHIEF MEDICAL OFFICER 327420 0 10000 0 18000 0 0 0 14886 0 370306 0 0 0 MICHELE THOMAN RN CHIEF NURSING OFFICER 327738 0 50566 0 18000 0 13250 0 29160 0 438714 0 0 0 MICHAEL RILEY CHIEF STRATEGY OFFICER 242036 0 35323 0 18000 0 11021 0 31351 0 337731 0 0 0 SARAH RICHARDSON TERM 0216 CHIEF INFORMATION OFFICER 232440 0 0 0 18000 0 0 0 10475 0 260915 0 0 0 RENEE M THIGPEN CHIEF HR OFFICER 206884 0 14149 0 23954 0 8293 0 28381 0 281661 0 0 0 JAMES K MARTIN CHIEF DEVELOPMENT OFFICER 132448 141983 0 42303 8308 9692 0 9555 13571 14593 154327 218126 0 0 ZACHARY BOSTOCK CHIEF ADMINISTRATIVE OFFICER 147347 157089 0 43394 8308 9692 0 11589 13342 14326 168997 236090 0 0 JAMES BATES DIR RADIOLOGY/COO NDIC 178208 0 17594 0 15583 0 7660 0 29184 0 248229 0 0 0 BRIAN D WILSON MD PHYSICIAN BONITA HEALTH 210745 0 0 0 0 0 8318 0 20345 0 239408 0 0 0 KIMBERLY THORP DIRECTOR OF PHARMACY NCH HEALTHCARE 180431 0 11614 0 18452 0 7365 0 28963 0 246825 0 0 0 LINDA ROEBACK CORPORATE COUNSEL 173617 0 12540 0 14064 0 7158 0 27610 0 234989 0 0 0 NOBLE F ARRINGTON CONTROLLER NCH HEALTHCARE 169652 0 11725 0 16278 0 7195 0 27788 0 232638 0 0 0 MICHAEL STEPHENS TERM 0715 FORMER CHIEF FINANCIAL OFFICER 211219 0 60752 0 9693 0 17986 0 15095 0 314745 0 0 0 VICKI DORR TERM 0513 FORMER CHIEF FINANCIAL OFFICER 0 0 0 0 165085 0 0 0 13747 0 178832 0 0 0 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. A COLLIER CTY INDSTL DEVLMT AUTHORITY 591695679 2010-12-30 30000000 NEW CAPITAL EQUIPMENT 0 0 0 B COLLIER CTY INDSTL DEVLMT AUTHORITY 591695679 194641AK2 2011-04-14 100955824 REFINANCE 93/96 BONDS & NEW CAPITAL EQUIPMENT 0 0 0 C COLLIER CTY INDSTL DEVLMT AUTHORITY 591695679 2011-10-31 46340000 REFINANCE 02/04 BONDS 0 0 0 A 12355402 30050966 159198 29891768 2013 0 0 1 1 B 5590000 101013628 49222562 1414549 50376517 2014 1 0 1 1 C 2630000 46343036 46160000 180000 3036 2011 1 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 C 0 0 1 0 1 0 0 0 1 A 1 B 1 C 1 FORM 990, SCHEDULE K, PART II, LINE 3 FOR COLLIER COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY-SERIES 2010, THE TOTAL PROCEEDS OF ISSUE REPORTED INCLUDES $50,966 IN INVESTMENT EARNINGS. FOR COLLIER COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY-SERIES 2011 PUBLIC, THE TOTAL PROCEEDS OF ISSUE REPORTED INCLUDES $1,159,176 IN NET ORIGINAL ISSUE DISCOUNTS AND $57,804 IN INVESTMENT EARNINGS. FOR COLLIER COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY-SERIES 2011 BANK QUALIFIED, THE TOTAL PROCEEDS OF ISSUE REPORTED INCLUDES $3,036 IN INVESTMENT EARNINGS. BRITTNEY THOMAN FMLY MEMBER/OFFICER 53516 PYMT COMP 0 JODI S COOPER FMLY MEMBER/OFFICER 111014 PYMT COMP 0 JAMES ORR MD FMLY MEMBER/OFFICER 526926 RENTAL INC 0 SHARIE TOMCIK FMLY MEMBER/OFFICER 35995 PYMT COMP 0 WYNN PROPERTIES OWNER/TRUSTEE 94952 RENTAL PAYMENTS 0 SUNSHINE ACE HARDWARE OWNER/TRUSTEE 5955 PURCHASES 0 FORM 990, SCHEDULE L, PART IV 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. X 449877 FMV X 21 4586455 FMV X 1 78359 FMV X ENTERTAINMENT 59 63010 FMV X SPORT EVENTS 19 45832 FMV X JEWELRY 4 28880 FMV 0 0 1 0 PART I, COLUMN (B): NAPLES COMMUNITY HOSPITAL, INC. IS REPORTING IN PART I, COLUMN(B) THE NUMBER OF CONTRIBUTIONS. FORM 990, PART VI, SECTION A, LINE 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. 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 NCH SYSTEM 0 COLLIER HEATH CARE INC PO BOX 413029 NAPLES FL 341013029 650244276 HEALTHCARE FL 501 (C) (3) LINE 3 NCH SYSTEM 0 COMMUNITY HOME SERVICES INC PO BOX 413029 NAPLES FL 341013029 592440516 SUPPORT ORGANIZATION FL 501 (C) (3) LINE 11B, II NCH SYSTEM 0 NCHMDINC PO BOX 413029 NAPLES FL 341013029 331075317 HEALTHCARE FL 501 (C) (3) LINE 9 NCH SYSTEM 0 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 1 1 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1