2014-08-08T08:03:21-05:00 2013-09-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1700 PHILADELPHIA PA 19103 990 2012-10-01 590694358 NAPLES COMMUNITY HOSPITAL INC % MICHAEL E STEPHENS CFO NAPL 2396246338 PO BOX 413029 Suite NAPLES FL 341013029 MICHAEL STEPHENS 2396246338 2014-08-05 true 2673303000 2012 2015-11-30 17:44:51Z MICHAEL E STEPHENS PO BOX 413029 NAPLES FL 341013029 587871518 false X N/A X 1957 FL THROUGH THE PROVISION OF CHARITABLE HEALTHCARE, OUR MISSION IS HELPING EVERYONE LIVE A LONGER, HAPPIER, AND HEALTHIER LIFE. 17 10 3828 1180 29253 -2931 9972258 13219940 440613486 419845033 5811853 12777317 10713308 10619341 467110905 456461631 5000 6500 0 0 187224119 174328176 0 0 17655 248987023 246818537 436216142 421153213 30894763 35308418 598720213 610383053 246237138 239457843 352483075 370925210 X NAPLES COMMUNITY HOSPITAL, INC. (THE "HOSPITAL") IS A NOT-FOR-PROFIT CORPORATION LOCATED IN COLLIER COUNTY, FLORIDA. THE HOSPITAL CONSISTS OF NAPLES COMMUNITY HOSPITAL, A 391-BED FACILITY, AND NORTH NAPLES HOSPITAL, A 325-BED FACILITY, LOCATED IN SW FLORIDA. THE HOSPITAL IS A SUBSIDIARY OF NCH HEALTHCARE SYSTEM, INC. ("NCHS"), A NOT-FOR-PROFIT CORPORATION. NAPLES COMMUNITY HOSPITAL, INC. PROVIDES INPATIENT AND OUTPATIENT HEALTHCARE SERVICES WITHOUT REGARD TO A PATIENT'S ABILITY TO PAY. THE HOSPITAL ALSO PROVIDES HEALTH ENHANCING EDUCATIONAL PROGRAMS IN ADDITION TO MEDICAL CARE FOR THE BETTERMENT OF THE COMMUNITY. ANY EXCESS REVENUE OVER EXPENSES IS USED TO FUND THE REPLACEMENT AND IMPROVEMENT OF FACILITIES AND TECHNOLOGY ALONG WITH PROGRAMS TO IMPROVE ACCESS TO NEEDED HEALTHCARE SERVICES TO ALL THOSE IN OUR COMMUNITY. false false 375700743 6500 429278067 HEALTHCARE SERVICES- 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 $81,391,325 OF CHARITY CARE TO PATIENTS WHO WERE UNABLE TO PAY AND NOT COVERED BY ANY GOVERNMENTAL OR PRIVATE INSURANCE PROGRAM. ADDITIONALLY, NCH WROTE OFF $38,704,814 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 535 ACTIVE AND ASSOCIATE PHYSICIANS, 2,450 FULL-TIME EQUIVALENT EMPLOYEES, AND 1,180 VOLUNTEERS COMPRISE THE OUTSTANDING MEDICAL TEAM WORKING TOGETHER TO PROVIDE THESE SERVICES. THE TWO HOSPITALS ARE COMPROMISED OF 630 ACUTE CARE BEDS, A 54 BED REHABILITATIVE UNIT, 9 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 2013 FISCAL YEAR, NCH HAD 29,929 INPATIENT ADMISSIONS RESULTING IN 134,208 DAYS OF CARE. ADDITIONALLY, 91,269 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. 375700743 true true false false false false false false false true true false false true true false false true false false false false false false true false true true false true true true false false false false false false false true true true true false false false false true false false false true 445 3 true 3828 true true true false false false false true true false false false false X 17 10 true false false false true true true true true false false true true true true true true true true false FL X X MICHAEL E STEPHENS CFO 2396244005 350 SEVENTH STREET NORTH NAPLES FL 341023029 X Mariann MacDonald 0.5 1.5 X X 0 0 0 Thomas J Gazdic 0.5 1.5 X X 0 0 0 Kay Gow 0.5 1.5 X X 0 0 0 John Lewis MD 0.5 1.5 X X 0 0 0 William Allyn 0.5 1.5 X 0 0 0 Michelle Barrett 40.5 1.5 X 72755 0 26229 Kenneth Bookman MD 0.5 41.5 X 0 543154 33094 Alberto M de la Rivaherrera MD 0.5 1.5 X 0 0 0 Stephen Lange MD 0.5 1.5 X 0 0 0 Terrance Flynn 0.5 1.5 X 0 0 0 Elizabeth Foster RN 40.5 1.5 X 75262 0 12289 Daniel Gill 0.5 1.5 X 0 0 0 Craig Smith MD 0.5 1.5 X 0 0 0 Kim Ciccarelli Kantor 0.5 1.5 X 0 0 0 Hermes Koop MD 0.5 1.5 X 0 0 0 Vincent P Mona 0.5 1.5 X 0 0 0 Robert Moses 0.5 1.5 X 0 0 0 Wayne Mullican 0.5 1.5 X 0 0 0 Ralph Stayer 0.5 1.5 X 0 0 0 Ken Plunkitt MD 0.5 1.5 X 0 0 0 Gregory Russo 0.5 1.5 X 0 0 0 Scot C Schultz MD 0.5 1.5 X 0 0 0 Norman Thomson MD 0.5 1.5 X 0 0 0 Allen S Weiss MD 40.0 5.0 X X 1333749 0 26068 Kevin D Cooper 40.0 5.0 X 463096 0 33284 Michael Stephens- Start 0513 40.0 5.0 X 0 0 0 Phillip Dutcher 40.0 5.0 X 468149 0 10388 Aurora Estevez MD 40.0 5.0 X 493680 0 18677 Vicki D Orr- Term 0513 40.0 5.0 X 454402 0 33334 Elizabeth Martin 40.0 5.0 X 57567 0 14812 John McGirl 40.0 5.0 X 126861 0 5356 Helen Thompson 40.0 5.0 X 125585 0 2417 Michele Thoman 40.0 5.0 X 326473 0 33554 Michael Riley 40.0 5.0 X 234325 0 31934 James K Martin 1.0 44.0 X 0 277234 33175 Zachary Bostock 1.0 44.0 X 0 246115 25341 Gary Parsons MD 1.0 44.0 X 0 383268 18018 Brian D Wilson MD 40.0 0.0 X 183133 0 21929 James Bates 40.0 0.0 X 173890 0 30222 Robert Bojarzin 40.0 0.0 X 173293 0 15793 Benjamin Gyimah 40.0 0.0 X 165525 0 30384 Patricia Read 40.0 0.0 X 163978 0 23018 Susan Wolff 0.0 0.0 X 230895 0 0 Brian Settle 0.0 0.0 X 217214 0 0 Renee M Thigpen 40.0 0.0 X 178470 0 23808 5718302 1449771 503124 155 true true false CERNER CORPORATION PO BOX 412702 KANSAS CITY MO 64141 IT SUPPORT 10644694 SODEXO INC AND AFFLIATES PO BOX 536922 ATLANTA GA 303536922 FOOD/ENVIRONMENTAL 3833864 PRECYSE SOLUTIONS LLC DEPT 1736 PO BOX 11407 BIRMINGHAM AL 35246 MEDICAL RECORDS SUPP 3481336 MEDS MONTI ELIGIBILITYDENIAL SOLUT PO BOX 5783 DELTONA FL 32725 ELIGIBILITY/DENIAL 2384674 GE HEALTHCARE PO BOX 402076 ATLANTA GA 303842076 MEDICAL EQUIPMENT` 1997030 74 X 1065588 12154352 1116287 13219940 NET PATIENT SERVICE REVENUES 622110 419845033 419845033 419845033 6768410 6768410 55125 55125 0 861063 122 860941 0 860941 860941 136681229 195956 130652600 270802 6028629 -74846 5953782 5953782 782476 1065588 486363 296113 296113 0 0 DIETARY SERVICES 900099 2228440 2228440 WELLNESS CENTER 900099 2897681 2897681 SCHOOL NURSE 900099 2520884 2520884 1815282 1786029 29253 0 9462287 456461631 429278067 29253 13934371 0 6500 6500 0 0 4506445 0 4506445 0 0 142120409 122209340 19897013 14056 4575094 3934123 640445 526 12418132 10678352 1737782 1998 10708096 9207892 1499129 1075 163912 140948 22964 0 594284 511025 83259 0 436044 374954 61090 0 0 0 0 43424637 37340845 6083792 0 1756594 1510495 246099 0 15441054 13277762 2163292 0 10652378 9159980 1492398 0 0 8593838 7389841 1203997 0 277016 238206 38810 0 0 0 7706280 6626630 1079650 0 0 27217418 23404258 3813160 0 6153299 5291222 862077 0 MEDICAL SUPPLIES 85672609 85672609 0 0 BAD DEBT EXPENSE 38704814 38704814 0 0 OTHER MISC. EXPENSES 24360 20947 3413 0 421153213 375700743 45434815 17655 X 43556027 24269883 9973699 23476359 10308176 15175511 69802475 55354572 0 0 0 0 0 0 7976397 7083402 2310728 2132973 584876882 346608096 242383057 238268786 69297463 99114541 0 0 0 0 4122515 3613372 138989676 141893654 598720213 610383053 34489542 33125094 0 0 335351 334824 178742028 173762670 0 0 0 0 0 0 0 0 32670217 32235255 246237138 239457843 X 330642718 339970220 6590476 13418799 15249881 17536191 352483075 370925210 598720213 610383053 X 35308418 -4523568 -12342715 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 15249881 604497 1347505 0 -334308 0 17536191 11353908 2315160 1740813 0 160000 0 15249881 11619405 69635 -175132 0 160000 0 11353908 10901463 161158 716784 0 160000 0 11619405 11163827 -10509 -91855 0 160000 0 10901463 0.00000 1.00000 0.00000 false false 15249961 15249961 299100509 148556562 150543947 6610832 5693726 917106 253589606 192357808 61231798 10325974 10325974 238268786 ASSETS LIMITED AS TO USE 135098233 UNAMORTIZED BOND ISSUE COSTS 1538832 UNAMORTIZED BOND DISCOUNTS 1057494 INSURANCE POLICY 180551 OTHER ASSETS 1114030 DEPOSITS 119427 THIRD-PARTY RECEIVABLE 2785087 141893654 0 SELF-INSURANCE LIABILITIES 9819137 ACCRUED INTEREST 3128499 DUE TO RELATED ORGANIZATIONS 16188336 PUBLIC MEDICAL FUND PAYABLE 2601176 OTHER LIABILITIES 498107 32235255 INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS FORM 990, SCHEDULE D, PART V ALL ENDOWMENTS FUNDS MAINTAINED BY NAPLES COMMUNITY HOSPITAL, INC. ARE USED IN FURTHERANCE OF THE ORGANIZATION'S TAX-EXEMPT PURPOSES. HOSPITAL BALL 1056116 383839 672277 0 0 0 0 0 238383 MAGNOLIA BALL 791948 681749 110199 0 0 0 0 0 247980 0 0 0 0 0 0 0 0 0 0 1848064 1065588 782476 0 0 0 0 0 486363 486363 296113 true true X true X true X true true false true true 25920299 0 25920299 0.06780 45675113 31812052 13863061 0.03620 71595412 31812052 39783360 0.10400 628426 0 628426 0.00160 61906 0 61906 0.00020 690332 0 690332 0.00180 72285744 31812052 40473692 0.10580 206462 0 206462 0.00050 99579 0 99579 0.00030 2508 0 2508 308549 0 308549 0.00080 true 9813485 284591 215146547 235135073 -19988526 X true true 1 1 NAPLES COMMUNITY HOSPITAL

350 7th STREET NORTH NAPLES FL 34102

www.nchmd.org X X X NAPLES COMMUNITY HOSPITAL true X X X X X X X X X 13 true true true X X X X X X X X X false false true true 200. true 400. true X X X X X X X X true true X X X X X true false X X X true X false false SUPPLEMENTAL DISCLOSURES PART I, LINE 3C N/A PART I, LINE 6A NAPLES 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. BAD DEBT EXPENSE, COSTING METHODOLOGY USED PART I, LINE 7 THE BAD DEBT EXPENSE AMOUNT INCLUDED ON FORM 990, PART IX, COLUMN 25(A) WAS $38,704,814 FOR THE YEAR ENDED SEPTEMBER 30, 2013. THIS AMOUNT HAS BEEN SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES REPORTED ON THE SCHEDULE H, PART I, LINE 7 TABLE. THE COSTING METHODOLOGY USED IN CALCULATING THE AMOUNTS REPORTED ON THE LINE 7 TABLE ARE BASED ON A COST TO CHARGE RATIO. THE COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2. BAD DEBT EXPENSE PART III, SECTION A, LINE 2&3 THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 ARE BASED ON THE COST TO CHARGE RATIO. NCH PROVIDES CARE WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES TO PATIENTS WHO MEET SPECIFIC CRITERIA UNDER ITS CHARITY CARE GUIDELINES. BECAUSE NCH DOES NOT PURSUE COLLECTION OF ACCOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THESE AMOUNTS ARE NOT REPORTED AS REVENUE BUT DEEMED AN ITEM OF COMMUNITY BENEFIT. PART III, SECTION A, LINE 4 (BAD DEBT EXPENSE FOOTNOTE) THE BAD DEBT EXPENSE FOOTNOTE DISCLOSURE CAN BE FOUND ON PAGE 15-16 OF THE ATTACHED CONSOLIDATED FINANCIAL STATEMENTS FOR THE NCH HEALTHCARE SYSTEM, INC. AND SUBSIDIARIES. COSTING METHODOLOGY, MEDICARE SHORTFALL PART III, SECTION B, LINE 8 THE 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 REGARDLESS OF WHETHER THE REIMBURSEMENT PROVIDED FOR SUCH SERVICES MEETS OR EXCEEDS THE COSTS INCURRED BY THE HOSPITAL TO PROVIDE SUCH SERVICES. AS A RESULT, NCH VIEWS ANY SHORTFALL REPORTED IN LINE 7 AS AN ADDITIONAL ITEM OF COMMUNITY BENEFIT PROVIDED BY THE ORGANIZATION. COLLECTION PRACTICES PART III, LINE 9B NAPLES COMMUNITY HOSPITAL, INC. PROVIDES URGENT/EMERGENT MEDICAL SERVICES WITHOUT REGARD TO ABILITY TO PAY. NCH 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. CHNA TAKING INTO ACCOUNT INPUT FROM THE COMMUNITY PART V, SECTION B, LINE 3 THE 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. COMMENCING IN 2012, NCH ALSO PARTICIPATED IN THE COLLIER COUNTY COMMUNITY ASSESSMENT DESIGN GROUP WHICH WAS FACILITATED BY THE FLORIDA DEPARTMENT OF HEALTH IN COLLIER COUNTY (DOH - COLLIER COUNTY) KEY PARTICIPANTS BEING THE COLLIER COUNTY HEALTH DEPARTMENT, CITY AND COUNTY GOVERNMENT, AND THE CHAMBER OF COMMERCE. THE INITIAL 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. CHNA CONDUCTED WITH ONE OR MORE HOSPITAL FACILITIES PART V, SECTION B, LINE 4 AS PART OF AN INTERGATED HEALTHCARE SYSTEM, THE CHNA FOR NAPLES COMMUNITY HOSPITAL AND MARCO ISLAND HOSPITAL WAS PREPARED JOINTLY. CHNA MADE WIDELY AVAILABLE PART V, SECTION B, LINE 5 A COPY OF THE ORGANIZATION'S CHNA AND IMPLEMENTATION PLAN CAN BE FOUND AT: HTTP://WWW.NCHMD.ORG ADDRESSING THE NEEDS IDENTIFIED IN THE CHNA PART V, SECTION B, LINE 7 THE FIRST CHNA AND IMPLEMENTATION PLAN WAS ADOPTED SEPETMBER 30, 2013. AS A RESULT, THE ORGANIZATION HAS NOT YET HAD THE OPPORTUNITY TO BEGIN ADDRESSING THE NEEDS IDENTIFIED IN THE CHNA. THE CHNA IDENTIFIED PROBLEM AREAS THAT NEED TO BE ADDRESSED. THESE INCLUDE 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, ACCESS TO CARE, DISABILITIES, AND UNINTENTIONAL INJURIES. UPON REVIEW OF THE FINDINGS OF THE CHNA, THE NCH LEADERSHIP TEAM HELD A PRIORITIZATION SESSION 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. THE TEAM CAME UP WITH FIVE KEY AREAS TO FOCUS ON WHICH INCLUDE CARDIOVASCULAR HEALTH, CANCERS, DIABETES, MATERNAL AND INFANT HEALTH, AND OBESITY. BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS PART V, SECTION B, LINE 12, ITEM H ANOTHER FACTOR NAPLES COMMUNITY HOSPITAL, INC. USES IN DETERMINING AMOUNTS CHARGED TO PATIENTS IS FAMILY SIZE. NEEDS ASSESSMENT PART VI, LINE 2 THE 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 2013, WE COMPLETED A COMMUNITY 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 25, 2013 BOARD OF TRUSTEES MEETING. INFORMATION REGARDING PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI, LINE 3 NAPLES 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. COMMUNITY INFORMATION PART VI, LINE 4 NAPLES COMMUNITY HOSPITAL, INC. SERVES A DIVERSE AND SEASONAL COMMUNITY. THE POPULATION IS APPROXIMATELY 395,204. THE MEDIAN AGE OF RESIDENTS IS 45.6. THE ESTIMATED MEDIAN HOUSEHOLD INCOME IS $59,806. THE UNEMPLOYMENT RATE IS APPROXIMATELY 6.8%. THE PERCENTAGE OF RESIDENTS BELOW THE POVERTY LEVEL IS APPROXIMATELY 14%. INFORMATION REGARDING PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5 NAPLES COMMUNITY HOSPITAL, INC. PROVIDES HEALTH-ENHANCING EDUCATIONAL PROGRAMS AND RESOURCES IN PROMOTING THE HEALTH OF OUR COMMUNITY. THE TYPES OF PROGRAMS/RESOURCES PROVIDED INCLUDE: HEALTH SEMINARS, COMMUNITY HEALTH FAIRS & TESTING, RN'S 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 OUR 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. AFFILIATED HEALTHCARE SYSTEM INFORMATION PART VI, LINE 6 NAPLES 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 09/30/13, 7,872 PATIENTS WERE TREATED. OF THESE PATIENTS, 12.48% 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. STATE FILING OF COMMUNITY BENEFIT REPORT 990 SCHEDULE H, PART VI FL, true EDUCATIONAL SCHOLARSHIPS 7 6500 N/A N/A PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS FORM 990, SCHEDULE I, PART I, LINE 2 NORTH NAPLES HOSPITAL AUXILIARY MAKES SCHOLARSHIPS AVAILABLE TO STUDENTS VIA THE NORTH NAPLES HOSPITAL 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 SUBMIT A COMPLETED SCHOLARSHIP APPLICATION AND ATTACH THE FOLLOWING INFORMATION: 1. A ONE PAGE TYPEWRITTEN, DOUBLE-SPACED ESSAY ON WHY THE APPLICANT HAS CHOSEN HEALTHCARE AS A CAREER PATH. 2. TWO PROFESSIONAL LETTERS OF REFERENCE. 3. HIGH SCHOOL TRANSCRIPT AND ANY ADDITIONAL TRANSCRIPTS. 4. AN ACCEPTANCE LETTER FROM THE APPLICANT'S ACCREDITED SCHOOL STATING THE APPLICANT'S ENROLLMENT IN THE HEALTH CAREER PROGRAM. THE FOLLOWING GUIDELINES APPLY: 1. SCHOLARSHIP STUDENTS MUST APPLY BY MAY 1, 2013. 2.SCHOLARSHIP STUDENTS RECEIVE A ONE TIME ONLY AWARD OF $2,500. IF AN INDIVIDUAL IS CONSIDERED FOR THE SCHOLARSHIP PROGRAM, SUCH INDIVIDUAL WILL HAVE A PANEL INTERVIEW. A DECISION WHETHER OR NOT AN INDIVIDUAL HAS BEEN ACCEPTED WILL BE MADE SHORTLY THEREAFTER THE PANEL INTERVIEW. X X X X X true true false false false false false true false Kenneth Bookman MD 0 439668 0 86486 0 17000 0 10000 0 23094 0 576248 0 0 Allen S Weiss MD 1206453 0 110296 0 17000 0 9800 0 16268 0 1359817 0 492651 0 Kevin D Cooper 382343 0 63753 0 17000 0 9800 0 23484 0 496380 0 0 0 Phillip Dutcher 387396 0 63753 0 17000 0 9800 0 588 0 478537 0 0 0 Aurora Estevez MD 409138 0 67542 0 17000 0 9800 0 8877 0 512357 0 0 0 Vicki D Orr- Term 0513 373649 0 63753 0 17000 0 9800 0 23534 0 487736 0 0 0 Michele Thoman 266666 0 44207 0 15600 0 10000 0 23554 0 360027 0 0 0 Michael Riley 217566 0 16759 0 0 0 8808 0 23126 0 266259 0 0 0 James K Martin 0 257179 0 20055 0 0 0 9731 0 23444 0 310409 0 0 Zachary Bostock 0 232081 0 13572 0 462 0 2369 0 22972 0 271456 0 0 Gary Parsons MD 0 314265 0 52060 0 16943 0 9164 0 8854 0 401286 0 0 Brian D Wilson MD 183061 0 72 0 0 0 6324 0 15605 0 205062 0 0 0 James Bates 173818 0 72 0 0 0 6940 0 23282 0 204112 0 0 0 Robert Bojarzin 153932 0 72 0 19289 0 6961 0 8832 0 189086 0 0 0 Benjamin Gyimah 165453 0 72 0 0 0 6813 0 23571 0 195909 0 0 0 Patricia Read 161898 0 72 0 2008 0 6657 0 16361 0 186996 0 0 0 Susan Wolff 0 0 21281 0 209614 0 0 0 0 0 230895 0 0 0 Brian Settle 0 0 20463 0 196751 0 0 0 0 0 217214 0 0 0 Renee M Thigpen 171440 0 72 0 6958 0 7285 0 16523 0 202278 0 0 0 DETAIL OF SEVERANCE PAYMENTS FORM 990, SCHEDULE J, PART I, LINE 4A ALLEN WEISS, M.D., CEO/PRESIDENT, RECEIVED A FINAL PAYOUT OF $537,124 FOR HIS SERP ACCOUNT FOR CALENDAR YEAR 2012. BRIAN SETTLE, CHIEF HUMAN RESOURCES OFFICER, RESIGNED 09/30/2011 AND RECEIVED A SEVERANCE PAYMENT OF $196,751 FOR CALENDAR YEAR 2012. SUSAN WOLFF, CHIEF INFORMATION OFFICER, RESIGNED 09/30/2011 AND RECEIVED A SEVERANCE PAYMENT OF $209,614 FOR CALENDAR YEAR 2012. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PARTICIPATION FORM 990, SCHEDULE J, LINE 4B IN 1996, THE NCH HEALTHCARE SYSTEM, INC. BOARD OF TRUSTEES APPROVED A RECOMMENDATION OF THE EXECUTIVE COMPENSATION COMMITTEE THAT CERTAIN EXECUTIVES OF THE NCH HEALTHCARE SYSTEM WOULD BE PROVIDED WITH A SERP THAT WAS SUPPORTED THROUGH THE USE OF LIFE INSURANCE PROGRAMS. DUE TO CHANGES IN THE IRS TAX CODE, EFFECTIVE OCTOBER 1, 2003, THE FUNDING MECHANISM FOR ACTIVE EMPLOYEES WAS CHANGED FROM USING LIFE INSURANCE TO FUNDING RABBI TRUSTS. HOWEVER, THE PLAN DESIGN WAS NOT CHANGED. DURING FISCAL YEAR 2013,THE TRUST WAS OWNED BY NCH AND WAS SUBJECT TO THE RISK OF CREDITORS OF NCH. CONSEQUENTLY, DEPOSITS MADE TO THE TRUSTS REMAINED AS ASSETS OF NCH UNTIL THE PARTICIPANT VESTS IN ACCORDANCE WITH THE PLAN. THE SERP HAD BEEN DISCONTINUED WITH THE EXCEPTION OF DR. ALLEN WEISS, PRESIDENT & CEO, WHO NO LONGER RECEIVED CONTRIBUTIONS TO THE PLAN, BUT WHOSE PLAN CONTINUED TO REALIZE INVESTMENT INCOME/LOSSES ON PREVIOUS CONTRIBUTIONS WHICH HAVE BEEN REPORTED ON PRIOR YEAR FORMS 990. DURING CALENDAR YEAR 2012, THE ACCOUNT OF DR. ALLEN WEISS MET THE CRITERIA FOR THE SERP PROGRAM AND HE RECEIVED A FINAL DISTRIBUTION IN THE AMOUNT OF $537,124. THIS DISTRIBUTION IS INCLUDED IN SCHEDULE J, PART II, COLUMN B(i). AS OF THE FINAL DISTRIBUTION TO DR. ALLEN WEISS, THE RABBI TRUST AND ASSOCIATED SERP PLAN WERE DISCONTINUED. PROVISIONS OF NON-FIXED PAYMENTS FORM 990, SCHEDULE J, LINE 7 NCH MAY PROVIDE DISCRETIONARY BONUS AND/OR INCENTIVE COMPENSATION PAYMENTS TO ELIGIBLE EMPLOYEES. PAYMENTS MADE TO ANY DISQUALIFIED PERSON IS APPROVED BY THE NCH COMPENSATION COMMITTEE THROUGH THE PROCESS DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 15. A COLLIER CTY INDSTL DEVLMT ATHRTY- SERIES 2010 591695679 2010-12-30 30000000 NEW CAPITAL EQUIPMENT false false false B COLLIER CTY INDSTRL DEVLMT ATHRTY- SERIES 2011 PUB 591695679 194641AK2 2011-04-01 102115000 REFINANCE 93/96 BONDS & NEW CAP EQ false false false C COLLIER CTY INDSTRL DEVLMT AUTH- SERIES 2011 BQ 591695679 2011-10-31 46340000 REFINANCE 02/04 BONDS false false false A 2951655 0 30050890 0 0 0 159198 0 0 29891562 0 130 2013 false false true true B 1320000 0 101013626 4289414 0 49222562 1414549 0 0 46029299 0 57802 2014 true false false true C 620000 0 46343028 0 0 46160000 180000 0 0 0 0 3028 2011 true false true true A false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true B false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true C false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true A false true false false 0 false false false 0 false true B false true false false 0 false false false 0 false true C false true true false 0 false false false 0 false true A true B true C true SUPPLEMENTAL INFORMATION REGARDING TAX EXEMPT BONDS FORM 990, SCHEDULE K, PART II, LINE 3 FOR COLLIER COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY- SERIES 2010, THE TOTAL PROCEEDS OF ISSUE REPORTED INCLUDES $50,890 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 $57,802 IN INVESTMENT EARNINGS. FOR COLLIER COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY- SERIES 2011 BQ, THE TOTAL PROCEEDS OF ISSUE REPORTED INCLUDES $3,028 IN INVESTMENT EARNINGS. MEGAN RILEY FAMILY MEMBER OF OFFICER 36188 PAYMENT OF COMPENSATION false BRITTNEY THOMAN FAMILY MEMBER OF OFFICER 21578 PAYMENT OF COMPENSATION false GULF COAST CARDIOTHORACIC COMMON TRUSTEE/PARTNER 209123 PURCHASE OF MEDICAL SERVICES false CANDACE S SETTLE FAMILY MEMBER FMR OFFICER 40941 PAYMENT OF COMPENSATION false JAMES ORR MD FAMILY MEMBER OF OFFICER 471635 RECEIPT OF RENTAL INCOME false JODI S COOPER FAMILY MEMBER OF OFFICER 131497 PAYMENT OF COMPENSATION false ALYSSA THIGPEN FAMILY MEMBER FMR OFFICER 30460 PAYMENT OF COMPENSATION false ASHLEY THIGPEN MESSIER FAMILY MEMBER FMR OFFICER 31116 PAYMENT OF COMPENSATION false UPPER MIDWEST CONSOLIDATED SERVICES COMMON TRUSTEE/MAYO EE 610000 PAYMENT OF INVESTMENT false BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS FORM 990, SCHEDULE L, PART IV MEGAN RILEY IS THE DAUGHTER OF MICHAEL RILEY, CHIEF STRATEGY OFFICER. BRITTNEY THOMAN IS THE DAUGHTER OF MICHELLE THOMAN, CHIEF NURSING OFFICER. BOARD TRUSTEE SCOT C. SCHULTZ, M.D. IS A PARTNER OF GULF COAST CARDIOTHORACIC. CANDACE S. SETTLE, PHYSICAL THERAPIST ASSISTANT, IS THE SPOUSE OF FORMER OFFICER BRIAN SETTLE, CHIEF HUMAN RESOURCES OFFICER. JAMES ORR, M.D. IS THE SPOUSE OF VICKI D. ORR, CFO/ASSISTANT TREASURER. HE HAS A MINORITY EQUITY INTEREST IN 21ST CENTURY ONCOLOGY WHICH PAYS NCH RENTAL INCOME FOR THE LUTGERT EAST BUILDING. JODI S. COOPER, DIRECTOR OF THE LABORATORY, IS THE SPOUSE OF OFFICER KEVIN D. COOPER, GENERAL COUNSEL/CHIEF OF STAFF. ALYSSA THIGPEN AND ASHLEY THIGPEN MESSIER ARE THE DAUGHTERS OF RENEE M. THIGPEN, FORMER INTERIM CHIEF HUMAN RESOURCES OFFICER. STEPHEN LANGE M.D., IS AN EMPLOYEE OF MAYO CLINIC WHICH IS AFFLIATED WITH UPPER MIDWEST CONSOLIDATED SERVICES, LLC AND NCH IS AFFLIATED WITH MAYO CLINIC. X 484472 FMV X 1 1200 FMV X 15 622718 FMV X FGCU BASKETBALL FAN BASKET/TICKETS 1 1000 FMV X E-BELLA MAGAZINES 1 6654 FMV X AMERICAN GIRL DOLL 1 243 FMV 1 false true false DETAIL OF BUSINESS RELATIONSHIPS FORM 990, PART VI, SECTION A, LINE 2 ALBERTO M. DE LA RIVAHERRERA, M.D. AND JOHN LEWIS, M.D. ARE MINORITY PARTNERS OF SOUTHWEST FLORIDA EMERGENCY MANAGEMENT, INC. GOVERNING BODY AND MANAGEMENT FORM 990, PART VI, SECTION A, LINE 6, 7A,B THE BOARD OF DIRECTORS OF NCH HEALTHCARE SYSTEM, INC., SOLE MEMBER OF THIS ORGANIZATION, ELECTS THIS ORGANIZATION'S DIRECTORS. FORM 990 REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 11 INFORMATION RELATED TO NAPLES COMMUNITY HOSPITAL INC.'S ("NCH") FORM 990 FILING IS GATHERED BY FINANCE STAFF AND PROVIDED TO PRICEWATERHOUSECOOPERS LLP FOR REVIEW AND RETURN PREPARATION. THE 2012 FORM 990 FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2013 WAS REVIEWED AND APPROVED BY THE CHAIRMAN OF THE NCH FINANCE COMMITTEE, SENIOR LEADERSHIP TEAM AND OUTSIDE COUNSEL FOR THE BOARD PRIOR TO FILING WITH THE IRS. CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12 ANNUALLY, ALL NCH OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE INTERESTS THAT COULD POTENTIALLY GIVE RISE TO CONFLICTS. COMPENSATION PROCESS FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION ARRANGEMENTS INVOLVING OUR CEO AND SENIOR LEADERSHIP TEAM ARE ESTABLISHED BY NCH 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 DETERMINATIONS BY DISINTERESTED PERSONS, USE OF APPROPRIATE COMPARABILITY DATA, AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS). WRITTEN EMPLOYMENT CONTRACTS ARE ALSO UTILIZED. DOCUMENTS AVAILABILITY TO PUBLIC FORM 990, PART VI, SECTION C, LINE 19 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. DETAIL OF OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 9 TRANSFERS TO RELATED ORGANIZATIONS $(12,342,715) ------------ TOTAL OTHER CHANGES IN NET ASSETS $(12,342,715) NCH HEALTHCARE SYSTEM INC PO BOX 413029 NAPLES FL 34101 592314655 HOLDING CO FL 501(c)(3) 11,B NA false NCHMD INC PO BOX 413029 NAPLES FL 34101 331075317 HEALTHCARE FL 501(c)(3) 9 NCH SYSTEM false COLLIER HEALTH CARE INC PO BOX 413029 NAPLES FL 34101 650244276 HEALTHCARE FL 501(c)(3) 3 NCH SYSTEM false COMMUNITY HOME SERVICES INC PO BOX 413029 NAPLES FL 34101 592440516 SUPPORT ORG FL 501(c)(3) 11,B NCH SYSTEM false MARCO ISLAND HOSPITAL INC 40 HEATHWOOD DRIVE MARCO ISLAND FL 34145 592315435 HEALTHCARE FL 501(c)(3) 3 NCH SYSTEM false HEALTH RESOURCES CORPORATION 350 7TH STREET NORTH NAPLES FL 34102 592568003 HOLDING COMPANY FL NCH SYSTEM C CORP false AMBULATORY SURGICAL CARE CENTER INC 350 7TH STREET NORTH NAPLES FL 34102 592568029 OUTPAT. SURGERY FL HRC C CORP false COMMUNITY HOME CARE INC 350 7TH STREET NORTH NAPLES FL 34102 592372966 HOME HEALTH FL HRC C CORP false COMMUNITY IMAGING INC 350 7TH STREET NORTH NAPLES FL 34102 592446336 RADIOLOGY LAB FL HRC C CORP false true true true false false false false false true true true true true true true true true true true