2012-08-09T08:58:40-05:00 2011-09-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1700 PHILADELPHIA PA 19103 990 2010-10-01 590694358 NAPLES COMMUNITY HOSPITAL INC NAPL 2395137630 PO BOX 413029 NAPLES FL 341013029 VICKI ORR 2012-08-03 2673303000 2010 2016-02-24 21:20:13Z Vicki D Orr PO Box 413029 Naples FL 341013029 545212185 false X N/A X 1957 FL THROUGH THE PROVISION OF CHARITABLE HEALTHCARE, OUR MISSION IS TO PROMOTE, MAINTAIN AND RESTORE HEALTH FOR THOSE WE SERVE. 22 13 3723 1080 39420 3933 4133425 5173672 446752069 444235124 5763968 5852166 11597340 12378411 468246802 467639373 44000 12500 0 0 194872211 193758219 0 0 14947 248812627 242785919 443728838 436556638 24517964 31082735 522764681 580430393 184292597 245108380 338472084 335322013 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 420-BED FACILITY, AND NORTH NAPLES HOSPITAL, A 261-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 381324248 12500 455928244 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 $71,217,444 OF CHARITY CARE TO PATIENTS WHO WERE UNABLE TO PAY AND NOT COVERED BY ANY GOVERNMENTAL OR PRIVATE INSURANCE PROGRAM. ADDITIONALLY, NCH WROTE OFF $39,154,782 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 505 ACTIVE AND ASSOCIATE PHYSICIANS, 2,804 FULL-TIME EQUIVALENT EMPLOYEES, AND 1,080 VOLUNTEERS COMPRISE THE OUTSTANDING MEDICAL TEAM WORKING TOGETHER TO PROVIDE THESE SERVICES. THE TWO HOSPITALS ARE COMPROMISED OF 589 ACUTE CARE BEDS, A 60 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 2011 FISCAL YEAR, NCH HAD 31,974 INPATIENT ADMISSIONS RESULTING IN 145,692 DAYS OF CARE. ADDITIONALLY, 87,100 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. 381324248 true true 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 false true 474 3 true 3723 true true true false false false false true true false false false false X 22 13 true false false false true true true true true false false true true true true true true true true false FL X X VICKI ORR CFOASST TREASURER 2395137630 350 SEVENTH STREET NORTH NAPLES FL 341023029 X Joseph I Perkovich 0.5 X X 0 0 0 Mariann MacDonald 0.5 X X 0 0 0 Ambassador Francis Rooney 0.5 X X 0 0 0 Thomas J Gazdic 0.5 X X 0 0 0 William Allyn 0.5 X 0 0 0 Jay H Baker 0.5 X 0 0 0 Kenneth Bookman MD 0.5 X 0 144916 8879 Susan L Dalton 0.5 X 0 0 0 Paul Dernbach MD 0.5 X 85500 0 0 Alberto M de la Rivaherrera MD 0.5 X 0 0 0 Michael Feuer 0.5 X 0 0 0 Terrance Flynn 0.5 X 0 0 0 Daniel Gill 0.5 X 0 0 0 Kay Gow 0.5 X 0 0 0 Joann Jenner 0.5 X 77422 0 18575 Amy Jewell RN 0.5 X 30423 0 6972 Kim Ciccarelli Kantor 0.5 X 0 0 0 Hermes Koop MD 0.5 X 5250 0 0 John Lewis MD 0.5 X 0 0 0 Frank Linsalata 0.5 X 0 0 0 Admiral Paul D Miller 0.5 X 0 0 0 Robert Moses 0.5 X 0 0 0 Wayne Mullican 0.5 X 0 0 0 Karli Sander 0.5 X 48284 0 1912 Scot C Schultz MD 0.5 X 0 0 0 Norman Thomson MD 0.5 X 0 0 0 Carl E Westman 0.5 X 0 0 0 Gregory Wilkerson RN 0.5 X 64057 0 10986 Allen S Weiss MD 40.0 X X 643511 0 55504 Kevin D Cooper 40.0 X 374799 0 18113 Phillip Dutcher 40.0 X 376608 0 10431 Aurora Estevez MD 40.0 X 394146 0 18216 Vicki D Orr 40.0 X 369494 0 31028 Elizabeth Martin 40.0 X 59103 0 14080 BRIAN SETTLE TERM 9302011 40.0 X 254326 0 23972 SUSAN WOLFF TERM 9302011 40.0 X 261411 0 17919 William Edwards Term 06411 1.0 X 0 107111 6012 Michele Thoman 40.0 X 242658 0 22465 Michael Riley 40.0 X 189961 0 29055 James K Martin 1.0 X 0 298520 13603 Zach Bostock Start 091911 1.0 X 0 0 0 Gary Parsons MD 1.0 X 0 153351 3326 Bedalin Helvink MD 40.0 X 202238 0 28907 Samuel T Pinosky MD 40.0 X 201254 0 13922 James Bates 40.0 X 184250 0 28700 Patricia Read 40.0 X 166656 0 21558 Benjamin Gyimah 40.0 X 158258 0 27235 Gail Dolan 0.0 X 247560 0 12247 4637169 703898 443617 109 true true false CERNER CORPORATION PO BOX 412702 KANSAS CITY MO 64141 IT SUPPORT 10528015 PRECYSE SOLUTIONS DEPT 1736 PO BOX 11407 BIRMINGHAM AL 35246 MEDICAL RECORDS SUPP 2496088 SODEXHO INC PO BOX 536922 ATLANTA GA 303536922 FOOD/ENVIRONMENTAL 2491108 MEDS MONTI ELIGIBILITYDENIAL SOLUT 100 TREEMONTE DR ORANGE CITY FL 32763 PROF SERV COLLECTION 2217837 AMN HEALTHCARE INC 2735 COLLECTION CENTER DR CHICAGO IL 60693 AGENCY LABOR 1910619 91 1202991 3970681 678148 5173672 NET PATIENT SERVICE REVENUES 622110 444235124 444235124 444235124 4966587 1900 4964687 31876 31876 0 833739 122 833617 833617 833617 77676177 43125 76620285 245314 1055892 -202189 853703 853703 521245 1202991 707091 -185846 -185846 0 0 DIETARY SERVICES 900099 2342665 2342665 WELLNESS CENTER 900099 3256425 3256425 SCHOOL NURSE 900099 2315777 2315777 3815773 3778253 37520 11730640 467639373 455928244 39420 6498037 0 12500 12500 0 0 4105489 0 4105489 0 0 160840728 139931434 20897679 11615 5072061 4412693 658891 477 12246760 10654681 1590286 1793 11493181 9999068 1493051 1062 678719 590486 88233 0 966760 841081 125679 0 712725 620071 92654 0 0 0 0 0 34806628 30281766 4524862 0 2004335 1743771 260564 0 101044889 87909054 13135835 0 9570200 8326074 1244126 0 0 10896389 9479858 1416531 0 279621 243270 36351 0 0 0 7237031 6296217 940814 0 0 29256065 25452777 3803288 0 6113495 5318741 794754 0 OTHER MISC. EXPENSES 64280 55924 8356 0 BAD DEBT EXPENSE 39154782 39154782 0 0 436556638 381324248 55217443 14947 34408687 59960259 4205403 4732782 6840666 7535758 49352281 58628726 7886256 8135773 2342943 2600404 557477438 311681690 225727112 245795748 63010044 64515542 5437800 4631657 123553489 123893744 522764681 580430393 46321058 41836228 785079 400138 98519649 170497704 38666811 32374310 184292597 245108380 X 319914977 315534621 6937702 8433484 11619405 11353908 338472084 335322013 522764681 580430393 X 31082735 -34232806 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 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 14426300 14426300 274051581 130159396 143892185 6554924 4791260 1763664 235295668 176731034 58564634 27148965 27148965 245795748 ASSETS LIMITED AS TO USE 114556757 UNAMORTIZED BOND ISSUE COSTS 1811281 UNAMORTIZED BOND DISCOUNTS 1138840 INSURANCE POLICY 371819 OTHER ASSETS 1356225 DEPOSITS 831907 THIRD-PARTY RECEIVABLE 3826915 123893744 0 SELF-INSURANCE LIABILITIES 9430612 ACCRUED INTEREST 3614962 THIRD PARTY SETTLEMENT PAYABLE 0 DUE TO RELATED ORGANIZATIONS 15642115 PUBLIC MEDICAL FUND PAYABLE 2764488 OTHER LIABILITIES 922133 32374310 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 644725 261123 383602 301272 MAGNOLIA BALL 1079511 941868 137643 405819 0 1724236 1202991 521245 707091 707091 -185846 true true X true X true X true true false true true 24755651 0 24755651 0.06230 36175664 1749608 34426056 0.08660 60931315 1749608 59181707 0.14890 614741 0 614741 0.00150 85588 0 85588 0.00020 700329 0 700329 0.00170 61631644 1749608 59882036 0.15060 465888 465888 0.00120 80853 80853 0.00020 4244 4244 550985 550985 0.00140 true 10563526 1721855 236064179 238107607 -2043428 X true true 1 1 NAPLES COMMUNITY HOSPITAL

350 7TH STREET NORTH NAPLES FL 34102

X NAPLES COMMUNITY HOSPITAL 1 SUPPLEMENTAL DISCLOSURES PART I, LINE 3C N/A PART I, LINE 6A NAPLES COMMUNITY HOSPITAL, INC. 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 $39,154,782 FOR THE YEAR ENDED SEPTEMBER 30, 2011. 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 4 UNCOMPENSATED CARE REPRESENTS EITHER CHARGES FOREGONE OR CHARGES IN EXCESS OF PAYMENT RECEIVED FOR SERVICES PROVIDED TO PATIENTS WHO ARE NOT COVERED UNDER CONTRACTS WITH THIRD-PARTY PAYORS. THE MAJOR COMPONENTS OF UNCOMPENSATED CARE ARE CATEGORIZED AS CHARITY, WELFARE, AND BAD DEBT. CHARITY CARE REPRESENTS SERVICES AND SUPPLIES FURNISHED AT NO CHARGE TO PATIENTS WHO HAVE QUALIFIED UNDER THE INCOME CRITERIA PROMULGATED BY THE STATE OF FLORIDA. PATIENTS WHO WOULD OTHERWISE BE DEEMED AS CHARITY CARE CAN SOMETIMES QUALIFY UNDER THE COLLIER COUNTY WELFARE PROGRAM. PAYMENTS UNDER THE COUNTY WELFARE PROGRAM ARE LIMITED BY THE AMOUNT APPROPRIATED BY THE COUNTY. FINALLY, BAD DEBTS REPRESENT CHARGES DEEMED UNCOLLECTIBLE DUE TO EITHER (A) A PATIENT'S INABILITY TO QUALIFY AS CHARITY, WELFARE, OR MEDICAID, YET CLEAR FINANCIAL INDICATIONS EXIST THAT DEMONSTRATE AN INABILITY TO PAY, OR (B) A PATIENT'S REFUSAL TO PAY FOR SERVICES PROVIDED AND THE HOSPITAL'S DECISION TO CEASE FURTHER COLLECTION EFFORTS. THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 ARE BASED ON A COST TO CHARGE RATIO. 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 NAPLES COMMUNITY HOSPITAL, INC. 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, NAPLES COMMUNITY HOSPITAL, INC. 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 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. NEEDS ASSESSMENT PART VI, LINE 2 THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES IN VARIOUS WAYS. IN 2011, WE PARTICIPATED IN THE 2011 COLLIER COUNTY SUSTAINING EXCELLENCE CONFERENCE. THIS CONFERENCE PARTNERED KEY PARTICIPANTS FROM THE COUNTY, INCLUDING THE COLLIER COUNTY PUBLIC SCHOOLS, COLLIER COUNTY HEALTH DEPARTMENT, COLLIER COUNTY PARKS AND RECREATION DEPARTMENT, UNITED WAY OF COLLIER COUNTY, YMCA, POLICE, EMS AND FIRE DEPARTMENTS, NUTRITION FOOD SERVICE COMPANIES, PINE RIDGE MEDICAL CENTER AND NAPLES COMMUNITY HOSPITAL. THE GROUP FOCUSED ON HEALTH AND COMMUNITY ISSUES IN COLLIER COUNTY AND FLORIDA, SUCH AS TOBACCO USE, ADULT OBESITY, BINGE DRINKING, UNSAFE SEX, ACCESS TO CARE, QUALITY OF CARE, EDUCATION, UNEMPLOYMENT, CHILDREN IN POVERTY, INADEQUATE SOCIAL SUPPORT, COMMUNITY SAFETY, BUILT ENVIRONMENT AND MORBIDITY. THE GROUP WAS ABLE TO FOCUS ON SOLUTIONS TO SOME OF THE ISSUES DISCUSSED, AS WELL AS CREATE OPPORTUNITIES TO BETTER SERVE THE COMMUNITY'S NEEDS. 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 402,816. THE MEDIAN AGE OF RESIDENTS IS 46.9. THE ESTIMATED MEDIAN HOUSEHOLD INCOME IS $70,881. THE UNEMPLOYMENT RATE IS APPROXIMATELY 10.7%. THE PERCENTAGE OF RESIDENTS BELOW THE POVERTY LEVEL IS APPROXIMATELY 12.2%. 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 OPENING OUR DOORS TO THE COLLIER COUNTY SUPERVISOR OF ELECTIONS FOR BOTH VOTER REGISTRATION AND TO ACT AS A POLLING PLACE. NUMEROUS NCH STAFF VOLUNTEER TO MAN THE POLLS. IN ADDITION, MEMBERS OF NCH MANAGEMENT SERVE 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 09/30/11, 8,054 PATIENTS WERE TREATED. OF THESE PATIENTS, 10.62% 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 5 12500 N/A N/A PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS FORM 990, SCHEDULE I, PART I, LINE 2 NAPLES COMMUNITY HOSPITAL, INC. MAKES SCHOLARSHIPS AVAILABLE TO STUDENTS VIA THE NCH HEALTHCARE SYSTEM 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 CERTAIN 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 NURSING, PHYSICAL THERAPY, SPEECH THERAPIST, OCCUPATIONAL THERAPIST, OR SURGICAL TECH. THE FOLLOWING GUIDELINES APPLY: 1. SCHOLARSHIP STUDENTS MUST APPLY YEARLY BY MAY FOR THE WINTER SEMESTER AND OCTOBER FOR THE SPRING SEMESTER. 2.SCHOLARSHIP STUDENTS MUST SUBMIT GRADES AFTER EACH SEMESTER AND REMAIN IN GOOD STANDING TO PROGRESS IN THEIR MAJOR. 3.THE MAXIMUM AMOUNT OF FUNDING EACH YEAR FOR THE MASTER'S PROGRAM WILL NOT EXCEED $7,000; BACCALAUREATE PROGRAM WILL NOT EXCEED $4,000; FOR AN ASSOCIATES PROGRAM WILL NOT EXCEED $3,000. 4. THE SURGICAL SCHOLARSHIP IS A MAXIMUM AMOUNT OF $5,000 FOR THE PROGRAM. 5. A LIMITED NUMBER OF SCHOLARSHIPS ARE GRANTED. IF AN INDIVIDUAL IS CONSIDERED FOR THE SCHOLARSHIP PROGRAM, SUCH INDIVIDUAL WILL HAVE A PANEL INTERVIEW AND A POSSIBLE JOB SHADOWING OPPORTUNITY. A DECISION WHETHER OR NOT AN INDIVIDUAL HAS BEEN ACCEPTED WILL BE MADE SHORTLY THEREAFTER THE PANEL INTERVIEW. X true true X X X X X true true false false false false false true false Kenneth Bookman MD 0 100723 0 40068 0 4125 0 4059 0 4820 0 153795 0 0 Allen S Weiss MD 598143 0 28868 0 16500 0 40671 0 14833 0 699015 0 0 0 Kevin D Cooper 343159 0 15140 0 16500 0 9800 0 8313 0 392912 0 0 0 Gail Dolan 146283 0 11650 0 89627 0 6785 0 5462 0 259807 0 0 0 Phillip Dutcher 361468 0 15140 0 0 0 9800 0 631 0 387039 0 0 0 Aurora Estevez MD 360652 0 16994 0 16500 0 9800 0 8416 0 412362 0 0 0 Vicki D Orr 337854 0 15140 0 16500 0 9800 0 21228 0 400522 0 0 0 BRIAN SETTLE TERM 9302011 226108 0 11718 0 16500 0 9800 0 14172 0 278298 0 0 0 SUSAN WOLFF TERM 9302011 232727 0 12184 0 16500 0 9800 0 8119 0 279330 0 0 0 Michele Thoman 232585 0 10073 0 0 0 6743 0 15722 0 265123 0 0 0 Michael Riley 189893 0 68 0 0 0 7753 0 21302 0 219016 0 0 0 James K Martin 0 208452 0 90068 0 0 0 1177 0 12426 0 312123 0 0 Gary Parsons MD 0 69158 0 80068 0 4125 0 1467 0 1859 0 156677 0 0 Bedalin Helvink MD 202170 0 68 0 0 0 8223 0 20684 0 231145 0 0 0 Samuel T Pinosky MD 201186 0 68 0 0 0 946 0 12976 0 215176 0 0 0 James Bates 164133 0 20117 0 0 0 6990 0 21710 0 212950 0 0 0 Patricia Read 161674 0 4982 0 0 0 6642 0 14916 0 188214 0 0 0 Benjamin Gyimah 155289 0 2969 0 0 0 5963 0 21272 0 185493 0 0 0 DETAIL OF SEVERANCE PAYMENTS FORM 990, SCHEDULE J, PART I, LINE 4A GAIL DOLAN, COO, NORTH NAPLES HOSPITAL, RESIGNED 08/30/10 AND RECEIVED A SEVERANCE PAYMENT OF $73,126 FOR CALENDAR YEAR 2010. WILLIAM EDWARDS, CHIEF ADMINISTRATIVE OFFICER, NCHMD, INC., RESIGNED 6/4/11 AND RECEIVED A SEVERANCE PAYMENT OF $146,505 FOR CALENDAR YEAR 2011. 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. THE TRUST IS OWNED BY NCH AND IS SUBJECT TO THE RISK OF CREDITORS OF NCH. CONSEQUENTLY, DEPOSITS MADE TO THE TRUSTS REMAIN AS ASSETS OF NCH UNTIL THE PARTICIPANT VESTS IN ACCORDANCE WITH THE PLAN. THE SERP HAS BEEN DISCONTINUED WITH THE EXCEPTION OF DR. ALLEN WEISS, PRESIDENT & CEO, WHO IS NO LONGER RECEIVING CONTRIBUTIONS TO THE PLAN, BUT WHOSE PLAN CONTINUES TO REALIZE INVESTMENT INCOME/LOSSES ON PREVIOUS CONTRIBUTIONS WHICH HAVE BEEN REPORTED ON PRIOR YEAR FORMS 990. THE ACCOUNT OF ALLEN S. WEISS, M.D. REALIZED INVESTMENT INCOME OF $30,871 FOR THE CALENDAR YEAR 2010. THIS INVESTMENT INCOME IS INCLUDED IN SCHEDULE J, PART II, COLUMN C. 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. PROVISION OF HOUSING ALLOWANCE FORM 990, SCHEDULE J, PART I, LINE 1A HOUSING WAS PROVIDED FOR OUR CHIEF DEVELOPMENT OFFICER, JAMES MARTIN. THE VALUE OF SUCH HOUSING ($4,500) WAS INCLUDED AS A COMPONENT OF HIS REPORTABLE COMPENSATION LISTED ON FORM 990, PART VII. COLLIER CTY INDUSTRIAL DEVLMT ATHRTY- SERIES 2004 591695679 194641AF3 2004-08-31 38000000 NEW NORTH NAPLES PATIENT TOWER false false false COLLIER CTY INDUSTRIAL DEVLMT ATHRTY- SERIES 2010 591695679 2010-12-30 30000000 NEW CAPITAL EQUIPMENT false false false COLLIER CTY INDUSTRIAL DEVLMT ATHRTY- SERIES 2011 591695679 194641AK2 2011-04-01 102115000 REFINANCING & NEW CAPITAL EQUIP false false false 0 0 39032139 0 0 0 504750 0 0 38527389 0 0 2007 false false true true 0 0 30020079 11445099 0 0 159198 0 0 18395703 0 20079 2013 false false false true 0 0 100967621 21843044 0 49222562 1414549 0 0 28471956 0 15510 2013 false true false true false false false false false 0.00000 0.00000 0.00000 true false false false false false 0.00000 0.00000 0.00000 true false false false false false 0.00000 0.00000 0.00000 true false false false false false false false true false false false false false false false true false false false false false false false true ADDITIONAL DETAIL FOR PROCEEDS OF ISSUES FORM 990, SCHEDULE K, PART II, LINE 3 FOR COLLIER COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY- SERIES 2004, THE TOTAL PROCEEDS OF ISSUE REPORTED INCLUDES $1,032,139 IN ORIGINAL ISSUE PREMIUMS. FOR COLLIER COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY- SERIES 2010, THE TOTAL PROCEEDS OF ISSUE REPORTED INCLUDES $20,079 IN INVESTMENT EARNINGS. FOR COLLIER COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY- SERIES 2011, THE TOTAL PROCEEDS OF ISSUE REPORTED INCLUDES $1,159,176 IN NET ORIGINAL ISSUE DISCOUNTS AND $11,797 IN INVESTMENT EARNINGS. KATHRYN HOUSER FAMILY MEMBER OF TRUSTEE 75462 PAYMENT OF COMPENSATION false DIANNE GARRISON FAMILY MEMBER OF TRUSTEE 121155 PAYMENT OF COMPENSATION false GULF COAST CARDIOTHORACIC COMMON TRUSTEE/PARTNER 230317 PURCHASE OF MEDICAL SERVICES false CANDACE S SETTLE FAMILY MEMBER OF OFFICER 39260 PAYMENT OF COMPENSATION false JEFFERY SANDER FAMILY MEMBER OF OFFICER 80281 PAYMENT OF COMPENSATION false GRAY ROBINSON PA COMMON TRUSTEE/PARTNER 108295 PAYMENT OF LEGAL SERVICES false JODI S COOPER FAMILY MEMBER OF OFFICER 121416 PAYMENT OF COMPENSATION false JAMES ORR MD FAMILY MEMBER OF OFFICER 444561 RECEIPT OF RENTAL INCOME false BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS FORM 990, SCHEDULE L, PART IV KATHRYN HOUSER, RN AND DIANNE GARRISON, RN ARE SIBLINGS OF BOARD TRUSTEE JOANN JENNER. BOARD TRUSTEE SCOT SCHULTZ, M.D. IS A PARTNER OF GULF COAST CARDIOTHORACIC. CANDACE SETTLE, PHYSICAL THERAPIST ASSISTANT, IS THE SPOUSE OF OFFICER BRIAN SETTLE, CHIEF HUMAN RESOURCES OFFICER. JEFFREY SANDER, RN IS THE SPOUSE OF BOARD TRUSTEE KARLI SANDER. BOARD TRUSTEE, CARL WESTMAN, IS A PARTNER AT GRAY ROBINSON, PA. JODI COOPER, DIRECTOR OF THE LABORATORY, IS THE SPOUSE OF OFFICER KEVIN COOPER, GENERAL COUNSEL/CHIEF OF STAFF. JAMES ORR, M.D. IS THE SPOUSE OF VICKI ORR, CFO/ASSISTANT TREASURER. HE HAS A MINORITY EQUITY INTEREST IN 21ST CENTURY ONCOLOGY WHICH PAYS NCH RENTAL INCOME FOR THE LUTGERT EAST BUILDING. X 550 FMV X 568254 FMV X 3 4600 FMV X 1 6170 FMV X 9 85500 FMV X 2 NIGHT STAY RITZ CARLTON RESORT 1 2900 FMV X HOSTING GIFTS, HOSTS DINNER, KICKOFF BREAKFAST 1 5974 FMV X FGCU BASKETBALL GAME 1 500 FMV X CHEF DINNER FOR 10 1 2700 FMV X LUXURY SUITE AND DALLAS COWBOYS GAME 1 1000 FMV 3 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 EMERGENCY PHYSICIANS OF NAPLES. 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 11A 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 2010 FORM 990 FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2011 WAS REVIEWED AND APPROVED BY THE CHAIRMAN OF THE NCH AUDIT AND FINANCE COMMITTEES, RESPECTIVELY, 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 5 TRANSFERS TO RELATED ORGANIZATIONS $(29,705,975) CHANGE IN NET UNREALIZED GAINS AND LOSSES (4,526,831) ------------ TOTAL OTHER CHANGES IN NET ASSETS $(34,232,806) HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Joseph I. Perkovich TITLE:Chairman HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Mariann MacDonald TITLE:1st Vice Chairman HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Ambassador Francis Rooney TITLE:2nd Vice Chairman HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Thomas J. Gazdic TITLE:Secretary/Treasurer HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:William Allyn TITLE:Trustee HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Jay H. Baker TITLE:Trustee HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Kenneth Bookman, M.D. TITLE:Trustee HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Susan L. Dalton TITLE:Trustee HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Paul Dernbach, M.D. TITLE:Trustee HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Alberto M. de la Rivaherrera, M.D. TITLE:Trustee HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Michael Feuer TITLE:Trustee HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Terrance Flynn TITLE:Trustee HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Daniel Gill TITLE:Trustee HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Kay Gow TITLE:Trustee HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Joann Jenner TITLE:Trustee HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Amy Jewell, R.N. TITLE:Trustee HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Kim Ciccarelli Kantor TITLE:Trustee HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Hermes Koop, M.D. TITLE:Trustee HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:John Lewis, M.D. TITLE:Trustee HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Frank Linsalata TITLE:Trustee HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Admiral Paul D. Miller TITLE:Trustee HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Robert Moses TITLE:Trustee HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Wayne Mullican TITLE:Trustee HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Karli Sander TITLE:Trustee HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Scot C. Schultz, M.D. TITLE:Trustee HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Norman Thomson, M.D. TITLE:Trustee HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Carl E. Westman TITLE:Trustee HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Gregory Wilkerson, R.N. TITLE:Trustee HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Allen S. Weiss, M.D. TITLE:President/CEO/Trustee HOURS:5 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Kevin D. Cooper TITLE:General Counsel/Chief of Staff HOURS:5 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Phillip Dutcher TITLE:COO, NCH Healthcare System Inc HOURS:5 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Aurora Estevez, M.D. TITLE:Chief Medical Officer HOURS:5 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Vicki D. Orr TITLE:CFO/Assistant Treasurer HOURS:5 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Elizabeth Martin TITLE:Assistant Secretary HOURS:5 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:BRIAN SETTLE (TERM 9/30/2011) TITLE:Chief Human Resources Officer HOURS:5 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SUSAN WOLFF (TERM 9/30/2011) TITLE:Chief Information Officer HOURS:5 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:William Edwards (Term 06/4/11) TITLE:Chief Administrative Officer HOURS:44 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Michele Thoman TITLE:CNO HOURS:5 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Michael Riley TITLE:Chief Strategy Officer HOURS:5 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:James K. Martin TITLE:Chief Development Officer HOURS:44 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Zach Bostock (Start 09/19/11) TITLE:Chief Administrative Officer HOURS:44 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Gary Parsons, M.D. TITLE:Chief Medical Officer NCHMD HOURS:44 NCH HEALTHCARE SYSTEM INC PO BOX 413029 NAPLES FL 34101 592314655 HOLDING CO FL 501(C)(3) 11,B NA NCHMD INC PO BOX 413029 NAPLES FL 34101 331075317 HEALTHCARE FL 501(C)(3) 9 NCH SYSTEM COLLIER HEALTH CARE INC PO BOX 413029 NAPLES FL 34101 650244276 HEALTHCARE FL 501(C)(3) 3 NCH SYSTEM COMMUNITY HOME SERVICES INC PO BOX 413029 NAPLES FL 34101 592440516 SUPPORT ORG FL 501(C)(3) 11,B NCH SYSTEM MARCO ISLAND HOSPITAL INC 40 HEATHWOOD DRIVE MARCO ISLAND FL 34145 592315435 HEALTHCARE FL 501(C)(3) 3 NCH SYSTEM COUNSELING & EMPLOYEE ASSISTANCE PROGRAM 350 7TH STREET NORTH NAPLES FL 34102 650374989 EMPLOYEE ASSIST FL NCH SYSTEM C CORP HEALTH RESOURCES CORPORATION 350 7TH STREET NORTH NAPLES FL 34102 592568003 HOLDING COMPANY FL NCH SYSTEM C CORP AMBULATORY SURGICAL CARE CENTER INC 350 7TH STREET NORTH NAPLES FL 34102 592568029 OUTPAT. SURGERY FL HRC C CORP COMMUNITY HOME CARE INC 350 7TH STREET NORTH NAPLES FL 34102 592372966 HOME HEALTH FL HRC C CORP COMMUNITY IMAGING INC 350 7TH STREET NORTH NAPLES FL 34102 592446336 RADIOLOGY LAB FL HRC C CORP GULFCOAST LINEN SERVICE INC 350 7TH STREET NORTH NAPLES FL 34102 650214546 LINEN SERVICE FL HRC C CORP true true true false false false false true true true true true true true true true true true