STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

NAPLES COMMUNITY HOSPITAL INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
NAPLES COMMUNITY HOSPITAL INC (EIN 59-0694358)
Tax period
2020-10-01 to 2021-09-30
Filed
2022-08-05
IRS object ID
202232179349300623
Schema version
2020v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-08-05T10:31:38-05:00ReturnTs
Tax Period End2021-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RSM US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line130 SOUTH WACKER DR SUITE 3300AddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP606063392ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN590694358EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NAPLES COMMUNITY HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNAPLBusinessNameControlTxt
Phone2396246338PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 413029AddressLine1Txt
CityNAPLESCityNm
State AbbreviationFLStateAbbreviationCd
ZIP341013029ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRICK WYLESPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone2396244005PhoneNum
Signature2022-08-03SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstRICKPersonFirstNm
Person LastWYLESPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonREBEKUH ELEYPreparerPersonNm
PTINP01247672PTIN
Phone3126343400PhoneNum
Preparation2022-08-01PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPAUL HILTZPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 413029AddressLine1Txt
CityNAPLESCityNm
State AbbreviationFLStateAbbreviationCd
ZIP341013029ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$816,615,062GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NCHMD.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1957FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionHELPING EVERYONE LIVE A LONGER, HAPPIER, AND HEALTHIER LIFE.OUR VISION IS TO BE A WORLD-CLASS LEADER OF EXCELLENCE IN HEALTHCARE AND TO PROVIDE EXCELLENCE IN EVERY PATIENT EXPERIENCE.NAPLES COMMUNITY HOSPITAL, INC. LOCATED IN COLLIER COUNTY, FLORIDA,CONSISTS OF TWO HOSPITALS WITH 713 BEDS. THE DOWNTOWN HOSPITALCAMPUS IS A 391-BED ACUTE CARE FACILITY AND NORTH NAPLES HOSPITALCAMPUS IS A 322-BED ACUTE CARE FACILIY. THE HOSPITAL ALSO HAS A BLOODCENTER AND VARIOUS OTHER OUTPATIENT CENTERS LOCATED THROUGHOUT THE COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee4187TotalEmployeeCnt
Total Volunteers104TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$35,373,583PYContributionsGrantsAmt
CY Contributions Grants$61,045,386CYContributionsGrantsAmt
PY Program Service Revenue$487,722,549PYProgramServiceRevenueAmt
CY Program Service Revenue$605,616,065CYProgramServiceRevenueAmt
PY Investment Income$12,898,641PYInvestmentIncomeAmt
CY Investment Income$17,306,212CYInvestmentIncomeAmt
PY Other Revenue$13,314,548PYOtherRevenueAmt
CY Other Revenue$13,083,344CYOtherRevenueAmt
PY Total Revenue$549,309,321PYTotalRevenueAmt
CY Total Revenue$697,051,007CYTotalRevenueAmt
PY Grants And Similar Paid$6,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$4,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$242,724,917PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$276,592,994CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$7,522CYTotalFundraisingExpenseAmt
PY Other Expenses$283,188,416PYOtherExpensesAmt
CY Other Expenses$333,384,717CYOtherExpensesAmt
PY Total Expenses$525,919,333PYTotalExpensesAmt
CY Total Expenses$609,981,711CYTotalExpensesAmt
PY Revenues Less Expenses$23,389,988PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$87,069,296CYRevenuesLessExpensesAmt
Total Assets BOY$941,706,179TotalAssetsBOYAmt
Total Assets EOY$1,097,611,582TotalAssetsEOYAmt
Total Liabilities BOY$290,021,107TotalLiabilitiesBOYAmt
Total Liabilities EOY$328,328,071TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$651,685,072NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$769,283,511NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionHELPING EVERYONE LIVE A LONGER, HAPPIER, AND HEALTHIER LIFE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$541,277,536ExpenseAmt
Grant$4,000GrantAmt
Revenue$616,959,460RevenueAmt
DescSEE SCHEDULE ONAPLES COMMUNITY HOSPITAL, INC. (NCH) PROVIDES INPATIENT AND OUTPATIENT HEALTHCARE SERVICES WITHOUT REGARD TO A PATIENT'S ABILITY TO PAY. FROM ITS TWO HOSPITALS, CANCER TREATMENT CENTERS, WOUND CARE CENTERS AND OUTPATIENT REHABILITATION CENTERS, NCH PROVIDED $99,311,759 OF CHARITY CARE TO PATIENTS WHO WERE UNABLE TO PAY AND NOT COVERED BY ANY GOVERNMENTAL OR PRIVATE INSURANCE PROGRAM. ADDITIONALLY, NCH WROTE OFF $961,764 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 523 ACTIVE AND ASSOCIATE PHYSICIANS, 2,786 FULL-TIME EQUIVALENT EMPLOYEES, AND 92 VOLUNTEERS COMPRISE THE OUTSTANDING MEDICAL TEAM WORKING TOGETHER TO PROVIDE THESE SERVICES.THE TWO HOSPITALS ARE COMPRISED OF 617 ACUTE CARE BEDS, A 54 BED REHABILITATIVE UNIT, 19 NICU BEDS, AND A 23 BED PSYCHIATRIC UNIT. ADDITIONAL SPECIALTY SERVICES FOR THE CARE OF CERTAIN CRITICAL AND LIFE THREATENING MEDICAL CONDITIONS INCLUDE THE MEDICAL INTENSIVE CARE UNIT, SURGICAL INTENSIVE CARE UNIT, CARDIAC CARE UNIT, CARDIAC CATHETERIZATION UNIT AND INTERMEDIATE CARE UNIT. OTHER SPECIALTIES INCLUDE ONCOLOGY, DIAGNOSTIC SERVICES (CARDIO-DIAGNOSTICS, MAMMOGRAPHY, COMPUTERIZED TOPOGRAPHIC SCANNING (CT), AND MAGNETIC RESONANCE IMAGING (MRI), AND SPECIAL PROCEDURES SUCH AS BIOPSY, ANGIOGRAPHY, AND ANGIOPLASTY).DURING THE 2021 FISCAL YEAR, NCH HAD 28,434 INPATIENT ADMISSIONS RESULTING IN 143,346 DAYS OF CARE. ADDITIONALLY, 102,572 PATIENTS WERE TREATED IN OUR EMERGENCY CARE CENTERS.NAPLES COMMUNITY HOSPITAL, INC. RECEIVES VOLUNTEER ASSISTANCE FOR OPERATING ITS HOSPITALITY, GIFT, AND RETAIL SHOPS.NAPLES COMMUNITY HOSPITAL, INC. ALSO PROVIDES HEALTH ENHANCING EDUCATIONAL PROGRAMS IN ADDITION TO MEDICAL CARE. THESE PROGRAMS INCLUDE: WHITAKER WELLNESS CENTER; BETTER BREATHERS CLUB; MENDED HEARTS; DIABETES EDUCATION PROGRAM; CHILDBIRTH CLASSES; HEALTH FAIRS; AND CAREER DAYS. IN ADDITION, NCH SUPPORTS THE FOLLOWING: NURSES IN THE COLLIER COUNTY PUBLIC SCHOOL SYSTEM AND ATHLETIC TRAINERS AT THE LOCAL HIGH-SCHOOLS AND SPORTING EVENTS.Desc
Total Program Service Expenses$541,277,536TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document477IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee4187EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RICK WYLESCHIEF FINANCIAL OFFICERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2396244005PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1350 SEVENTH STREET NORTHAddressLine1Txt
CityNAPLESCityNm
State AbbreviationFLStateAbbreviationCd
ZIP341023029ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
PAUL HILTZ
PRESIDENT/CEO/TRUSTEE40.005.00Yes (X)Yes (X)$897,053$0$33,680
ALLEN S WEISS MD TERM 0119
FORMER PRESIDENT/CEO/TRUSTEE0.000.00$909,806$0$17,158Yes (X)
PHILLIP DUTCHER TERM 0721
CHIEF OPERATING OFFICER SYSTEM40.005.00Yes (X)$707,824$0$14,142
RICK WYLES
CFO/ASSISTANT TREASURER40.005.00Yes (X)$516,031$0$34,675
KEVIN D COOPER TERM 0119
FORMER CHIEF OF STAFF0.000.00$522,084$0$16,889Yes (X)
FRANK ASTOR MD TERM 1119
FORMER CHIEF MEDICAL OFFICER0.000.00$487,788$0$16,236Yes (X)
JONATHAN KLING RN START 721
CHIEF OPERATIONS OFFICER SYSTEM40.005.00Yes (X)$446,398$0$33,658
ZACHARY BOSTOCK TERM 0320
FORMER CHIEF ADMINISTRATIVE OFFICER0.000.00$441,291$0$29,611Yes (X)
KRISTIN MASCOTTI MD
CHIEF MEDICAL OFFICER40.005.00Yes (X)$425,744$0$9,008
LINDA ROEBACK TERM 0520
FORMER CHIEF COUNSEL0.000.00$397,178$0$22,045Yes (X)
JIM MAHON
SENIOR VICE PRESIDENT40.005.00Yes (X)$399,133$0$2,931
CHARLES GRAEBER MD
PROGRAM DIRECTOR, INT. MED RES.40.000.00$379,306$0$12,804Yes (X)
RENEE M THIGPEN
CHIEF HR OFFICER40.005.00Yes (X)$356,246$0$30,108
MICHAEL RILEY TERM 1120
CHIEF STRATEGY OFFICER40.005.00Yes (X)$339,701$0$28,889
PAMELA ZIPPERER-DAVIS TRM 0321
CHIEF ADMINISTRATIVE OFFICER40.005.00Yes (X)$322,328$0$12,569
GARY TOMCIK TERM 0420
FORMER CHIEF EXPERIENCE OFFICER0.000.00$282,293$0$27,943Yes (X)
KIM THORP
DIRECTOR OF PHARMACY SYSTEM40.000.00$201,957$0$32,641Yes (X)
NOBLE ARRINGTON
CONTROLLER40.000.00$193,714$0$31,545Yes (X)
ILIA ECHEVARRIA RN
ASSOCIATE CHIEF NURSE PROF PRACTICE40.000.00$199,042$0$19,768Yes (X)
GINA TEEGARDEN RN START 721
INTERIM CHIEF NURSING OFFICER40.005.00Yes (X)$197,163$0$14,989
ANDREW COOPER
EXECUTIVE DIRECTOR I.T.40.000.00$188,998$0$17,410Yes (X)
SCOTT LUTGERT
CHAIRMAN0.501.50Yes (X)Yes (X)$0$0$0
KEVIN BEEBE
1ST VICE CHAIRMAN/SECRETARY0.501.50Yes (X)Yes (X)$0$0$0
MICHAEL WYNN
2ND VICE CHAIRMAN0.501.50Yes (X)Yes (X)$0$0$0
DAVEY SCOON
TREASURER0.501.50Yes (X)Yes (X)$0$0$0
WILLIAM ALLYN
TRUSTEE0.501.50Yes (X)$0$0$0
JAY BAKER
TRUSTEE0.501.50Yes (X)$0$0$0
LAURIE COWAN PHILLIPS
TRUSTEE0.501.50Yes (X)$0$0$0
KERRY EDWARDS
TRUSTEE0.501.50Yes (X)$0$0$0
ALAN EINHORN
TRUSTEE0.501.50Yes (X)$0$0$0
ANNE MCNULTY
TRUSTEE0.501.50Yes (X)$0$0$0
BILL PEREZ
TRUSTEE0.501.50Yes (X)$0$0$0
KIMBERLY QUERREY
TRUSTEE0.501.50Yes (X)$0$0$0
JANICE TEAL
TRUSTEE0.501.50Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,811,078TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$458,699TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K237IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
DEANGELIS DIAMOND CONSTRUCTION INC
6635 WILLOW PARK DRIVENAPLESFL34109GENERAL CONTRACTOR$18,235,142
NTHRIVE
PO BOX 733492DALLASTX753733492MEDICAL RECORDS SUPPORT$13,079,012
SODEXO INC AND AFFLIATES
PO BOX 536922ATLANTAGA303536922DIETARY AND ENVIRONMENTAL SERVICES$11,908,884
CERNER CORPORATION
PO BOX 412702KANSAS CITYMO64141IT SUPPORT$10,476,983
RENOVO SOLUTIONS LLC
4 EXECUTIVE CIRCLE SUITE 185IRVINECA92614BIOMED SUPPORT$3,829,081
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K86CntrctRcvdGreaterThan100KCnt
Related Organizations$20,000RelatedOrganizationsAmt
Government Grants$38,772,240GovernmentGrantsAmt
All Other Contributions$22,253,146AllOtherContributionsAmt
Noncash Contributions$742,151NoncashContributionsAmt
Total Contributions$61,045,386TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SERVICE REVENUEDesc
Business621990BusinessCd
Total Revenue Column$605,616,065TotalRevenueColumnAmt
Related Or Exempt Func Income$605,616,065RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$605,616,065TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,539,773TotalRevenueColumnAmt
Exclusion$9,539,773ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$51TotalRevenueColumnAmt
Exclusion$51ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,811,692RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$71,743RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,739,949RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,739,949TotalRevenueColumnAmt
Exclusion$1,739,949ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$127,215,201SecuritiesAmt
Other$43,499OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$119,319,599SecuritiesAmt
Other$172,713OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$7,895,602SecuritiesAmt
Other-$129,214OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,766,388TotalRevenueColumnAmt
Exclusion$7,766,388ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SCHOOL NURSE621990$3,435,917$3,435,917
DIETARY722514$2,434,615$2,434,615
WELLNESS CENTER713940$1,855,542$1,855,542

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,617,321TotalRevenueColumnAmt
Related Or Exempt Func Income$3,617,321RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$11,343,395OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$697,051,007TotalRevenueColumnAmt
Related Or Exempt Func Income$616,959,460RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$19,046,161ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$4,000TotalAmt
Program Services$4,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$5,847,402TotalAmt
Management And General$5,847,402ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$1,160,153TotalAmt
Program Services$54,381ProgramServicesAmt
Management And General$1,105,772ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$230,819,845TotalAmt
Program Services$201,705,709ProgramServicesAmt
Management And General$29,107,423ManagementAndGeneralAmt
Fundraising$6,713FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$6,236,952TotalAmt
Program Services$5,424,277ProgramServicesAmt
Management And General$812,675ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$15,806,021TotalAmt
Program Services$13,746,497ProgramServicesAmt
Management And General$2,059,229ManagementAndGeneralAmt
Fundraising$295FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$16,722,621TotalAmt
Program Services$14,543,663ProgramServicesAmt
Management And General$2,178,444ManagementAndGeneralAmt
Fundraising$514FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,253,687TotalAmt
Management And General$2,253,687ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$267,624TotalAmt
Management And General$267,624ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$75,298,873TotalAmt
Program Services$65,487,430ProgramServicesAmt
Management And General$9,811,443ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,177,347TotalAmt
Program Services$3,633,039ProgramServicesAmt
Management And General$544,308ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$24,179,472TotalAmt
Program Services$21,028,888ProgramServicesAmt
Management And General$3,150,584ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$21,758,528TotalAmt
Program Services$18,923,392ProgramServicesAmt
Management And General$2,835,136ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,583,316TotalAmt
Program Services$9,204,310ProgramServicesAmt
Management And General$1,379,006ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$312,409TotalAmt
Program Services$271,702ProgramServicesAmt
Management And General$40,707ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,105,783TotalAmt
Program Services$4,440,499ProgramServicesAmt
Management And General$665,284ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$44,284,315TotalAmt
Program Services$38,514,069ProgramServicesAmt
Management And General$5,770,246ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,596,064TotalAmt
Program Services$5,736,597ProgramServicesAmt
Management And General$859,467ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL SUPPLIES$137,542,484$137,542,484
BAD DEBT EXPENSE$961,764$961,764

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$63,051TotalAmt
Program Services$54,835ProgramServicesAmt
Management And General$8,216ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$609,981,711TotalAmt
Program Services$541,277,536ProgramServicesAmt
Management And General$68,696,653ManagementAndGeneralAmt
Fundraising$7,522FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$138,138,248BOYAmt
EOY$55,020,200EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,299,249BOYAmt
EOY$2,827,237EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$25,161,770BOYAmt
EOY$26,144,784EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$58,454,797BOYAmt
EOY$99,282,239EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$40,000BOYAmt
EOY$30,000EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$12,633BOYAmt
EOY$11,288EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$13,227,422BOYAmt
EOY$13,643,460EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,444,169BOYAmt
EOY$6,309,885EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$980,807,391LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$584,229,643LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$337,657,286BOYAmt
EOY$396,577,748EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$24,878,041BOYAmt
EOY$71,025,644EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$457,800BOYAmt
EOY$27,378,461EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$334,934,764BOYAmt
EOY$399,360,636EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$941,706,179BOYAmt
EOY$1,097,611,582EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$58,877,724BOYAmt
EOY$82,763,254EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$12,454,339BOYAmt
EOY$201,184EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$112,711,658BOYAmt
EOY$133,133,169EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$105,977,386BOYAmt
EOY$112,230,464EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$290,021,107BOYAmt
EOY$328,328,071EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$598,157,406BOYAmt
EOY$706,712,203EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$53,527,666BOYAmt
EOY$62,571,308EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$651,685,072BOYAmt
EOY$769,283,511EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$941,706,179BOYAmt
EOY$1,097,611,582EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$87,069,296ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$58,636,597NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$28,107,454OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$16,068,607BeginningYearBalanceAmt
Contributions$84,960ContributionsAmt
Investment Earnings Or Losses$868,867InvestmentEarningsOrLossesAmt
End Year Balance$17,022,434EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$15,631,211BeginningYearBalanceAmt
Contributions$117,661ContributionsAmt
Investment Earnings Or Losses$319,735InvestmentEarningsOrLossesAmt
End Year Balance$16,068,607EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$15,584,397BeginningYearBalanceAmt
Contributions$3,907ContributionsAmt
Investment Earnings Or Losses$42,907InvestmentEarningsOrLossesAmt
End Year Balance$15,631,211EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$14,783,076BeginningYearBalanceAmt
Contributions$601,291ContributionsAmt
Investment Earnings Or Losses$200,030InvestmentEarningsOrLossesAmt
End Year Balance$15,584,397EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$14,561,078BeginningYearBalanceAmt
Contributions$6,000ContributionsAmt
Investment Earnings Or Losses$215,998InvestmentEarningsOrLossesAmt
End Year Balance$14,783,076EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$38,430,550OtherCostOrOtherBasisAmt
Book Value$38,430,550BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$475,867,813OtherCostOrOtherBasisAmt
Depreciation$251,831,665DepreciationAmt
Book Value$224,036,148BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,027,709OtherCostOrOtherBasisAmt
Depreciation$6,688,004DepreciationAmt
Book Value$3,339,705BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$395,089,030OtherCostOrOtherBasisAmt
Depreciation$319,165,836DepreciationAmt
Book Value$75,923,194BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$61,392,289OtherCostOrOtherBasisAmt
Depreciation$6,544,138DepreciationAmt
Book Value$54,848,151BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$396,577,748TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
ASSETS LIMITED AS TO USE$397,468,209
OTHER ASSETS$1,685,059
DEPOSITS$207,368
FieldValueIRS element (for citing)
Total Book Value Other Assets$399,360,636TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
DUE TO RELATED ORGANIZATIONS$13,385,688
SELF-INSURANCE LIABILITIES$9,679,054
PUBLIC MEDICAL FUND PAYABLE$4,087,323
ACCRUED INTEREST$1,135,832
OTHER LIABILITIES$3,833,822
LEASE LIABILITIES$27,107,735
MEDICARE ACCELERATED PAYMENTS$53,001,010
FieldValueIRS element (for citing)
Total Liability$112,230,464TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 2017.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,386,699TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$19,386,699NetCommunityBenefitExpnsAmt
Total Expense0.03180TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$62,156,529TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$31,300,491DirectOffsettingRevenueAmt
Net Community Benefit Expns$30,856,038NetCommunityBenefitExpnsAmt
Total Expense0.05070TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$81,543,228TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$31,300,491DirectOffsettingRevenueAmt
Net Community Benefit Expns$50,242,737NetCommunityBenefitExpnsAmt
Total Expense0.08250TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,553,775TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,553,775NetCommunityBenefitExpnsAmt
Total Expense0.00580TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$38,344TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$38,344NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,592,119TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,592,119NetCommunityBenefitExpnsAmt
Total Expense0.00590TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$85,135,347TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$31,300,491DirectOffsettingRevenueAmt
Net Community Benefit Expns$53,834,856NetCommunityBenefitExpnsAmt
Total Expense0.08840TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$114,195TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$114,195NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$104,476TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$104,476NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$218,671TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$218,671NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$961,764BadDebtExpenseAmt
Bad Debt Expense Attributable$25,006BadDebtExpenseAttributableAmt
Reimbursed By Medicare$311,019,889ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$330,005,723CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$18,985,834MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NAPLES COMMUNITY HOSPITAL INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1350 7TH STREET NORTHAddressLine1Txt
CityNAPLESCityNm
State AbbreviationFLStateAbbreviationCd
ZIP34102ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.NCHMD.ORGWebsiteAddressTxt
State LicenseLICENSE #4113StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NAPLES COMMUNITY HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTP://WWW.NCHMD.ORG/ABOUT-US/ANNUAL-REPORTSOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTP://WWW.NCHMD.ORG/ABOUT-US/ANNUAL-REPORTSStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTP://WWW.NCHMD.ORG/PATIENTS-AND-VISITORS/BILLING-INFOFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTP://WWW.NCHMD.ORG/PATIENTS-AND-VISITORS/BILLING-INFOFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTP://WWW.NCHMD.ORG/PATIENTS-AND-VISITORS/BILLING-INFOFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
NAPLES COMMUNITY HOSPITAL, INC.PART V, SECTION B, LINE 5: CHNA TAKING INTO ACCOUNT INPUT FROM THE COMMUNITYTHE NCH LEADERSHIP TEAM IS ACTIVELY INVOLVED AND PARTICIPATES IN MANY COMMUNITY RELATED ORGANIZATIONS AND GROUPS THAT ARE CONTINUALLY ASSESSING UNMET NEEDS WITHIN COLLIER COUNTY. NCH HAS HISTORICALLY WORKED WITH OUR BOARD OF TRUSTEES, COLLIER COUNTY CHILDREN'S ALLIANCE, COLLIER COUNTY PUBLIC SCHOOLS, BLUE ZONES PROJECT OF SWFL AND OTHER AGENCIES THROUGHOUT THE COMMUNITY IN ASSESSING AND COLLABORATING IN EFFORTS TO IMPROVE THE HEALTH OF OUR COMMUNITY.NCH WORKS COLLABORATIVELY WITH THE FLORIDA DEPARTMENT OF HEALTH IN COLLIER COUNTY, THE COUNTY AND CITY GOVERNMENT, THE NAPLES AREA CHAMBER OF COMMERCE AND SEVERAL OTHER COMMUNITY GROUPS TO FORM THE COMMUNITY ASSESSMENT DESIGN GROUP. THE PURPOSE IS TO ASSESS THE COMMUNITY'S STRENGTHS AND OPPORTUNITIES. A NEW COMMUNITY HEALTH ASSESSMENT WAS COMPLETED IN 2019. THE 2020-2023 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) PRIORITIES WERE ESTABLISHED IN 2020 BY THE HEALTHY COLLIER EXECUTIVE COMMITTEE BASED ON THE RESULTS FROM THE CHA. DOH-COLLIER FACILITATED THE CHIP PROCESS BY USING THE NATIONAL ASSOCIATION OF CITY AND COUNTY HEALTH OFFICIALS MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) STRATEGIC PLANNING MODEL. USING THE MOBILIZING FOR ACTION THROUGH THE PLANNING AND PARTNERSHIP (MAPP) FRAMEWORK, THE LEADERSHIP FOR COMMUNITY HEALTH IMPROVEMENT PLANNING (LCHIP) COMMITTEE REVIEWED THE 2019 COMMUNITY HEALTH ASSESSMENT (CHA) AND HELD DISCUSSIONS REGARDING GROUP PRIORITIES AND OBJECTIVES GOING FORWARD. THE COMMITTEE AGREED THAT THE RESULTS STRONGLY CORROBORATED THE RESULTS OF OTHER RECENT COMMUNITY ASSESSMENTS AND ACCURATELY REFLECT THE NEEDS OF COLLIER COUNTY.THE 2020-2023 CHIP WAS THEN SHAPED USING THE FIVE HIGHEST RANKED HEALTH PRIORITY AREAS FROM THE CHA RESULTS. THEY INCLUDE MENTAL HEALTH, CHRONIC DISEASES, ACCESS TO CARE, ALCOHOL AND DRUG USE, AND HEALTH OF OLDER ADULTS. MENTAL HEALTH AND ALCOHOL & DRUG USE WERE COMBINED INTO THE MENTAL HEALTH & SUBSTANCE ABUSE WORKGROUP. IN FEBRUARY AND MARCH OF 2020, THE DOH-COLLIER FACILITATORS CONVENED THE HEALTH PRIORITY WOKGROUPS TO FINALIZE THE GOALS, STRATEGIES, AND OBJECTIVES THAT EACH GROUP WILL WORK ON FOR THE NEXT THREE YEARS.HEALTH PRIORITY: MENTAL HEALTH AND SUBSTANCE ABUSEGOAL: IMPROVE IDENTIFICATION AND TREATMENT OF MENTAL HEALTH AND SUBSTANCE USE DISORDERS.OBJECTIVES:1. INCREASE THE NUMBER OF PRIMARY CARE PROVIDER OFFICES AND URGENT CARE FACILITIES IN COLLIER COUNTY THAT ARE USING THE COLLABORATION/INTEGRATION CARE MODEL FROM 12 IN 2019 TO 25 BY THE END OF 2022. PROGRESS: AT THE END OF 2021, THE NUMBER OF PRIMARY CARE PROVIDER OFFICES AND URGENT CARE FACILITIES USING THE MODEL INCREASED TO 20.2. INCREASE THE NUMBER OF INDIVIDUALS TRAINED PER YEAR IN YOUTH AND ADULT MENTAL HEALTH FIRST AID FROM 1060 IN 2019 TO 3000 BY THE END OF 2021. PROGRESS: COVID-19 AFFECTED PROGRESS IN 2021 AND GREATLY REDUCED THE NUMBER OF OPPORTUNITIES TO OFFER THE MHFA CLASS. AS A RESULT, THE NUMBER OF INDIVIDUALS TRAINED IN 2021 WERE 1,256.HEALTH PRIORITY: CHRONIC DISEASESGOAL: DELIVER CULTURALLY RELEVANT HEALTH EDUCATION TO COLLIER COUNTY RESIDENTS IN POPULATIONS WITH DISPARITIES IN HEALTH OUTCOMES.OBJECTIVES:1. INCREASE THE NUMBER OF BLUE ZONES APPROVED WORKSITES FROM 49 IN 2019 TO 65 BY THE END OF 2022. PROGRESS: THIRTEEN NEWLY APPROVED WORKSITES WERE ADDED IN 2021 WHICH RESULTED IN A TOTAL OF 66 APPROVED WORKSITES.2. INCREASE THE NUMBER OF WORKSITES IN COLLIER COUNTY USING THE CDC WORKSITE WELLNESS SCORECARD FROM ONE IN 2019 TO FOUR BY THE END OF 2022. PROGRESS: THERE WERE NO NEW CDC WORKSITE WELLNESS SCORECARD SITES ADDED IN 2021. DOH-COLLIER'S RESPONSE TO THE COVID-19 PANDEMIC SLOWED PROGRAM DEVELOPMENT AND ONBOARDING.3. REACH A MINIMUM OF 1000 UNDUPLICATED SNAP-ELIGIBLE YOUTH THROUGH NUTRITION EDUCATION IN 2021. PROGRESS: THIS PROGRAM EXCEEDED ITS 2021 TARGET WITH 2,711 SNAP-ELIGIBLE YOUTH. AS A RESULT, THE TARGET FOR 2022 WAS INCREASED TO 2,000.4. REACH A MINIMUM OF 100 UNDUPLICATED SNAP-ELIGIBLE ADULTS THROUGH NUTRITION EDUCATION IN 2021. PROGRESS: IN 2021, 225 SNAP-ELIGIBLE ADULTS PARTICIPATED IN THE PROGRAM. AS A RESULT, THE TARGET FOR 2022 WAS INCREASED TO 250.5. ENSURE THE ANNUAL FUNDED ALLOWABLE MAXIMUM NUMBER OF PARTICIPANTS COMPLETE THE HEALTHY FOR GOODTM PROGRAM EACH YEAR THROUGH DECEMBER 31, 2022. PROGRESS: FOR 2021, THERE WERE 100 PARTICPANTS IN THIS PROGRAM.HEALTH PRIORITY: ACCESS TO CAREGOAL: INCREASE ACCESS TO BLOOD PRESSURE SCREENING SERVICES FOR UNINSURED COLLIER COUNTY RESIDENTS.OBJECTIVE:1. INCREASE THE NUMBER OF UNINSURED RESIDENTS PER YEAR IN COLLIER COUNTY WHO RECEIVED A BLOOD PRESSURE SCREENING FROM 12,404 IN 2019 TO 14,000 IN 2022, AN INCREASE OF ABOUT 5% PER YEAR. PROGRESS: WHILE COVID-19 TESTING DROVE PATIENTS TO THE CLINICS IN 2020, WORKGROUP MEMBERS CONCLUDED THAT MASK AND VACCINE REQUIREMENTS KEPT SOME AWAY IN 2021. THIS RESULTED IN 12,311 UNINSURED RESIDENTS RECEIVING BLOOD PRESSURE SCREENINGS.HEALTH PRIORITY: HEALTH OF OLDER ADULTSGOAL: INCREASE CAPACITY FOR OLDER ADULTS (AGE 60+) TO COMFORTABLY AND SAFELY AGE IN PLACE WITH APPROPRIATE RESOURCES IN A LIVABLE COMMUNITY.OBJECTIVES:1. COMPLETE 100% OF THE STEPS REQUIRED TO SUBMIT PRODUCE THE COLLIER COUNTY AGE-FRIENDLY ACTION PLAN BY DECEMBER 2022. PROGRESS: THIS WORKGROUP HAS BROKEN UP INTO THREE CLUSTER GROUPS THAT COVER THE 8 DOMAINS OF A LIVABLE COMMUNITY. AS A RESULT, 60% OF THE PROJECT HAS BEEN COMPLETED BY THE END OF 2021.2. REACH A MINIMUM OF 50 COMMUNITY TOUCHPOINTS REGARDING DEMENTIA PRESENTATIONS, OUTREACH, TRAININGS, AND EVENTS BY DECEMBER 2022. PROGRESS: AT THE END OF 2021, 83 COMMUNITY TOUCHPOINTS WERE MADE. AS A RESULT THE TARGET FOR 2022 HAS BEEN INCREASED TO 100.THE CHIP SERVES AS A ROADMAP FOR CONTINUOUS IMPROVEMENT. THE CHIP WILL CONTINUE TO EVALUATE THE NEEDS OF THE COMMUNITY AND BY WORKING TOGETHER, WE CAN HAVE A SIGNIFICANT IMPACT ON COLLIER COUNTY'S HEALTH AND WELL-BEING AWARENESS.
NAPLES COMMUNITY HOSPITAL, INC.PART V, SECTION B, LINE 6A: CHNA CONDUCTED WITH ONE OR MORE HOSPITAL FACILITIESAS PART OF AN INTEGRATED HEALTHCARE SYSTEM, THE CHNA FOR NAPLES COMMUNITY HOSPITAL AND MARCO ISLAND HOSPITAL WAS PREPARED JOINTLY.
NAPLES COMMUNITY HOSPITAL, INC.PART V, SECTION B, LINE 11: ADDRESSING THE NEEDS IDENTIFIED IN THE CHNATHE CHNA IDENTIFIED PROBLEM AREAS THAT NEEDED TO BE ADDRESSED. THESE INCLUDE SUFFICIENT JOB EMPLOYMENT, ECONOMIC OPPORTUNITIES, ACCESS TO AFFORDABLE HOUSING, DRUG AND ALCOHOL ABUSE, SAFE ROADWAYS FOR BICYCLIST AND PEDESTRIANS, PRIMARY CARE RESOURCES, ACCESS TO AFFORDABLE HEALTHY FOOD, ACCESS TO LONG TERM CARE NEEDS, COMMUNICABLE DISEASE, OBESITY, CHRONIC DISEASE, MENTAL HEALTH, DENTAL HEALTH, ACCESS TO CARE, DISABILITIES AND UNINTENTIONAL INJURIES.UPON REVIEW OF THE FINDINGS OF THE CHNA, THE NCH LEADERSHIP TEAM CAME UP WITH FIVE KEY AREAS TO FOCUS ON WHICH INCLUDED MENTAL HEALTH, CHRONIC DISEASE (ONCOLOGY), MATERNAL AND INFANT HEALTH, HEALTH OF THE OLDER POPULATION AND HEALTH BEHAVIORS AND OUTCOMES. BELOW IS A SUMMARY OF ACTIVITIES AND INITIATIVES NCH ACHIEVED IN THE PAST THREE YEARS IN THESE SPECIFIC KEY AREAS.MENTAL HEALTHIN AN EFFORT TO EXPAND ACCESS OF OUTPATIENT BEHAVIORAL HEALTH SERVICE NCH CO-LOCATED PHYSICIAN PRACTICES AND NCH HAS BEEN PARTICIPATING IN THE COLLIER COUNTY COMMISSIONERS AD HOC TASK FORCE ON MENTAL HEALTH AND ADDICTION NEEDS IN COLLIER COUNTY. THE COMMITTEE SPONSORED A ONE-CENT SALES TAX, WHICH WAS APPROVED FOR $25 MILLION FOR IMPROVING MENTAL HEALTH IN COLLIER. IN RESPONSE TO MANAGING HIGH-RISK PSYCHIATRIC PATIENTS, NCH HAS PLACED CASE MANAGERS IN NCH EMERGENCY DEPARTMENTS TO WORK WITH FREQUENT USERS OF ED AND INPATIENT SERVICES.IN ORDER TO TARGET SEVERE DEPRESSION NCH WILL SOON BE IMPLEMENTING AN ELECTRO CONVULSIVE THERAPY PROGRAM (ECT) AND A TRANS MAGNETIC SIMULATION PROGRAM (TMS), AS WELL AS IV KETAMINE AND INTRA NASAL KETAMINE PROGRAMS WHEN APPROVED BY THE FDA.CHRONIC DISEASE (ONCOLOGY)MAMMOGRAM SCREENINGS ARE OFFERED AND PROVIDED TO UNINSURED AND UNDERINSURED PATIENTS. IN ADDITION, A COMMUNITY FAIR IS SCHEDULED EACH YEAR AT LOCAL CHURCHES, CP-3 SCREENINGS AND AN AMERICAN CANCER ASSOCIATION STUDY HAS ALSO BEEN COMPLETED.NCH HIRED CARDIO THORACIC SURGEONS WHO DEVELOPED A COMPREHENSIVE LUNG CANCER PROGRAM FOCUSING ON SCREENING, NAVIGATION, SURVIVORSHIP AND SURGICAL INTERVENTION.NCH EXPANDED ITS NURSE NAVIGATION PROGRAM WITH FOCUS ON FOLLOWING ONCOLOGY PATIENTS THROUGHOUT THE CONTINUUM OF CARE WITH SPECIAL EMPHASIS ON BREAST AND LUNG PATIENTS AS WELL AS SCREENING ACTIVITIES.MATERNAL AND INFANT HEALTHNCH'S INITIAL LATCH MEASUREMENT IS 86%. NCH IS IMPLEMENTING SKIN TO SKIN IN THE DELIVERY ROOM. THE SKIN TO SKIN RATE IS 94%. ALL REGISTERED NURSES IN LABOR AND DELIVERY, MOTHER/BABY, NEONATAL INTENSIVE CARE UNIT, PEDIATRICS AND PEDIATRICS ED ARE EDUCATED IN BREASTFEEDING. NCH MAINTAINS A BREASTFEEDING RATE OF 56%. NCH EMPLOYS 1 FULL-TIME AND 1 PART-TIME EQUIVALENT LACTATION CONSULTANTS WHICH ARE AVAILABLE 7 DAYS A WEEK 16 HOURS PER DAY. NCH ALSO HOSTS THE COLLIER COUNTY BREASTFEEDING COALITION WITH AN OVERALL GOAL TO INCREASE BREASTFEEDING RATES IN COLLIER COUNTY.NCH IS A HOST MEMBER OF A SUBSTANCE ABUSE COALITION AND SPONSORS REGULAR MEETINGS HELD AT NCH. THE COALITION REPORTS DATA TO THE STATE AND ALSO SUPPORTS NURSE EDUCATIONAL PROGRAMS FOR PARENTS ON THE DETRIMENTAL EFFECTS OF SUBSTANCE ABUSE FOR NEWBORNS. ALL PATIENTS AND PARENTS ARE OFFERED TDAP IMMUNIZATION AND CURRENTLY ON WOMEN AND CHILDREN'S AND PEDIATRIC NURSING UNITS A STANDING ORDER FOR TDAP ADMINISTRATION IF STATUS IS UNKNOWN. IN ADDITION, IN WOMEN AND CHILDREN'S AND PEDIATRIC NURSING UNITS ALL NCH STAFF HAVE RECEIVED THE TDAP VACCINE AS WELL AS ANY NEW STAFF.HEALTH OF THE OLDER POPULATIONNCH HAS EXPANDED GERIATRIC MEDICINE TO MULTIPLE NCH PHYSICIAN PRACTICES.TWO NCH PHYSICIANS ARE MEDICAL DIRECTORS OF TWO SKILLED NURSING FACILITIES IN COLLIER COUNTY.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 2021 INCLUDE, BUT ARE NOT LIMITED TO: I. THE VON ARX DIABETES CENTER SERVED 5,644 OUTPATIENT VISITS; II. SERVICES WERE EXPANDED TO MARCO ISLAND AND BONITA SPRINGS; III. EXPANDED GROCERY STORE TOURS; IV. MAINTAINED ACCREDITATION WITH THE AMERICAN DIABETES ASSOCIATION NCH WORKING WITH THE FLORIDA DEPARTMENT OF HEALTH - COLLIER COUNTY PARTICIPATED AGAIN IN THE COLLIER COUNTY COMMUNITY ASSESSMENT DESIGN GROUP. THE SCOPE OF THE GROUP IS TO DESIGN A COMMUNITY STRENGTHS/OPPORTUNITIES SURVEY. A SURVEY WAS PREPARED AND SENT OUT TO THE HEALTH CARE LEADERS, COMMUNITY FOCUS GROUPS AND HEALTH CARE STAFF. IDENTIFIED PROBLEM AREAS INCLUDED THE FOLLOWING:CHRONIC DISEASE AND MORTALITYINFECTIOUS DISEASEMATERNAL AND INFANT HEALTHINJURIESACCESS TO HEALTHCAREHEALTH BEHAVIORS AND HEALTH STATUSMENTAL HEALTHORAL HEALTHTHE HEALTH OF THE OLDER POPULATIONSUBSEQUENTLY, THE LEADERSHIP FOCUS GROUP MET TO DISCUSS BOTH THE POSITIVE AND NEGATIVE FACTORS THAT INFLUENCED THESE AREAS.THE NEXT STEP IN THE PROCESS WAS TO CONDUCT GEOGRAPHICAL AREA COMMUNITY FOCUS GROUPS. THESE GROUPS WERE CHOSEN TO REFLECT AND INCLUDE THE DIVERSITY OF COMMUNITY LOCATIONS, ETHNICITY, AND SOCIO-ECONOMIC FACTORS. THE DISTINCT AREAS OF THE COUNTY REPRESENTED UNIQUE DEMOGRAPHIC AND SOCIOECONOMIC CHARACTERISTICS. THE DIFFERENCES WERE VALUABLE AND USEFUL FOR ASSESSING AND PRIORITIZING HEALTHCARE NEEDS WITHIN OUR COMMUNITY. IN ADDITION, WE PROVIDED INPUT INTO THE ANALYSIS ON VARIOUS HEALTH INDICATORS WHICH INCLUDED THE FOLLOWING: POPULATION SOCIOECONOMIC CHARACTERISTICS INFECTIOUS DISEASE HEALTH BEHAVIORS AND HEALTH STATUS MORTALITY INDICATORS MATERNAL AND INFANT HEALTH HEALTH OF THE OLDER POPULATIONUPON REVIEW OF THE FINDINGS OF THE (CHNA) THE NCH LEADERSHIP TEAM REVIEWED THE FINDINGS. A PRIORITIZATION SESSION WAS COMPLETED WHICH WAS BASED ON THE MISSION, VISION AND CORE VALUES OF THE NCH HEALTHCARE SYSTEM WITH A PRIMARY FOCUS ON THE GOAL OF COLLIER COUNTY BECOMING THE HEALTHIEST COUNTY IN THE UNITED STATES. UPON MUCH DISCUSSION THE TEAM CAME UP WITH FOUR KEY AREAS OF FOCUS WHICH INCLUDE: MENTAL HEALTH ACCESS TO CARE CHRONIC DISEASE HEALTH OF OLDER ADULTSUNADDRESSED IDENTIFIED NEEDSALTHOUGH SEVERAL COMMUNITY NEEDS WERE IDENTIFIED, NCH MUST FOCUS OUR EXISTING CLINICAL STRENGTHS AND INFRASTRUCTURE WHERE WE CAN MAXIMIZE OUR RESOURCES TO BENEFIT THE GREATEST NUMBER OF PEOPLE IN THE COMMUNITY. NCH WILL CONTINUE TO RE-EVALUATE THE UNADDRESSED IDENTIFIED NEEDS AND PURSUE ACTION WHEN AND WHERE RESOURCES ALLOW.
NAPLES COMMUNITY HOSPITAL, INC.PART V, SECTION B, LINE 13B: NCH HAS A POLICY THAT ALLOWS A DISCOUNT FOR SELF-PAY UNINSURED OR UNDERINSURED PATIENTS WITH INCOME AND ASSETS GREATER THAN 200% OF FPG WHEN THE FAP APPLICATION AND SUPPORTING DOCUMENTATION IS PROVIDED.NCH RETAINS DISCRETION TO PROVIDE FINANCIAL ASSISTANCE TO PATIENTS WHO FALL OUTSIDE THE FPG INCOME GUIDELINES. OTHER CONSIDERATIONS TO INCOME LEVEL ARE PERCENTAGE OF TOTAL AMOUNT CHARGED BASED ON SERVICES PROVIDED TO THE PATIENT COMPARED TO PATIENTS INCOME.
NAPLES COMMUNITY HOSPITAL, INC.PART V, SECTION B, LINE 13H: NAPLES COMMUNITY HOSPITAL, INC.:BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS.OTHER CRITERIA USED TO DETERMINE ELIGIBILITY ARE PATIENTS WHO ARE ELIGIBLE TO RECEIVE BENEFITS FROM A GOVERNMENTAL AGENCY AS THE VICTIM OF A VIOLENT CRIME OR SEXUAL ASSAULT AND THE TREATMENT IS RELATED TO THE VIOLENT CRIME OR SEXUAL ASSAULT.

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:NCH USES OTHER FACTORS OTHER THAN FPG TO DETERMINE ELIGIBILTY FOR PROVIDING FREE OR DISCOUNTED CARE AS DESCRIBED BELOW.PRESUMPTIVE ELIGIBILITYPATIENTS MAY BE ELIGIBLE FOR A DISCOUNT OF THE FULL UNPAID BALANCE IN THE ABSENCE OF A COMPLETED FINANCIAL ASSISTANCE APPLICATION FORM IF THE PATIENT MEETS ONE OF THE FOLLOWING:1. IS HOMELESS2. IS DECEASED AND HAS NO KNOWN ESTATE AVAILABLE TO PAY MEDICAL BILLS3. IS CURRENTLY ELIGIBLE FOR MEDICAID (AS PRIMARY INSURANCE) BUT WAS NOT AT DATE OF SERVICE OR MEDICAID BENEFITS ARE EXHAUSTED.4. IS ELIGIBLE TO RECEIVE BENEFITS FROM A GOVERNMENTAL AGENCY AS THE VICTIM OF A VIOLENT CRIME OR SEXUAL ASSAULT AND THE TREATMENT IS RELATED TO THE VIOLENT CRIME OR SEXUAL ASSAULT.5. A DEMONSTRATED INABILITY TO PAY FOR SERVICES BASED ON ALL AVAILABLE ASSETS. PATIENTS RECEIVING CARE IN OR FROM THE EMERGENCY DEPARTMENT WHO ARE WITHOUT FINANCIAL RESOURCES MAY BE ELIGIBLE FOR THE FAP IF THEY ARE UNEMPLOYED OR SELF-EMPLOYED AND CANNOT PROVIDE INCOME AN INCOME TAX STATEMENT, ARE INDIGENT WITHOUT ACCESS TO THE REQUIRED APPLICATION DOCUMENTATION MAY STILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE.
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 FORM 990, SCH. H, 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 $961,764 FOR THE YEAR ENDED SEPTEMBER 30, 2021. THIS AMOUNT HAS BEEN SUBTRACTED FOR THE PURPOSE OF CALCULATING THE PERCENTAGE REPORTED ON THE SCHEDULE H, PART I, LINE 7 TABLE.
PART II, COMMUNITY BUILDING ACTIVITIES:COMMUNITY BUILDING ACTIVITIESSHARING OUR SPACEWHEN SPACE IS AVAILABLE, NCH PROVIDES SPACE AT NO COST TO NEEDY, NOT-FOR-PROFIT ORGANIZATIONS. THE TELFORD EDUCATION CENTER IS AVAILABLE TO NOT-FOR-PROFIT HEALTHCARE RELATED GROUPS SUCH AS MENDED HEARTS AND THOSE THAT PROVIDE SUPPORT FOR STROKE AND KIDNEY PATIENTS. RESIDENTS OF MARCO BENEFITED WITH THE USE OF OUR FACILITY FOR COMMUNITY EDUCATION AND THE HOSPICE SUPPORT GROUP.CLINICAL NURSING SCHOOLTHE CLINICAL NURSING SCHOOL OF FLORIDA SOUTHWESTERN STATE COLLEGE IS PROVIDED HERE AT NCH. FOR YEARS, NCH HAS ALWAYS WELCOMED STUDENTS OF FLORIDA SOUTHWESTERN STATE COLLEGE AND LORENZO WALKER INSTITUTE OF TECHNOLOGY TO OUR FACILITIES. NCH PROVIDES ON-SITE CLASSROOMS FOR CLINICAL EDUCATION.NURSING AND RADIOLOGY SCHOLARSHIPS ARE GENEROUSLY FUNDED AT BOTH FLORIDA SOUTHWESTERN STATE COLLEGE AND FGCU.SHARING OUR EXPERTISEMEMBERS OF NCH MANAGEMENT SERVE ON COMMUNITY BOARDS IN VARIOUS CAPACITIES. WE ALSO PROVIDE EXPERTISE TO OTHER COMMUNITY ISSUES SUCH AS WORKFORCE HOUSING AND WORKFORCE DEVELOPMENT.EMPLOYING THE COMMUNITYNCH IS GROWING OUR OWN HEALTHCARE PROFESSIONALS, AND HELPING OTHERS SEEKING WORK, TO FIND IT. CAREER DAYS, JOB SHADOWING, AND LECTURES AT LOCAL MIDDLE AND HIGH SCHOOLS ENLIGHTEN STUDENTS ABOUT THE MANY OPPORTUNITIES IN THE HEALTHCARE WORLD.
PART III, LINE 2:BAD DEBT EXPENSE, COSTING METHODOLOGY USEDBAD DEBT EXPENSE IN THE FINANCIAL STATEMENTS IS DETERMINED BY PATIENTS THAT HAVE FILED FOR BANKRUPTCY AND/OR HAVE LOSS OF EMPLOYMENT AFTER THE DATE OF SERVICE.
PART III, LINE 3:BAD DEBT EXPENSETHE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 2 IS BASED ON A COST TO CHARGE RATIO. THE COST TO CHARGE RATIO WAS DERIVED FROM FORM 990, SCH. H, WORKSHEET 2.
PART III, LINE 4:BAD DEBT FOOTNOTEBAD DEBTS REPRESENT CHARGES DEEMED UNCOLLECTIBLE DUE TO EITHER: (A) A PATIENT'S INABILITY TO QUALIFY AS CHARITY, WELFARE, OR MEDICAID, YET CLEAR FINANCIAL INDICATIONS EXIST THAT DEMONSTRATE AN INABILITY TO PAY, OR (B) A PATIENT'S REFUSAL TO PAY FOR SERVICES PROVIDED AND THE SYSTEM'S DECISION TO CEASE FURTHER COLLECTION EFFORTS. BAD DEBT EXPENSE IN THE FINANCIAL STATEMENTS IS DETERMINED BY PATIENTS THAT HAVE FILED FOR BANKRUPTCY AND/OR HAVE LOSS OF EMPLOYMENT AFTER THE DATE OF SERVICE. THE BAD DEBT EXPENSE FOOTNOTE DISCLOSURES CAN BE FOUND ON PAGES 17 AND 18 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 FORM 990, SCH. H, WORKSHEET 2.CONSISTENT WITH THE CHARITABLE HEALTHCARE MISSION OF NCH AND THE COMMUNITY BENEFIT STANDARD SET FORTH IN IRS REVENUE RULING 69-545, THE HOSPITAL PROVIDES CARE FOR ALL PATIENTS COVERED BY MEDICARE SEEKING MEDICAL CARE. SUCH CARE IS PROVIDED FOR SUCH SERVICES MEETS OR EXCEEDS THE COSTS INCURRED BY THE HOSPITAL TO PROVIDE SUCH SERVICES.AS A RESULT, NAPLES COMMUNITY HOSPITAL, INC. VIEWS ANY SHORTFALL REPORTED IN LINE 7 AS AN ADDITIONAL ITEM OF COMMUNITY BENEFIT PROVIDED BY THE ORGANIZATION.
PART III, LINE 9B:COLLECTION PRACTICESNAPLES COMMUNITY HOSPITAL, INC. PROVIDES URGENT/EMERGENT MEDICAL SERVICES WITHOUT REGARD TO ABILITY TO PAY. NAPLES COMMUNITY HOSPITAL, INC. ALSO PROVIDES CARE WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES TO PATIENTS WHO MEET SPECIFIC CRITERIA UNDER THE STATE'S CHARITY CARE GUIDELINES. BECAUSE NAPLES COMMUNITY HOSPITAL, INC. DOES NOT PURSUE COLLECTION OF ACCOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THESE AMOUNTS ARE NOT REPORTED AS REVENUE.
PART VI, LINE 2:NEEDS ASSESSMENTTHE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES IN VARIOUS WAYS. OUR LEADERSHIP TEAM IS ACTIVELY INVOLVED AND PARTICIPATES IN MANY COMMUNITY RELATED ORGANIZATIONS AND GROUPS THAT ARE CONTINUALLY ASSESSING UNMET NEEDS WITHIN COLLIER COUNTY. WE HAVE HISTORICALLY WORKED WITH OUR BOARD OF TRUSTEES, COLLIER COUNTY CHILDREN'S ALLIANCE, COLLIER COUNTY PUBLIC SCHOOLS, THE IMMOKALEE FOUNDATION, CHILDREN'S MEDICAL SERVICES, AND OTHER AGENCIES THROUGHOUT OUR COMMUNITY IN ASSESSING AND COLLABORATING IN EFFORTS TO IMPROVE THE HEALTH OF OUR COMMUNITY.NCH PROVIDES MANY HEALTH-ENHANCING EDUCATIONAL PROGRAMS AND RESOURCES IN PROMOTING HEALTH TO THE COMMUNITY. THE CURRENT PROGRAMS AND RESOURCES PROVIDED TO THE COMMUNITY INCLUDE THE FOLLOWING: HEALTH SEMINARS, COMMUNITY HEALTH FAIRS, FREE DIAGNOSTIC AND SCREENING TESTING, THE NEIGHBORHOOD HEALTH CLINIC, HEART PROGRAMS, CANCER SURVIVAL AWARENESS, PATIENT SUPPORT GROUPS, TWO WELLNESS CENTERS, VON ARX DIABETES CENTER, PASTORAL CARE SERVICES, AND SPONSOR AND SUPPORT CLINICAL NURSING SCHOOLS.IN ADDITION TO THE PROGRAMS LISTED, WE ARE ALSO WORKING WITH THE SAFE AND HEALTHY CHILDREN'S COALITION OF COLLIER COUNTY TO DEVELOP PROGRAMS FOR DROWNING PREVENTION, CHILDHOOD OBESITY, SAFE SLEEP EFFORTS, AND BREASTFEEDING PROGRAMS.DURING 2019, WE COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND HAVE POSTED THIS REPORT ON OUR WEBSITE (HTTP://WWW.NCHMD.ORG/ABOUT-US/ANNUAL-REPORTS). WE ARE COMMITTED TO PROMOTING EXISTING AND POTENTIAL NEW PROGRAMS TO THE COMMUNITY IN RESPONSE TO THE COMMUNITY HEALTH NEEDS ASSESSMENT. PLEASE REFER TO THIS REPORT AND DETAILED PLAN WHICH WAS REVIEWED BY THE NCH HEALTHCARE SYSTEM BOARD OF TRUSTEES AND APPROVED AT THE SEPTEMBER 25, 2019 BOARD OF TRUSTEE MEETING. INCLUDED IN THE 2019 REPORT IS THE BLUE ZONE PROJECT WHICH BEGAN IN 2015 AND IS SPONSORED BY NCH. THE BLUE ZONE PROJECT IS A COMPREHENSIVE WELL-BEING IMPROVEMENT INITIATIVE DESIGNED TO HELP PEOPLE LIVE LONGER AND BETTER BY BUILDING STRONG SOCIAL NETWORKS AND ENCOURAGING SUSTAINABLE CHANGES THROUGHOUT THE COMMUNITY THAT LEADS TO HEALTHIER CHOICES.
PART VI, LINE 3:INFORMATION REGARDING PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCENAPLES COMMUNITY HOSPITAL, INC. RECOGNIZES ITS RESPONSIBILITY TO COMMUNICATE ITS FINANCIAL POLICIES AND EXPECTATIONS TO PATIENTS. THE HOSPITAL INFORMS AND EDUCATES PATIENTS BY PROVIDING PATIENTS WITH THE NCH HEALTHCARE SYSTEM PATIENT RIGHTS AND RESPONSIBILITIES. INCLUDED IN THESE RIGHTS IS THE RIGHT TO BE GIVEN, UPON REQUEST, FULL MEDICAL INFORMATION AND FINANCIAL COUNSELING. IN ADDITION, A PATIENT REPRESENTATIVE WILL CONTACT PATIENTS PRIOR TO SERVICES TO EVALUATE THE PATIENT'S ABILITY TO PAY. THIS PROCESS INCLUDES OBTAINING THE PATIENT'S CURRENT FINANCIAL INFORMATION, OBTAINING A CREDIT REPORT AND REVIEWING THE PATIENT'S PAYMENT HISTORY WITH NAPLES COMMUNITY HOSPITAL, INC. PERSONS REQUIRING ASSISTANCE WITH THE UNFUNDED PORTION OF THEIR BILLS ARE ENCOURAGED TO REQUEST A CHARITY EVALUATION. NCH ALSO PROVIDES ASSISTANCE FOR PATIENTS TO APPLY FOR MEDICAID COVERAGE OR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS WHICH MAY ASSIST WITH PAYMENT FOR MEDICAL SERVICES.
PART VI, LINE 4:COMMUNITY INFORMATIONNAPLES COMMUNITY HOSPITAL, INC. SERVES A DIVERSE AND SEASONAL COMMUNITY. THE POPULATION IS APPROXIMATELY 398,304. THE MEDIAN AGE OF RESIDENTS IS 51. THE ESTIMATED MEDIAN HOUSEHOLD INCOME IS $69,653. THE UNEMPLOYMENT RATE IS APPROXIMATELY 3.9%. THE PERCENTAGE OF RESIDENTS BELOW THE POVERTY LEVEL IS APPROXIMATELY 11.21%.
PART VI, LINE 5:INFORMATION REGARDING PROMOTION OF COMMUNITY HEALTHNAPLES COMMUNITY HOSPITAL, INC. PROVIDES HEALTH-ENHANCING EDUCATIONAL PROGRAMS AND RESOURCES IN PROMOTING THE HEALTH OF OUR COMMUNITY. THE TYPE OF PROGRAMS/RESOURCES PROVIDED INCLUDE: HEALTH SEMINARS, COMMUNITY HEALTH FAIRS AND TESTING, REGISTERED NURSES EDUCATING FUTURE PATIENTS, SUPPORTING THE NEIGHBORHOOD HEALTH CLINIC, PHYSICIAN LED ACCESS NETWORK OF COLLIER COUNTY, HEART PROGRAMS, CANCER SURVIVAL AWARENESS, SUPPORT OF PATIENT FAMILIES, DR. JOHN BRIGGS WELLNESS CENTER, AS WELL AS THE SHARING OF SPACE AT NO COST TO NEEDY, NOT-FOR-PROFIT ORGANIZATIONS. THE ORGANIZATION ALSO SPONSORS AND SUPPORTS THE CLINICAL NURSING SCHOOLS IN THE COMMUNITY.THE ORGANIZATION'S CIVIC INVOLVEMENT INCLUDES MEMBERS OF NCH MANAGEMENT SERVING ON COMMUNITY BOARDS IN VARIOUS CAPACITIES. THE HOSPITALS HAVE ALWAYS PROVIDED EXEMPLARY PASTORAL CARE SERVICES. NCH IS ENCOURAGING THEIR OWN HEALTHCARE PROFESSIONAL BY SPONSORING CAREER DAYS, JOB SHADOWING, AND LECTURES AT LOCAL MIDDLE AND HIGH SCHOOLS ON THE MANY OPPORTUNITIES IN THE HEALTHCARE FIELD. FOR ADDITIONAL COMMUNITY ACTIVITIES THAT NAPLES COMMUNITY HOSPITAL, INC. SUPPORTS, PLEASE REFER TO FORM 990, SCHEDULE O, PART III, PROGRAM SERVICES.
PART VI, LINE 6:AFFILIATED HEALTHCARE SYSTEM INFORMATIONNAPLES COMMUNITY HOSPITAL, INC. IS AN AFFILIATE OF THE NCH HEALTHCARE SYSTEM, INC. NCH HEALTHCARE SYSTEM, INC. PROVIDES HEALTH-ENHANCING EDUCATIONAL PROGRAMS AND RESOURCES IN PROMOTING THE HEALTH OF OUR COMMUNITY. IN ADDITION TO NAPLES COMMUNITY HOSPITAL, INC., THE NCH HEALTHCARE SYSTEM ALSO INCLUDES THE FOLLOWING NON-PROFIT ORGANIZATIONS:> MARCO ISLAND HOSPITAL, INC., OPERATES AN 11 1/2-HOUR/7-DAYS A WEEK URGENT CARE FACILITY AND SERVICES PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY. DURING FYE 09/30/2021, 6,186 PATIENTS WERE TREATED. OF THESE PATIENTS, 7.45 % WERE CLASSIFIED AS MEDICAID, CHARITY, OR BAD DEBTS.> COLLIER HEALTH CARE, INC. OWNS AND LEASES HEALTHCARE FACILITIES IN NAPLES AND IMMOKALEE, FLORIDA. > NCHMD, INC. OWNS AND OPERATES PHYSICIAN MEDICAL PRACTICES AND OUTPATIENT RADIOLOGY SERVICES IN COLLIER AND LEE COUNTY, FLORIDA.
PART VI, LINE 7, REPORTS FILED WITH STATESFL

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PAUL HILTZ
PRESIDENT/CEO/TRUSTEE$855,115$0$21,250$0$20,688$0$11,400$0$22,280$0$930,733$0$0$0
ALLEN S WEISS MD TERM 0119
FORMER PRESIDENT/CEO/TRUSTEE$0$0$0$0$909,806$0$0$0$17,158$0$926,964$0$0$0
PHILLIP DUTCHER TERM 0721
CHIEF OPERATING OFFICER SYSTEM$607,258$0$77,358$0$23,208$0$11,400$0$2,742$0$721,966$0$0$0
RICK WYLES
CFO/ASSISTANT TREASURER$452,476$0$42,867$0$20,688$0$11,400$0$23,275$0$550,706$0$0$0
KEVIN D COOPER TERM 0119
FORMER CHIEF OF STAFF$0$0$0$0$522,084$0$0$0$16,889$0$538,973$0$0$0
FRANK ASTOR MD TERM 1119
FORMER CHIEF MEDICAL OFFICER$0$0$0$0$487,788$0$0$0$16,236$0$504,024$0$0$0
JONATHAN KLING RN START 721
CHIEF OPERATIONS OFFICER SYSTEM$384,005$0$42,623$0$19,770$0$11,400$0$22,258$0$480,056$0$0$0
ZACHARY BOSTOCK TERM 0320
FORMER CHIEF ADMINISTRATIVE OFFICER$98,702$0$41,802$0$300,787$0$5,559$0$24,052$0$470,902$0$0$0
KRISTIN MASCOTTI MD
CHIEF MEDICAL OFFICER$316,117$0$90,000$0$19,627$0$0$0$9,008$0$434,752$0$0$0
LINDA ROEBACK TERM 0520
FORMER CHIEF COUNSEL$119,967$0$29,754$0$247,457$0$6,514$0$15,531$0$419,223$0$0$0
JIM MAHON
SENIOR VICE PRESIDENT$374,692$0$3,095$0$21,346$0$2,338$0$593$0$402,064$0$0$0
CHARLES GRAEBER MD
PROGRAM DIRECTOR, INT. MED RES.$363,391$0$12,207$0$3,708$0$11,400$0$1,404$0$392,110$0$0$0
RENEE M THIGPEN
CHIEF HR OFFICER$305,567$0$29,991$0$20,688$0$11,400$0$18,708$0$386,354$0$0$0
MICHAEL RILEY TERM 1120
CHIEF STRATEGY OFFICER$264,261$0$29,630$0$45,810$0$11,400$0$17,489$0$368,590$0$0$0
PAMELA ZIPPERER-DAVIS TRM 0321
CHIEF ADMINISTRATIVE OFFICER$252,554$0$50,000$0$19,774$0$0$0$12,569$0$334,897$0$0$0
GARY TOMCIK TERM 0420
FORMER CHIEF EXPERIENCE OFFICER$82,909$0$26,378$0$173,006$0$4,422$0$23,521$0$310,236$0$0$0
KIM THORP
DIRECTOR OF PHARMACY SYSTEM$194,320$0$6,863$0$774$0$8,324$0$24,317$0$234,598$0$0$0
NOBLE ARRINGTON
CONTROLLER$186,716$0$6,584$0$414$0$7,985$0$23,560$0$225,259$0$0$0
ILIA ECHEVARRIA RN
ASSOCIATE CHIEF NURSE PROF PRACTICE$192,116$0$6,656$0$270$0$8,072$0$11,696$0$218,810$0$0$0
GINA TEEGARDEN RN START 721
INTERIM CHIEF NURSING OFFICER$190,216$0$6,533$0$414$0$6,010$0$8,979$0$212,152$0$0$0
ANDREW COOPER
EXECUTIVE DIRECTOR I.T.$182,463$0$6,373$0$162$0$7,729$0$9,681$0$206,408$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINES 4A-BPART I, LINE 4A: PRESIDENT AND CEO RESIGNED 01/2019 AND RECEIVED A SEVERANCE PAYMENT OF $909,806 FOR CALENDAR YEAR 2020. CHIEF OF STAFF RESIGNED 01/2019 AND RECEIVED A SEVERANCE PAYMENT OF $522,084 FOR CALENDAR YEAR 2020. CHIEF MEDICAL OFFICER RESIGNED 11/19 AND RECEIVED A SEVERANCE PAYMENT OF $487,788 FOR CALENDAR YEAR 2020. CHIEF ADMINISTRATIVE OFFICER RESIGNED 03/20 AND RECEIVED A SEVERANCE PAYMENT OF $296,107 FOR CALENDAR YEAR 2020. GENERAL COUNSEL RESIGNED 05/20 AND RECEIVED A SEVERANCE PAYMENT OF $239,933 FOR CALENDAR YEAR 2020. CHIEF EXPERIENCE OFFICER RESIGNED 04/20 AND RECEIVED A SEVERANCE PAYMENT OF $165,818 FOR CALENDAR YEAR 2020. PART I, LINE 4B: THE FOLLOWING EXECUTIVES PARTICIPATED IN A 457 (F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. NO DISTRIBUTIONS WERE PAID IN CALENDAR YEAR 2020. PAUL HILTZ, PRESIDENT AND CEO PHILLIP DUTCHER, CHIEF OPERATING OFFICER RICK WYLES, CHIEF FINANCIAL OFFICER JONATHAN KLING, CHIEF OPERATIONS OFFICER KRISTIN MASCOTTI, M.D., CHIEF MEDICAL OFFICER JIM MAHON, SENIOR VICE PRESIDENT RENEE THIGPEN, CHIEF HUMAN RESOURCES OFFICER PAMELA ZIPPERER-DAVIS, CHIEF ADMINISTRATIVE OFFICER
PART I, LINE 7PROVISIONS OF NON-FIXED PAYMENTS THIS ORGANIZATION IS AN AFFILIATE OF NCH HEALTHCARE SYSTEM, INC. ("THE SYSTEM"). THE SYSTEM MAY PROVIDE DISCRETIONARY BONUS AND/OR INCENTIVE COMPENSATION PAYMENTS TO ELIGIBLE EMPLOYEES. COMPENSATION PAYMENTS FOR ALL EMPLOYEES EXCLUDING THE CEO AND SENIOR LEADERSHIP TEAM IS DETERMINED BY THE SYSTEM BOARD OF TRUSTEES HUMAN RESOURCES COMMITTEE AND/OR CEO. COMPENSATION PAYMENTS MADE TO ANY DISQUALIFIED PERSON IS APPROVED BY THE SYSTEM THROUGH THE PROCESS DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 15.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
COLLIER CTY INDSTL DEVLMT AUTHORITY
A5916956792020-03-31$50,000,000NEW CAPITAL FOR FACILITIES AND EQUIPMENT000
COLLIER CTY INDSTL DEVLMT AUTHORITY
B5916956792021-03-30$90,767,000REFINANCE 2011 BONDS000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRefunding EscrowRefundingEscrowAmt
A$42,700,000$250,525$42,449,4752022000Yes (1)
B$90,767,000$150,2742039Yes (1)0Yes (1)Yes (1)$90,616,726

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A000000Yes (1)
B000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A00Yes (1)00000Yes (1)
B00Yes (1)00000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE K, PART II, LINE 3FormAndLineReferenceDesc
ExplanationFOR COLLIER COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY-SERIES 2020, THE TOTAL PROCEEDS OF ISSUE REPORTED INCLUDES $250,525 IN BOND ISSUANCE COSTS. FOR COLLIER COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY-SERIES 2021, THE TOTAL PROCEEDS OF ISSUE REPORTED INCLUDES $150,274 IN BOND ISSUANCE COSTS AND $90,616,726 IN PRIOR TAX-EXEMPT BONDS REFUND.ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonPAUL HILTZPersonNm
Relationship With OrgCEO/PRESIDENTRelationshipWithOrgTxt
Loan PurposeRETAIN - RETENTION INCENTIVELoanPurposeTxt
Loan From OrganizationYes (X)LoanFromOrganizationInd
Original Principal$50,000OriginalPrincipalAmt
Balance Due$30,000BalanceDueAmt
Default0DefaultInd
Board Or Committee ApprovalYes (1)BoardOrCommitteeApprovalInd
Written AgreementYes (1)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$30,000TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
SHARIE TOMCIK
FMLY MEMBER/FORMER OFFICER$6,053PYMT COMP0
WYNN PROPERTIES
OWNER/TRUSTEE$103,465RENTAL PAYMENTS0
MEGAN RILEY
FMLY MEMBER/OFFICER$48,328PYMT COMP0
WYNN'S FAMILY MARKET
OWNER/TRUSTEE$125,338PURCHASES0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE L, PART IVFormAndLineReferenceDesc
ExplanationMEGAN RILEY IS THE DAUGHTER OF MICHAEL RILEY, CHIEF STRATEGY OFFICER. SHARIE TOMCIK, R.N., IS THE SPOUSE OF GARY TOMCIK, FORMER CHIEF EXPERIENCE OFFICER.MICHAEL WYNN IS A TRUSTEE AND AN OWNER OF WYNN PROPERTIES WHICH NCH PAYS FOR RENTAL SPACE.MICHAEL WYNN IS A TRUSTEE AND AN OWNER OF SUNSHINE ACE HARDWARE WHERE NCH PURCHASES SUPPLIES.MICHAEL WYNN IS A TRUSTEE AND AN OWNER OF WYNN'S FAMILY MARKET WHERE NCH PURCHASES SUPPLIES.ExplanationTxt

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$252,576NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution30ContributionCnt
Noncash Contributions Rpt F990$489,575NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationNAPLES COMMUNITY HOSPITAL, INC. IS REPORTING IN PART I, COLUMN (B) THE NUMBER OF CONTRIBUTIONS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6GOVERNING BODY AND MANAGEMENT NCH HEALTHCARE SYSTEM, INC. IS THE SOLE MEMBER OF THIS ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7AGOVERNING BODY AND MANAGEMENT NCH HEALTHCARE SYSTEM, INC. SOLE MEMBER OF THIS ORGANIZATION, ELECTS THIS ORGANIZATION'S DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BGOVERNING 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 11BREVIEW PROCESS INFORMATION RELATED TO NAPLES COMMUNITY HOSPITAL, INC.'S ("NCH") FORM 990 FILING IS GATHERED BY FINANCE STAFF AND PROVIDED TO RSM US LLP, FOR REVIEW. AFTER THE REVIEW BY RSM US LLP, THE FORM 990 IS REVIEWED BY THE NCH HEALTHCARE SYSTEM CHIEF FINANCIAL OFFICER. THE FORM 990 IS THEN REVIEWED BY OUTSIDE COUNSEL FOR THE BOARD. PRIOR TO BOARD APPROVAL, THE FORM 990 IS PROVIDED TO ALL OF THE FINANCE COMMITTEE BOARD OF TRUSTEES FOR THEIR REVIEW VIA THE BOARD PORTAL. AT THE CONCLUSION OF THIS REVIEW PROCESS THE FORM 990 IS APPROVED BY THE BOARD OF TRUSTEES PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT 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 GREATER THAN TWO-THIRDS 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 15COMPENSATION PROCESS THIS ORGANIZATION IS AN AFFILIATE OF THE NCH HEALTHCARE SYSTEM, INC. ("THE SYSTEM"). COMPENSATION ARRANGEMENTS INVOLVING OUR CEO AND SENIOR LEADERSHIP TEAM ARE ESTABLISHED BY THE SYSTEM BOARD OF TRUSTEES COMPENSATION COMMITTEE PURSUANT TO A PROCESS THAT SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR SECTION 4958 EXCESS BENEFIT TRANSACTION TAX PURPOSES (WHICH REQUIRES A REVIEW OF COMPENSATION DETERMINATION BY DISINTERESTED PERSONS, USE OF APPROPRIATE COMPARABILITY DATA, AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS).
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS AVAILABLE TO THE PUBLIC THE FORMS 1023 AND 990, GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY OF NAPLES COMMUNITY HOSPITAL, INC. ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FINANCIAL STATEMENTS ARE ALSO AVAILABLE VIA OUR WEBSITE: HTTP://WWW.NCHMD.ORG/ABOUT-US/ANNUAL-REPORTS. DOCUMENTS AVAILABLE FOR REQUEST ARE AVAILABLE PURSUANT TO THE PERIOD OF DISCLOSURE PROVIDED IN SECTION 6104(D).
FORM 990, PART VIII, LINE 1EPHSSEF FUNDS OF THE PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY FUND (THE PHSSEF) PAYMENTS, $30,839,441 QUALIFIED AS REIMBURSEMENT FOR LOST OPERATING MARGIN AND INCREMENTAL EXPENSES AND WAS RECOGNIZED AS OTHER REVENUE IN THE CONSOLIDATED STATEMENTS OF OPERATIONS. CARES ACT FUNDS DURING 2021, THE SYSTEM RECEIVED $7,932,799 IN GRANT FUNDS UNDER THE COLLIER COUNTY CORONAVIRUS RELIEF FUND (CARES ACT) THAT WAS RECOGNIZED AS OTHER REVENUE IN THE CONSOLIDATED STATEMENTS OF OPERATIONS.
FORM 990, PART IX, LINE 11GPHYSICIAN FEES: PROGRAM SERVICE EXPENSES 2,352,063. MANAGEMENT AND GENERAL EXPENSES 352,390. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,704,453. RECRUITING: PROGRAM SERVICE EXPENSES 1,387,870. MANAGEMENT AND GENERAL EXPENSES 207,933. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,595,803. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 48,056,406. MANAGEMENT AND GENERAL EXPENSES 7,199,896. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 55,256,302. COLLECTION FEES: PROGRAM SERVICE EXPENSES 3,713,763. MANAGEMENT AND GENERAL EXPENSES 556,403. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,270,166. CONSULTING FEES: PROGRAM SERVICE EXPENSES 2,504,736. MANAGEMENT AND GENERAL EXPENSES 375,264. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,880,000. MEMBERSHIP FEES: PROGRAM SERVICE EXPENSES 582,001. MANAGEMENT AND GENERAL EXPENSES 87,196. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 669,197. PUBLIC MEDICAL ASSISTANCE TRUST FUND (FL) FEES: PROGRAM SERVICE EXPENSES 6,890,591. MANAGEMENT AND GENERAL EXPENSES 1,032,361. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,922,952.
FORM 990, PART XI, LINE 9:TRANSFERS TO RELATED ORGANIZATIONS -27,018,482. LOSS ON EXTINGUISHMENT -1,088,972.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
NCH HEALTHCARE SYSTEM INC
PO BOX 413029NAPLESFL341013029592314655NOT-FOR-PROFIT HOLDING COMPANYFL501(C)(3)LINE 12B, IIN/A0
MARCO ISLAND HOSPITAL INC
40 HEATHWOOD DRIVEMARCO ISLANDFL34145592315435HEALTHCAREFL501(C)(3)LINE 3Yes (1)NCH SYSTEM
COLLIER HEALTH CARE INC
PO BOX 413029NAPLESFL341013029650244276HEALTHCAREFL501(C)(3)LINE 3Yes (1)NCH SYSTEM
COMMUNITY HOME SERVICES INC
PO BOX 413029NAPLESFL341013029592440516SUPPORT ORGANIZATIONFL501(C)(3)LINE 12B, IIYes (1)NCH SYSTEM
NCHMDINC
PO BOX 413029NAPLESFL341013029331075317HEALTHCAREFL501(C)(3)LINE 10Yes (1)NCH SYSTEM

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1PROSCAN NCH IMAGING LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1350 7TH STREET NORTHAddressLine1Txt
CityNAPLESCityNm
State AbbreviationFLStateAbbreviationCd
ZIP34102ZIPCd
FieldValueIRS element (for citing)
EIN861212843EIN
Primary ActivitiesRADIOLOGY SERVICESPrimaryActivitiesTxt
Legal Domicile StateDELegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
HEALTH RESOURCES CORPORATION
350 7TH STREET NORTHNAPLESFL34102592568003HOLDING COMPANYFLNCH HEALTHCARE SYSTEMCYes (1)
COMMUNITY HOME CARE INC
350 7TH STREET NORTHNAPLESFL34102592372966HOME HEALTHFLHEALTH RESOURCES CORPORTATIONCYes (1)
COMMUNITY IMAGING INC
350 7TH STREET NORTHNAPLESFL34102592446336RADIOLOGY LABFLHEALTH RESOURCES CORPORTATIONCYes (1)
AMBULATORY SURGICAL CARE CENTER INC
350 7TH STREET NORTHNAPLESFL34102592568029OUTPATIENT SURGERYFLHEALTH RESOURCES CORPORTATIONCYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset ExchangeYes (1)AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
COLLIER HEALTH CARE INC
K$64,500FMV
NCHMD INC
J$1,385,522FMV
COLLIER HEALTH CARE INC
Q$110,100FMV
MARCO ISLAND HOSPITAL INC
Q$5,557,851FMV
NCHMD INC
P$44,041,092FMV
NCH HEALTHCARE SYSTEM INC
Q$13,196,546FMV
NCH HEALTHCARE SYSTEM INC
K$803,862FMV