2022-08-05T10:31:38-05:00 2021-09-30 420714325 RSM US LLP 30 SOUTH WACKER DR SUITE 3300 CHICAGO IL 606063392 990 2020-10-01 590694358 NAPLES COMMUNITY HOSPITAL INC NAPL 2396246338 PO BOX 413029 NAPLES FL 341013029 RICK WYLES CHIEF FINANCIAL OFFICER 2396244005 2022-08-03 1 RICK WYLES 999009999 REBEKUH ELEY P01247672 3126343400 2022-08-01 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z PAUL HILTZ PO BOX 413029 NAPLES FL 341013029 816615062 0 X WWW.NCHMD.ORG X 1957 FL HELPING 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. 14 12 4187 104 0 0 35373583 61045386 487722549 605616065 12898641 17306212 13314548 13083344 549309321 697051007 6000 4000 0 0 242724917 276592994 0 0 7522 283188416 333384717 525919333 609981711 23389988 87069296 941706179 1097611582 290021107 328328071 651685072 769283511 X HELPING EVERYONE LIVE A LONGER, HAPPIER, AND HEALTHIER LIFE. 0 0 541277536 4000 616959460 SEE 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. 541277536 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 1 1 1 0 0 1 477 0 1 4187 1 0 0 0 0 0 0 0 0 0 0 1 0 X 14 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X X RICK WYLESCHIEF FINANCIAL OFFICER 2396244005 350 SEVENTH STREET NORTH NAPLES FL 341023029 X PAUL HILTZ PRESIDENT/CEO/TRUSTEE 40.00 5.00 X X 897053 0 33680 ALLEN S WEISS MD TERM 0119 FORMER PRESIDENT/CEO/TRUSTEE 0.00 0.00 X 909806 0 17158 PHILLIP DUTCHER TERM 0721 CHIEF OPERATING OFFICER SYSTEM 40.00 5.00 X 707824 0 14142 RICK WYLES CFO/ASSISTANT TREASURER 40.00 5.00 X 516031 0 34675 KEVIN D COOPER TERM 0119 FORMER CHIEF OF STAFF 0.00 0.00 X 522084 0 16889 FRANK ASTOR MD TERM 1119 FORMER CHIEF MEDICAL OFFICER 0.00 0.00 X 487788 0 16236 JONATHAN KLING RN START 721 CHIEF OPERATIONS OFFICER SYSTEM 40.00 5.00 X 446398 0 33658 ZACHARY BOSTOCK TERM 0320 FORMER CHIEF ADMINISTRATIVE OFFICER 0.00 0.00 X 441291 0 29611 KRISTIN MASCOTTI MD CHIEF MEDICAL OFFICER 40.00 5.00 X 425744 0 9008 LINDA ROEBACK TERM 0520 FORMER CHIEF COUNSEL 0.00 0.00 X 397178 0 22045 JIM MAHON SENIOR VICE PRESIDENT 40.00 5.00 X 399133 0 2931 CHARLES GRAEBER MD PROGRAM DIRECTOR, INT. MED RES. 40.00 0.00 X 379306 0 12804 RENEE M THIGPEN CHIEF HR OFFICER 40.00 5.00 X 356246 0 30108 MICHAEL RILEY TERM 1120 CHIEF STRATEGY OFFICER 40.00 5.00 X 339701 0 28889 PAMELA ZIPPERER-DAVIS TRM 0321 CHIEF ADMINISTRATIVE OFFICER 40.00 5.00 X 322328 0 12569 GARY TOMCIK TERM 0420 FORMER CHIEF EXPERIENCE OFFICER 0.00 0.00 X 282293 0 27943 KIM THORP DIRECTOR OF PHARMACY SYSTEM 40.00 0.00 X 201957 0 32641 NOBLE ARRINGTON CONTROLLER 40.00 0.00 X 193714 0 31545 ILIA ECHEVARRIA RN ASSOCIATE CHIEF NURSE PROF PRACTICE 40.00 0.00 X 199042 0 19768 GINA TEEGARDEN RN START 721 INTERIM CHIEF NURSING OFFICER 40.00 5.00 X 197163 0 14989 ANDREW COOPER EXECUTIVE DIRECTOR I.T. 40.00 0.00 X 188998 0 17410 SCOTT LUTGERT CHAIRMAN 0.50 1.50 X X 0 0 0 KEVIN BEEBE 1ST VICE CHAIRMAN/SECRETARY 0.50 1.50 X X 0 0 0 MICHAEL WYNN 2ND VICE CHAIRMAN 0.50 1.50 X X 0 0 0 DAVEY SCOON TREASURER 0.50 1.50 X X 0 0 0 WILLIAM ALLYN TRUSTEE 0.50 1.50 X 0 0 0 JAY BAKER TRUSTEE 0.50 1.50 X 0 0 0 LAURIE COWAN PHILLIPS TRUSTEE 0.50 1.50 X 0 0 0 KERRY EDWARDS TRUSTEE 0.50 1.50 X 0 0 0 ALAN EINHORN TRUSTEE 0.50 1.50 X 0 0 0 ANNE MCNULTY TRUSTEE 0.50 1.50 X 0 0 0 BILL PEREZ TRUSTEE 0.50 1.50 X 0 0 0 KIMBERLY QUERREY TRUSTEE 0.50 1.50 X 0 0 0 JANICE TEAL TRUSTEE 0.50 1.50 X 0 0 0 8811078 0 458699 237 1 1 0 DEANGELIS DIAMOND CONSTRUCTION INC 6635 WILLOW PARK DRIVE NAPLES FL 34109 GENERAL CONTRACTOR 18235142 NTHRIVE PO BOX 733492 DALLAS TX 753733492 MEDICAL RECORDS SUPPORT 13079012 SODEXO INC AND AFFLIATES PO BOX 536922 ATLANTA GA 303536922 DIETARY AND ENVIRONMENTAL SERVICES 11908884 CERNER CORPORATION PO BOX 412702 KANSAS CITY MO 64141 IT SUPPORT 10476983 RENOVO SOLUTIONS LLC 4 EXECUTIVE CIRCLE SUITE 185 IRVINE CA 92614 BIOMED SUPPORT 3829081 86 20000 38772240 22253146 742151 61045386 NET PATIENT SERVICE REVENUE 621990 605616065 605616065 605616065 9539773 9539773 51 51 1811692 71743 1739949 1739949 1739949 127215201 43499 119319599 172713 7895602 -129214 7766388 7766388 SCHOOL NURSE 621990 3435917 3435917 DIETARY 722514 2434615 2434615 WELLNESS CENTER 713940 1855542 1855542 3617321 3617321 11343395 697051007 616959460 0 19046161 X 4000 4000 5847402 5847402 1160153 54381 1105772 230819845 201705709 29107423 6713 6236952 5424277 812675 15806021 13746497 2059229 295 16722621 14543663 2178444 514 2253687 2253687 267624 267624 75298873 65487430 9811443 4177347 3633039 544308 24179472 21028888 3150584 21758528 18923392 2835136 10583316 9204310 1379006 312409 271702 40707 5105783 4440499 665284 44284315 38514069 5770246 6596064 5736597 859467 MEDICAL SUPPLIES 137542484 137542484 BAD DEBT EXPENSE 961764 961764 63051 54835 8216 609981711 541277536 68696653 7522 138138248 55020200 4299249 2827237 25161770 26144784 58454797 99282239 40000 30000 12633 11288 13227422 13643460 4444169 6309885 980807391 584229643 337657286 396577748 24878041 71025644 457800 27378461 334934764 399360636 941706179 1097611582 58877724 82763254 12454339 201184 112711658 133133169 105977386 112230464 290021107 328328071 X 598157406 706712203 53527666 62571308 651685072 769283511 941706179 1097611582 X 87069296 58636597 -28107454 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 16068607 84960 868867 17022434 15631211 117661 319735 16068607 15584397 3907 42907 15631211 14783076 601291 200030 15584397 14561078 6000 215998 14783076 1.00000 0 0 38430550 38430550 475867813 251831665 224036148 10027709 6688004 3339705 395089030 319165836 75923194 61392289 6544138 54848151 396577748 ASSETS LIMITED AS TO USE 397468209 OTHER ASSETS 1685059 DEPOSITS 207368 399360636 DUE TO RELATED ORGANIZATIONS 13385688 SELF-INSURANCE LIABILITIES 9679054 PUBLIC MEDICAL FUND PAYABLE 4087323 ACCRUED INTEREST 1135832 OTHER LIABILITIES 3833822 LEASE LIABILITIES 27107735 MEDICARE ACCELERATED PAYMENTS 53001010 112230464 X PART V, LINE 4: INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS ALL ENDOWMENT FUNDS MAINTAINED BY NAPLES COMMUNITY HOSPITAL, INC. ARE USED IN FURTHERANCE OF THE ORGANIZATION'S TAX-EXEMPT PURPOSES. PART X, LINE 2: THE SYSTEM AND ALL OF ITS NOT-FOR-PROFIT SUBSIDIARIES ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE (THE CODE). THE SYSTEM AND ALL OF ITS NOT-FOR-PROFIT SUBSIDIARIES DO NOT HAVE SIGNIFICANT UNRELATED BUSINESS INCOME; HOWEVER, SUCH STATUS IS SUBJECT TO FINAL DETERMINATION UPON EXAMINATION OF THE RELATED INCOME TAX RETURNS BY THE APPROPRIATE TAXING AUTHORITIES. THE SYSTEM IS GENERALLY NO LONGER SUBJECT TO TAX EXAMINATIONS IN THE MAJOR U.S. TAXING JURISDICTIONS IN WHICH THEY OPERATE FOR TAX YEARS PRIOR TO 2017. 1 1 X 1 X 1 X 1 1 0 1 1 19386699 19386699 0.03180 62156529 31300491 30856038 0.05070 81543228 31300491 50242737 0.08250 3553775 3553775 0.00580 38344 38344 0.00010 3592119 3592119 0.00590 85135347 31300491 53834856 0.08840 114195 114195 0.00020 104476 104476 0.00020 218671 218671 0.00040 1 961764 25006 311019889 330005723 -18985834 X 1 1 1 1 NAPLES COMMUNITY HOSPITAL INC 350 7TH STREET NORTH NAPLES FL 34102 WWW.NCHMD.ORG LICENSE #4113 X X X NAPLES COMMUNITY HOSPITAL INC 1 0 0 1 X X X X X X X X X 18 1 1 0 1 X HTTP://WWW.NCHMD.ORG/ABOUT-US/ANNUAL-REPORTS X 1 18 1 HTTP://WWW.NCHMD.ORG/ABOUT-US/ANNUAL-REPORTS 0 1 X 200.000000000000 400.000000000000 X X X X X X X 1 1 X X X 1 X HTTP://WWW.NCHMD.ORG/PATIENTS-AND-VISITORS/BILLING-INFO X HTTP://WWW.NCHMD.ORG/PATIENTS-AND-VISITORS/BILLING-INFO X HTTP://WWW.NCHMD.ORG/PATIENTS-AND-VISITORS/BILLING-INFO X X X X X X 1 X 0 X X X X 1 X 0 0 NAPLES COMMUNITY HOSPITAL, INC. PART V, SECTION B, LINE 5: CHNA TAKING INTO ACCOUNT INPUT FROM THE COMMUNITYTHE NCH LEADERSHIP TEAM IS ACTIVELY INVOLVED AND PARTICIPATES IN MANY COMMUNITY RELATED ORGANIZATIONS AND GROUPS THAT ARE CONTINUALLY ASSESSING UNMET NEEDS WITHIN COLLIER COUNTY. NCH HAS HISTORICALLY WORKED WITH OUR BOARD OF TRUSTEES, COLLIER COUNTY CHILDREN'S ALLIANCE, COLLIER COUNTY PUBLIC SCHOOLS, 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. 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 STATES FL X X X X 1 1 0 0 0 0 0 1 0 PAUL HILTZ PRESIDENT/CEO/TRUSTEE 855115 0 21250 0 20688 0 11400 0 22280 0 930733 0 0 0 ALLEN S WEISS MD TERM 0119 FORMER PRESIDENT/CEO/TRUSTEE 0 0 0 0 909806 0 0 0 17158 0 926964 0 0 0 PHILLIP DUTCHER TERM 0721 CHIEF OPERATING OFFICER SYSTEM 607258 0 77358 0 23208 0 11400 0 2742 0 721966 0 0 0 RICK WYLES CFO/ASSISTANT TREASURER 452476 0 42867 0 20688 0 11400 0 23275 0 550706 0 0 0 KEVIN D COOPER TERM 0119 FORMER CHIEF OF STAFF 0 0 0 0 522084 0 0 0 16889 0 538973 0 0 0 FRANK ASTOR MD TERM 1119 FORMER CHIEF MEDICAL OFFICER 0 0 0 0 487788 0 0 0 16236 0 504024 0 0 0 JONATHAN KLING RN START 721 CHIEF OPERATIONS OFFICER SYSTEM 384005 0 42623 0 19770 0 11400 0 22258 0 480056 0 0 0 ZACHARY BOSTOCK TERM 0320 FORMER CHIEF ADMINISTRATIVE OFFICER 98702 0 41802 0 300787 0 5559 0 24052 0 470902 0 0 0 KRISTIN MASCOTTI MD CHIEF MEDICAL OFFICER 316117 0 90000 0 19627 0 0 0 9008 0 434752 0 0 0 LINDA ROEBACK TERM 0520 FORMER CHIEF COUNSEL 119967 0 29754 0 247457 0 6514 0 15531 0 419223 0 0 0 JIM MAHON SENIOR VICE PRESIDENT 374692 0 3095 0 21346 0 2338 0 593 0 402064 0 0 0 CHARLES GRAEBER MD PROGRAM DIRECTOR, INT. MED RES. 363391 0 12207 0 3708 0 11400 0 1404 0 392110 0 0 0 RENEE M THIGPEN CHIEF HR OFFICER 305567 0 29991 0 20688 0 11400 0 18708 0 386354 0 0 0 MICHAEL RILEY TERM 1120 CHIEF STRATEGY OFFICER 264261 0 29630 0 45810 0 11400 0 17489 0 368590 0 0 0 PAMELA ZIPPERER-DAVIS TRM 0321 CHIEF ADMINISTRATIVE OFFICER 252554 0 50000 0 19774 0 0 0 12569 0 334897 0 0 0 GARY TOMCIK TERM 0420 FORMER CHIEF EXPERIENCE OFFICER 82909 0 26378 0 173006 0 4422 0 23521 0 310236 0 0 0 KIM THORP DIRECTOR OF PHARMACY SYSTEM 194320 0 6863 0 774 0 8324 0 24317 0 234598 0 0 0 NOBLE ARRINGTON CONTROLLER 186716 0 6584 0 414 0 7985 0 23560 0 225259 0 0 0 ILIA ECHEVARRIA RN ASSOCIATE CHIEF NURSE PROF PRACTICE 192116 0 6656 0 270 0 8072 0 11696 0 218810 0 0 0 GINA TEEGARDEN RN START 721 INTERIM CHIEF NURSING OFFICER 190216 0 6533 0 414 0 6010 0 8979 0 212152 0 0 0 ANDREW COOPER EXECUTIVE DIRECTOR I.T. 182463 0 6373 0 162 0 7729 0 9681 0 206408 0 0 0 PART I, LINES 4A-B PART 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 7 PROVISIONS OF NON-FIXED PAYMENTS THIS ORGANIZATION IS AN AFFILIATE OF NCH HEALTHCARE SYSTEM, INC. ("THE SYSTEM"). THE SYSTEM MAY PROVIDE DISCRETIONARY BONUS AND/OR INCENTIVE COMPENSATION PAYMENTS TO ELIGIBLE EMPLOYEES. COMPENSATION PAYMENTS FOR ALL EMPLOYEES EXCLUDING THE CEO AND SENIOR LEADERSHIP TEAM IS DETERMINED BY THE SYSTEM BOARD OF TRUSTEES HUMAN RESOURCES COMMITTEE AND/OR CEO. COMPENSATION PAYMENTS MADE TO ANY DISQUALIFIED PERSON IS APPROVED BY THE SYSTEM THROUGH THE PROCESS DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 15. A COLLIER CTY INDSTL DEVLMT AUTHORITY 591695679 2020-03-31 50000000 NEW CAPITAL FOR FACILITIES AND EQUIPMENT 0 0 0 B COLLIER CTY INDSTL DEVLMT AUTHORITY 591695679 2021-03-30 90767000 REFINANCE 2011 BONDS 0 0 0 A 42700000 250525 42449475 2022 0 0 0 1 B 90767000 90616726 150274 2039 1 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 A 1 B 1 FORM 990, SCHEDULE K, PART II, LINE 3 FOR 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. PAUL HILTZ CEO/PRESIDENT RETAIN - RETENTION INCENTIVE X 50000 30000 0 1 1 30000 SHARIE TOMCIK FMLY MEMBER/FORMER OFFICER 6053 PYMT COMP 0 WYNN PROPERTIES OWNER/TRUSTEE 103465 RENTAL PAYMENTS 0 MEGAN RILEY FMLY MEMBER/OFFICER 48328 PYMT COMP 0 WYNN'S FAMILY MARKET OWNER/TRUSTEE 125338 PURCHASES 0 FORM 990, SCHEDULE L, PART IV MEGAN 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. X 252576 FMV X 30 489575 FMV 0 0 1 0 PART I, COLUMN (B): NAPLES COMMUNITY HOSPITAL, INC. IS REPORTING IN PART I, COLUMN (B) THE NUMBER OF CONTRIBUTIONS. FORM 990, PART VI, SECTION A, LINE 6 GOVERNING BODY AND MANAGEMENT NCH HEALTHCARE SYSTEM, INC. IS THE SOLE MEMBER OF THIS ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A GOVERNING BODY AND MANAGEMENT NCH HEALTHCARE SYSTEM, INC. SOLE MEMBER OF THIS ORGANIZATION, ELECTS THIS ORGANIZATION'S DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B GOVERNING BODY AND MANAGEMENT ALL OF THE GOVERNANCE DECISIONS FOR NAPLES COMMUNITY HOSPITAL, INC. ARE RESERVED TO THE GOVERNING BODY OF NCH HEALTHCARE SYSTEM, INC. FORM 990, PART VI, SECTION B, LINE 11B REVIEW PROCESS INFORMATION RELATED TO NAPLES COMMUNITY HOSPITAL, INC.'S ("NCH") FORM 990 FILING IS GATHERED BY FINANCE STAFF AND PROVIDED TO RSM US LLP, FOR REVIEW. AFTER THE REVIEW BY RSM US LLP, THE FORM 990 IS REVIEWED BY THE NCH HEALTHCARE SYSTEM CHIEF 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 12C CONFLICT OF INTEREST POLICY ANNUALLY, ALL NCH HEALTHCARE SYSTEM, INC. OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE INTERESTS THAT COULD POTENTIALLY GIVE RISE TO CONFLICTS. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. MANAGEMENT SHALL DISCLOSE OTHER POTENTIAL CONFLICTS WITH THE COMPLIANCE OFFICER. AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE CORPORATION CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINED UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE BY A 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 15 COMPENSATION PROCESS THIS ORGANIZATION IS AN AFFILIATE OF THE NCH HEALTHCARE SYSTEM, INC. ("THE SYSTEM"). COMPENSATION ARRANGEMENTS INVOLVING OUR CEO AND SENIOR LEADERSHIP TEAM ARE ESTABLISHED BY THE SYSTEM BOARD OF TRUSTEES COMPENSATION COMMITTEE PURSUANT TO A PROCESS THAT SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR SECTION 4958 EXCESS BENEFIT TRANSACTION TAX PURPOSES (WHICH REQUIRES A REVIEW OF COMPENSATION DETERMINATION BY DISINTERESTED PERSONS, USE OF APPROPRIATE COMPARABILITY DATA, AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS). FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS AVAILABLE TO THE PUBLIC THE FORMS 1023 AND 990, GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY OF NAPLES COMMUNITY HOSPITAL, INC. ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FINANCIAL STATEMENTS ARE ALSO AVAILABLE VIA OUR WEBSITE: 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 1E PHSSEF 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 11G PHYSICIAN 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. NCH HEALTHCARE SYSTEM INC PO BOX 413029 NAPLES FL 341013029 592314655 NOT-FOR-PROFIT HOLDING COMPANY FL 501(C)(3) LINE 12B, II N/A 0 MARCO ISLAND HOSPITAL INC 40 HEATHWOOD DRIVE MARCO ISLAND FL 34145 592315435 HEALTHCARE FL 501(C)(3) LINE 3 NCH SYSTEM 1 COLLIER HEALTH CARE INC PO BOX 413029 NAPLES FL 341013029 650244276 HEALTHCARE FL 501(C)(3) LINE 3 NCH SYSTEM 1 COMMUNITY HOME SERVICES INC PO BOX 413029 NAPLES FL 341013029 592440516 SUPPORT ORGANIZATION FL 501(C)(3) LINE 12B, II NCH SYSTEM 1 NCHMDINC PO BOX 413029 NAPLES FL 341013029 331075317 HEALTHCARE FL 501(C)(3) LINE 10 NCH SYSTEM 1 PROSCAN NCH IMAGING LLC 350 7TH STREET NORTH NAPLES FL 34102 861212843 RADIOLOGY SERVICES DE N/A 0 0 HEALTH RESOURCES CORPORATION 350 7TH STREET NORTH NAPLES FL 34102 592568003 HOLDING COMPANY FL NCH HEALTHCARE SYSTEM C 1 COMMUNITY HOME CARE INC 350 7TH STREET NORTH NAPLES FL 34102 592372966 HOME HEALTH FL HEALTH RESOURCES CORPORTATION C 1 COMMUNITY IMAGING INC 350 7TH STREET NORTH NAPLES FL 34102 592446336 RADIOLOGY LAB FL HEALTH RESOURCES CORPORTATION C 1 AMBULATORY SURGICAL CARE CENTER INC 350 7TH STREET NORTH NAPLES FL 34102 592568029 OUTPATIENT SURGERY FL HEALTH RESOURCES CORPORTATION C 1 1 1 1 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 COLLIER HEALTH CARE INC K 64500 FMV NCHMD INC J 1385522 FMV COLLIER HEALTH CARE INC Q 110100 FMV MARCO ISLAND HOSPITAL INC Q 5557851 FMV NCHMD INC P 44041092 FMV NCH HEALTHCARE SYSTEM INC Q 13196546 FMV NCH HEALTHCARE SYSTEM INC K 803862 FMV