2021-08-13T09:45:12-05:00 2020-09-30 420714325 RSM US LLP 30 S WACKER DRIVE STE 3300 CHICAGO IL 60606 990 2019-10-01 590694358 NAPLES COMMUNITY HOSPITAL INC NAPL 2396246338 PO BOX 413029 NAPLES FL 341013029 RICK WYLES CHIEF FINANCIAL OFFICER 2396246338 2021-08-12 1 REBEKUH ELEY P01247672 3126343400 2021-08-12 2019 2022-09-23 18:48:47Z RICK WYLES PO BOX 413029 NAPLES FL 341013029 622282984 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. 13 11 4266 880 0 0 17104627 35373583 516992282 487722549 12901077 12898641 14980420 13314548 561978406 549309321 6000 6000 0 0 242818295 242724917 0 0 5644 266932851 283188416 509757146 525919333 52221260 23389988 816364702 941706179 189315894 290021107 627048808 651685072 X HELPING EVERYONE LIVE A LONGER, HAPPIER, AND HEALTHIER LIFE. 0 0 456451417 6000 499328424 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 $93,716,891 OF CHARITY CARE TO PATIENTS WHO WERE UNABLE TO PAY AND NOT COVERED BY ANY GOVERNMENTAL OR PRIVATE INSURANCE PROGRAM. ADDITIONALLY, NCH WROTE OFF $1,096,766 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 554 ACTIVE AND ASSOCIATE PHYSICIANS, 2,853 FULL-TIME EQUIVALENT EMPLOYEES, AND 880 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 2020 FISCAL YEAR, NCH HAD 28,207 INPATIENT ADMISSIONS RESULTING IN 132,407 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. 456451417 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 0 1 1 1 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 1 1 1 0 0 1 411 0 1 4266 1 0 0 0 0 0 1 1 0 0 0 0 1 0 X 13 11 0 0 1 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 ALLEN S WEISS MD TERM 0119 FORMER PRESIDENT/CEO/TRUSTEE 0.00 0.00 X 1036752 0 26002 PHILLIP DUTCHER CHIEF OPERATING OFFICER SYSTEM 40.00 5.00 X 794620 0 13684 KEVIN D COOPER TERM 0119 FORMER CHIEF OF STAFF 0.00 0.00 X 595431 0 22324 FRANK ASTOR MD TERM 1119 CHIEF MEDICAL OFFICER 40.00 5.00 X 567013 0 28107 RICK WYLES CFO/ASSISTANT TREASURER 40.00 5.00 X 474496 0 33122 JONATHAN KLING RN CHIEF NURSING OFFICER 40.00 5.00 X 468304 0 32450 ZACHARY BOSTOCK TERM 0320 CHIEF ADMINISTRATIVE OFFICER 40.00 5.00 X 463099 0 33703 LINDA ROEBACK TERM 0520 CHIEF COUNSEL 40.00 5.00 X 383672 0 25908 CHARLES GRAEBER MD PROGRAM DIRECTOR, INT. MED. RES. 40.00 0.00 X 387403 0 12463 RENEE M THIGPEN CHIEF HR OFFICER 40.00 5.00 X 336163 0 28917 MICHAEL RILEY CHIEF STRATEGY OFFICER 40.00 5.00 X 333178 0 28007 GARY TOMCIK TERM 0420 CHIEF EXPERIENCE OFFICER 40.00 5.00 X 294837 0 33712 PAUL HILTZ PRESIDENT/CEO/TRUSTEE 40.00 5.00 X X 286692 0 6163 KIM THORP DIRECTOR OF PHARMACY NCH HEALTHCARE 40.00 0.00 X 206757 0 31823 NOBLE ARRINGTON CONTROLLER 40.00 0.00 X 198528 0 30935 ILIA ECHEVARRIA RN ASSOCIATE CHIEF NURSE PROF. PRACTICE 40.00 0.00 X 203495 0 21279 GINA TEEGARDEN RN ASSOCIATE CHIEF NURSE OPERATIONS 40.00 0.00 X 198714 0 16542 PATRICK MULCAHY TRUSTEE TERM 05/20 40.50 1.50 X 96208 0 19773 CHRISTINA CARRANZA RN TRUSTEE TERM 05/20 40.50 1.50 X 67515 0 23400 JIM MAHON START 1119 CHIEF PHILANTHROPY OFFICER 40.00 5.00 X 83489 0 0 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 JANICE TEAL TRUSTEE START 05/20 0.50 1.50 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 MARIANN MACDONALD EMERITUS BOARD CHAIRWOMAN 0.50 1.50 X X 0 0 0 THOMAS J GAZDIC TERM 0520 1ST VICE CHAIRMAN/TREASURER 0.50 1.50 X X 0 0 0 GREGORY RUSSO TERM 0520 SECRETARY 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 KERRY EDWARDS TRUSTEE 0.50 1.50 X 0 0 0 ALAN EINHORN TRUSTEE 0.50 1.50 X 0 0 0 BILL PEREZ TRUSTEE 0.50 1.50 X 0 0 0 ANNE MCNULTY TRUSTEE START 05/20 0.50 1.50 X 0 0 0 LAURIE COWAN PHILLIPS TRUSTEE START 05/20 0.50 1.50 X 0 0 0 JOHN LEWIS MD TRUSTEE TERM 05/20 0.50 1.50 X 0 0 0 GEORGE FERGUSON MD TRUSTEE TERM 01/20 0.50 1.50 X 0 0 0 KRISTIN MASCOTTI MD CHIEF MEDICAL OFFICER START 06/20 40.00 5.00 X 0 0 0 PAMELA ZIPPERER-DAVIS START CHIEF ADMINISTRATIVE OFFICER 06/20 40.00 5.00 X 0 0 0 7476366 0 468314 255 1 1 0 CERNER CORPORATION PO BOX 412702 KANSAS CITY MO 64141 IT SUPPORT 12506032 NTHRIVE PO BOX 733492 DALLAS TX 753733492 MEDICAL RECORDS SUPPORT 11324014 SODEXO INC AND AFFLIATES PO BOX 536922 ATLANTA GA 303536922 DIETARY AND ENVIRONMENTAL SERVICES 11075108 WALTBILLIG AND HOOD GENERAL CONTRACTORS 1004 COLLIER CTR WAY 100 NAPLES FL 34110 GENERAL CONTRACTOR 7116671 MERGE HEALTHCARE PO BOX 205824 DALLAS TX 753205824 IT SUPPORT 4853460 85 1452622 10000 15000000 18910961 889326 35373583 NET PATIENT SERVICE REVENUE 621990 487722549 487722549 487722549 8254068 8254068 237 237 1602860 51091 1551769 1551769 1551769 77354746 8415 72669698 49127 4685048 -40712 4644336 4644336 360651 1452622 203747 156904 156904 WELLNESS CENTER 713940 2484680 2484680 SCHOOL NURSE 621990 2212128 2212128 DIETARY 722514 2169504 2169504 4739563 4739563 11605875 549309321 499328424 0 14607314 X 6000 6000 4983806 4983806 67870 67870 202213934 170661710 31547226 4998 6092318 5180298 912020 14386986 12233254 2153468 264 14980003 12737497 2242124 382 2277720 2277720 274718 274718 63425614 53930800 9494814 2284709 1942688 342021 21311765 18121395 3190370 18028618 15329734 2698884 9658332 8212480 1445852 354124 301112 53012 5686947 4835611 851336 42662660 36276060 6386600 3978731 3383115 595616 MEDICAL SUPPLIES 112062975 112062975 BAD DEBT EXPENSE 1096766 1096766 84737 72052 12685 525919333 456451417 69462272 5644 17465308 138138248 6118450 4299249 21306009 25161770 69189390 58454797 50000 40000 7643 12633 11120787 13227422 4583082 4444169 880651116 542993830 336976353 337657286 23556105 24878041 654468 457800 325337107 334934764 816364702 941706179 51667798 58877724 247421 12454339 97732705 112711658 39667970 105977386 189315894 290021107 X 574987502 598157406 52061306 53527666 627048808 651685072 816364702 941706179 X 23389988 10505641 -9259365 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 15631211 117661 319735 16068607 15584397 3907 42907 15631211 14783076 601291 200030 15584397 14561078 6000 215998 14783076 14426617 7000 127461 14561078 1.00000 0 0 26835317 26835317 435632188 235493647 200138541 6798411 6525578 272833 378280401 294633332 83647069 33104799 6341273 26763526 337657286 ASSETS LIMITED AS TO USE 332693275 OTHER ASSETS 1581594 DEPOSITS 207368 THIRD-PARTY RECEIVABLE 452527 334934764 DUE TO RELATED ORGANIZATIONS 13108039 SELF-INSURANCE LIABILITIES 9211306 PUBLIC MEDICAL FUND PAYABLE 3304149 ACCRUED INTEREST 2795332 OTHER LIABILITIES 3470918 MEDICARE ACCELERATED PAYMENTS 74087642 105977386 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 2016. HOSPITAL BALL 1813273 1452622 360651 34258 110111 30118 29260 1813273 1452622 360651 34258 110111 30118 29260 203747 156904 1 1 X 1 X 1 X 1 1 0 1 1 19345263 19345263 0.03690 55276708 25070212 30206496 0.05760 74621971 25070212 49551759 0.09450 3780879 3780879 0.00720 38344 38344 0.00010 3819223 3819223 0.00730 78441194 25070212 53370982 0.10180 142148 142148 0.00030 71497 71497 0.00010 213645 213645 0.00040 1 1096766 17439 256861845 304922854 -48061009 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 2020, THE NUMBER OF PRIMARY CARE PROVIDER OFFICES AND URGENT CARE FACILITIES USING THE MODEL INCREASED TO 14.2. 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 2020 AND GREATLY REDUCED THE NUMBER OF OPPORTUNITIES TO OFFER THE MHFA CLASS. AS A RESULT, THE NUMBER OF INDIVIDUALS TRAINED IN 2020 WERE 524.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: FOUR NEWLY APPROVED WORKSITES WERE ADDED IN 2020 WHICH RESULTED IN A TOTAL OF 53 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 2020. DOH-COLLIER'S RESPONSE TO THE COVID-19 PANDEMIC SLOWED PROGRAM DEVELOPMENT AND ONBOARDING.3. INCREASE THE NUMBER OF TOBACCO FREE WORKPLACE POLICIES IN COLLIER COUNTY WITH CESSATION SERVICES NEW OR ADDED FROM ONE IN FISCAL YEAR 2019 TO THREE IN FISCAL YEAR 2020. PROGRESS: TWO NEW WORKSITES WITH CESSATION POLICIES WERE ADDED IN FISCAL YEAR 2019-2020. THE EXECUTIVE COMMITTEE AGREED TO REMOVING THIS OBJECTIVE BECAUSE THE NEW PROGRAM GRANT CYCLE BEGINNING IN JUNE 2021 DOES NOT HAVE A WORKSITES FOCUS AND THE NEW PROGRAM OBJECTIVE WILL NOT BE FINALIZED UNTIL JUNE.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: THE DEMAND FOR COVID-19 TESTING BROUGHT MORE UNINSURED PEOPLE TO THE CLINICS IN 2020 CREATING MORE OPPORTUNITIES TO OFFER HEALTH SCREENINGS INCLUDING BLOOD PRESSURE. THIS DEMAND RESULTED IN 13,403 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 A SUCCESSFUL APPLICATION IN DECEMBER OF 2020 TO JOIN THE AARP NETWORK OF AGE-FRIENDLY COMMUNITIES. PROGRESS: THE APPLICATION PACKAGE WAS SUBMITTED TO AARP AND COLLIER COUNTY OFFICIALLY RECEIVED DESIGNATION AS AN AARP AGE-FRIENDLY COMMUNITY IN DECEMBER 2020.2. COMPLETE 100% OF THE STEPS REQUIRED TO ESTABLISH A DEMENTIA CARE AND CURE TASKFORCE IN COLLIER COUNTY BY DECEMBER 2020. PROGRESS: COLLIER COUNTY DCCI TASKFORCE WAS ESTABLISHED AND DEVELOPED THE MISSION AND VISION. THE STATUS OF THIS OBJECTIVE IS COMPLETED.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 ADDITION 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 82%. NCH IS IMPLEMENTING SKIN TO SKIN IN THE DELIVERY ROOM. THE SKIN TO SKIN RATE IS 87%. 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 46%. 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 2020 INCLUDE, BUT ARE NOT LIMITED TO: I. THE VON ARX DIABETES CENTER SERVED 4,634 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 $1,096,766 FOR THE YEAR ENDED SEPTEMBER 30, 2020. 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 363,267. THE MEDIAN AGE OF RESIDENTS IS 50. THE ESTIMATED MEDIAN HOUSEHOLD INCOME IS $70,702. THE UNEMPLOYMENT RATE IS APPROXIMATELY 3.5%. THE PERCENTAGE OF RESIDENTS BELOW THE POVERTY LEVEL IS APPROXIMATELY 7.9%. 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 09/30/2020, 7,033 PATIENTS WERE TREATED. OF THESE PATIENTS, 8.22 % 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 1 EDUCATIONAL SCHOLARSHIPS 3 6000 PART I, LINE 2: PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS NAPLES COMMUNITY HOSPITAL AUXILIARIES ARE PROUD TO MAKE SCHOLARSHIPS AVAILABLE TO STUDENTS VIA THE AUXILIARY SCHOLARSHIP PROGRAM. THE PURPOSE OF THIS SCHOLARSHIP IS TO HELP ENCOURAGE STUDENTS TO ENTER THE HEALTHCARE FIELD. THE PROGRAM IS OPEN TO STUDENTS STUDYING IN APPROVED AREAS OF HEALTHCARE. AS DETAILED BELOW, APPLICANTS WISHING CONSIDERATION FOR THE SCHOLARSHIP PROGRAM MUST BE AN ACTIVE NCH AUXILIARY VOLUNTEER OR A DEPENDENT CHILD OF AN NCH EMPLOYEE AND MUST SUBMIT A COMPLETED SCHOLARSHIP APPLICATION AND ATTACH THE FOLLOWING INFORMATION: 1. SHOW PROOF THAT YOU ARE AN ACTIVE NCH AUXILIARY VOLUNTEER AND IN GOOD STANDING (VOLUNTEER A MINIMUM OF 50 HOURS PRIOR TO THE TIME APPLICATION) OR HAVE A PARENT THAT IS A CURRENT NCH EMPLOYEE WITH AT LEAST ONE YEAR OF SERVICE. 2. SEEK A CAREER IN THE HEALTHCARE FIELD. 3. HAVE A MINIMUM OF 3.0 GPA, UNWEIGHTED. 4. COMPLETE AND ATTACH A 500 WORD ESSAY ON WHY THE APPLICANT HAS CHOSEN HEALTHCARE AS A CAREER PATH AND WHY YOU FEEL YOU ARE A TOP CANDIDATE TO BE CHOSEN FOR THIS SCHOLARSHIP. IN LIEU OF AN ESSAY, VOLUNTEERS CAN SERVE AN ADDITIONAL 50 HOURS AS AN NCH AUXILIARY VOLUNTEER. 5. PROOF OF PAID RECENT ENROLLMENT. 6. OFFICIAL SCHOOL TRANSCRIPT (NO MORE THAN 30 DAYS OLD). 7. TWO PROFESSIONAL LETTERS OF REFERENCE (NO MORE THAN 30 DAYS OLD). X X X X 1 1 0 0 0 0 0 1 0 ALLEN S WEISS MD TERM 0119 FORMER PRESIDENT/CEO/TRUSTEE 81226 0 0 0 955526 0 9417 0 16585 0 1062754 0 0 0 PHILLIP DUTCHER CHIEF OPERATING OFFICER SYSTEM 683212 0 90122 0 21286 0 11200 0 2484 0 808304 0 0 0 KEVIN D COOPER TERM 0119 FORMER CHIEF OF STAFF 47383 0 0 0 548048 0 5468 0 16856 0 617755 0 0 0 FRANK ASTOR MD TERM 1119 CHIEF MEDICAL OFFICER 463456 0 83002 0 20555 0 11200 0 16907 0 595120 0 0 0 RICK WYLES CFO/ASSISTANT TREASURER 384824 0 69484 0 20188 0 11200 0 21922 0 507618 0 0 0 JONATHAN KLING RN CHIEF NURSING OFFICER 399287 0 49747 0 19270 0 11200 0 21250 0 500754 0 0 0 ZACHARY BOSTOCK TERM 0320 CHIEF ADMINISTRATIVE OFFICER 376328 0 67591 0 19180 0 11200 0 22503 0 496802 0 0 0 LINDA ROEBACK TERM 0520 CHIEF COUNSEL 345179 0 18719 0 19774 0 11200 0 14708 0 409580 0 0 0 CHARLES GRAEBER MD PROGRAM DIRECTOR, INT. MED. RES. 357131 0 26564 0 3708 0 11200 0 1263 0 399866 0 0 0 RENEE M THIGPEN CHIEF HR OFFICER 267354 0 48621 0 20188 0 11200 0 17717 0 365080 0 0 0 MICHAEL RILEY CHIEF STRATEGY OFFICER 264955 0 48035 0 20188 0 11200 0 16807 0 361185 0 0 0 GARY TOMCIK TERM 0420 CHIEF EXPERIENCE OFFICER 235942 0 38707 0 20188 0 11200 0 22512 0 328549 0 0 0 PAUL HILTZ PRESIDENT/CEO/TRUSTEE 247601 0 20000 0 19091 0 0 0 6163 0 292855 0 0 0 KIM THORP DIRECTOR OF PHARMACY NCH HEALTHCARE 190740 0 15243 0 774 0 8514 0 23309 0 238580 0 0 0 NOBLE ARRINGTON CONTROLLER 183277 0 14837 0 414 0 8176 0 22759 0 229463 0 0 0 ILIA ECHEVARRIA RN ASSOCIATE CHIEF NURSE PROF. PRACTICE 188498 0 14727 0 270 0 8254 0 13025 0 224774 0 0 0 GINA TEEGARDEN RN ASSOCIATE CHIEF NURSE OPERATIONS 184016 0 14284 0 414 0 7296 0 9246 0 215256 0 0 0 PART I, LINES 4A-B PART I, LINE 4A: PRESIDENT AND CEO RESIGNED 01/2019 AND RECEIVED A SEVERANCE PAYMENT OF $950,356 FOR CALENDAR YEAR 2019. CHIEF OF STAFF RESIGNED 01/2019 AND RECEIVED A SEVERANCE PAYMENT OF $545,812 FOR CALENDAR YEAR 2019. PART I, LINE 4B: CHIEF MEDICAL OFFICER PARTICIPATED IN A 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN BUT DID NOT RECEVIE A PAYMENT FOR CALENDAR YEAR 2019. CHIEF ADMINISTRATIVE OFFICER PARTICIPATED IN A 457(F) SUPPLEMENTAL NON-QUALIFIED PLAN BUT DID NOT RECEIVE A PAYMENT FOR CALENDAR YEAR 2019. PART I, LINE 7 PROVISIONS OF NON-FIXED PAYMENTS THIS ORGANIZATION IS AN AFFILIATE OF NCH HEALTHCARE SYSTEM, INC. ("THE SYSTEM"). THE SYSTEM MAY PROVIDE DISCRETIONARY BONUS AND/OR INCENTIVE COMPENSATION PAYMENTS TO ELIGIBLE EMPLOYEES. COMPENSATION PAYMENTS FOR ALL EMPLOYEES EXCLUDING THE CEO AND SENIOR LEADERSHIP TEAM IS DETERMINED BY THE SYSTEM BOARD OF TRUSTEES HUMAN RESOURCES COMMITTEE AND/OR CEO. COMPENSATION PAYMENTS MADE TO ANY DISQUALIFIED PERSON IS APPROVED BY THE SYSTEM THROUGH THE PROCESS DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 15. A COLLIER CTY INDSTL DEVLMT AUTHORITY 591695679 2010-12-30 30000000 NEW CAPITAL EQUIPMENT 0 0 0 B COLLIER CTY INDSTL DEVLMT AUTHORITY 591695679 194641AK2 2011-04-14 100955824 REFINANCE 93/96 BONDS & NEW CAPITAL EQUIPMENT 0 0 0 C COLLIER CTY INDSTL DEVLMT AUTHORITY 591695679 2020-03-31 50000000 NEW CAPITAL FOR FACILITIES AND EQUIPMENT 0 0 0 A 26260184 30050966 159198 29891768 2013 0 0 1 1 B 12260000 101013628 49222562 1414549 50376517 2014 1 0 1 1 C 20500000 250525 20249475 2022 0 0 0 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 C 0 0 1 0 0 0 0 0 1 A 1 B 1 C 1 FORM 990, SCHEDULE K, PART II, LINE 3 FOR COLLIER COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY-SERIES 2010, THE TOTAL PROCEEDS OF ISSUE REPORTED INCLUDES $50,996 IN INVESTMENT EARNINGS. FOR COLLIER COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY-SERIES 2011 PUBLIC, THE TOTAL PROCEEDS OF ISSUE REPORTED INCLUDES $1,159,176 IN NET ORIGINAL ISSUE DISCOUNTS AND $57,804 IN INVESTMENT EARNINGS. FOR COLLIER COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY-SERIES 2020, AS OF SEPTEMBER 30, 2020, ADVANCES TOTALED $20,500,000 OF THE TOTAL AVAILABLE OF $50,000,000. INTEREST IS PAID ONLY ON THE AMOUNT OF THE ADVANCES THAT HAVE BEEN MADE. PAUL HILTZ CEO/PRESIDENT RETAIN - RETENTION INCENTIVE X 50000 40000 0 1 1 40000 SHARIE TOMCIK FMLY MEMBER/OFFICER 23385 PYMT COMP 0 WYNN PROPERTIES OWNER/TRUSTEE 102128 RENTAL PAYMENTS 0 SUNSHINE ACE HARDWARE OWNER/TRUSTEE 128113 PURCHASES 0 MEGAN RILEY FMLY MEMBER/OFFICER 44485 PYMT COMP 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, 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. X 388723 FMV X 27 481489 FMV X 6 275 X JEWELRY 3 9000 FMV X ENTERTAINMENT 11 7510 FMV X SPORT EVENTS 4 1429 FMV X LEASE BENTLEY 1 WEEKEND 1 900 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 4 BYLAWS AMENDED AND RESTATED NCH HEALTHCARE SYSTEM, INC. AMENDED AND RESTATED ITS BYLAWS IN FISCAL YEAR 2020. ALTHOUGH THIS CHANGE WAS MADE ONLY TO THE NCH HEALTHCARE SYSTEM, INC. BYLAWS THEY DECIDE AND INFLUENCE THE GOVERNANCE OF ALL ENTITIES OF THE SYSTEM. ARTICLE II BOARD OF TRUSTEES 2.2.1 NUMBER AND TENURE WERE REVISED TO INCLUDE NOT MORE THAN 15" MEMBERS AND "AN INITIAL TERM OF THREE YEARS, AND ELIGIBLE TO SERVE UP TO ONE ADDITIONAL TERM OF THREE YEARS. DELETED THE REQUIREMENT OF TWO ELECTED EMPLOYEE TRUSTEES. 2.8 AFFIRMATIVE VOTE REQUIREMENTS CHANGED FROM MAJORITY TO TWO-THIRDS OR GREATER. ARTICLE III OFFICERS 3.3 AFFIRMATIVE VOTE REQUIREMENTS CHANGED FROM MAJORITY TO TWO-THIRDS OR GREATER. ARTICLE V AMENDMENTS TO BYLAWS AMENDMENTS TO BYLAWS REQUIREMENT CHANGED FROM MAJORITY TO TWO THIRDS OR GREATER VOTE. 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 11A PHSSEF FUNDS OF THE PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY FUND (THE PHSSEF) PAYMENTS, $15,000,000 QUALIFIED AS REIMBURSEMENT FOR LOST OPERATING MARGIN AND INCREMENTAL EXPENSES AND WAS RECOGNIZED AS OTHER REVENUE IN THE CONSOLIDATED STATEMENTS OF OPERATIONS. FORM 990, PART IX, LINE 11G PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 2,078,027. MANAGEMENT AND GENERAL EXPENSES 365,848. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,443,875. RECRUITING: PROGRAM SERVICE EXPENSES 555,928. MANAGEMENT AND GENERAL EXPENSES 97,874. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 653,802. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 39,245,890. MANAGEMENT AND GENERAL EXPENSES 6,909,455. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 46,155,345. COLLECTION FEES: PROGRAM SERVICE EXPENSES 3,381,190. MANAGEMENT AND GENERAL EXPENSES 595,277. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,976,467. CONSULTING FEES: PROGRAM SERVICE EXPENSES 2,557,434. MANAGEMENT AND GENERAL EXPENSES 450,250. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,007,684. MEMBERSHIP FEES: PROGRAM SERVICE EXPENSES 537,410. MANAGEMENT AND GENERAL EXPENSES 94,614. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 632,024. PUBLIC MEDICAL ASSISTANCE TRUST FUND (FL) FEES: PROGRAM SERVICE EXPENSES 5,574,921. MANAGEMENT AND GENERAL EXPENSES 981,496. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,556,417. FORM 990, PART XI, LINE 9: TRANSFERS TO RELATED ORGANIZATIONS -9,259,365. 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 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 P -1068429 FMV NCHMD INC P -1733918 FMV NCHMD INC P -816740 FMV COLLIER HEALTH CARE INC Q -186000 FMV MARCO ISLAND HOSPITAL INC Q -834013 FMV NCHMD INC Q 25716225 FMV