2015-08-12T10:28:17-05:00 2014-09-30 420714325 MCGLADREY LLC ONE SOUTH WACKER STE 800 CHICAGO IL 60606 990 2013-10-01 590694358 NAPLES COMMUNITY HOSPITAL INC NAPL 2396246338 PO BOX 413029 NAPLES FL 341013029 KEVIN D COOPER CHIEF OF STAFF 2396244003 2015-08-11 1 WAYNE HARDER P00294296 3126343400 2013 2016-02-25 16:41:14Z KEVIN D COOPER PO BOX 413029 NAPLES FL 341013029 573691113 0 X WWW.NCHMD.ORG X 1957 FL THROUGH THE PROVISION OF CHARITABLE HEALTHCARE, OUR MISSION IS HELPING EVERYONE LIVE A LONGER, HAPPIER, AND HEALTHIER LIFE. 14 8 3410 1078 22672 -7649 13219940 8181644 419845033 454393333 12777317 6327401 10619341 11067558 456461631 479969936 6500 3500 0 0 174328176 164591371 0 0 17335 246818537 261573973 421153213 426168844 35308418 53801092 610383053 657776446 239457843 235295632 370925210 422480814 X THROUGH THE PROVISION OF CHARITABLE HEALTHCARE, OUR MISSION IS HELPING EVERYONE LIVE A LONGER, HAPPIER, AND HEALTHIER LIFE. 0 0 380238212 3500 464031392 NAPLES COMMUNITY HOSPITAL, INC. (NCH) PROVIDES INPATIENT AND OUTPATIENT HEALTHCARE SERVICES WITHOUT REGARD TO A PATIENT'S ABILITY TO PAY. FROM ITS TWO HOSPITALS, CANCER TREATMENT CENTERS, WOUND CARE CENTERS AND OUTPATIENT REHABILITATION CENTERS, NCH PROVIDED $58,840,269 OF CHARITY CARE TO PATIENTS WHO WERE UNABLE TO PAY AND NOT COVERED BY ANY GOVERNMENTAL OR PRIVATE INSURANCE PROGRAM. ADDITIONALLY, NCH WROTE OFF $58,779,488 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 533 ACTIVE AND ASSOCIATE PHYSICIANS, 2,305 FULL-TIME EQUIVALENT EMPLOYEES, AND 1,065 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 CATHERIZATION UNIT AND INTERMEDIATE CARE UNIT. OTHER SPECIALTIES INCLUDE ONCOLOGY, DIAGNOSTIC SERVICES(CARDIO-DIAGNOSTICS, MAMMOGRAPHY, COMPUTERIZED TOPOGRAPHIC SCANNING (CT), AND MAGNETIC RESONANCE IMAGING (MRI), AND SPECIAL PROCEDURES SUCH AS BIOPSY, ANGIOGRAPHY, AND ANGIOPLASTY).DURING THE 2014 FISCAL YEAR, NCH HAD 28,938 INPATIENT ADMISSIONS RESULTING IN 125,585 DAYS OF CARE. ADDITIONALLY, 93,634 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. 380238212 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 0 1 1 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 1 0 0 0 1 448 0 1 3410 1 1 1 0 0 0 0 1 1 0 0 0 1 0 X 14 8 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 FL X X KEVIN D COOPER CHIEF OF STAFF 2396244003 350 SEVENTH STREET NORTH NAPLES FL 341023029 MARIANN MACDONALD CHAIRWOMAN 0.50 1.50 X X 0 0 0 THOMAS J GAZDIC 1ST VICE CHAIRMAN/TREASURER 0.50 1.50 X X 0 0 0 KAY GOW 2ND VICE CHAIRWOMAN 0.50 1.50 X X 0 0 0 JOHN LEWIS MD SECRETARY 0.50 1.50 X X 0 0 0 MICHELLE BARRETT TRUSTEE 40.50 1.50 X 72691 0 26729 KENNETH BOOKMAN MD TRUSTEE 0.50 41.50 X 0 459754 33173 TERRANCE FLYNN TRUSTEE 0.50 1.50 X 0 0 0 ELIZABETH FOSTER RN TRUSTEE 40.50 1.50 X 67424 0 12507 HERMES KOOP MD TRUSTEE 0.50 1.50 X 0 0 0 STEPHEN LANGE MD TRUSTEE 0.50 1.50 X 0 0 0 VINCENT MONA TRUSTEE 0.50 1.50 X 0 0 0 ROBERT MOSES TRUSTEE 0.50 1.50 X 0 0 0 KEN PLUNKITT MD TRUSTEE 0.50 1.50 X 0 0 0 GREG RUSSO TRUSTEE 0.50 1.50 X 0 0 0 CRAIG SMITH MD TRUSTEE 0.50 1.50 X 0 0 0 RALPH STAYER TRUSTEE 0.50 1.50 X 0 0 0 ALLEN S WEISS MD PRESIDENT/CEO/TRUSTEE 40.00 5.00 X X 801974 0 26886 KEVIN D COOPER GENERAL COUNSEL/CHIEF OF STAFF 40.00 5.00 X 467082 0 34195 PHILLIP DUTCHER COO, NCH HEALTHCARE SYSTEM, INC. 40.00 5.00 X 471580 0 11240 MICHAEL STEPHENS CFO/ASSISTANT TREASURER 40.00 5.00 X 224747 0 7628 CHARLES D ARDOIN MDSTRT 1013 CHIEF MEDICAL OFFICER 40.00 5.00 X 64893 0 233 MICHELE THOMAN RN CHIEF NURSING OFFICER 40.00 5.00 X 328420 0 34971 MICHAEL RILEY CHIEF STRATEGY OFFICER 40.00 5.00 X 250765 0 34971 JOHN MCGIRL TERM 8302014 CHIEF HUMAN RESOURCE OFFICER 40.00 5.00 X 247097 0 29456 RENEE M THIGPEN START 912014 INTERIM CHIEF HR OFFICER 40.00 5.00 X 181591 0 23964 HELEN THOMPSON TERM 10182013 CHIEF INFORMATION OFFICER 40.00 5.00 X 278107 0 16108 ELIZABETH MARTIN ASSISTANT SECRETARY 40.00 5.00 X 57714 0 15435 JAMES K MARTIN CHIEF DEVELOPMENT OFFICER 1.00 44.00 X 0 299519 34213 ZACHARY BOSTOCK CHIEF ADMINISTRATIVE OFFICER 1.00 44.00 X 0 300261 32491 GARY PARSONS MD TERM 122013 CHIEF MEDICAL OFFICER NCHMD 1.00 44.00 X 0 387282 18851 BRIAN D WILSON MD PHYSICIAN BONITA HEALTH 40.00 X 184002 0 23056 PATRICIA A READ ADMINISTRATIVE DIRECTOR 40.00 X 178065 0 22370 JAMES BATES DIR RADIOLOGY/COO NDIC 40.00 X 169908 0 29812 NOBLE F ARRINGTON CONTROLLER NCH HEALTHCARE SYSTEM 40.00 X 158383 0 28899 LAURIE ZONE-SMITH ASSOCIATE CHIEF NURSING OFFICER 40.00 X 155678 0 25307 AURORA ESTEVEZMDTERM 032013 FORMER CHIEF MEDICAL OFFICER 0.00 0.00 X 194550 0 7953 VICKI DORR TERM 052013 FORMER CHIEF FINANCIAL OFFICER 0.00 0.00 X 454077 0 33172 5008748 1446816 563620 102 1 1 0 CERNER CORPORATION PO BOX 412702 KANSAS CITY MO 64141 IT SUPPORT 10020496 SODEXO INC AND AFFLIATES PO BOX 536922 ATLANTA GA 303536922 DIETARY AND ENVIRONMENTAL SERVICES 8578708 PRECYSE SOLUTIONS DEPT 1736 PO BOX 11407 BIRMINGHAM AL 35246 MEDICAL RECORDS SUPPORT 4157364 MEDS MONTI ELIGIBILITY AND DENIAL SOLUTI PO BOX 5783 DELTONA FL 32725 ELIGIBILITY AND DENIAL SUPPORT 3504512 GE HEALTHCARE PO BOX 402076 ATLANTA GA 303842076 MEDICAL EQUIPMENT SUPPORT 1790082 61 467502 7714142 2604008 8181644 NET PATIENT SERVICE REVENUES 621990 454393333 454393333 0 454393333 6035573 6035573 3976 3976 1074501 122 1074379 1074379 1074379 93710691 74350 93427227 69962 283464 4388 287852 287852 556314 467502 223866 332448 332448 WELLNESS CENTER 900099 3114701 3114701 SCHOOL NURSE 900099 2611211 2611211 DIETARY SERVICES 900099 2204674 2204674 1730145 1707473 22672 9660731 479969936 464031392 22672 7734228 X 3500 3500 4257373 4257373 202174 202174 138339726 118057191 20268624 13911 3825747 3265658 559701 388 7625448 6509083 1114393 1972 10340903 8826995 1512844 1064 916227 782091 134136 295212 251993 43219 43369693 37020370 6349323 1714672 1463644 251028 14184505 12107893 2076612 14368015 12264538 2103477 8825922 7533807 1292115 321187 274165 47022 7535768 6432532 1103236 27677972 23625918 4052054 5082934 4338792 744142 MEDICAL SUPPLIES 78475072 78475072 BAD DEBT EXPENSE 58779488 58779488 27306 23308 3998 426168844 380238212 45913297 17335 24269883 50865852 23476359 7333207 15175511 15368698 55354572 52778899 70890 67551 7083402 7015820 2132973 2261648 620118902 370551017 238268786 249567885 99114541 114772247 3613372 3104229 141822764 154640410 610383053 657776446 33125094 33056389 334824 365551 173762670 168510811 32235255 33362881 239457843 235295632 X 339970220 388276637 13418799 19438066 17536191 14766111 370925210 422480814 610383053 657776446 X 53801092 6459690 -8705178 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 17536191 529058 3299138 14766111 15249881 604497 1347505 -334308 17536191 11353908 2315160 1740813 160000 15249881 11619405 69635 -175132 160000 11353908 10901463 161158 716784 160000 11619405 1.00000 0 0 16364476 16364476 320946229 159254038 161692191 6806465 6143351 663114 265745920 205153628 60592292 10255812 10255812 249567885 OTHER ASSETS 1268835 DEPOSITS 36367 ASSETS LIMITED AS TO USE 147618321 UNAMORTIZED BOND ISSUE COST 1446929 UNAMORTIZED BOND DISCOUNTS 1016821 CASH SURRENDER VALUE OF LIFE INSURANCE POLICY 180551 THIRD-PARTY RECEIVABLE 3072586 154640410 SELF-INSURANCE LIABILITIES 9956697 ACCRUED INTEREST 3078213 DUE TO RELATED ORGANIZATIONS 16643331 PUBLIC MEDICAL FUND PAYABLE 2650612 OTHER LIABILITIES 1034028 33362881 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 UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE (THE CODE) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE CODE, AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF 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 NO LONGER SUBJECT TO TAX EXAMINATIONS IN THE MAJOR U.S. TAXING JURISDICTIONS IN WHICH THEY OPERATE FOR TAX YEARS PRIOR TO 2010. HOSPITAL BALL 1023816 467502 556314 15386 121337 17960 69183 1023816 467502 556314 15386 121337 17960 69183 223866 332448 1 1 X 1 X 1 X 1 1 0 1 1 18893772 18893772 0.05140 43838805 36558671 7280134 0.01980 62732577 36558671 26173906 0.07120 1133086 1133086 0.00310 34720 34720 0.00010 1167806 1167806 0.00320 63900383 36558671 27341712 0.07440 153175 153175 0.00040 93858 93858 0.00030 2947 2947 0.00000 249980 249980 0.00070 1 13502210 892496 21841284 217059668 -195218384 X 1 1 1 1 NAPLES COMMUNITY HOSPITAL INC 350 7TH STREET NORTH NAPLES FL 34102 WWW.NCHMD.ORG 4113 X X X NAPLES COMMUNITY HOSPITAL INC 1 1 X X X X X X X X X 13 1 1 1 X HTTP://WWW.NCHMD.ORG X X X X X X X X 0 0 1 1 200.000000000000 1 400.000000000000 1 X X X X X X X X X 1 1 X X X X X 1 0 X X X 1 X 0 0 NAPLES COMMUNITY HOSPITAL, INC. PART V, SECTION B, LINE 3: 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, THE IMMOKALEE FOUNDATION, CHILDREN'S MEDICAL SERVICES, AND OTHER AGENCIES THROUGHOUT THE COMMUNITY IN ASSESSING AND COLLABORATING IN EFFORTS TO IMPROVE THE HEALTH OF OUR COMMUNITY.EVERY THREE YEARS 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. THE LAST ANALYSIS WAS DONE DURING THE FALL OF 2012 AND SPRING OF 2013. THE NEXT STUDY IS PLANNED TO START THE FALL OF 2015 AND BE COMPLETED IN THE SPRING OF 2016. A SURVEY WILL BE PREPARED AND SENT OUT TO HEALTH CARE LEADERS, COMMUNITY FOCUS GROUPS AND HEALTH CARE STAFF. IDENTIFIED AREAS INCLUDE SUFFICIENT EMPLOYMENT, ECONOMIC OPPORTUNITIES, ACCESS TO AFFORDABLE HOUSING, DRUG AND ALCOHOL ABUSE, SAFE ROADWAYS FOR BICYCLISTS AND PEDESTRIANS, PRIMARY CARE RESOURCES, ACCESS TO AFFORDABLE FOOD, ACCESS TO LONG TERM CARE BEDS, COMMUNICABLE DISEASE, OBESITY, CHRONIC DISEASE, MENTAL HEALTH, DENTAL HEALTH, HEALTH OF THE ELDERLY, ACCESS TO CARE, DISABILITIES AND UNINTENTIONAL INJURIES.THE NEXT STEP IN THE PROCESS WILL BE TO CONDUCT GEOGRAPHICAL COMMUNITY FOCUS GROUPS. THE GROUPS WILL BE CHOSEN TO REFLECT AND INCLUDE THE DIVERSITY OF COMMUNITY LOCATIONS, ETHNICITY, AND SOCIO-ECONOMIC FACTORS. THE DISTINCT AREAS OF THE COUNTY REPRESENT UNIQUE DEMOGRAPHIC AND SOCIOECONOMIC CHARACTERISTICS. RESULTS FROM THE FOCUS GROUPS WILL BE USED TO ASSESS AND PRIORITIZE HEALTHCARE NEEDS WITHIN THE COMMUNITY. IN ADDITION TO THE INFORMATION OBTAINED BY THE SURVEYS AND FOCUS GROUPSALL OTHER INFORMATION OBTAINED REGARDING THE HEALTH AND WELL BEING OF THE COMMUNITY DISCOVERED FROM THE BLUE ZONE PROJECT WILL BE INCORPORATED INTO THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT. BLUE ZONE PROJECTTHE NCH HEALTHCARE SYSTEM'S MISSION AND FOCUS ON POPULATION HEALTH PROVIDES AN EXCELLENT FOUNDATION FOR THE INTRODUCTION OF THE BLUE ZONES PROJECT IN SOUTHWEST FLORIDA. NCH IS SPONSORING THIS DECADE LONG INITIATIVE IN PARTNERSHIP WITH HEALTHWAYS WHICH SUPPORTS THE VISION TO MAKE OUR COMMUNITY AN EVEN HEALTHIER, HAPPIER AND MORE VIBRANT PLACE TO LIVE.THE NCH HEALTHCARE SYSTEM AND HEALTHWAYS SHARE A COMMITMENT TO IMPROVING THE WELL-BEING OF SOUTHWEST FLORIDA, THEREBY LOWERING HEALTHCARE COSTS, INCREASING PRODUCTIVITY, AND IMPROVING THE ECONOMY AND QUALITY OF LIFE FOR ALL RESIDENTS.THE CURRENT EFFORTS UNDERWAY WITH POLICY LEADERS, SCHOOLS, WORKSITES, HEALTHCARE, AND CIVIC ORGANIZATIONS, COMBINED WITH COMMITMENTS OF EARLY ADOPTERS, DEMONSTRATE A COMMUNITY PRIMED FOR TRANSFORMATION AND IMPROVED WELL-BEING. COMMUNITY STAKEHOLDERS FROM SOUTHWEST FLORIDA DEMONSTRATE TREMENDOUS SUPPORT AND COLLABORATIVE SPIRIT IN SUPPORT OF THE BLUE ZONES PROJECT.THE NCH SPONSORED INITIATIVE IS FOCUSING EFFORTS ON BECOMING A CATALYST FOR CHANGE INCLUDING:> IMPROVING WELL-BEING, AS MEASURED BY THE GALLUP-HEALTHWAYS WELL-BEING INDEX BEYOND BEST COMPARABLE RESULTS IN FLORIDA AND THE REGION> GENERATING SIGNIFICANT MEDICAL COST SAVINGS AND PRODUCTIVITY IMPROVEMENT OVER THE PROJECT TERM> LOWERING THE OBESITY RATE> LOWERING SMOKING RATES> INCREASING VEGETABLE CONSUMPTION> BOOSTING ECONOMIC VITALITY> INCREASING DAILY PHYSICAL ACTIVITY LEVELS > POSITIONING SOUTHWEST FLORIDA AS NATIONWIDE INNOVATORS AND LEADERS IN PREVENTATIVE HEALTHPRIOR TO THE DEVELOPMENT OF THE STEERING COMMITTEES AND SUB COMMITTEES, HEALTHWAYS WORKING CLOSELY WITH NCH AND COMMUNITY LEADERS COMPLETED A HEALTH ASSESSMENT FOR THE SERVICE AREA SERVED BY NCH. A COPY OF THAT ASSESSMENT IS ON OUR WEBSITE HTTP://WWW.NCHMD.ORG. NAPLES COMMUNITY HOSPITAL, INC. PART V, SECTION B, LINE 4: CHNA CONDUCTED WITH ONE OR MORE HOSPITAL FACILITIESAS PART OF AN INTERGRATED HEALTHCARE SYSTEM, THE CHNA FOR NAPLES COMMUNITY HOSPITAL AND MARCO ISLAND HOSPITAL WAS PREPARED JOINTLY. NAPLES COMMUNITY HOSPITAL, INC. PART V, SECTION B, LINE 7: ADDRESSING THE NEEDS IDENTIFIED IN THE CHNATHE FIRST CHNA AND IMPLEMENTATION PLAN WAS ADOPTED SEPTEMBER 30, 2013. THE CHNA IDENTIFIED PROBLEM AREAS THAT NEED TO BE ADDRESSED. THESE INCLUDE SUFFICIENT JOB EMPLOYMENT, ECONOMIC OPPORTUNITIES, ACCESS TO AFFORDABLE HOUSING, DRUG AND ALCOHOL ABUSE, SAFE ROADWAYS FOR BICYCLISTS AND PEDESTRIANS, PRIMARY CARE RESOURSES, ACCESS TO AFFORDABLE HEALTH FOOD, ACCESS TO LONG-TERM CARE BEDS, COMMUNICABLE DISEASE, OBESITY, CHRONIC DISEASE, MENTAL HEALTH, DENTAL HEALTH, ACCESS TO CARE, DISABILITIES, AND UNINTENTIONAL INJURIES.UPON REVIEW OF THE FINDINGS OF THE CHNA, THE NCH LEADERSHIP TEAM HELD A PRIORITIZATION SESSION WHICH WAS BASED ON THE MISSION, VISION, AND CORE VALUES OF THE THE NCH HEALTHCARE SYSTEM WITH A PRIMARY FOCUS ON THE GOAL OF BECOMING THE HEALTHIEST COUNTY IN THE UNITED STATES. THE TEAM CAME UP WITH FIVE KEY AREAS TO FOCUS ON WHICH INCLUDES CARDIOVASCULAR HEALTH, CANCERS, DIABETES, MATERNAL AND INFANT HEALTH, AND OBESITY. CARDIOVASCULAR HEALTH1. ALIGNED WITH POPULATION HEALTH, THE GOAL OF THE SOUTHWEST FLORIDA BLUE ZONES PROJECT INITIATIVE IS TO BE INCLUSIVE OF ALL AREAS FROM BONITA SPRINGS TO MARCO ISLAND. FOLLOWING AN INITIAL LAUNCH AND EXECUTION IN NAPLES AND BONITA SPRINGS, THIS PROJECT IS DESIGNED TO EXPAND TO ALL AREAS. THE WELL-BEING INDEX, AN IMPORTANT METRIC IN THE BLUE ZONES ASSESSMENT, IS AN AVERAGE OF SIX SUB-INDEXES INCLUDING PHYSICAL HEALTH. SCREENINGS, A KEY COMPONENT IN ASSESSING BASELINE PHYSICAL HEALTH, INCLUDING CARDIAC ISSUES, ARE ALSO USED FOR MEASURING IMPROVEMENTS. 2. A DOZEN COMMUNITY LECTURES RELATED TO CARDIOVASCULAR HEALTH AND PREVENTION WERE PRESENTED TO THE COMMUNITY AT VARIOUS LOCATIONS THROUGHOUT SOUTHWEST FLORIDA. TOPICS INCLUDED: "KEEPING YOUR HEART HEALTHY", "PREVENTING CORONARY HEART DISEASE", AND "HEALTHY LIFESTYLE". LECTURES ARE PROVIDED BY CARDIOLOGISTS, PRIMARY CARE PHYSICIANS, REGISTERED DIETITIANS, AND OTHERS.3. CARDIOVASCULAR SCREENING PROGRAMS AT DISCOUNTED RATES HAVE BEEN IMPLEMENTED AT DESIGNATED TIMES THROUGHOUT THE YEAR. MEDICAL SPECIALISTS PROVIDED SAME-DAY, ONE-ON-ONE CONSULTATIONS BASED ON SCREENING RESULTS WITH EVERY PARTICIPANT. FUTURE PLANS INCLUDE THE POSSIBILITY OF ESTABLISHING OR PARTNERING WITH A MOBILE UNIT TO PROVIDE ADDITIONAL SCREENINGS AND OUTREACH TO THE COMMUNITY.CANCERS1. MAMMOGRAM SCREENING: ONGOING SERVICES OFFERED AND PROVIDED TO UNINSURED AND UNDERINSURED. A COMMUNITY FAIR IS SCHEDULED AT LOCAL CHURCHES THIS YEAR. 2. CP-3 SCREENING: ACA RESEARCH STUDY. NCH PROVIDED CAMPUS LOCATION FOR BLOOD DRAWS AND ENCOURAGED PARTICIPATION OF STAFF. DIABETES MANAGEMENT1. VON ARX DIABETES CENTER : WE HAVE TWO ADA RECOGNIZED PROGRAMS, MAINTAINING DATA COLLECTION AND REPORTING REQUIREMENTS. FOUNDATION FUNDS ARE ALLOCATED FOR PEDIATRICS TO ASSURE THEY HAVE APPOINTMENTS WITH THE REGISTERED DIETICIAN OR THE NURSE FOR CHILDREN UNINSURED OR UNDERINSURED. FUNDS WILL ALSO BE UTILIZED FOR GESTATIONAL DIABETES PATIENT EDUCATION (THIS INCLUDES CLASSES, SUPPLIES AND EDUCATIONS). 2. HEALTHY LIFESTYLE SUPPORT GROUPS: THE SUPPORT GROUP IS OFFERED PERIODICALLY BASED ON THE NEED AND REQUEST OF PATIENTS. THE LAST CLASS WAS HELD IN JANUARY 2015 WITH 8 PARTICIPANTS. 3. FREE PRE-DIABETES SEMINAR: COMMUNITY LECTURES ARE OFFERED THROUGHOUT THE YEAR, ON AVERAGE 30 COMMUNITY RESIDENTS ATTEND THESE LECTURES AT LOCAL LIBRARIES. MATERNAL AND INFANT HEALTH1. INITIAL LATCH MEASUREMENT IS 80%. NCH IS BEGINNING A PROCESS FOR SKIN TO SKIN IN THE DELIVERY ROOM. WE RECENTLY RECEIVED $10K GRANT AWARDED FROM FLORIDA DEPARTMENT OF HEALTH TO ATTAIN "BABY FRIENDLY USA" HOSPITAL DESIGNATION. 2. EXCLUSIVE BREASTFEEDING RATES = 68%. CURRENTLY WE HAVE 2.2 FTE LACTATION CONSULTANTS HIRED AND WORKING. LACTATION CONSULTANT AVAILABILITY 7 DAYS A WEEK A MINIMUM OF 8 HOURS A DAY. 7A-11P AND TO 2AM WHEN CENSUS DICTATES; WEEKEND COVERAGE IS BASED UPON THE CENSUS. 3. PHONE CALL PROGRAM: FOLLOW-UP CALLS TO MOTHERS ARE BEING PERFORMED AT THIS TIME. 4. SUBSTANCE ABUSE: NCH IS CURRENTLY A HOST MEMBER OF THIS COALITION AND HOST MEETINGS REGULARLY AT NCH. COALITION COLLECTS NUMBERS AND REPORTS TO STATE. NURSES ARE EDUCATING PARENTS ON DETRIMENTAL EFFECTS OF SUBSTANCE ABUSE TO NEWBORNS. 5. PEDS AND ADULT IMMUNIZATION: 100% OF PATIENTS/PARENTS ARE OFFERED THIS IMMUNIZATION. TDAP IS NOW AVAILABLE IN ACUDOSE (MEDICATION ADMINISTRATION CABINET) ON THE NURSING UNIT AT ALL TIMES AND THERE IS A STANDING ORDER FOR TDAP ADMINISTRATION IF STATUS IS UNKNOWN. PARENTS MAY REFUSE IF DESIRED. ALL OF THE STAFF IN WOMEN'S AND CHILDREN'S AND PEDIATRICS NURSING UNITS HAVE RECEIVED THE TDAP VACCINE AND ANY NEW EMPLOYEES RECEIVE THE TDAP VACCINE. OBESITY1. GROCERY STORE TOURS: GROCERY STORE TOURS ARE DONE 8 TIMES A YEAR. ATTENDEES OF GROCERY STORE TOURS LEARN HEALTHY NUTRITIOUS EDUCATION AND SELECTION TIPS AT THE SUPERMARKET. 2. SHAC: THE VON ARX STAFF ARE MEMBERS OF THE SHAC COUNCIL THAT MEET QUARTERLY AND ADDRESS SCHOOL NUTRITION AND IMMUNIZATION AND DIET AND EXCERCISE FOR HEALTHY LIVING FOR STUDENTS.3. YOUTH OBESITY SUPPORT PROGRAM: CURRENTLY ONGOING WITH REGISTERED DIETICIAN. APPROXIMATELY 6 PEDIATRIC PATIENTS ARE SEEN AT THE VON ARX DIABETES AND NUTRITION CENTER A MONTH. NAPLES COMMUNITY HOSPITAL, INC. PART V, SECTION B, LINE 12I: BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTSANOTHER FACTOR NAPLES COMMUNITY HOSPITAL, INC. USES IN DETERMINING AMOUNTS CHARGED TO PATIENTS IS FAMILY SIZE. PART I, LINE 3C: N/A PART I, LINE 6A: RELATED PARTY DISCLOSURENAPLES COMMUNITY HOSPITAL, INC. ("NCH") IS AN AFFLIATE 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 LINES 2 ARE BASED ON THE COST TO CHARGE RATIO. THE COST TO CHARGE RATIO WAS DERIVED FROM 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 $58,779,488 FOR THE YEAR ENDED SEPTEMBER 30, 2014. THIS AMOUNT HAS BEEN SUBTRACTED FOR THE PURPOSE OF CALCULATING THE PERCENTAGE REPORTED ON THE SCHEDULE H, PART I, LINE 7 TABLE. THE BAD DEBT EXPENSE FOOTNOTE DISCLOSURE CAN BE FOUND ON PAGES 16-17 OF THE ATTACHED CONSOLIDATED FINANCIAL STATEMENTS FOR THE NCH HEALTHCARE SYSTEM, INC. AND SUBSIDIARIES. 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 USEDNCH PROVIDES CARE WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES TO PATIENTS WHO MEET SPECIFIC CRITERIA UNDER ITS CHARITY CARE GUIDELINES. BECAUSE NCH DOES NOT PURSUE COLLECTION OF ACCOUNTS DETERMINED TO QUALIFY AS CHARITY CARE THESE AMOUNTS ARE NOT REPORTED AS REVENUE BUT DEEMED AN ITEM OF COMMUNITY BENEFIT.THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINE 2 ARE BASED ON THE COST TO CHARGE RATIO. PART III, LINE 3: BAD DEBT EXPENSETHE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINE 3 ARE BASED ON THE COST TO CHARGE RATIO.NCH PROVIDES CARE WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES TO PATIENTS WHO MEET SPECIFIC CRITERIA UNDER ITS CHARITY CARE GUIDELINES. BECAUSE NCH DOES NOT PURSUE COLLECTION OF ACCOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THESE AMOUNTS ARE NOT REPORTED AS REVENUE BUT DEEMED AN ITEM OF COMMUNITY BENEFIT. PART III, 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 INABLILITY TO PAY, OR (B) A PATIENT'S REFUSAL TO PAY FOR SERVICES PROVIDED AND THE SYSTEM'S DECISION TO CEASE FURTHER COLLECTION EFFORTS. THE BAD DEBT EXPENSE FOOTNOTE DISCLOSURES CAN BE FOUND ON PAGE 16-17 OF THE ATTACHED CONSOLIDATED FINANCIAL STATEMENTS FOR THE NCH HEALTHCARE SYSTEM, INC. AND SUBSIDIARIES. THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 ARE BASED ON THE COST TO CHARGE RATIO. 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 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, NCH VIEWS THE SURPLUS OF .62% ($1,353,179) REPORTED ON LINE 7 TO BE USED TO ENHANCE OUR MISSION IN HELPING EVERYONE LIVE A LONGER, HAPPIER, AND HEALTHIER LIFE. 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, PARTNERING WITH THE SPIRIT OF WOMEN, TWO WELLNESS CENTERS, VON ARX DIABETES CENTER, PASTORAL CARE SERVICES, AND SPONSOR AND SUPPORT CLINICAL NURSING SCHOOLS.IN ADDITION TO THE PROGRAMS LISTED, WE ARE ALSO WORKING WITH THE SAFE AND HEALTHY CHILDREN'S COALITION OF COLLIER COUNTY TO DEVELOP PROGRAMS FOR DROWNING PREVENTION, CHILDHOOD OBESITY, SAFE SLEEP EFFORTS, AND BREASTFEEDING PROGRAMS.DURING 2013, WE COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND HAVE POSTED THIS REPORT ON OUR WEBSITE (WWW.NCHMD.ORG). WE ARE COMMITTED TO PROMOTING EXISTING AND POTENTIAL NEW PROGRAMS TO THE COMMUNITY IN RESPONSE TO THE COMMUNITY HEALTH NEEDS ASSESSMENT. PLEASE REFER TO THIS REPORT AND DETAILED PLAN WHICH WAS REVIEWED BY THE NCH HEALTHCARE SYSTEM BOARD OF TRUSTEES AND APPROVED AT THE SEPTEMBER 25, 2013 BOARD OF TRUSTEE MEETING. 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 420,836. THE MEDIAN AGE OF RESIDENTS IS 47.7. THE ESTIMATED MEDIAN HOUSEHOLD INCOME IS $55,248. THE UNEMPLOYMENT RATE IS APPROXIMATELY 5.4%. THE PERCENTAGE OF RESIDENTS BELOW THE POVERTY LEVEL IS APPROXIMATELY 14.2%. 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, RN'S EDUCATING FUTURE PATIENTS, SUPPORTING THE NEIGHBORHOOD HEALTH CLINIC, PHYSICIAN LED ACCESS NETWORK OF COLLIER COUNTY, HEART PROGRAMS, CANCER SURVIVAL AWARENESS, SUPPORT OF PATIENT FAMILIES, THE SPIRIT OF WOMEN, DR. JOHN BRIGGS WELLNESS CENTER, AS WELL AS THE SHARING OF SPACE AT NO COST TO NEEDY, NOT-FOR-PROFIT ORGANIZATIONS. THE ORGANIZATION ALSO SPONSORS AND SUPPORTS THE CLINICAL NURSING SCHOOLS IN 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 0, PART III, PROGRAM SERVICES. PART VI, LINE 6: AFFLIATED HEALTHCARE SYSTEM INFORMATIONNAPLES COMMUNITY HOSPITAL, INC. IS AN AFFLIATE 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 09/30/2014, 7,689 PATIENTS WERE TREATED. OF THESE PATIENTS, 11.37% WERE CLASSIFIED AS MEDICAID, CHARITY, OR BAD DEBTS.> COLLIER HEALTH CARE, INC. OWNS AND LEASES HEALTHCARE FACILITIES IN NAPLES AND IMMOKALEE, FLORIDA. THIS ORGANIZATION ALSO OPERATES CHILDREN'S MEDICAL SERVICES, A PROGRAM SERVING CHRONICALLY ILL AND SPECIAL NEEDS CHILDREN UNDER TITLE V AND THE FLORIDA KIDCARE PROGRAM THROUGH TITLE XXI.> NCHMD, INC. OWNS AND OPERATES PHYSICIAN MEDICAL PRACTICES IN COLLIER AND LEE COUNTY, FLORIDA. PART VI, LINE 7, REPORTS FILED WITH STATES FL X X X X 1 0 0 0 0 0 0 1 0 KENNETH BOOKMAN MD TRUSTEE 0 429878 0 12376 0 17500 0 10200 0 22973 0 492927 0 0 ALLEN S WEISS MD PRESIDENT/CEO/TRUSTEE 668806 0 115668 0 17500 0 10200 0 16686 0 828860 0 0 0 KEVIN D COOPER GENERAL COUNSEL/CHIEF OF STAFF 382756 0 66826 0 17500 0 10182 0 24013 0 501277 0 0 0 PHILLIP DUTCHER COO, NCH HEALTHCARE SYSTEM, INC. 387254 0 66826 0 17500 0 10200 0 1040 0 482820 0 0 0 MICHAEL STEPHENS CFO/ASSISTANT TREASURER 198974 0 15000 0 10773 0 0 0 7628 0 232375 0 0 0 MICHELE THOMAN RN CHIEF NURSING OFFICER 264605 0 46315 0 17500 0 10200 0 24771 0 363391 0 0 0 MICHAEL RILEY CHIEF STRATEGY OFFICER 198242 0 35023 0 17500 0 10200 0 24771 0 285736 0 0 0 JOHN MCGIRL TERM 8302014 CHIEF HUMAN RESOURCE OFFICER 219172 0 10425 0 17500 0 4850 0 24606 0 276553 0 0 0 RENEE M THIGPEN START 912014 INTERIM CHIEF HR OFFICER 154199 0 23140 0 4252 0 7358 0 16606 0 205555 0 0 0 HELEN THOMPSON TERM 10182013 CHIEF INFORMATION OFFICER 214784 0 9284 0 54039 0 2935 0 13173 0 294215 0 0 0 JAMES K MARTIN CHIEF DEVELOPMENT OFFICER 0 240076 0 41943 0 17500 0 10200 0 24013 0 333732 0 0 ZACHARY BOSTOCK CHIEF ADMINISTRATIVE OFFICER 0 244899 0 37862 0 17500 0 10200 0 22291 0 332752 0 0 GARY PARSONS MD TERM 122013 CHIEF MEDICAL OFFICER NCHMD 0 315228 0 54554 0 17500 0 10200 0 8651 0 406133 0 0 BRIAN D WILSON MD PHYSICIAN BONITA HEALTH 184002 0 0 0 0 0 7488 0 15568 0 207058 0 0 0 PATRICIA A READ ADMINISTRATIVE DIRECTOR 164787 0 0 0 13278 0 7085 0 15285 0 200435 0 0 0 JAMES BATES DIR RADIOLOGY/COO NDIC 169908 0 0 0 0 0 7000 0 22812 0 199720 0 0 0 NOBLE F ARRINGTON CONTROLLER NCH HEALTHCARE SYSTEM 156358 0 0 0 2025 0 6447 0 22452 0 187282 0 0 0 LAURIE ZONE-SMITH ASSOCIATE CHIEF NURSING OFFICER 154441 0 0 0 1237 0 6432 0 18875 0 180985 0 0 0 AURORA ESTEVEZMDTERM 032013 FORMER CHIEF MEDICAL OFFICER 118364 0 70802 0 5384 0 7953 0 0 0 202503 0 0 0 VICKI DORR TERM 052013 FORMER CHIEF FINANCIAL OFFICER 160312 0 66826 0 226939 0 9719 0 23453 0 487249 0 0 0 PART I, LINE 4A DETAIL OF SEVERANCE PAYMENTS VICKI D. ORR, CHIEF FINANCIAL OFFICER/ASSISTANT TREASURER RESIGNED 05/22/2013 AND RECEIVED A SEVERANCE PAYMENT OF $219,536 FOR CALENDAR YEAR 2013. HELEN THOMPSON, CHIEF INFORMATION OFFICER RESIGNED 10/18/2013 AND RECEIVED A SEVERANCE PAYMENT OF $39,232 FOR CALENDAR YEAR 2013. PART I, LINE 7 PROVISIONS OF NON-FIXED PAYMENTS NCH MAY PROVIDE DISCRETIONARY BONUS AND/OR INCENTIVE COMPENSATION PAYMENTS TO ELIGIBLE EMPLOYEES. PAYMENTS MADE TO ANY DISQUALIFIED PERSON IS APPROVED BY THE NCH COMPENSATION COMMITTEE THROUGH THE PROCESS DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 15. A COLLIER CTY INDSTL DEVLMT 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 2011-10-31 46340000 REFINANCE 02/04 BONDS 0 0 0 A 5994189 30050966 159198 29891768 2013 0 0 1 1 B 2685000 101013628 4316991 49222562 1414549 46029299 30227 2014 1 0 1 1 C 1265000 46343029 46160000 180000 3029 2011 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 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 1 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 $50,966 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 $30,227 IN INVESTMENT EARNINGS. FOR COLLIER COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY- SERIES 2011 BANK QUALIFIED, THE TOTAL PROCEEDS OF ISSUE REPORTED INCLUDES $3,029 IN INVESTMENT EARNINGS. BRITTNEY THOMAN FMLY MEMBER/OFFICER 44270 PYMT COMP 0 JODI S COOPER FMLY MEMBER/OFFICER 129099 PYMT COMP 0 ASHLEY THIGPEN FMLY MEMBER/OFFICER 28805 PYMT COMP 0 JAMES ORR MD FMLY MEMBER/OFFICER 496679 RENTAL INC 0 UPPER MIDWEST CONSOLIDATED SERVICES TRUSTEE/MAYO EE 568477 PYMT INVEST 0 FORM 990, SCHEDULE L, PART IV BRITTNEY THOMAN IS THE DAUGHTER OF MICHELE THOMAN, CHIEF NURSING OFFICERJODI S. COOPER, DIRECTOR OF THE LABORATORY, IS THE SPOUSE OF OFFICER KEVIN D. COOPER, GENERAL COUNSEL/CHIEF OF STAFF.ASHLEY THIGPEN IS THE DAUGHTER OF RENEE M. THIGPEN, INTERIM CHIEF HUMAN RESOURCES OFFICER.JAMES ORR, M.D. IS THE SPOUSE OF VICKI D. ORR, FORMER CFO/ASSISTANT TREASURER. HE HAS A MINORITY EQUITY INTEREST IN 21ST CENTURY ONCOLOGY WHICH PAYS NCH RENTAL INCOME FOR THE LUTGERT EAST BUILDING.STEPHEN LANGE, M.D., IS AN EMPLOYEE OF MAYO CLINIC WHICH IS AFFLIATED WITH UPPER MIDWEST CONSOLIDATED SERVICES, LLC AND NCH IS AFFLIATED WITH MAYO CLINIC. X 510288 FMV X 1 3000 FMV X 17 1910561 FMV X 1 100000 FMV X ENTERTAINMENT 41 39324 FMV X CC/GOLF 2 25000 FMV X JEWELRY 3 15835 FMV 0 0 1 0 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 SYSTEMS, 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 11 REVIEW PROCESS INFORMATION RELATED TO NAPLES COMMUNITY HOSPITAL INC.'S ("NCH") FORM 990 FILING IS GATHERED BY FINANCE STAFF AND PROVIDED TO MCGLADREY LLP FOR REVIEW. THE 2013 FORM 990 FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2014 WAS REVIEWED AND APPROVED BY THE CHAIRMAN OF THE NCH FINANCE COMMITTEE, NCH HEALTHCARE SYSTEM CHIEF OF STAFF, AND OUTSIDE COUNSEL FOR THE BOARD 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 MAJORITY 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 COMPENSATION ARRANGEMENTS INVOLVING OUR CEO AND SENIOR LEADERSHIP TEAM ARE ESTABLISHED BY NCH PURSUANT TO A PROCESS THAT SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR SECTION 4958 EXCESS BENEFIT TRANSACTION TAX PURPOSES (WHICH REQUIRES A REVIEW OF COMPENSATION DETERMINATIONS BY DISINTERESTED PERSONS, USE OF APPROPRIATE COMPARABILITY DATA, AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS). 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: WWW.NCHMD.ORG. DOCUMENTS AVAILABLE FOR REQUEST ARE AVAILABLE PURSUANT TO THE PERIOD OF DISCLOSURE PROVIDED IN SECTION 6104(D). FORM 990, PART IX, LINE 11G PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 3,943,355. MANAGEMENT AND GENERAL EXPENSES 676,320. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,619,675. EDUCATION SERVICES: PROGRAM SERVICE EXPENSES 623,224. MANAGEMENT AND GENERAL EXPENSES 106,889. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 730,113. RECRUITING: PROGRAM SERVICE EXPENSES 276,102. MANAGEMENT AND GENERAL EXPENSES 47,354. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 323,456. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 24,493,540. MANAGEMENT AND GENERAL EXPENSES 4,200,860. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,694,400. COLLECTION FEES: PROGRAM SERVICE EXPENSES 2,493,727. MANAGEMENT AND GENERAL EXPENSES 427,697. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,921,424. CONSULTING FEES: PROGRAM SERVICE EXPENSES 183,304. MANAGEMENT AND GENERAL EXPENSES 31,438. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 214,742. MEMBERSHIP FEES: PROGRAM SERVICE EXPENSES 416,798. MANAGEMENT AND GENERAL EXPENSES 71,484. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 488,282. PUBLIC MEDICAL ASSISTANCE TRUST FUND (FL) FEES: PROGRAM SERVICE EXPENSES 4,590,320. MANAGEMENT AND GENERAL EXPENSES 787,281. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,377,601. FORM 990, PART XI, LINE 9: TRANSFERS TO RELATED ORGANIZATIONS -8,705,178. FORM 990, PART XI, LINE 9 DETAIL OF OTHER CHANGES IN NET ASSETS TRANSFERS TO RELATED ORGANIZATIONS $8,705,181 --------- TOTAL OTHER CHANGES IN NET ASSETS $8,705,181 NCH HEALTHCARE SYSTEM INC PO BOX 413029 NAPLES FL 341013029 592314655 NOT-FOR-PROFIT HOLDING COMPANY FL 501 (C) (3) LINE 11B, 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 0 COLLIER HEATH CARE INC PO BOX 413029 NAPLES FL 341013029 650244276 HEALTHCARE FL 501 (C) (3) LINE 3 NCH SYSTEM 0 COMMUNITY HOME SERVICES INC PO BOX 413029 NAPLES FL 341013029 592440516 SUPPORT ORGANIZATION FL 501 (C) (3) LINE 11B, II NCH SYSTEM 0 NCHMDINC PO BOX 413029 NAPLES FL 341013029 331075317 HEALTHCARE FL 501 (C) (3) LINE 9 NCH SYSTEM 0 HEALTH RESOURCES CORPORATION 350 7TH STREET NORTH NAPLES FL 34102 592568003 HOLDING COMPANY FL NCH HEALTHCARE SYSTEM C 0 AMBULATORY SURGICAL CARE CENTER INC 350 7TH STREET NORTH NAPLES FL 34102 592568029 OUTPATIENT SURGERY FL HEALTH RESOURCES CORPORTATION C 0 COMMUNITY HOME CARE INC 350 7TH STREET NORTH NAPLES FL 34102 592372966 HOME HEALTH FL HEALTH RESOURCES CORPORTATION C 0 COMMUNITY IMAGING INC 350 7TH STREET NORTH NAPLES FL 34102 592446336 RADIOLOGY LAB FL HEALTH RESOURCES CORPORTATION C 0 1 1 1 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1