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    <Timestamp>2012-08-09T07:48:45-05:00</Timestamp>
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        <City>PHILADELPHIA</City>
        <State>PA</State>
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        <NamePerson>Carl E Westman</NamePerson>
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        <NamePerson>James K Martin</NamePerson>
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      </ConferencesMeetings>
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      </Interest>
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      </PaymentsToAffiliates>
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        <ReturnReference>FORM 990, SCHEDULE C, PART II-B</ReturnReference>
        <Explanation>NCH HEALTHCARE SYSTEM, INC. RETAINED A LAW FIRM TO MONITOR PENDING LEGISLATION OF RELEVANCE TO THE HOSPITAL AND TO MEET WITH STATE LEGISLATIVE OFFICALS REGARDING THE NCH HEALTHCARE SYSTEM, INC.'S POSITION ON PROPOSED LEGISLATION AND ADMINISTRATIVE RULES. THE FIRM IS ALSO RETAINED TO MONITOR LOCAL DEVELOPMENTS AND TO MEET WITH LOCAL COMMUNITY AGENCIES AND PROVIDE ADVICE REGARDING HEALTHCARE AND WORK FORCE HOUSING INITIATIVES IN THE COMMUNITY. IN ADDITION, THE SYSTEM IS A MEMBER OF THE FLORIDA HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THE DUES THAT THE SYSTEM CONTRIBUTES IS CONSIDERED LOBBYING EXPENSES. THE LOBBYING EXPENSES REPORTED ARE FOR THE 2011 FISCAL YEAR.</Explanation>
      </Form990ScheduleCPartIV>
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      </Equipment>
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      </OtherAssets>
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        <Description>ASSETS LIMITED AS TO USE</Description>
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      </OtherAssets>
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        <Explanation>SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PARTICIPATION FORM 990, SCHEDULE J, LINE 4B IN 1996, THE NCH HEALTHCARE SYSTEM, INC. BOARD OF TRUSTEES APPROVED A RECOMMENDATION OF THE EXECUTIVE COMPENSATION COMMITTEE THAT CERTAIN EXECUTIVES OF THE NCH HEALTHCARE SYSTEM WOULD BE PROVIDED WITH A SERP THAT WAS SUPPORTED THROUGH THE USE OF LIFE INSURANCE PROGRAMS. DUE TO CHANGES IN THE IRS TAX CODE, EFFECTIVE OCTOBER 1, 2003, THE FUNDING MECHANISM FOR ACTIVE EMPLOYEES WAS CHANGED FROM USING LIFE INSURANCE TO FUNDING RABBI TRUSTS. HOWEVER, THE PLAN DESIGN WAS NOT CHANGED. THE TRUST IS OWNED BY NCH AND IS SUBJECT TO THE RISK OF CREDITORS OF NCH. CONSEQUENTLY, DEPOSITS MADE TO THE TRUSTS REMAIN AS ASSETS OF NCH UNTIL THE PARTICIPANT VESTS IN ACCORDANCE WITH THE PLAN. THE SERP HAS BEEN DISCONTINUED WITH THE EXCEPTION OF DR. ALLEN WEISS, PRESIDENT &amp; CEO, WHO IS NO LONGER RECEIVING CONTRIBUTIONS TO THE PLAN, BUT WHOSE PLAN CONTINUES TO REALIZE INVESTMENT INCOME/LOSSES ON PREVIOUS CONTRIBUTIONS WHICH HAVE BEEN REPORTED ON PRIOR YEAR FORMS 990. THE ACCOUNT OF ALLEN S. WEISS, M.D. REALIZED INVESTMENT INCOME OF $30,871 FOR THE CALENDAR YEAR 2010. THIS INVESTMENT INCOME IS INCLUDED IN SCHEDULE J, PART II, COLUMN C. PROVISION OF NON-FIXED PAYMENTS FORM 990, SCHEDULE J, LINE 7 THIS ORGANIZATION IS AN AFFILIATE OF NAPLES COMMUNITY HOSPITAL, INC. ("NCH"). ALL COMPENSATION ARRANGEMENTS ARE DETERMINED BY AND PAID THROUGH NCH. 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.</Explanation>
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        <Explanation>HOUSING WAS PROVIDED FOR OUR CHIEF DEVELOPMENT OFFICER, JAMES MARTIN. THE VALUE OF SUCH HOUSING ($4,500) WAS INCLUDED AS A COMPONENT OF HIS REPORTABLE COMPENSATION LISTED ON FORM 990, PART VII.</Explanation>
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        <Explanation>WILLIAM EDWARDS, CHIEF ADMINISTRATIVE OFFICER, NCHMD, INC, RESIGNED 06/04/11 AND RECEIVED A SEVERANCE PAYMENT OF $146,505 FOR CALENDAR YEAR 2011.</Explanation>
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