NAPLES COMMUNITY HOSPITAL INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- NAPLES COMMUNITY HOSPITAL INC (EIN 59-0694358)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-09
- IRS object ID
- 201242229349300119
- Schema version
- 2010v3.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-09T08:58:40-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PricewaterhouseCoopers LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 MARKET ST SUITE 1700 | AddressLine1 |
| City | PHILADELPHIA | City |
| State | PA | State |
| ZIP Code | 19103 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 590694358 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NAPLES COMMUNITY HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | NAPL | NameControl |
| Phone | 2395137630 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 413029 | AddressLine1 |
| City | NAPLES | City |
| State | FL | State |
| ZIP Code | 341013029 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | VICKI ORR | Name |
| Title | CFO | Title |
| Date Signed | 2012-08-03 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2673303000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Vicki D Orr | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 413029 | AddressLine1 |
| City | Naples | City |
| State | FL | State |
| ZIP Code | 341013029 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 545212185 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1957 | YearFormation |
| State Legal Domicile | FL | StateLegalDomicile |
| Activity Or Mission Description | THROUGH THE PROVISION OF CHARITABLE HEALTHCARE, OUR MISSION IS TO PROMOTE, MAINTAIN AND RESTORE HEALTH FOR THOSE WE SERVE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 22 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 3723 | TotalNbrEmployees |
| Total Nbr Volunteers | 1080 | TotalNbrVolunteers |
| Total Gross UBI | 39420 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 3933 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 4133425 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 5173672 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 446752069 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 444235124 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 5763968 | InvestmentIncomePriorYear |
| Investment Income Current Year | 5852166 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 11597340 | OtherRevenuePriorYear |
| Other Revenue Current Year | 12378411 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 468246802 | TotalRevenuePriorYear |
| Total Revenue Current Year | 467639373 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 44000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 12500 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 194872211 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 193758219 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 14947 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 248812627 | OtherExpensePriorYear |
| Other Expenses Current Year | 242785919 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 443728838 | TotalExpensesPriorYear |
| Total Expenses Current Year | 436556638 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 24517964 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 31082735 | RevenuesLessExpensesCY |
| Total Assets BOY | 522764681 | TotalAssetsBOY |
| Total Assets EOY | 580430393 | TotalAssetsEOY |
| Total Liabilities BOY | 184292597 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 245108380 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 338472084 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 335322013 | NetAssetsOrFundBalancesEOY |
| Mission Description | NAPLES COMMUNITY HOSPITAL, INC. (THE "HOSPITAL") IS A NOT-FOR-PROFIT CORPORATION LOCATED IN COLLIER COUNTY, FLORIDA. THE HOSPITAL CONSISTS OF NAPLES COMMUNITY HOSPITAL, A 420-BED FACILITY, AND NORTH NAPLES HOSPITAL, A 261-BED FACILITY, LOCATED IN SW FLORIDA. THE HOSPITAL IS A SUBSIDIARY OF NCH HEALTHCARE SYSTEM, INC. ("NCHS"), A NOT-FOR-PROFIT CORPORATION. NAPLES COMMUNITY HOSPITAL, INC. PROVIDES INPATIENT AND OUTPATIENT HEALTHCARE SERVICES WITHOUT REGARD TO A PATIENT'S ABILITY TO PAY. THE HOSPITAL ALSO PROVIDES HEALTH ENHANCING EDUCATIONAL PROGRAMS IN ADDITION TO MEDICAL CARE FOR THE BETTERMENT OF THE COMMUNITY. ANY EXCESS REVENUE OVER EXPENSES IS USED TO FUND THE REPLACEMENT AND IMPROVEMENT OF FACILITIES AND TECHNOLOGY ALONG WITH PROGRAMS TO IMPROVE ACCESS TO NEEDED HEALTHCARE SERVICES TO ALL THOSE IN OUR COMMUNITY. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 381324248 | Expense |
| Grants | 12500 | Grants |
| Revenue | 455928244 | Revenue |
| Description | HEALTHCARE SERVICES- 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 $71,217,444 OF CHARITY CARE TO PATIENTS WHO WERE UNABLE TO PAY AND NOT COVERED BY ANY GOVERNMENTAL OR PRIVATE INSURANCE PROGRAM. ADDITIONALLY, NCH WROTE OFF $39,154,782 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 505 ACTIVE AND ASSOCIATE PHYSICIANS, 2,804 FULL-TIME EQUIVALENT EMPLOYEES, AND 1,080 VOLUNTEERS COMPRISE THE OUTSTANDING MEDICAL TEAM WORKING TOGETHER TO PROVIDE THESE SERVICES. THE TWO HOSPITALS ARE COMPROMISED OF 589 ACUTE CARE BEDS, A 60 BED REHABILITATIVE UNIT, 9 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 2011 FISCAL YEAR, NCH HAD 31,974 INPATIENT ADMISSIONS RESULTING IN 145,692 DAYS OF CARE. ADDITIONALLY, 87,100 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. | Description |
| Total Program Service Expense | 381324248 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | true | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 474 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 3 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 3723 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 22 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | FL | StatesWhereCopyOfReturnIsFiled |
| Own Website | X | OwnWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | VICKI ORR CFOASST TREASURER | NamePerson |
| Telephone Number | 2395137630 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 SEVENTH STREET NORTH | AddressLine1 |
| City | NAPLES | City |
| State | FL | State |
| ZIP Code | 341023029 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (48 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| Joseph I Perkovich | ||||||||
| Chairman | 0.5 | X | X | 0 | 0 | 0 | ||
| Mariann MacDonald | ||||||||
| 1st Vice Chairman | 0.5 | X | X | 0 | 0 | 0 | ||
| Ambassador Francis Rooney | ||||||||
| 2nd Vice Chairman | 0.5 | X | X | 0 | 0 | 0 | ||
| Thomas J Gazdic | ||||||||
| Secretary/Treasurer | 0.5 | X | X | 0 | 0 | 0 | ||
| William Allyn | ||||||||
| Trustee | 0.5 | X | 0 | 0 | 0 | |||
| Jay H Baker | ||||||||
| Trustee | 0.5 | X | 0 | 0 | 0 | |||
| Kenneth Bookman MD | ||||||||
| Trustee | 0.5 | X | 0 | 144916 | 8879 | |||
| Susan L Dalton | ||||||||
| Trustee | 0.5 | X | 0 | 0 | 0 | |||
| Paul Dernbach MD | ||||||||
| Trustee | 0.5 | X | 85500 | 0 | 0 | |||
| Alberto M de la Rivaherrera MD | ||||||||
| Trustee | 0.5 | X | 0 | 0 | 0 | |||
| Michael Feuer | ||||||||
| Trustee | 0.5 | X | 0 | 0 | 0 | |||
| Terrance Flynn | ||||||||
| Trustee | 0.5 | X | 0 | 0 | 0 | |||
| Daniel Gill | ||||||||
| Trustee | 0.5 | X | 0 | 0 | 0 | |||
| Kay Gow | ||||||||
| Trustee | 0.5 | X | 0 | 0 | 0 | |||
| Joann Jenner | ||||||||
| Trustee | 0.5 | X | 77422 | 0 | 18575 | |||
| Amy Jewell RN | ||||||||
| Trustee | 0.5 | X | 30423 | 0 | 6972 | |||
| Kim Ciccarelli Kantor | ||||||||
| Trustee | 0.5 | X | 0 | 0 | 0 | |||
| Hermes Koop MD | ||||||||
| Trustee | 0.5 | X | 5250 | 0 | 0 | |||
| John Lewis MD | ||||||||
| Trustee | 0.5 | X | 0 | 0 | 0 | |||
| Frank Linsalata | ||||||||
| Trustee | 0.5 | X | 0 | 0 | 0 | |||
| Admiral Paul D Miller | ||||||||
| Trustee | 0.5 | X | 0 | 0 | 0 | |||
| Robert Moses | ||||||||
| Trustee | 0.5 | X | 0 | 0 | 0 | |||
| Wayne Mullican | ||||||||
| Trustee | 0.5 | X | 0 | 0 | 0 | |||
| Karli Sander | ||||||||
| Trustee | 0.5 | X | 48284 | 0 | 1912 | |||
| Scot C Schultz MD | ||||||||
| Trustee | 0.5 | X | 0 | 0 | 0 | |||
| Norman Thomson MD | ||||||||
| Trustee | 0.5 | X | 0 | 0 | 0 | |||
| Carl E Westman | ||||||||
| Trustee | 0.5 | X | 0 | 0 | 0 | |||
| Gregory Wilkerson RN | ||||||||
| Trustee | 0.5 | X | 64057 | 0 | 10986 | |||
| Allen S Weiss MD | ||||||||
| President/CEO/Trustee | 40.0 | X | X | 643511 | 0 | 55504 | ||
| Kevin D Cooper | ||||||||
| General Counsel/Chief of Staff | 40.0 | X | 374799 | 0 | 18113 | |||
| Phillip Dutcher | ||||||||
| COO, NCH Healthcare System Inc | 40.0 | X | 376608 | 0 | 10431 | |||
| Aurora Estevez MD | ||||||||
| Chief Medical Officer | 40.0 | X | 394146 | 0 | 18216 | |||
| Vicki D Orr | ||||||||
| CFO/Assistant Treasurer | 40.0 | X | 369494 | 0 | 31028 | |||
| Elizabeth Martin | ||||||||
| Assistant Secretary | 40.0 | X | 59103 | 0 | 14080 | |||
| BRIAN SETTLE TERM 9302011 | ||||||||
| Chief Human Resources Officer | 40.0 | X | 254326 | 0 | 23972 | |||
| SUSAN WOLFF TERM 9302011 | ||||||||
| Chief Information Officer | 40.0 | X | 261411 | 0 | 17919 | |||
| William Edwards Term 06411 | ||||||||
| Chief Administrative Officer | 1.0 | X | 0 | 107111 | 6012 | |||
| Michele Thoman | ||||||||
| CNO | 40.0 | X | 242658 | 0 | 22465 | |||
| Michael Riley | ||||||||
| Chief Strategy Officer | 40.0 | X | 189961 | 0 | 29055 | |||
| James K Martin | ||||||||
| Chief Development Officer | 1.0 | X | 0 | 298520 | 13603 | |||
| Zach Bostock Start 091911 | ||||||||
| Chief Administrative Officer | 1.0 | X | 0 | 0 | 0 | |||
| Gary Parsons MD | ||||||||
| Chief Medical Officer NCHMD | 1.0 | X | 0 | 153351 | 3326 | |||
| Bedalin Helvink MD | ||||||||
| Medical Dir/Behavior Health | 40.0 | 202238 | 0 | 28907 | X | |||
| Samuel T Pinosky MD | ||||||||
| Physician/Behavior Health | 40.0 | 201254 | 0 | 13922 | X | |||
| James Bates | ||||||||
| Dir Radiology/COO NDIC | 40.0 | 184250 | 0 | 28700 | X | |||
| Patricia Read | ||||||||
| Administrative Director | 40.0 | 166656 | 0 | 21558 | X | |||
| Benjamin Gyimah | ||||||||
| Lead Nuclear Medicine Tech | 40.0 | 158258 | 0 | 27235 | X | |||
| Gail Dolan | ||||||||
| FORMER COO, N NAPLES HOSPITAL | 0.0 | 247560 | 0 | 12247 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4637169 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 703898 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 443617 | TotalOtherCompensation |
| Number Individuals GT100 K | 109 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| CERNER CORPORATION | |||||
| PO BOX 412702 | KANSAS CITY | MO | 64141 | IT SUPPORT | 10528015 |
| PRECYSE SOLUTIONS | |||||
| DEPT 1736 PO BOX 11407 | BIRMINGHAM | AL | 35246 | MEDICAL RECORDS SUPP | 2496088 |
| SODEXHO INC | |||||
| PO BOX 536922 | ATLANTA | GA | 303536922 | FOOD/ENVIRONMENTAL | 2491108 |
| MEDS MONTI ELIGIBILITYDENIAL SOLUT | |||||
| 100 TREEMONTE DR | ORANGE CITY | FL | 32763 | PROF SERV COLLECTION | 2217837 |
| AMN HEALTHCARE INC | |||||
| 2735 COLLECTION CENTER DR | CHICAGO | IL | 60693 | AGENCY LABOR | 1910619 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 91 | NumberOfContractorsGT100K |
| Fundraising Events | 1202991 | FundraisingEvents |
| All Other Contributions | 3970681 | AllOtherContributions |
| Noncash Contributions | 678148 | NoncashContributions |
| Total Contributions | 5173672 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT SERVICE REVENUES | Description |
| Business Code | 622110 | BusinessCode |
| Total Revenue Column | 444235124 | TotalRevenueColumn |
| Related Or Exempt Function Income | 444235124 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 444235124 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4966587 | TotalRevenueColumn |
| Unrelated Business Revenue | 1900 | UnrelatedBusinessRevenue |
| Exclusion | $4,964,687 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 31876 | TotalRevenueColumn |
| Exclusion | $31,876 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 833739 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 122 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 833617 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 833617 | TotalRevenueColumn |
| Exclusion | $833,617 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 77676177 | Securities |
| Other | 43125 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 76620285 | Securities |
| Other | 245314 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1055892 | Securities |
| Other | -202189 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 853703 | TotalRevenueColumn |
| Exclusion | $853,703 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 521245 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 1202991 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 707091 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -185846 | TotalRevenueColumn |
| Exclusion | -$185,846 | ExclusionAmount |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| DIETARY SERVICES | 900099 | 2342665 | 2342665 |
| WELLNESS CENTER | 900099 | 3256425 | 3256425 |
| SCHOOL NURSE | 900099 | 2315777 | 2315777 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3815773 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3778253 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 37520 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 11730640 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 467639373 | TotalRevenueColumn |
| Related Or Exempt Function Income | 455928244 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 39420 | UnrelatedBusinessRevenue |
| Exclusion | $6,498,037 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12500 | Total |
| Program Services | 12500 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4105489 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 4105489 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 160840728 | Total |
| Program Services | 139931434 | ProgramServices |
| Management And General | 20897679 | ManagementAndGeneral |
| Fundraising | 11615 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5072061 | Total |
| Program Services | 4412693 | ProgramServices |
| Management And General | 658891 | ManagementAndGeneral |
| Fundraising | 477 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12246760 | Total |
| Program Services | 10654681 | ProgramServices |
| Management And General | 1590286 | ManagementAndGeneral |
| Fundraising | 1793 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11493181 | Total |
| Program Services | 9999068 | ProgramServices |
| Management And General | 1493051 | ManagementAndGeneral |
| Fundraising | 1062 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 678719 | Total |
| Program Services | 590486 | ProgramServices |
| Management And General | 88233 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 966760 | Total |
| Program Services | 841081 | ProgramServices |
| Management And General | 125679 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 712725 | Total |
| Program Services | 620071 | ProgramServices |
| Management And General | 92654 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Fundraising | 0 | Fundraising |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34806628 | Total |
| Program Services | 30281766 | ProgramServices |
| Management And General | 4524862 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2004335 | Total |
| Program Services | 1743771 | ProgramServices |
| Management And General | 260564 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 101044889 | Total |
| Program Services | 87909054 | ProgramServices |
| Management And General | 13135835 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9570200 | Total |
| Program Services | 8326074 | ProgramServices |
| Management And General | 1244126 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10896389 | Total |
| Program Services | 9479858 | ProgramServices |
| Management And General | 1416531 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 279621 | Total |
| Program Services | 243270 | ProgramServices |
| Management And General | 36351 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7237031 | Total |
| Program Services | 6296217 | ProgramServices |
| Management And General | 940814 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29256065 | Total |
| Program Services | 25452777 | ProgramServices |
| Management And General | 3803288 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6113495 | Total |
| Program Services | 5318741 | ProgramServices |
| Management And General | 794754 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| OTHER MISC. EXPENSES | 64280 | 55924 | 8356 | 0 |
| BAD DEBT EXPENSE | 39154782 | 39154782 | 0 | 0 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 436556638 | Total |
| Program Services | 381324248 | ProgramServices |
| Management And General | 55217443 | ManagementAndGeneral |
| Fundraising | 14947 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34408687 | BOY |
| EOY | 59960259 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4205403 | BOY |
| EOY | 4732782 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6840666 | BOY |
| EOY | 7535758 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49352281 | BOY |
| EOY | 58628726 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7886256 | BOY |
| EOY | 8135773 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2342943 | BOY |
| EOY | 2600404 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 557477438 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 311681690 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 225727112 | BOY |
| EOY | 245795748 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 63010044 | BOY |
| EOY | 64515542 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5437800 | BOY |
| EOY | 4631657 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 123553489 | BOY |
| EOY | 123893744 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 522764681 | BOY |
| EOY | 580430393 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 46321058 | BOY |
| EOY | 41836228 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 785079 | BOY |
| EOY | 400138 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 98519649 | BOY |
| EOY | 170497704 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38666811 | BOY |
| EOY | 32374310 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 184292597 | BOY |
| EOY | 245108380 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 319914977 | BOY |
| EOY | 315534621 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6937702 | BOY |
| EOY | 8433484 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11619405 | BOY |
| EOY | 11353908 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 338472084 | BOY |
| EOY | 335322013 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 522764681 | BOY |
| EOY | 580430393 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 31082735 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -34232806 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 11619405 | BeginningOfYearBalance |
| Contributions | 69635 | Contributions |
| Investment Earnings Or Losses | -175132 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 160000 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 11353908 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 10901463 | BeginningOfYearBalance |
| Contributions | 161158 | Contributions |
| Investment Earnings Or Losses | 716784 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 160000 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 11619405 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 11163827 | BeginningOfYearBalance |
| Contributions | -10509 | Contributions |
| Investment Earnings Or Losses | -91855 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 160000 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 10901463 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 14426300 | OtherCostOrOtherBasis |
| Book Value | 14426300 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 274051581 | OtherCostOrOtherBasis |
| Depreciation | 130159396 | Depreciation |
| Book Value | 143892185 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6554924 | OtherCostOrOtherBasis |
| Depreciation | 4791260 | Depreciation |
| Book Value | 1763664 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 235295668 | OtherCostOrOtherBasis |
| Depreciation | 176731034 | Depreciation |
| Book Value | 58564634 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 27148965 | OtherCostOrOtherBasis |
| Book Value | 27148965 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 245795748 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (7 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| ASSETS LIMITED AS TO USE | 114556757 |
| UNAMORTIZED BOND ISSUE COSTS | 1811281 |
| UNAMORTIZED BOND DISCOUNTS | 1138840 |
| INSURANCE POLICY | 371819 |
| OTHER ASSETS | 1356225 |
| DEPOSITS | 831907 |
| THIRD-PARTY RECEIVABLE | 3826915 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 123893744 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| SELF-INSURANCE LIABILITIES | $9,430,612 |
| ACCRUED INTEREST | $3,614,962 |
| THIRD PARTY SETTLEMENT PAYABLE | $0 |
| DUE TO RELATED ORGANIZATIONS | $15,642,115 |
| PUBLIC MEDICAL FUND PAYABLE | $2,764,488 |
| OTHER LIABILITIES | $922,133 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 32374310 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS | Identifier |
| Return Reference | FORM 990, SCHEDULE D, PART V | ReturnReference |
| Explanation | ALL ENDOWMENTS FUNDS MAINTAINED BY NAPLES COMMUNITY HOSPITAL, INC. ARE USED IN FURTHERANCE OF THE ORGANIZATION'S TAX-EXEMPT PURPOSES. | Explanation |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | HOSPITAL BALL | NameOfEvent1 |
| Gross Receipts Event1 | 644725 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 261123 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 383602 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 301272 | OtherDirectExpensesEvent1 |
| Name Of Event2 | MAGNOLIA BALL | NameOfEvent2 |
| Gross Receipts Event2 | 1079511 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 941868 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 137643 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 405819 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 0 | TotalNumberOfOtherEvents |
| Gross Receipts Total | 1724236 | GrossReceiptsTotal |
| Charitable Contributions Total | 1202991 | CharitableContributionsTotal |
| Gross Revenue Total Events | 521245 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 707091 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 707091 | DirectExpenseSummaryEvents |
| Net Income Summary | -185846 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 24755651 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 24755651 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06230 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 36175664 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1749608 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 34426056 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08660 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 60931315 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1749608 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 59181707 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.14890 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 614741 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 614741 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00150 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 85588 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 85588 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 700329 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 700329 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00170 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 61631644 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1749608 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 59882036 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.15060 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 465888 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 465888 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00120 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 80853 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 80853 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 4244 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 4244 | NetCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 550985 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 550985 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00140 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $10,563,526 | BadDebtExpenseAmount |
| Amount Attributable To | 1721855 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 236064179 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 238107607 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -2043428 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NAPLES COMMUNITY HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 7TH STREET NORTH | AddressLine1 |
| City | NAPLES | City |
| State | FL | State |
| ZIP Code | 34102 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NAPLES COMMUNITY HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| SUPPLEMENTAL DISCLOSURES | PART I, LINE 3C N/A PART I, LINE 6A NAPLES COMMUNITY HOSPITAL, INC. 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. BAD DEBT EXPENSE, COSTING METHODOLOGY USED PART I, LINE 7 THE BAD DEBT EXPENSE AMOUNT INCLUDED ON FORM 990, PART IX, COLUMN 25(A) WAS $39,154,782 FOR THE YEAR ENDED SEPTEMBER 30, 2011. THIS AMOUNT HAS BEEN SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES REPORTED ON THE SCHEDULE H, PART I, LINE 7 TABLE. THE COSTING METHODOLOGY USED IN CALCULATING THE AMOUNTS REPORTED ON THE LINE 7 TABLE ARE BASED ON A COST TO CHARGE RATIO. THE COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2. | |
| BAD DEBT EXPENSE | UNCOMPENSATED CARE REPRESENTS EITHER CHARGES FOREGONE OR CHARGES IN EXCESS OF PAYMENT RECEIVED FOR SERVICES PROVIDED TO PATIENTS WHO ARE NOT COVERED UNDER CONTRACTS WITH THIRD-PARTY PAYORS. THE MAJOR COMPONENTS OF UNCOMPENSATED CARE ARE CATEGORIZED AS CHARITY, WELFARE, AND BAD DEBT. CHARITY CARE REPRESENTS SERVICES AND SUPPLIES FURNISHED AT NO CHARGE TO PATIENTS WHO HAVE QUALIFIED UNDER THE INCOME CRITERIA PROMULGATED BY THE STATE OF FLORIDA. PATIENTS WHO WOULD OTHERWISE BE DEEMED AS CHARITY CARE CAN SOMETIMES QUALIFY UNDER THE COLLIER COUNTY WELFARE PROGRAM. PAYMENTS UNDER THE COUNTY WELFARE PROGRAM ARE LIMITED BY THE AMOUNT APPROPRIATED BY THE COUNTY. FINALLY, BAD 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 HOSPITAL'S DECISION TO CEASE FURTHER COLLECTION EFFORTS. THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 ARE BASED ON A COST TO CHARGE RATIO. | PART III, SECTION A, LINE 4 |
| COSTING METHODOLOGY, MEDICARE SHORTFALL | THE 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 NAPLES COMMUNITY HOSPITAL, INC. 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 REGARDLESS OF WHETHER THE REIMBURSEMENT 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, SECTION B, LINE 8 |
| COLLECTION PRACTICES | NAPLES COMMUNITY HOSPITAL, INC. 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 III, LINE 9B |
| NEEDS ASSESSMENT | THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES IN VARIOUS WAYS. IN 2011, WE PARTICIPATED IN THE 2011 COLLIER COUNTY SUSTAINING EXCELLENCE CONFERENCE. THIS CONFERENCE PARTNERED KEY PARTICIPANTS FROM THE COUNTY, INCLUDING THE COLLIER COUNTY PUBLIC SCHOOLS, COLLIER COUNTY HEALTH DEPARTMENT, COLLIER COUNTY PARKS AND RECREATION DEPARTMENT, UNITED WAY OF COLLIER COUNTY, YMCA, POLICE, EMS AND FIRE DEPARTMENTS, NUTRITION FOOD SERVICE COMPANIES, PINE RIDGE MEDICAL CENTER AND NAPLES COMMUNITY HOSPITAL. THE GROUP FOCUSED ON HEALTH AND COMMUNITY ISSUES IN COLLIER COUNTY AND FLORIDA, SUCH AS TOBACCO USE, ADULT OBESITY, BINGE DRINKING, UNSAFE SEX, ACCESS TO CARE, QUALITY OF CARE, EDUCATION, UNEMPLOYMENT, CHILDREN IN POVERTY, INADEQUATE SOCIAL SUPPORT, COMMUNITY SAFETY, BUILT ENVIRONMENT AND MORBIDITY. THE GROUP WAS ABLE TO FOCUS ON SOLUTIONS TO SOME OF THE ISSUES DISCUSSED, AS WELL AS CREATE OPPORTUNITIES TO BETTER SERVE THE COMMUNITY'S NEEDS. | PART VI, LINE 2 |
| INFORMATION REGARDING PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | NAPLES 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 3 |
| COMMUNITY INFORMATION | NAPLES COMMUNITY HOSPITAL, INC. SERVES A DIVERSE AND SEASONAL COMMUNITY. THE POPULATION IS APPROXIMATELY 402,816. THE MEDIAN AGE OF RESIDENTS IS 46.9. THE ESTIMATED MEDIAN HOUSEHOLD INCOME IS $70,881. THE UNEMPLOYMENT RATE IS APPROXIMATELY 10.7%. THE PERCENTAGE OF RESIDENTS BELOW THE POVERTY LEVEL IS APPROXIMATELY 12.2%. | PART VI, LINE 4 |
| INFORMATION REGARDING PROMOTION OF COMMUNITY HEALTH | NAPLES COMMUNITY HOSPITAL, INC. PROVIDES HEALTH-ENHANCING EDUCATIONAL PROGRAMS AND RESOURCES IN PROMOTING THE HEALTH OF OUR COMMUNITY. THE TYPES OF PROGRAMS/RESOURCES PROVIDED INCLUDE: HEALTH SEMINARS, COMMUNITY HEALTH FAIRS & 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 OUR COMMUNITY. THE ORGANIZATION'S CIVIC INVOLVEMENT INCLUDES OPENING OUR DOORS TO THE COLLIER COUNTY SUPERVISOR OF ELECTIONS FOR BOTH VOTER REGISTRATION AND TO ACT AS A POLLING PLACE. NUMEROUS NCH STAFF VOLUNTEER TO MAN THE POLLS. IN ADDITION, MEMBERS OF NCH MANAGEMENT SERVE 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 5 |
| AFFILIATED HEALTHCARE SYSTEM INFORMATION | NAPLES 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 09/30/11, 8,054 PATIENTS WERE TREATED. OF THESE PATIENTS, 10.62% 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 6 |
| STATE FILING OF COMMUNITY BENEFIT REPORT | FL, | 990 SCHEDULE H, PART VI |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | EDUCATIONAL SCHOLARSHIPS | TypeOfGrant |
| Number Of Recipients | 5 | NumberOfRecipients |
| Amount Of Cash Grant | 12500 | AmountOfCashGrant |
| Method Of Valuation | N/A | MethodOfValuation |
| Description Of Non Cash Assistance | N/A | DescriptionOfNonCashAssistance |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS | Identifier |
| Return Reference | FORM 990, SCHEDULE I, PART I, LINE 2 | ReturnReference |
| Explanation | NAPLES COMMUNITY HOSPITAL, INC. MAKES SCHOLARSHIPS AVAILABLE TO STUDENTS VIA THE NCH HEALTHCARE SYSTEM 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 CERTAIN AREAS OF HEALTHCARE. AS DETAILED BELOW, APPLICANTS WISHING CONSIDERATION FOR THE SCHOLARSHIP PROGRAM MUST SUBMIT A COMPLETED SCHOLARSHIP APPLICATION AND ATTACH THE FOLLOWING INFORMATION: 1. A ONE PAGE TYPEWRITTEN, DOUBLE-SPACED ESSAY ON WHY THE APPLICANT HAS CHOSEN HEALTHCARE AS A CAREER PATH. 2. TWO PROFESSIONAL LETTERS OF REFERENCE. 3. HIGH SCHOOL TRANSCRIPT AND ANY ADDITIONAL TRANSCRIPTS. 4. AN ACCEPTANCE LETTER FROM THE APPLICANT'S ACCREDITED SCHOOL STATING THE APPLICANT'S ENROLLMENT IN THE NURSING, PHYSICAL THERAPY, SPEECH THERAPIST, OCCUPATIONAL THERAPIST, OR SURGICAL TECH. THE FOLLOWING GUIDELINES APPLY: 1. SCHOLARSHIP STUDENTS MUST APPLY YEARLY BY MAY FOR THE WINTER SEMESTER AND OCTOBER FOR THE SPRING SEMESTER. 2.SCHOLARSHIP STUDENTS MUST SUBMIT GRADES AFTER EACH SEMESTER AND REMAIN IN GOOD STANDING TO PROGRESS IN THEIR MAJOR. 3.THE MAXIMUM AMOUNT OF FUNDING EACH YEAR FOR THE MASTER'S PROGRAM WILL NOT EXCEED $7,000; BACCALAUREATE PROGRAM WILL NOT EXCEED $4,000; FOR AN ASSOCIATES PROGRAM WILL NOT EXCEED $3,000. 4. THE SURGICAL SCHOLARSHIP IS A MAXIMUM AMOUNT OF $5,000 FOR THE PROGRAM. 5. A LIMITED NUMBER OF SCHOLARSHIPS ARE GRANTED. IF AN INDIVIDUAL IS CONSIDERED FOR THE SCHOLARSHIP PROGRAM, SUCH INDIVIDUAL WILL HAVE A PANEL INTERVIEW AND A POSSIBLE JOB SHADOWING OPPORTUNITY. A DECISION WHETHER OR NOT AN INDIVIDUAL HAS BEEN ACCEPTED WILL BE MADE SHORTLY THEREAFTER THE PANEL INTERVIEW. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (18 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Kenneth Bookman MD | |||||||||||||
| 0 | 100723 | 0 | 40068 | 0 | 4125 | 0 | 4059 | 0 | 4820 | 0 | 153795 | 0 | 0 |
| Allen S Weiss MD | |||||||||||||
| 598143 | 0 | 28868 | 0 | 16500 | 0 | 40671 | 0 | 14833 | 0 | 699015 | 0 | 0 | 0 |
| Kevin D Cooper | |||||||||||||
| 343159 | 0 | 15140 | 0 | 16500 | 0 | 9800 | 0 | 8313 | 0 | 392912 | 0 | 0 | 0 |
| Gail Dolan | |||||||||||||
| 146283 | 0 | 11650 | 0 | 89627 | 0 | 6785 | 0 | 5462 | 0 | 259807 | 0 | 0 | 0 |
| Phillip Dutcher | |||||||||||||
| 361468 | 0 | 15140 | 0 | 0 | 0 | 9800 | 0 | 631 | 0 | 387039 | 0 | 0 | 0 |
| Aurora Estevez MD | |||||||||||||
| 360652 | 0 | 16994 | 0 | 16500 | 0 | 9800 | 0 | 8416 | 0 | 412362 | 0 | 0 | 0 |
| Vicki D Orr | |||||||||||||
| 337854 | 0 | 15140 | 0 | 16500 | 0 | 9800 | 0 | 21228 | 0 | 400522 | 0 | 0 | 0 |
| BRIAN SETTLE TERM 9302011 | |||||||||||||
| 226108 | 0 | 11718 | 0 | 16500 | 0 | 9800 | 0 | 14172 | 0 | 278298 | 0 | 0 | 0 |
| SUSAN WOLFF TERM 9302011 | |||||||||||||
| 232727 | 0 | 12184 | 0 | 16500 | 0 | 9800 | 0 | 8119 | 0 | 279330 | 0 | 0 | 0 |
| Michele Thoman | |||||||||||||
| 232585 | 0 | 10073 | 0 | 0 | 0 | 6743 | 0 | 15722 | 0 | 265123 | 0 | 0 | 0 |
| Michael Riley | |||||||||||||
| 189893 | 0 | 68 | 0 | 0 | 0 | 7753 | 0 | 21302 | 0 | 219016 | 0 | 0 | 0 |
| James K Martin | |||||||||||||
| 0 | 208452 | 0 | 90068 | 0 | 0 | 0 | 1177 | 0 | 12426 | 0 | 312123 | 0 | 0 |
| Gary Parsons MD | |||||||||||||
| 0 | 69158 | 0 | 80068 | 0 | 4125 | 0 | 1467 | 0 | 1859 | 0 | 156677 | 0 | 0 |
| Bedalin Helvink MD | |||||||||||||
| 202170 | 0 | 68 | 0 | 0 | 0 | 8223 | 0 | 20684 | 0 | 231145 | 0 | 0 | 0 |
| Samuel T Pinosky MD | |||||||||||||
| 201186 | 0 | 68 | 0 | 0 | 0 | 946 | 0 | 12976 | 0 | 215176 | 0 | 0 | 0 |
| James Bates | |||||||||||||
| 164133 | 0 | 20117 | 0 | 0 | 0 | 6990 | 0 | 21710 | 0 | 212950 | 0 | 0 | 0 |
| Patricia Read | |||||||||||||
| 161674 | 0 | 4982 | 0 | 0 | 0 | 6642 | 0 | 14916 | 0 | 188214 | 0 | 0 | 0 |
| Benjamin Gyimah | |||||||||||||
| 155289 | 0 | 2969 | 0 | 0 | 0 | 5963 | 0 | 21272 | 0 | 185493 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DETAIL OF SEVERANCE PAYMENTS | FORM 990, SCHEDULE J, PART I, LINE 4A | GAIL DOLAN, COO, NORTH NAPLES HOSPITAL, RESIGNED 08/30/10 AND RECEIVED A SEVERANCE PAYMENT OF $73,126 FOR CALENDAR YEAR 2010. WILLIAM EDWARDS, CHIEF ADMINISTRATIVE OFFICER, NCHMD, INC., RESIGNED 6/4/11 AND RECEIVED A SEVERANCE PAYMENT OF $146,505 FOR CALENDAR YEAR 2011. |
| 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 & 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. |
| PROVISIONS OF NON-FIXED PAYMENTS | FORM 990, SCHEDULE J, LINE 7 | 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. |
| PROVISION OF HOUSING ALLOWANCE | FORM 990, SCHEDULE J, PART I, LINE 1A | 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. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| COLLIER CTY INDUSTRIAL DEVLMT ATHRTY- SERIES 2004 | |||||||
| 591695679 | 194641AF3 | 2004-08-31 | 38000000 | NEW NORTH NAPLES PATIENT TOWER | false | false | false |
| COLLIER CTY INDUSTRIAL DEVLMT ATHRTY- SERIES 2010 | |||||||
| 591695679 | 2010-12-30 | 30000000 | NEW CAPITAL EQUIPMENT | false | false | false | |
| COLLIER CTY INDUSTRIAL DEVLMT ATHRTY- SERIES 2011 | |||||||
| 591695679 | 194641AK2 | 2011-04-01 | 102115000 | REFINANCING & NEW CAPITAL EQUIP | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)
| Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0 | 0 | 39032139 | 0 | 0 | 0 | 504750 | 0 | 0 | 38527389 | 0 | 0 | 2007 | false | false | true | true |
| 0 | 0 | 30020079 | 11445099 | 0 | 0 | 159198 | 0 | 0 | 18395703 | 0 | 20079 | 2013 | false | false | false | true |
| 0 | 0 | 100967621 | 21843044 | 0 | 49222562 | 1414549 | 0 | 0 | 28471956 | 0 | 15510 | 2013 | false | true | false | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|---|
| false | false | false | false | false | 0.00000 | 0.00000 | 0.00000 | true |
| false | false | false | false | false | 0.00000 | 0.00000 | 0.00000 | true |
| false | false | false | false | false | 0.00000 | 0.00000 | 0.00000 | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|---|---|
| false | false | false | false | false | false | false | true |
| false | false | false | false | false | false | false | true |
| false | false | false | false | false | false | false | true |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ADDITIONAL DETAIL FOR PROCEEDS OF ISSUES | Identifier |
| Return Reference | FORM 990, SCHEDULE K, PART II, LINE 3 | ReturnReference |
| Explanation | FOR COLLIER COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY- SERIES 2004, THE TOTAL PROCEEDS OF ISSUE REPORTED INCLUDES $1,032,139 IN ORIGINAL ISSUE PREMIUMS. FOR COLLIER COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY- SERIES 2010, THE TOTAL PROCEEDS OF ISSUE REPORTED INCLUDES $20,079 IN INVESTMENT EARNINGS. FOR COLLIER COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY- SERIES 2011, THE TOTAL PROCEEDS OF ISSUE REPORTED INCLUDES $1,159,176 IN NET ORIGINAL ISSUE DISCOUNTS AND $11,797 IN INVESTMENT EARNINGS. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (8 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| KATHRYN HOUSER | |||
| FAMILY MEMBER OF TRUSTEE | 75462 | PAYMENT OF COMPENSATION | false |
| DIANNE GARRISON | |||
| FAMILY MEMBER OF TRUSTEE | 121155 | PAYMENT OF COMPENSATION | false |
| GULF COAST CARDIOTHORACIC | |||
| COMMON TRUSTEE/PARTNER | 230317 | PURCHASE OF MEDICAL SERVICES | false |
| CANDACE S SETTLE | |||
| FAMILY MEMBER OF OFFICER | 39260 | PAYMENT OF COMPENSATION | false |
| JEFFERY SANDER | |||
| FAMILY MEMBER OF OFFICER | 80281 | PAYMENT OF COMPENSATION | false |
| GRAY ROBINSON PA | |||
| COMMON TRUSTEE/PARTNER | 108295 | PAYMENT OF LEGAL SERVICES | false |
| JODI S COOPER | |||
| FAMILY MEMBER OF OFFICER | 121416 | PAYMENT OF COMPENSATION | false |
| JAMES ORR MD | |||
| FAMILY MEMBER OF OFFICER | 444561 | RECEIPT OF RENTAL INCOME | false |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS | Identifier |
| Return Reference | FORM 990, SCHEDULE L, PART IV | ReturnReference |
| Explanation | KATHRYN HOUSER, RN AND DIANNE GARRISON, RN ARE SIBLINGS OF BOARD TRUSTEE JOANN JENNER. BOARD TRUSTEE SCOT SCHULTZ, M.D. IS A PARTNER OF GULF COAST CARDIOTHORACIC. CANDACE SETTLE, PHYSICAL THERAPIST ASSISTANT, IS THE SPOUSE OF OFFICER BRIAN SETTLE, CHIEF HUMAN RESOURCES OFFICER. JEFFREY SANDER, RN IS THE SPOUSE OF BOARD TRUSTEE KARLI SANDER. BOARD TRUSTEE, CARL WESTMAN, IS A PARTNER AT GRAY ROBINSON, PA. JODI COOPER, DIRECTOR OF THE LABORATORY, IS THE SPOUSE OF OFFICER KEVIN COOPER, GENERAL COUNSEL/CHIEF OF STAFF. JAMES ORR, M.D. IS THE SPOUSE OF VICKI ORR, CFO/ASSISTANT TREASURER. HE HAS A MINORITY EQUITY INTEREST IN 21ST CENTURY ONCOLOGY WHICH PAYS NCH RENTAL INCOME FOR THE LUTGERT EAST BUILDING. | Explanation |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArt | |
| Art Historical Treasures | ArtHistoricalTreasures | |
| Art Fractional Interest | ArtFractionalInterest |
Books And Publications BooksAndPublications
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Noncash Contribs Rptd F990 | 550 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
Clothing And Household Goods ClothingAndHouseholdGoods
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Noncash Contribs Rptd F990 | 568254 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
Cars And Other Vehicles CarsAndOtherVehicles
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 3 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 4600 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Boats And Planes | BoatsAndPlanes | |
| Intellectual Property | IntellectualProperty |
Securities Publicly Traded SecuritiesPubliclyTraded
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 6170 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities Closely Held Stock | SecuritiesCloselyHeldStock | |
| Securities Prtnrshp Trust Intrsts | SecuritiesPrtnrshpTrustIntrsts |
Securities Miscellaneous SecuritiesMiscellaneous
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 9 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 85500 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Qualified Contrib Hist Struct | QualifiedContribHistStruct | |
| Qualified Contrib Other | QualifiedContribOther | |
| Real Estate Residential | RealEstateResidential | |
| Real Estate Commercial | RealEstateCommercial | |
| Real Estate Other | RealEstateOther | |
| Collectibles | Collectibles | |
| Food Inventory | FoodInventory | |
| Drugs And Medical Supplies | DrugsAndMedicalSupplies | |
| Taxidermy | Taxidermy | |
| Historical Artifacts | HistoricalArtifacts | |
| Scientific Specimens | ScientificSpecimens | |
| Archaeological Artifacts | ArchaeologicalArtifacts |
Other Non Cash Contributions Table OtherNonCashContributionsTable (5 entries)
| Non Cash CheckboxNonCashCheckbox | DescriptionDescription | Number Of ContributionsNumberOfContributions | Noncash Contribs Rptd F990NoncashContribsRptdF990 | Method Of Determining RevenuesMethodOfDeterminingRevenues |
|---|---|---|---|---|
| X | 2 NIGHT STAY RITZ CARLTON RESORT | 1 | 2900 | FMV |
| X | HOSTING GIFTS, HOSTS DINNER, KICKOFF BREAKFAST | 1 | 5974 | FMV |
| X | FGCU BASKETBALL GAME | 1 | 500 | FMV |
| X | CHEF DINNER FOR 10 | 1 | 2700 | FMV |
| X | LUXURY SUITE AND DALLAS COWBOYS GAME | 1 | 1000 | FMV |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of8283 Received | 3 | NumberOf8283Received |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | true | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (48 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DETAIL OF BUSINESS RELATIONSHIPS | FORM 990, PART VI, SECTION A, LINE 2 | ALBERTO M. DE LA RIVAHERRERA, M.D. AND JOHN LEWIS, M.D. ARE MINORITY PARTNERS OF EMERGENCY PHYSICIANS OF NAPLES. |
| GOVERNING BODY AND MANAGEMENT | FORM 990, PART VI, SECTION A, LINE 6, 7A,B | THE BOARD OF DIRECTORS OF NCH HEALTHCARE SYSTEM, INC., SOLE MEMBER OF THIS ORGANIZATION, ELECTS THIS ORGANIZATION'S DIRECTORS. FORM 990 REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 11A INFORMATION RELATED TO NAPLES COMMUNITY HOSPITAL INC.'S ("NCH") FORM 990 FILING IS GATHERED BY FINANCE STAFF AND PROVIDED TO PRICEWATERHOUSECOOPERS LLP FOR REVIEW AND RETURN PREPARATION. THE 2010 FORM 990 FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2011 WAS REVIEWED AND APPROVED BY THE CHAIRMAN OF THE NCH AUDIT AND FINANCE COMMITTEES, RESPECTIVELY, SENIOR LEADERSHIP TEAM AND OUTSIDE COUNSEL FOR THE BOARD PRIOR TO FILING WITH THE IRS. |
| CONFLICT OF INTEREST POLICY | FORM 990, PART VI, SECTION B, LINE 12 | ANNUALLY, ALL NCH OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE INTERESTS THAT COULD POTENTIALLY GIVE RISE TO CONFLICTS. |
| COMPENSATION PROCESS | FORM 990, PART VI, SECTION B, LINE 15 | 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). WRITTEN EMPLOYMENT CONTRACTS ARE ALSO UTILIZED. |
| DOCUMENTS AVAILABILITY TO PUBLIC | FORM 990, PART VI, SECTION C, LINE 19 | 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. |
| DETAIL OF OTHER CHANGES IN NET ASSETS | FORM 990, PART XI, LINE 5 | TRANSFERS TO RELATED ORGANIZATIONS $(29,705,975) CHANGE IN NET UNREALIZED GAINS AND LOSSES (4,526,831) ------------ TOTAL OTHER CHANGES IN NET ASSETS $(34,232,806) |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Joseph I. Perkovich TITLE:Chairman HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Mariann MacDonald TITLE:1st Vice Chairman HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Ambassador Francis Rooney TITLE:2nd Vice Chairman HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Thomas J. Gazdic TITLE:Secretary/Treasurer HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:William Allyn TITLE:Trustee HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Jay H. Baker TITLE:Trustee HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Kenneth Bookman, M.D. TITLE:Trustee HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Susan L. Dalton TITLE:Trustee HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Paul Dernbach, M.D. TITLE:Trustee HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Alberto M. de la Rivaherrera, M.D. TITLE:Trustee HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Michael Feuer TITLE:Trustee HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Terrance Flynn TITLE:Trustee HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Daniel Gill TITLE:Trustee HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Kay Gow TITLE:Trustee HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Joann Jenner TITLE:Trustee HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Amy Jewell, R.N. TITLE:Trustee HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Kim Ciccarelli Kantor TITLE:Trustee HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Hermes Koop, M.D. TITLE:Trustee HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:John Lewis, M.D. TITLE:Trustee HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Frank Linsalata TITLE:Trustee HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Admiral Paul D. Miller TITLE:Trustee HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Robert Moses TITLE:Trustee HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Wayne Mullican TITLE:Trustee HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Karli Sander TITLE:Trustee HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Scot C. Schultz, M.D. TITLE:Trustee HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Norman Thomson, M.D. TITLE:Trustee HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Carl E. Westman TITLE:Trustee HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Gregory Wilkerson, R.N. TITLE:Trustee HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Allen S. Weiss, M.D. TITLE:President/CEO/Trustee HOURS:5 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Kevin D. Cooper TITLE:General Counsel/Chief of Staff HOURS:5 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Phillip Dutcher TITLE:COO, NCH Healthcare System Inc HOURS:5 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Aurora Estevez, M.D. TITLE:Chief Medical Officer HOURS:5 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Vicki D. Orr TITLE:CFO/Assistant Treasurer HOURS:5 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Elizabeth Martin TITLE:Assistant Secretary HOURS:5 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:BRIAN SETTLE (TERM 9/30/2011) TITLE:Chief Human Resources Officer HOURS:5 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:SUSAN WOLFF (TERM 9/30/2011) TITLE:Chief Information Officer HOURS:5 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:William Edwards (Term 06/4/11) TITLE:Chief Administrative Officer HOURS:44 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Michele Thoman TITLE:CNO HOURS:5 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Michael Riley TITLE:Chief Strategy Officer HOURS:5 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:James K. Martin TITLE:Chief Development Officer HOURS:44 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Zach Bostock (Start 09/19/11) TITLE:Chief Administrative Officer HOURS:44 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Gary Parsons, M.D. TITLE:Chief Medical Officer NCHMD HOURS:44 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| NCH HEALTHCARE SYSTEM INC | |||||||||
| PO BOX 413029 | NAPLES | FL | 34101 | 592314655 | HOLDING CO | FL | 501(C)(3) | 11,B | NA |
| NCHMD INC | |||||||||
| PO BOX 413029 | NAPLES | FL | 34101 | 331075317 | HEALTHCARE | FL | 501(C)(3) | 9 | NCH SYSTEM |
| COLLIER HEALTH CARE INC | |||||||||
| PO BOX 413029 | NAPLES | FL | 34101 | 650244276 | HEALTHCARE | FL | 501(C)(3) | 3 | NCH SYSTEM |
| COMMUNITY HOME SERVICES INC | |||||||||
| PO BOX 413029 | NAPLES | FL | 34101 | 592440516 | SUPPORT ORG | FL | 501(C)(3) | 11,B | NCH SYSTEM |
| MARCO ISLAND HOSPITAL INC | |||||||||
| 40 HEATHWOOD DRIVE | MARCO ISLAND | FL | 34145 | 592315435 | HEALTHCARE | FL | 501(C)(3) | 3 | NCH SYSTEM |
Form990 Schedule R Part IV Form990ScheduleRPartIV (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| COUNSELING & EMPLOYEE ASSISTANCE PROGRAM | ||||||||
| 350 7TH STREET NORTH | NAPLES | FL | 34102 | 650374989 | EMPLOYEE ASSIST | FL | NCH SYSTEM | C CORP |
| HEALTH RESOURCES CORPORATION | ||||||||
| 350 7TH STREET NORTH | NAPLES | FL | 34102 | 592568003 | HOLDING COMPANY | FL | NCH SYSTEM | C CORP |
| AMBULATORY SURGICAL CARE CENTER INC | ||||||||
| 350 7TH STREET NORTH | NAPLES | FL | 34102 | 592568029 | OUTPAT. SURGERY | FL | HRC | C CORP |
| COMMUNITY HOME CARE INC | ||||||||
| 350 7TH STREET NORTH | NAPLES | FL | 34102 | 592372966 | HOME HEALTH | FL | HRC | C CORP |
| COMMUNITY IMAGING INC | ||||||||
| 350 7TH STREET NORTH | NAPLES | FL | 34102 | 592446336 | RADIOLOGY LAB | FL | HRC | C CORP |
| GULFCOAST LINEN SERVICE INC | ||||||||
| 350 7TH STREET NORTH | NAPLES | FL | 34102 | 650214546 | LINEN SERVICE | FL | HRC | C CORP |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | true | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |