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    <Timestamp>2011-08-09T08:23:04-05:00</Timestamp>
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        <City>PHILADELPHIA</City>
        <State>PA</State>
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      <Name>VICKI ORR</Name>
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      <DateSigned>2011-08-08</DateSigned>
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      <ActivityOrMissionDescription>THROUGH THE PROVISION OF CHARITABLE HEALTHCARE, OUR MISSION IS TO PROMOTE, MAINTAIN AND RESTORE HEALTH FOR THOSE WE SERVE.</ActivityOrMissionDescription>
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      <MissionDescription>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>
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      <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 $58,180,031 OF CHARITY CARE TO PATIENTS WHO WERE UNABLE TO PAY AND NOT COVERED BY ANY GOVERNMENTAL OR PRIVATE INSURANCE PROGRAM. ADDITIONALLY, NCH WROTE OFF $52,212,489 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 537 ACTIVE AND ASSOCIATE PHYSICIANS, 2,793 FULL-TIME EQUIVALENT EMPLOYEES, AND 1,078 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 2010 FISCAL YEAR, NCH HAD 36,041 INPATIENT ADMISSIONS RESULTING IN 141,593 DAYS OF CARE. ADDITIONALLY, 82,818 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: ATHLETIC PHYSICALS AT LOCAL SCHOOLS, NURSES IN THE COLLIER COUNTY PUBLIC SCHOOL SYSTEM, AND ATHLETIC TRAINERS AT THE LOCAL HIGH SCHOOLS AND SPORTING EVENTS.</Description>
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        <NamePerson>VICKI ORR CFOASST TREASURER</NamePerson>
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          <City>NAPLES</City>
          <State>FL</State>
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      </Form990PartVIISectionA>
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        <NamePerson>Admiral Paul D Miller</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>John M Morrison</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Wayne Mullican</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
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        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Rabbi James H Perman</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Karli Sander</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>41553</ReportableCompFromOrganization>
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        <OtherCompensation>1659</OtherCompensation>
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      <Form990PartVIISectionA>
        <NamePerson>Scot C Schultz MD</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
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        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
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        <NamePerson>Stephen L Schwartz</NamePerson>
        <Title>Trustee</Title>
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        <NamePerson>Norman Thomson MD</NamePerson>
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        <NamePerson>Carl E Westman</NamePerson>
        <Title>Trustee</Title>
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        <NamePerson>Allen S Weiss MD</NamePerson>
        <Title>President/CEO/Trustee</Title>
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        <NamePerson>Kevin D Cooper</NamePerson>
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        <NamePerson>Gail Dolan</NamePerson>
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      </Form990PartVIISectionA>
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        <NamePerson>Phillip Dutcher</NamePerson>
        <Title>COO, NCH Healthcare System Inc</Title>
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        <NamePerson>Aurora Estevez MD</NamePerson>
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        <NamePerson>Vicki D Orr</NamePerson>
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        <NamePerson>Elizabeth Martin</NamePerson>
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        <NamePerson>Brian Settle</NamePerson>
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        <NamePerson>Susan Wolff</NamePerson>
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        <NamePerson>Linda Gipson</NamePerson>
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        <NamePerson>Michele Thoman</NamePerson>
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        <NamePerson>Michael Riley</NamePerson>
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        <NamePerson>Jim Martin</NamePerson>
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        <NamePerson>Robert Tober MD</NamePerson>
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        <NamePerson>Badalin Helvink MD</NamePerson>
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        <NamePerson>James Bates</NamePerson>
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        <NamePerson>Patricia Read</NamePerson>
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        <NamePerson>Noble Arrington</NamePerson>
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      </FeesForServicesOther>
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      </Advertising>
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      </InformationTechnology>
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      </Royalties>
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        <Total>9802001</Total>
        <ProgramServices>8527741</ProgramServices>
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      </Occupancy>
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      </Travel>
      <TravelEntrtnmntPublicOfficials>
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      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
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      </ConferencesMeetings>
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      </Interest>
      <PaymentsToAffiliates>
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      </PaymentsToAffiliates>
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      </DepreciationDepletion>
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        <ProgramServices>5568878</ProgramServices>
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      </Insurance>
      <OtherExpenses>
        <Description>BAD DEBT EXPENSES</Description>
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        <ProgramServices>52212489</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>OTHER MISC. EXPENSES</Description>
        <Total>28308</Total>
        <ProgramServices>24628</ProgramServices>
        <ManagementAndGeneral>3680</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>443728838</Total>
        <ProgramServices>389358553</ProgramServices>
        <ManagementAndGeneral>54355642</ManagementAndGeneral>
        <Fundraising>14643</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>41773374</BOY>
        <EOY>34408687</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>7585290</BOY>
        <EOY>4205403</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>8472398</BOY>
        <EOY>6840666</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>52021323</BOY>
        <EOY>49352281</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>7526623</BOY>
        <EOY>7886256</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>1427788</BOY>
        <EOY>2342943</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>518773961</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>293046849</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>219019674</BOY>
        <EOY>225727112</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>55229813</BOY>
        <EOY>63010044</EOY>
      </InvestmentsPubTradedSecurities>
      <IntangibleAssets>
        <BOY>0</BOY>
        <EOY>5437800</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>121257553</BOY>
        <EOY>123553489</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>514313836</BOY>
        <EOY>522764681</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>46357804</BOY>
        <EOY>46321058</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>778117</BOY>
        <EOY>785079</EOY>
      </DeferredRevenue>
      <TaxExemptBondLiabilities>
        <BOY>106591794</BOY>
        <EOY>98519649</EOY>
      </TaxExemptBondLiabilities>
      <OtherLiabilities>
        <BOY>42728138</BOY>
        <EOY>38666811</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>196455853</BOY>
        <EOY>184292597</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>299109381</BOY>
        <EOY>319914977</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>7847139</BOY>
        <EOY>6937702</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>10901463</BOY>
        <EOY>11619405</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>317857983</BOY>
        <EOY>338472084</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>514313836</BOY>
        <EOY>522764681</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementBoth>X</FinancialStatementBoth>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbying />
      <TotalDirectLobbying />
      <TotalLobbyingExpenditures />
      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>true</DirectContactLegislators>
      <DirectContactLegislatorsAmount>73887</DirectContactLegislatorsAmount>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>false</OtherActivities>
      <TotalLobbyingExpendituresIIB>73887</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>DETAIL OF LOBBYING EXPENSES</Identifier>
        <ReturnReference>FORM 990, SCHEDULE C, PART II-B</ReturnReference>
        <Explanation>NAPLES COMMUNITY HOSPITAL, INC. ("NCH") RETAINED A LAW FIRM TO MONITOR PENDING LEGISLATION OF RELEVANCE TO NCH AND TO MEET WITH STATE LEGISLATIVE OFFICIALS REGARDING NCH'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 INITIATIVES IN THE COMMUNITY. IN ADDITION,THE HOSPITAL IS A MEMBER OF THE FLORIDA HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THE DUES THAT HOSPITALS CONTRIBUTE IS CONSIDERED LOBBYING EXPENSES. THE LOBBYING EXPENSES REPORTED ARE FOR FISCAL YEAR 2010.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <CurrentYear>
        <BeginningOfYearBalance>10901463</BeginningOfYearBalance>
        <Contributions>161158</Contributions>
        <InvestmentEarningsOrLosses>716784</InvestmentEarningsOrLosses>
        <GrantsOrScholarships>0</GrantsOrScholarships>
        <OtherExpenditures>160000</OtherExpenditures>
        <AdministrativeExpenses>0</AdministrativeExpenses>
        <EndOfYearBalance>11619405</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>11163827</BeginningOfYearBalance>
        <Contributions>-10509</Contributions>
        <InvestmentEarningsOrLosses>-91855</InvestmentEarningsOrLosses>
        <GrantsOrScholarships>0</GrantsOrScholarships>
        <OtherExpenditures>160000</OtherExpenditures>
        <AdministrativeExpenses>0</AdministrativeExpenses>
        <EndOfYearBalance>10901463</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <BoardDesignatedEOYBalance>0.00000</BoardDesignatedEOYBalance>
      <PermanentEndowmentEOYBalance>1.00000</PermanentEndowmentEOYBalance>
      <TermEndowmentEOYBalance>0.00000</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>false</AreRelatedOrgsListedScheduleR>
      <Land>
        <OtherCostOrOtherBasis>14429240</OtherCostOrOtherBasis>
        <BookValue>14429240</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>268317513</OtherCostOrOtherBasis>
        <Depreciation>120853256</Depreciation>
        <BookValue>147464257</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>6561933</OtherCostOrOtherBasis>
        <Depreciation>4242098</Depreciation>
        <BookValue>2319835</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>218229877</OtherCostOrOtherBasis>
        <Depreciation>167951495</Depreciation>
        <BookValue>50278382</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>11235398</OtherCostOrOtherBasis>
        <Depreciation>0</Depreciation>
        <BookValue>11235398</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>225727112</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>ASSETS LIMITED AS TO USE</Description>
        <BookValue>118037966</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>UNAMORTIZED BOND ISSUE COSTS</Description>
        <BookValue>1640841</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>UNAMORTIZED BOND DISCOUNTS</Description>
        <BookValue>1137726</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>INSURANCE POLICY</Description>
        <BookValue>371819</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>OTHER ASSETS</Description>
        <BookValue>1450250</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DEPOSITS</Description>
        <BookValue>914887</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>123553489</TotalBookValueOtherAssets>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>SELF-INSURANCE LIABILITIES</Description>
        <Amount>11284786</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ACCRUED INTEREST</Description>
        <Amount>2479519</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>THIRD PARTY SETTLEMENT PAYABLE</Description>
        <Amount>6051628</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO RELATED ORGANIZATIONS</Description>
        <Amount>15171697</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>PUBLIC MEDICAL FUND PAYABLE</Description>
        <Amount>2688758</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>OTHER LIABILITIES</Description>
        <Amount>990423</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>38666811</TotalOfAmounts>
      <TotalRevenue>468246802</TotalRevenue>
      <TotalExpenses>443728838</TotalExpenses>
      <ExcessOrDeficitForYear>24517964</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>3933113</NetUnrealizedGLOnInvestments>
      <OtherAmount>-7836976</OtherAmount>
      <TotalAdjustments>-3903863</TotalAdjustments>
      <ExcessOrDeficitPerFS>20614101</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>464231358</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>3933113</NetUnrealizedGainsInvestments>
      <OtherRevenues>-7836976</OtherRevenues>
      <RevenueNotRptdF990>-3903863</RevenueNotRptdF990>
      <RevenueSubtotal>468135221</RevenueSubtotal>
      <OtherRevenuesNotIncluded>111581</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>111581</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>468246802</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>443617257</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>443617257</ExpensesSubtotal>
      <InvestmentExpensesNotIncluded2>0</InvestmentExpensesNotIncluded2>
      <OtherExpensesNotIncluded>111581</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>111581</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>443728838</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>SUPPLEMENTAL DISCLSOURES</Identifier>
        <Explanation>INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS FORM 990, SCHEDULE D, PART V ALL ENDOWMENTS FUNDS MAINTAINED BY NAPLES COMMUNITY HOSPITAL, INC. ARE USED IN FURTHERANCE OF THE ORGANIZATION'S TAX-EXEMPT PURPOSES. DETAIL OF OTHER CHANGES IN NET ASSETS FORM 990, SCHEDULE D, PART XI, LINE 8 &amp; PART XII, LINE 2D TRANSFERS TO RELATED ORGANIZATIONS $7,836,976 DETAIL OF OTHER RECONCILING ITEMS FORM 990, SCHEDULE D, PART XII, LINE 4B &amp; PART XIII, LINE 4B NET LOSS FROM EMPLOYEE HOUSING RENTAL $111,581</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="IRS990ScheduleG">
      <EventsInformation>
        <NameOfEvent1>Hospital Ball</NameOfEvent1>
        <GrossReceiptsEvent1>626306</GrossReceiptsEvent1>
        <CharitableContributionsEvent1>311422</CharitableContributionsEvent1>
        <GrossRevenueEvent1>314884</GrossRevenueEvent1>
        <CashPrizesEvent1>0</CashPrizesEvent1>
        <NonCashPrizesEvent1>0</NonCashPrizesEvent1>
        <RentFacilityCostsEvent1>0</RentFacilityCostsEvent1>
        <FoodAndBeverageEvent1>0</FoodAndBeverageEvent1>
        <EntertainmentEvent1>0</EntertainmentEvent1>
        <OtherDirectExpensesEvent1>315322</OtherDirectExpensesEvent1>
        <TotalNumberOfOtherEvents>0</TotalNumberOfOtherEvents>
        <GrossReceiptsTotal>626306</GrossReceiptsTotal>
        <CharitableContributionsTotal>311422</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>314884</GrossRevenueTotalEvents>
        <CashPrizesTotalEvents>0</CashPrizesTotalEvents>
        <NonCashPrizesTotalEvents>0</NonCashPrizesTotalEvents>
        <RentFacilityCostsTotalEvents>0</RentFacilityCostsTotalEvents>
        <FoodAndBeverageTotalEvents>0</FoodAndBeverageTotalEvents>
        <EntertainmentTotalEvents>0</EntertainmentTotalEvents>
        <OtherDirectExpensesTotalEvents>315322</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>315322</DirectExpenseSummaryEvents>
        <NetIncomeSummary>-438</NetIncomeSummary>
      </EventsInformation>
    </IRS990ScheduleG>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent400>X</Pcent400>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>21803044</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>21803044</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05570</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>34273197</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>7825686</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>26447511</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.06760</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>56076241</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>7825686</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>48250555</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.12330</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>608085</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>608085</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00160</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>75263</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>75263</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>683348</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>683348</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00180</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>56759589</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>7825686</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>48933903</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.12510</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <CommunitySupport>
        <TotalCommunityBuildingExpense>494639</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>494639</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00130</PercentOfTotalExpense>
      </CommunitySupport>
      <LeadershipDevelopment>
        <TotalCommunityBuildingExpense>71385</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>71385</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
      </LeadershipDevelopment>
      <WorkforceDevelopment>
        <TotalCommunityBuildingExpense>5500</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>5500</NetCommunityBuildingExpense>
      </WorkforceDevelopment>
      <Total>
        <TotalCommunityBuildingExpense>571524</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>571524</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00150</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>14765862</BadDebtExpenseAmount>
      <AmountAttributableTo>1860499</AmountAttributableTo>
      <AmountReimbursedByMedicare>225481124</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>233100119</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-7618995</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>NAPLES COMMUNITY HOSPITAL</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>350 7TH STREET NORTH</AddressLine1>
          <City>NAPLES</City>
          <State>FL</State>
          <ZIPCode>34102</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>NORTH NAPLES HOSPITAL</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>11190 HEALTH PARK BLVD</AddressLine1>
          <City>NAPLES</City>
          <State>FL</State>
          <ZIPCode>34110</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartVI>
        <AnnualCommunityBenefitExpln>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.</AnnualCommunityBenefitExpln>
        <CostingMethodUsed>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.</CostingMethodUsed>
        <PercentOfTotalExpenseExpln>THE BAD DEBT EXPENSE AMOUNT INCLUDED ON FORM 990, PART IX, COLUMN 25(A) WAS $52,212,489 FOR THE YEAR ENDED SEPTEMBER 30, 2010. THIS AMOUNT HAS BEEN SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES REPORTED ON THE SCHEDULE H, PART I, LINE 7 TABLE.</PercentOfTotalExpenseExpln>
        <BadDebtFootnote>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.</BadDebtFootnote>
        <ShortfallAsCommunityBenefit>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.</ShortfallAsCommunityBenefit>
        <DebtCollectionPolicy>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.</DebtCollectionPolicy>
        <NeedsAssessment>THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES IN VARIOUS WAYS. IN 2010, WE PARTICIPATED IN THE 2010 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.</NeedsAssessment>
        <PatientEducationAssistance>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.</PatientEducationAssistance>
        <CommunityInformation>NAPLES COMMUNITY HOSPITAL, INC. SERVES A DIVERSE AND SEASONAL COMMUNITY. THE POPULATION IS APPROXIMATELY 373,933. THE MEDIAN AGE OF RESIDENTS IS 48.0. THE ESTIMATED MEDIAN HOUSEHOLD INCOME IS $69,838. THE UNEMPLOYMENT RATE IS APPROXIMATELY 12.4%. THE PERCENTAGE OF RESIDENTS BELOW THE POVERTY LEVEL IS APPROXIMATELY 12.6%.</CommunityInformation>
        <CommunityBuildingActivities>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 &amp; 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, COMPLIMENTARY SCHOOL PHYSICALS, 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.</CommunityBuildingActivities>
        <AffiliatedHealthCareSystem>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: &gt; MARCO ISLAND HOSPITAL, INC., A 12-HOUR/7-DAYS A WEEK URGENT CARE FACILITY LOCATED IN MARCO ISLAND, FLORIDA. MARCO ISLAND HOSPITAL, INC. PROMOTES THE HEALTH OF OUR COMMUNITY IN THE FOLLOWING WAYS: FREE BLOOD PRESSURE CHECKS ARE GIVEN IN THE OUTPATIENT FACILITIES BUILDING MONDAY THROUGH FRIDAY.IN THE FISCAL YEAR ENDING 09/30/2010, 3,055 BLOOD PRESSURE CHECKS WERE GIVEN TO THE PUBLIC. IN NOVEMBER 2009, THE MARCO CAMPUS HOSTED THE LEADERSHIP MARCO WITH 12 MEMBERS IN ATTENDANCE. GROUP TOURS WERE GIVEN OF THE CENTER AND FOUR "MOCK TRAUMA" UNITS (I.V. INSERTION, USE OF THE AED, SPLINTING AND SUTURING WERE DISPLAYED. THREE MARCO RN'S AS WELL AS THE EXECUTIVE DIRECTOR, ADMINISTRATIVE ASSISTANT AND CSR SUPERVISOR PARTICIPATED. DR. ALLEN S. WEISS, PRESIDENT AND CEO ADDRESSED THE GROUP. &gt; 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. &gt; NCHMD, INC. OWNS AND OPERATES PHYSICIAN MEDICAL PRACTICES IN COLLIER AND LEE COUNTY, FLORIDA.</AffiliatedHealthCareSystem>
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      <RecordsMaintained>true</RecordsMaintained>
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        <NumberOfRecipients>8</NumberOfRecipients>
        <AmountOfCashGrant>44000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
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      <Form990ScheduleIPartIV>
        <Identifier>PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS</Identifier>
        <ReturnReference>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>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Noble Arrington</NamePerson>
        <BaseCompensationFilingOrg>124198</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>3658</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>22283</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>6320</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>15082</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>171541</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>COMPENSATION INFORMATION</Identifier>
        <Explanation>DETAIL OF SEVERANCE PAYMENTS FORM 990, SCHEDULE J, PART I, LINE 4A LINDA GIPSON, CNO RESIGNED 10/24/09 AND RECEIVED A SEVERANCE PAYMENT OF $62,731 FOR CALENDAR YEAR 2009. 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 $135,599 FOR THE CALENDAR YEAR 2009. THIS INVESTMENT INCOME IS INCLUDED IN SCHEDULE J, PART II, COLUMN C. IN 2009, NCH REVIEWED CONTRIBUTIONS TO THE NONQUALIFIED EXECUTIVE DEFERRED COMPENSATION RETIREMENT PLAN (457F) AND, IN CONNECTION WITH THE REVIEW, THE PLAN WAS TERMINATED AND THE FUNDS WERE DISTRIBUTED TO THE EMPLOYEE. THIS DISTRIBUTION IS INCLUDED IN SCHEDULE J, PART II, COLUMN F. THE FUNDS WERE DISTRIBUTED AS FOLLOWS IN CALENDAR YEAR 2009: KEVIN COOPER - $10,386 GAIL DOLAN - $38,960 BRIAN SETTLE - $114,671 SUSAN WOLFF - $80,639 ROBERT TOBER, M.D. - $119,838 PROVISION 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.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Collier County Industrial Development Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>591695679</IssuerEIN>
        <CUSIPNumber>194641AF3</CUSIPNumber>
        <DateIssued>2004-08-31</DateIssued>
        <IssuePrice>38000000</IssuePrice>
        <DescriptionOfPurpose>NEW NORTH NAPLES PATIENT TOWER</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Collier County Industrial Development Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>591695679</IssuerEIN>
        <DateIssued>2005-12-27</DateIssued>
        <IssuePrice>15000000</IssuePrice>
        <DescriptionOfPurpose>EQUIPMENT FOR PATIENT TOWER</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>39032139</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <AmountDefeased>0</AmountDefeased>
        <AmountUnspent>0</AmountUnspent>
        <IssuanceCostsFromProceeds>504750</IssuanceCostsFromProceeds>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>38527389</CapitalExpenditures>
        <YearOfSubstCompletion>2007</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>15438223</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <AmountDefeased>0</AmountDefeased>
        <AmountUnspent>0</AmountUnspent>
        <IssuanceCostsFromProceeds>0</IssuanceCostsFromProceeds>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>15438223</CapitalExpenditures>
        <YearOfSubstCompletion>2007</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
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        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>false</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
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      <Form990ScheduleKPartIII>
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        <AnyResearchAgreements>false</AnyResearchAgreements>
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        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
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        <Form8038TFiled>false</Form8038TFiled>
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      <Form990ScheduleKPartIV>
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          <NamePerson>KATHRYN HOUSER</NamePerson>
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        <AmountOfTransaction>71669</AmountOfTransaction>
        <DescriptionOfTransaction>PAYMENT OF COMPENSATION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
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      <Form990ScheduleLPartIV>
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          <NamePerson>JOANN JENNER</NamePerson>
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        <Relationship>FAMILY MEMBER OF TRUSTEE</Relationship>
        <AmountOfTransaction>97175</AmountOfTransaction>
        <DescriptionOfTransaction>PAYMENT OF COMPENSATION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
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          <NamePerson>GULF COAST CARDIOTHORACIC</NamePerson>
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        <AmountOfTransaction>219801</AmountOfTransaction>
        <DescriptionOfTransaction>PURCHASE OF MEDICAL SERVICES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
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      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>CANDACE S SETTLE</NamePerson>
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        <Relationship>FAMILY MEMBER OF OFFICER</Relationship>
        <AmountOfTransaction>32262</AmountOfTransaction>
        <DescriptionOfTransaction>PAYMENT OF COMPENSATION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
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      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>JEFFERY SANDER</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER OF OFFICER</Relationship>
        <AmountOfTransaction>92639</AmountOfTransaction>
        <DescriptionOfTransaction>PAYMENT OF COMPENSATION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
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      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>GRAY ROBINSON PA</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>COMMON TRUSTEE/PARTNER</Relationship>
        <AmountOfTransaction>117753</AmountOfTransaction>
        <DescriptionOfTransaction>PAYMENT OF LEGAL SERVICES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
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      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>KRAFT CONSTRUCTION GROUP</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>COMMON TRUSTEE/INTEREST</Relationship>
        <AmountOfTransaction>177911</AmountOfTransaction>
        <DescriptionOfTransaction>BUILDING CONSTRUCTION SERVICES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="IRS990ScheduleM">
      <WorksOfArt />
      <ArtHistoricalTreasures />
      <ArtFractionalInterest />
      <BooksAndPublications>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NoncashContribsRptdF990>200</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
      </BooksAndPublications>
      <ClothingAndHouseholdGoods />
      <CarsAndOtherVehicles>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>375</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
      </CarsAndOtherVehicles>
      <BoatsAndPlanes />
      <IntellectualProperty />
      <SecuritiesPubliclyTraded>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>5156</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
      </SecuritiesPubliclyTraded>
      <SecuritiesCloselyHeldStock />
      <SecuritiesPrtnrshpTrustIntrsts />
      <SecuritiesMiscellaneous>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>8</NumberOfContributions>
        <NoncashContribsRptdF990>96817</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
      </SecuritiesMiscellaneous>
      <QualifiedContribHistStruct />
      <QualifiedContribOther />
      <RealEstateResidential />
      <RealEstateCommercial />
      <RealEstateOther />
      <Collectibles />
      <FoodInventory>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>2</NumberOfContributions>
        <NoncashContribsRptdF990>1300</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
      </FoodInventory>
      <DrugsAndMedicalSupplies />
      <Taxidermy />
      <HistoricalArtifacts />
      <ScientificSpecimens />
      <ArchaeologicalArtifacts />
      <NumberOf8283Received>0</NumberOf8283Received>
      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>true</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>false</ThirdPartiesUsed>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>SUPPLEMENTAL DISCLOSURES</Identifier>
        <Explanation>NEW PROGRAM SERVICES CONDUCTED DURING THE YEAR FORM 990, PART III, LINE 2 ALTHOUGH NOT SIGNIFICANT TO ITS OVERALL OPERATIONS, DURING THE SEPTEMBER 30, 2010 TAX YEAR, NAPLES COMMUNITY HOSPITAL INC. ACQUIRED THE OPERATIONS OF A STAND-ALONE OUTPATIENT DIAGNOSTIC CATHERIZATION LABORATORY LOCATED IN COLLIER COUNTY, FLORIDA. THIS ACQUISITION REFLECTS THE HOSPITAL'S OVERALL STRATEGY TO DEVELOP AN INTEGRATED HEALTHCARE SYSTEM AND ENHANCE THE CARDIOLOGY SERVICES BEING PROVIDED. 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. 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 2009 FORM 990 FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2010 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 OFFICERS, DIRECTORS, TRUSTEES, ETC. FORM 990, PART VII, COLUMN (B) CERTAIN OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES OF THIS ORGANIZATION MAY ALSO DEVOTE TIME EACH WEEK TO RELATED ORGANIZATIONS.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>NCH HEALTHCARE SYSTEM INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 413029</AddressLine1>
          <City>NAPLES</City>
          <State>FL</State>
          <ZIPCode>34101</ZIPCode>
        </AddressUS>
        <EIN>592314655</EIN>
        <PrimaryActivities>HOLDING CO</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11,B</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>NCHMD INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 413029</AddressLine1>
          <City>NAPLES</City>
          <State>FL</State>
          <ZIPCode>34101</ZIPCode>
        </AddressUS>
        <EIN>331075317</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NCH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>COLLIER HEALTH CARE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 413029</AddressLine1>
          <City>NAPLES</City>
          <State>FL</State>
          <ZIPCode>34101</ZIPCode>
        </AddressUS>
        <EIN>650244276</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NCH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>COMMUNITY HOME SERVICES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 413029</AddressLine1>
          <City>NAPLES</City>
          <State>FL</State>
          <ZIPCode>34101</ZIPCode>
        </AddressUS>
        <EIN>592440516</EIN>
        <PrimaryActivities>SUPPORT ORG</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11,B</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NCH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MARCO ISLAND HOSPITAL INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>40 HEATHWOOD DRIVE</AddressLine1>
          <City>MARCO ISLAND</City>
          <State>FL</State>
          <ZIPCode>34145</ZIPCode>
        </AddressUS>
        <EIN>592315435</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NCH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>true</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>true</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>true</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>true</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>