Agenda 01/29/2008 Item #16F 4
Agenda Item No. 16F4
January 29. 2008
Page 1 of 22
EXECUTIVE SUMMARY
Recommendation to approve a Certiticate of Public Convenience and Necessity for NCH
Healthcarc System for non-emergency ambulance service and approve a budget
amendment recognizing and appropriating the $250 anuual renewal fee.
OBJECTIVE: Board of County Commissioners approval of a Certificate of Public
Convenience and Necessity for NCB Bealthcare System, authorization for the Chainnan to
execute the same and approval of a Budget Amendment to recognize and appropriate the $250
annual renewal fee.
CONSIDERA TIONS: NeH Bealtheare Systems Clm-ently operates non-emergency ambulance
transport under a Certificate of Public Convenience and Necessity. Collier County Ordinance
No. 2004-12 requires that NCB Healthcare Systems annually renew its original Celtificate of
Public Convenience and Necessitv and pay a $250 flOe. FUl1her, the renewal certificate may be
approved routinely by the Board or County Commissioners upon advice oi.the Administrator.
FISCAL IMPACT: $250 to he recognized and appropriated by Budget Amendment to
Emergency Management Fund OOI-1442JO Illr FY08.
GROWTH MANAGEMENT IMPACT: There is no Growth Management Impact associated
with this action.
RECOMMENDA nON: That the Board of County Commissioners:
1. Approve the Certificate of Public Convenience and Necessity for the NCB Bealthcare
System.
2. Authorize the Chairman to execute the same.
3. Approve a Budget Amendment to recognize and appropriate the $250 annual renewal
fee.
PREPARED BY:
Department
Christine Chase, Sr. Administrative Assistant, Emergency Management
..~
Page 1 of 1
Agenda Item No. 16F4
January 29, 2008
Page 2 of 22
COLLIER COUNTY
BOARD OF COUNTY COMMISSIONERS
Item Number:
Item Summary:
16F4
Recommendation to approve a Certificate of Public Convenience and Necessity for NCH
Heattllcare System for non-emergency ambulance service and approve a budget
amendment. recognizing and appropriating the $250 annual renewal fee.
Meeting Date:
1/29/2008900:00 AM
Prepared By
Christine Chase
Senk)r AdministrBHve Assistant
Date-
Gounty Manager's Office
i::mergency Managernnnt
ii8i200U 3:02:03 PM
Approved By
Don ::. Summers
Bureau of Emergency 3e~".ices Di,r,'ctor
Date
t:Ol)'nty ManagE'~'s Office
Bun:<;'\u of [me-rgem:v Services
'liOf200H 4:2:l ~~1M
;\,pproved By
OMS C{}()'.cHnatcr
OMB Coordinatnr
Date
County Manager's OffiCI:,
<:Jf1k,~ (~f Managernent & EJudget
1116/2001:"1 9:29 AM
Approved By
Michael Smykowski
hfianagernE.'nt & Budget Director
Date
County Manager's Office
Office of Management & Budget
1122120084:11 PM
Approved By
James V. Mudd
County Manager
Date
Board of County
Commissioners
County Manager's Office
1122120085:09 PM
file ://C:\AgendaT est\Export\99-January%2029, %202008\ 16. %20CONSENT%20A GENDA \... 1/23/2008
Naples Campus
350 Seventh Stree!N.
Naples. Florida 34102
(239) 436,5000
NCH
Agenda Item No. 16F4
January 29, 2008
Page 3 of 22
North Collier Campus
11190 Healthpark Boulevard
Naples,. Florida 34110
(239) 513,7000
c,'~, ~!!,~~.."- ...............
Healthcare
System
Decernber28,2007
;j
JAN - 2 2008
Dan Summers, Director
Bureau of Emergency Services
Collier County, Florida
_ ," , .",,'.' i,n';:.t,,,".~"'LT
Ell,........,..' '_I\," \ ,....'"":.!~.J.-\,-,..."I...i'"
.\'it::il,'..Ji..' V. <,"
Subject: Renewal of Certificate of Public Convenience and Necessity for NCH Healthcare System,
Ambulance Services.
Mr. Summers,
Persuant to Collier County Ordinance 2004-12, please accept the following updated information for the
renewal of the required certificate for 2008.
1. NCH Ambulance Services is operated by NCH Healthcare Systems, 350 7th Street North, Naples,
Florida, 34101.
2' NCH Ambulance Services provides the NCH Healthcare System with interfacility, and out of
county ambulance transports.
3, NCH Ambulance Services operates with up to 3, and no less than 1, State Licensed ALS
Ambulances, for 24 hours a day, and 7 days a week.
4- NCH Ambulance Services is located at 2157 Pine Ridge Road, Naples, Florida.
S- Schedule of attachments:
A, NCH Certificate of Liability Insurance.
B, Florida Advanced Life Support License.
C, List of permitted ALS Ambulances
D' Medical Director Documents.
E, Schedule of rates.
F, List of officers, and trustees of the NCH Healthcare System.
G, Check for $250.00 renewal fee.
Thank you for your attention to this matter. Please call me if you need any additional information, or if I
can answer questions about this renewal.
Sincerely,
David Mennini, Director
NCH Ambulance Services
239,513-7080 office
www.NCHmd.org
r
Agenda Item No. 16F4
January 29, 2008
Page 4 of 22
Attachment A
Agenda Item No. 16F4
January 29, 2008
ACORD
'"
CERTIFICATE OF LIABILITY INSURANCE Page 1 of 3 10/0';/2007
THIS CERTIFICATE is ISSUED AS A MATTER OF iNFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
AL Tl'R THE COVERAGE AFFORDED BY THE POLICIES BELOW.
877-945-7378
PRODUCER
Willis North America, Inc.
26 Century Blvd.
P. O. Box 305191
Naehvil18. TN 372305191
INSURED
NeH Healthcare Systems,
Attn: Daryl Kilpatrick
PO Box 413029
Naples, FL 34101
Inc.
, INSURERS AFFORDING COVERAGE NAIC#
--i'NSU~E~'~!_h. C~~.~:~_~r ~~k !i;_~ I~~-~~~:CG C~P~~Z____"_';~-6-~~"2';i-
INSURERS: Steadfast Insurance Co. ! 26387-001
-- ----- - --- --~..._---~
; !NSl!~ER c: Zu~_~ ~IU ic _an _In.,~ur&n~..!.._ c:o~P..!~.L . ~~ 3 5 - 2 9~
INSURER D:
INSURER E:
__+ u_
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOlWlTHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REOUCED BY PAID CLAIMS.
-.--------
t~SR
lTR
TYPEOF1NSURANCE
I GENER.A.L UABlLITY
POUCY NUMBER
....~~
i"glifit,
-----iiNf--
UMITS
: : COMMERCIAL GENERAL LIABILITY
r---+-----c r....---
i ! : CLAIMS MADE j! OCCUR
I I - -
I '
.
i EACH OCCURRENCE
: DAMAGE TO RENTED'
! PB!;'MI~I;_~tEa OCGUr'-m~J
: MEO EXP (Any one persOf1)
1----...-.----.-------...--
IpERSoN~~ADVINJURY
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~+
IA
I
I
I
GENERAL AGGREGATE
------.--
--]$
,
,
,
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--1
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1,000,000 i
. ..ul
I
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GEN'l AGGREGATE LIMIT APPLIES PER
,---1 POLICY 1- - j~T : LOC
; AUTOMOBILE UABIU1Y
P8108241A934COF007
10/1/2007
.......---I.....U-
10/1/2008 I C:OMBINED SINGLE LlMll
; (Ea>lccictenl)
1
PRODUCTS. COMP/OP ~('~ I $
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I
.,
~ ANY AUlD
ALL OWNED AUTOS
BOD~l Y INJURY
(Per person)
-.,
_ _ j SCHEDULED AUTOS
,
__K_~ HIRED AUTOS
: X j NON.OWNED AUTOS
II
,--, -.--
,
,
GARAGE UABIUTY
BODilY INJURv
(Peraccidenll
PROPERTY DAMAGE
: (Peraccidenlj
AUTO ONLY. EAACCIDENT
--- ---
,
B
EXCESSlUMBREUA U~LITY
_i OCCUR G2 CLAIMS MADE
:HPC2B0706511
110/1/2007
10/1/200B
EACH OCCURRENCE
,
.,
---~_.__._--
ANY AUTO
OTHER THAN
AUTO ONLY:
!l.C?~~GATE
DEDUCTIBLE
X RETENTION $3 000 00
! ~i:'~~~T1ONAND
i ANY PROPRIETOR/PARTNERlEXECUTIVE
OFF1CERlMEMBER EXQUDEO?
~~C~~R~~s4oNS below
C1THER
Excess workers
Compensation
IEWS3878463
I
E.L. EACH ACCIDENT ~_._
EL DISEASE EA EMPLOYEE $
E.l. DISEASE - POLICY LIMIT $
C
I
DESCRIPTION OF 0PfRA TlONSlLOCA TlONS/IIEHtcLESlEXCLUSlONS ADDED BY ENDORSEMENTlSPECIAl PROVISIONS
SEE ATTACHED FOR PROFESSIONAL LIABILITY:
s~,ooo.ooo. Each Accident
$1,000,000. Each E~ploy../Di.8a6.
Limit. are in Excess 0 500 000.
CERTIFICATE HOLDER
CANCELLATION
ACORD 25 (2001/08)
Coll:2130096
SHOULD ANY OF THE ABOVE DESCRIBED POUClES BE CANCELLED BEFORE THE EXPlRAllON
DATE THEREOF, THE ISSUING INSURER WILL EM)EAVOR TO MAIL ~ DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHAL.L
IMPOSE NO OBUGAT1ON OR UABIUlY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTAT1VES.
AUTHORIZED REPRESENTATIVE
,~
Agency of Healthcare Admin.
2727 Mahan Drive, Room 213
Tallahassee, PL 32308
@ACORDCORPORATION 1888
i\genda Item No. 16F4
January 29.2008
- ~
WJllts
CERTIFICATE OF LIABILITY INSURANCE Page 2 o.f 3 I
~ROOUCER
877-945,7378
DATE
10/03/2007
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
T
LINSURERS AFFORDING COVERAGE i NAIC#
----- ---~--- -------------,_..---- ,
r_1N~RERA Tb~~.!l~k Fir!-~.!...~e. Company _125615~OOl
IN_~ ~tee.dfast~ura.!lceS~~_ ___ ___;_~6387_~~
,
r:::::~ Zuuch ^:.nc:~In.ura~e-.-_comp.nx __ -1165"=
Willi~ North America, Inc.
26 Century Blvd.
P. O. Box 305191
Nashville, TN 372305191
INSURED
NeB Healthcare Systems,
Attn: Daryl Kilpatrick
PO Box 413029
Naples, FL 34101
Inc.
,
DESCRlPllON OF OPERAnONS/LOCAl1ONSNEHlCL.ESlEXCLUstONS ADDED BY ENDORSEMENT/SPECIAl PRCMSlONS
PROFESSIONAL LIABILITY COVERAGE - RETRO DATE: 7/1/78
CARRIER: STEADFAST INSURANCE COMPANY
POLICY NUMBER: HPC280706511
EFFECTIVE: 10/01/2007 TO 10/01/2008
$25,000,000 LIMIT OVER SIR $3.000,000
Umbrella liability is excess of Hospital Professional Liability with a Self-Insured retention of
$3,000,000 per claim, and General Liability with a Self-Insured retention of $1,000,000 per
occurrence/$3,OOO,OOO Aggregate.
C0.11,2130096 Tp1,689723 Cert:9634203
Agenda Item No. 16F4
January 29.2008
?
Page 3 of 3
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED. the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED. subject to the terms and conditions of the policy. certain policies may
require an endorsement. A statement on this certificate does not canfer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the r.overage afforded by the policies listed thereon.
ACORD 25 (2001/08)
Coll:2130096 Tpl:689723 Cert:9634203
Agenda Item No. 16F4
January 29, 2008
Page 8 of 22
Attachment B
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Page 10 of 22
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Agenda Item No. 16F4
January 29.2008
Page 12 of 22
Attachment D
Agenda Item No. 16F4
January 29.2008
Page 13 of 22
TOBER, ROBERT BOYD MD
NAPLES COMMUNITY HOSPITAL
350 7TH ST N
NAPLES
FL
33940 - 0000
1..11.../1.1./...1,.111...11...11.,.11...11......111
, CONTROL.L!D SUBSTANCE REGlSTRATlON CERTIFJCATE
OEA REGISTRATION THIS REGISlRATfON "'. UNITED STATES DEPAR'JMENT OF JUSTICE
NUMBER EXPIRES pAn) . DRUG ENFORCBfENT ADMINISTRATION
I A T8302438 11-30-2008 PAID I . WASHINGTON, D.C. 20537
,
SCHEDUlES BUSINESS ACTMTY ISSUE DATE ,
12,2N, PRACTITIONER 11,09-2005/ ,
,
3,3N,4,5 ,
,
TOBER, ROBERT BOYD MD , Sedions 304 Bnd 1008 (21 U .S.C. 824 and 958) of the Controlled
NAPLES COMMUNITY HOSPITAL , SubstlncesAc:t of 1970. as amended. proyfde that the Attorney
, General may revoIte or suspend 8 registration to manufacture.
350 7TH ST N , diSll1bl1l8, dispense, import or export a cnntrolled substance.
,
NAPLES FL 33940-??oo , THIS CERTIFICATE IS NOT TRANSFERABLE ON CHANGE OF
, OWNERSHIP, CONTROl, LOCATION, OR BUSINESS ACTMTY
, AND rr IS. NOT VALID AFTER THE EXPIRATJON OA rE. '
--------------------------------------.
CONTROLLED SUBSTANCE REGISTRATION CERTIFICATE
UNITED STATES DEPARTMENT OF JUSTICE
DRUG ENFORCEMENT ADMINISTRATION
WASHINGTON, D.C. 20537
;-
,
OEA REGISTRATION
NUMBER
IAT8302438
SCHEDULES BUSINESS ACTIVITY
12'2N, PRACTITIONER
3,3N,4,5
TOBER, ROBERT BOYD MD
NAPLES COMMUNITY HOSPITAL
350 7TH ST N
THIS REGISTRATlQH
EXPIRES
"'.
PAn)
11-30-2008
PAID
ISSue. DATE
11-09-2005
NAPLES
FL
33940- 0000
Sections 304 and 1008 (21 U.S.C. 824 and 958) of the
Controlled Substances Ad of lB70, as amended,
proykje that the Attorney General may revoke or
suspend a registration to manufacture, distribute,
dispense. bnport or export a controlled substance.
II
THIS (";FRTlFIr.ATF I!=:; NnTT~AN~I=F~ARI ~ ON (""l.llt.ll..lnC "lI:::~\AIt...~t:lC"I_"n ,......~~...... '........A........... ....- -- .-.. ---- .--
DATE
111()112007
LICENSE NO.
ME 30891
CONTROL NO.
227645
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No. 16F4
a Y 49,2008
e 140122
AC#? 7 ,3 99 G 4 STATE OF FLORIDA
. . ... DEPARTMENT OF HEAL TH . ... ..
DIVISION OF MEDICAL QUALITY ASSURANCE
The MEDICAL DOCTOR
named below has met all requirements of
the laws and rules of the state of Florida.
Expiration Date: JANUARY 31, 2010
ROBERT BOYD TOBER
ATTN: NCH WOUND HEALING CENTER
6400 DAVIS BLVD.
SUITE 104
NAPLES,FL 34112
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Charlie Crist
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Ana M, Via monte Ros, M,D., M.PH.
STATE SURGEON GENERAL
DISPLAY IF REQUIRED BY LAW
EXPIRATION DATE: JANUARY 31, 2010
Your lkf'1l5C number is ME 30MB!. pl1:ww \I~e it in aJl l:orresp()ll(knfC with .HIU!' hOlmlicotlndJ. IlJ;u:h licenser i:'l solely rnlpon~ib1c for mltifying lhe dcpanmclll in \\'Iiling (;
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::J NAME CHANGE (ATTACH LEGAL DOCUMENTATION)
FROM:
LAST -----FiRSr--- MIDDLE
o PRACTICE LOCATION ADDRESS CHANGE
(This address will be printed on your license and postad on the InterneL)
ZIP
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(This address will be used when mailing your license and for all other
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TO:
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DH 2103,5198
FIRST
- MIDDLE-
-cn-y
STATE
ZIP
-
Agenda Item No. 16F4
January 29, 2008
Page 15 of 22
Attachment E
Agenda Item No. 16F4
January 29, 2008
Page 16 of 22
Naples Campus
350 Seventh StreetN.
Naples. Florida 34102
(239) 436"5000
NCH
North Collier Campus
11190 Healtnpark Boulevard
Naples, Florida 34110
(239) 513-7000
;~~,~:!~~rr~1il':~"- --........
Healthcare
System
To: Collier County Board of Commissioners
From: NCH Healthcare System, Ambulance Services
Date: December 28, 2007
Subject: Schedule of rates for Ambulance transport for 2008,
280020-9 NCH BLS- AO-429- $525.00
280030-8 NCH AlS2- AO-433- $630.00
280040-7 NCH ALS1- AO-426- $550.00
280050-6 NCH AlSl- AO-427- $577.50
280070-4 NCH BlSl- AO-428- $540.75
www.NCHmd.org
Agenda Item No. 16F4
January 29. 2008
Page 17 of 22
Attachment F
- Offi cers & Trustees
~
NCH
..- ...........--....
-
Agenda Item No.l~ 1 of 4
January 29, 2008
Home I Cont.ct u. l~llQEl;ti.lttofSl.n in
...
Naples, FL
Fair
.730
Se.rell NCKmd.org:
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NCH Downtown
Naples Hospital
350 7th Street North
Naples FL 34102
(239)436'5000
NCH North
Naples Hospital
11190 Health Park Blvd.
Naples FL 34110
(239)552'7000
Officers . Trustees
The NCH Healthcare System
, NCH Healthcare System
, NCH Naples Hospital Inc.
NCH Marco Healthcare Center
, Ambulatory Surgical Care, Inc.
Community Home Care, Inc.
Gulf Coast Linen Services, Inc.
, Health Resources Corporation
BOARD OF TRUSTEES 2007-2008
NCH HEALTHCARE SYSTEM, INC.
NCH NAPLES HOSPITAL, INC.
CORPORATE OFFICERS
.&
Carl E. Westman
Chairman
Stephen L. Schwartz
1st Vice Chairman
Joseph Perkovich
2nd Vice Chairman
Edwin Stedem
Secretary/Treasurer
BOARD OF TRUSTEES
1----1
I I
L I
I
II
William Allyn
Jay H. Baker
William E.
Blndley
Susan L. Dalton
I
II.,.,.". ."
:i~W" "
',", ..
Paul Dernbach, M.D.
Alberto M. de la
Rivaherrera, M.D.
laVerne C.
Franklin
Linda Flewelling
12/13/2007
http://www .nchmd.orgidefault.aspx?id=487 &link=navrnenu
- Officers & Trustees
Agenda Item No.Pifi!e\2 of 4
January 29, 2008
Pa e 19 of 22
~"..
\. .....,,-;r,
i : :"'e":
. ., ... .
Thomas J. Gazdic
Daniel Gill
Ellin Goetz
Kay Gow
f'I...'.....,:....
'Ii ",
,:;, .~
I
II
Francis E. Harrington,
M.D.
Kim Ciccarelli Kantor
Arnold Lerner
Scott Lutgert
I
I
II
Paul J. Marinelli
Gern Moll
John M. Morrison Wayne Mullican
Rabbi Joseph Perkovich Scot C. Schultz, Stephen L.
James H. Perman 2nd Vice Chairman M.D. Schwartz
1st Vice Chairman
& I I
Edwin Stedem
Secretary ITreasurer Norman Thomson, M.D. Carl E. Westman
Chairman
STAFF OFFICERS
I
I I I
Allen S. Weiss, MD
President & CEO
Carrie Capps
Chief Nursing & Clinical
Officer
Kevin D.
Cooper
General
Counsell
Gail Dolan
COO, North Naples
Hospital Campus
http://www.nchmd.orgldefault.aspx?id=487&link=navmenu
] 2/ 13/2007
- Officers & Trustees
I
Phillip Dutcher
COO, Downtown
Naples
Hospital Campus
Vicki Haie
CFO /Assistant
Treasurer
I'
,~ ;
',,"'
Susan Wolff
Chief information
Officer
Return to Top
NCH MARCO HEAL THCARE CENTER
Corporate Officers
John l. Patterson, Chairman
Thomas Stolee, M.D., 1st Vice Chairman
Paul Kurtzman, 2nd Vice Chairman
AI Diaz, 3rd Vice Chairman
Melody Kappauf, Secretary
Richard Adams, Treasurer
Trustees
Richard Adams, Treasurer
Elizabeth Bozzo (Bonnie)
AI Diaz, 3rd Vice Chairman
David Fenelon
Kevin Fitzgerald
Judy Gewirtz
Lawrence J. Hocking
Melody Kappauf, Secretary
James B. Kauffman, Jr.
Paul Kurtzman, 2nd Vice Chairman
Mary Ann Kline
Margaret L. Lanoix
Robert A. Marks
Allen W. Merriam, III
Joh n l. Patterson, Chairman
Yvette Saco
Sal A. Saldano
Thomas Stolee, M.D., 1st Vice Chairman
Socrates Tseckares
Brooks C.B. Wood
http://www.nchmd.org/default.aspx?id=487&link=navmenu
Chief of Staff
Beth Martin
Assistant
Secretary
Agenda Item No.~lfifei 3 of 4
January 29.2008
Page 20 of 22
I
Brian Settle
Chief Human
Resources Officer
12/13/2007
- Officers & Trustees
Staff Officers
Kevin D. Cooper, General Counsel/Chief of Staff
Gail Dolan, COO-North Naples Hospital Campus
Phil Dutcher, COO-Downtown Hospital Campus
Vicki Hale, Chief Financial Officer
Brian Settle, Chief Human Resources Officer
Carrie Skifton, Chief Nursing & Clinical Officer
Pamela D. Wagner, Assistant Secretary
Allen S. Weiss, M.D., President & CEO
Susan Wolff, Cheif Information Officer
Agenda ItemNo.P8if64 of 4
Januarv 29. 2TlUs
Page 21 of 22
Return to Top
HEALTH RESOURCES CORPORATION
AMBULATORY SURGICAL CARE, INC.
COMMUNITY HOME CARE, INC.
COMMUNITY IMAGING, INC.
GULF COAST LINEN SERVICE, INC.
Corporate Officers:
Carl t. Westman; Chairman
Stephen L. Schwartz, 1 st \lice (':harrma0
Joseph Perkovich. _.)no" Vice (:11airman
;:::dwin Ste(jem, C:;ern""tar\.//Fr-easurer
Directors:
Daniel Baer
Jay Baker
William Bindley
Richard Bodman
Paul Dernbach, M.D
Linda Flewelling
Thomas Gazdic
Daniel Gill
Arnold Lerner
John Morrison
Joseph l. Perkovich, 2nd Vice Chairman
Stephen L. Schwartz, 1st Vice Chairman
Edwin Stedem, Secretary(Treasurer
Carl E. Westman, Chairman
Staff Officers
Kevin D. Cooper, General Counsel/Chief of Staff
Gail Dolan, COO'North Napies Hospital Campus
Phil Dutcher, COO-Downtown Hospital Campus
Vicki Hale, Chief Financlai Officer
Beth Martin, Assistant Secretary
Brian Settle, Chief Human Resources Officer
Carrie Skifton, Chief Nursing & Clinical Officer
Allen S. Weiss, M.D., President & CEO
Susan Wolff, Chief Information Officer
Return to Top
I
,....L_
OUR VISION IS TO ..Ii THI!. F'NI!.ST '''TEGRATGO HeAl.THeAllU! SYsTEM IH..T"'S;:UN}TI1IiJ,IS.T;"'TES.:~
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:92007 NCH HEAlTHCARE SYSTEM
http://www.nclund.org/default.aspx?id~487 &Jink=navmenu
12/13/2007
c.._,_"""_,,,.,,,,,,,,,,,,_~..
Agenda Item No. 16F4
January 29, 2008
Page 22 of 22
Attachment G
10 Fct
l-aq~<xv<6
Additional Back-up
For Agenda item #16.F.4
Bee date 1/29/08
\0FL/-
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Transition.
Expansion.
Commitment.
2006 Annual Report
NCH
<:.-
Healthcare ----
System
That question has served as a guiding principle for
NCH Healthcare System (NCH) since its beginning
more than 50 years ago. In any industry, the most
sound definition of leadership is comprised of
several vital elements: demonstrating quality in
What are the
qualities of good
leadership?
quantifiable, measurable
ways; embracing the
challenge of change and
advancing technology;
exhibiting sound financial practices; and
determining and responding to the needs of the
people served. During Fiscal Year 2006 (FY2006),
NCH showed its commitment to remaining a leader
in the healthcare field.
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NCH
HGlhttc.ve --..
S~tem
September 30th, 2006, the end of Fiscal Year 2006 (FY2006), coincided with the advent of
significant change at the NCH Healthcare System. Just two days before, I, as Ch.irman, had the privilege
of commencing the monthly meeting of NCH Department Heads with the announcement that, only twelve
hours earlier, the Board of Trustees had unanimously appointed Dr. Allen Weiss: the new President and
CEO of the system. The response of the attendees was electriJying, with everra"e standing and applauding
Dr. Weiss and the decision of the Board of Trustees.
Coincidently with the announcement of our new CEO, the NCH famtlywas celebrating the 50th
Anniversary of a healthcare organization that had started humbly as Naples Community Hospital and then
evolved over those years into the complex sophisticated institution now kn()1\,.'n as the NeE Healthcare
System. For most of its history, NCH had operated under the leadership of two admirable CEOs: William
Crone, who was President and CEO for 34 years, and Edward Morton, who jot oed NCH in 1972 and served
as CEO for six years.
During the final six months of FY2006, the Succession Planning Cotllmittee, under the leadership
of Trustee]ohn Morrison and with the guidance and assistance of an international search firm Heidrick
& Struggles, had considered the credentials of more than a dozen CEO candifates.
During the search, the committee narrowed it down to oniy a handful ()f highly qualified
candidates, including Dr. Weiss, who had served as President of our system since the retirement of William
Crone in 2000. As the committee interviewed the final contenders, each committee member had differing
vlews about how the various candidates could affect NCH's future. All of the riml outside candidates were
extraordinarily qualified, each currently serving as CEO of an excellent healthr.care system, and no one
doubted the abilities of any of them to lead NCH. But as the committee's deli~crations entered the final
phase, the seiection criteria shifted to the question of who among the candidates was best qualified and
positioned to seize the moment and carry NCH to the next level
While each candidate had admirers and advocates, only Dr. Weiss, the physician and leader we all
knew and respected, had the absolute confidence of enough members of theoCommittee to tip the scale in
his favor. The final vote of the Succession Planning Committee was cast, and the committee's report was
presented to the Board of Trustees, who unanimously approved Dr. Weiss a5 the new President and CEO.
With that major task completed, the board and management team focu:sed on the exciting
developments and challenges confronting NCH in the weeks and months ahead. Already on everyone's
calendars were the planned ribbon cuttings for the Garden of Hope and Cour.ge; the Briggs Wellness
Center; the Baker Patient Tower; and the von Arx Diabetes Center of Excellence: and Nutrition Health.
Our new CEO:s agenda, meanwhile, focused on the important goal of improvi ng the relationship between
the NCH Medical Staff and the new leadership of the NCH Healthcare System Addressing the Department
of Surgery days later, Dr, Weiss pledged, "I am and will remain in maximum ti~ening mode."
As the Board of Trustees commenced Fiscal Year 2007, it saluted the many accomplishments of
former CEOs William Crone and Edward Morton. And with great expectatiollS, -me Board placed the mantle
of authority on the shoulders of Dr. Allen Weiss and pledged its full support im his administration.
Carl E. Westman, Cll3.irman, the Board of Trustees, NCH Hea/thcarc System
With the refinement of computer-driven
Information Technology (IT), quality has become
more verifiable and quantifiable in the healthcare
industry. NCH has fully embraced this idea by
steadily moving toward becoming a totally
integrated, "paperless" system.
Demonstrating quality
Medication
administration is
always a major concern in a complex hospital setting. A report issued
by the Institute of Medicine in July 2006 concluded that 1.5 million
patients are harmed by medication errors in the U.S. each year and
thousands are killed. NCH took steps during FY2006 to reduce these
kinds of errors using IT technology.
The NCH North Naples Hospital Campus instituted bar code verification
of the medicine, patient (through use of a wrist band) and nurse. The
laptop computer the nurse brings to the patient's bedside not only
completes the "paperwork" but also assures the right
medicine is given to the right patient at the right
time. This same process is being implemented at the
NCH Downtown Naples Hospital Campus currently.
This technology is tremendously important in
avoiding the medication errors that have plagued
health care in the past.
These kinds of advances, combined with other specific quality initiatives,
are bringing NCH into the national spotlight. For the second consecutive
year NCH was ranked in the top 5% nationally for overall clinical quality
by HealthGrades, an independent ranking agency that evaluates Medicare
data from more than 5,000 hospitals nationwide.
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Naturally, everyone hopes to stay well and not need hospitalization.
But when a hospital stay is required, quality, measured objectively,
should be the single most important consideration in choosing the
hospital. Independent quality rating agencies have matured during
the past few years as the health care industry has embraced the digital
age. The NCH Healthcare System has
been recognized over the past four
years by winning more than 12 quality awards:
Commitment
HealthGrades award for clinical excellence (top 5% hosPital) 2005 J 2006
HealthGraJes award for safety 2006 . Heal,hGraJes award for cardiology 2004, 2005, 2006
HealthGraJes award for neurology 2006 . HealthGraJes award for pulmonary 2006
HealthGraJes award for women's health 2006 . Solucient 100 Top Hospitals, cardiology 2006
Solucient 100 Top Hospita~: Performance Improvement LeaJers
Premier Award for Quality for Acute Myocardial Infarction 2006
A patient in a top 5% overall clinical quality hospital has a 69%
decreased chance of dying in the hospital when compared to a
bottom 5% hospital. Pressure sores
which occur in more than 7% of
.'.J
. -.; ,.- .. ~
Li!J J!iil
patients nationally have been lowered to
1. 7% at NCH this past year, through
computer identification of high risk
patients and excellent nursing care.
Cardiac arrests for non-intensive-care
patients at NCH have been lowered more than 50% by having teams
in place to rescue patients on the regular medical units when
symptoms initially present.
Top 5% in the nation for overall
clinical excellence goes to NCH
for the second year in a row.
The close of FY2006 brought new leadership to NCH, as long-time and
valued CEO Edward Morton retired and NCH President Allen Weiss, M.D.
accepted CEO duties as well as his own. Such a transition can be disruptive,
but, fortunately for NCH, the two leaders shared a common commitment to
making NCH the best it can be.
Tbe. challenge
of-change
With that commitment firmly in mind,
NCH continues collaborating with its 530+
physician partners to achieve the goal of
being the best demonstrated quality in the region and also being the most
operationally efficient. At NCH Downtown Naples Hospital Campus, the
number of operating rooms was expanded from nine to twelve with the new
Shick Cardiac Center and the Allyn operating rooms. At NCH North Naples
Hospital Campus, operating rooms increased from three to four. NCH
l~ F-L!-
h3.q-O ~
anesthesiologists and surgeons have created new ways of working together
to better serve their patients by scheduling smartly, improving safety, and
increasing efficiency. This past January was the busiest month in the
operating rooms ever at N CH with more operations completed during the
day rather than spilling over to the evening or night.
The continued focus on high quality inpatient care also demands that NCH
respond to the region's growth. As a result, NCH increased the capacity
throughout the total system from 539 beds to 681 beds. The completion of
the Jay and Patty Baker Patient Tower at NCH North Naples Hospital
Campus and renovations at NCH Downtown Naples Hospital Campus now
allows NCH to offer private rooms to approximately two-thirds of its
patients, greatly increasing patient satisfaction and quality of care. Capacity
is also important as NCH addresses the region's growth, which creates stress
,. 'iJ _. :~,',/::,s~;''':7''",~'',~''?r!fF,'.
~
on emergency rooms.
Work is now
commencing on a
redesign of the
emergency department
at NCH North Naples
Hospital Campus, as
part of the continuing
expansion there. When
complete, the facility
will include a specific
emergency area for
pediatric patients-a
recognition of the
increasing number of
families in the region.
I(oF If
!-~--O~
"The von Arx family has been actively supporting
the NCH Healthcare System for over 15 years.
Sharon's life was saved by a diligent emergency
room staff in the early 1990s. Dolph served as
Chairman of the hosPital and NCH Healthcare
System for 11 years.
The family support for the
von Arx Diabetes Center of
Excellence is based on an acute
need for education and control
of the disease that is endemic in
Collier County. Our emotional
support for the Diabetes Center
is based on our direct experience
with the disease. Sharon's father
was diabetic for 30 years. He
died of complications related to
this disease.
Type II diabetes can be controlled. Genetics, diet
and lifestyle are the key elements in determining
who is at risk of develoPing the disease,
We firmly believe that education and a healthy
lifestyle program will reduce the impact of this
insidious disease on our Collier residents."
- Dolph & Sharon von ATX
10F*
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HBefore John's mother started Naples Community
HosPital, with several other families in town, you
had to go up a two-lane road to Fort Myers.
People then wanted the best health facility for
Collier County that we
could have.
John then served as
Chairman of the hosPital
for many years. \X1e believe
its in one's own self interest
to support NCH. You're
going to need it someday.
But we also believe in
taking care of yourself and
doing what you can do to
keep healthy. John is in his
90s and still goes to the
wellness center every week.
We're hoPing people will
see (the Briggs Health
Pavilion) as a benefit to the whole community.
\X1e're growing and we think healthcare needs to
keep up with that growth. "
- Dr. John & Mary Jane Briggs
Dr. John N. Briggs Health Pavilion & Wellness Center
"We like to say that we lay our eggs where we nest.
We live here and think it's so important to give back
to where we are. And, really, what's more important
than healthcare?
Jay had had an emergency gallbladder operation
at NCH, and they
made us feel well cared
for. The tower was
something that was
needed, given the growth
in the community. So we
decided to support it.
We look at it that so
many of us have been
so fortunate. To us, that
entails an obligation to
give back, particularly
to those things that are
in line with your
interests. We think they
have a wonderful team at NCH, and we have the
utmost faith in them."
- Jay & Patty Baker
[(0 F t{-
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Jay & Patty Baker Patient Tower
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Financial Results ($ in Millions)
2001
$11.0
$50
$40
$30
$20
$10
2002
$8.1
2003
$14.8
2004
$15.1
2005
$45.4
2006
$35.5
-$ 2
~ Income from Operations _ Loss from Operations E Unrestricted Donations
Our Patients
BIRTHS
119,808
4370
HI met Richard D'Amico six years ago, and my
involvement with the Garden came naturally. He
shared the history for creating a garden in memory
of his friend, Jan Emfield. While Jan was battling
breast cancer, she had a vision of a healing garden
for hosPital patients that Richard promised to build.
Jan understood its benefits and, while she lost her
battle with cancer, Richard kept that promise.
,'.. <'>'1t~~ t' Cancer has affected all of us. My
.. husband is a 16 year lung cancer
survivor. While he was undergoing
. chemo and radiation therapy, it was
my job to be proactive and positive.
I would regularly walk along the
Potomac River. I'd cry a little, pray
a little and reflect in the serene beauty of nature.
Through my experience, I could relate to the need
for a healing place such as the Garden of Hope and
Courage. Thanks to generous donations made by
many, Jan's vision is now a beautiful sanctuary on
the NCH campus. Consisting of a children's garden,
pavilion for gatherings and a pathway that encircles
the lake, its purpose is to insPire and encourage.
I hope you will take a walk; I know it will be a
beautiful and sPiritual walk."
-Sue Dalton
\0 FY-
\~dZ1-0 8
Garden of Hope & Courage
Consolidated Balance Sheets
September 30, 2006 and 2005 ($ in Thousands)
Assets
Cash and investments
Accounts receivable, net
Assets limited to use
Property, plant, and equipment, net
Other
Total assets
Liabilities and net assets
Accounts payable and accrued expenses
Long-term debt
Other liabilities
Total liabilities
Net assets
Total liabilities and net assets
Consolidated Statement of Operations
Years Ended September 30, 2006 and 2005 ($ in Thousands)
Unrestricted revenues
Patient revenue
Nonoperating revenue
Other revenue
Total revenues
Expenses
Compensation and benefits
Supplies and other expenses
Depreciation and interest
Purchased services
Total expenses
Exce~s revenue over expenses
Sale of Grand Central Station
Donations
Increase in unrestricted net assets
$62,504 $49,560
42,172 34,060
9,677 23,424
$234,353 :jiWI,044
Medical Staff
275,973 249,491 2001 2002 2003 200' 2005 2006
$510,326 $4)6,'>3') ~ 537
I
2006 2005
2006
2005
$85,608
64,550
31,604
259,286
69,278
$510,326
$84,891
51,540
8,246
210,856
71,002
$456,535
$400,981 $380,950
5,585
20,130 16,550
426,696 397,500
216,615 196,148
138,892 124,384
29,387 27,260
23,430 21,378
408,324 369,170
18,372 28,330
10,500
17,134 6,533
$35,506 $45,363
ICQF4
1~O:=i -0 ~
Roll of Donors Annual Giving.
We gratefully acknowledge the following
individuals, foundations & corporations
that helped support the NCH Healthcare
System on an annual basis between
January 1, 2006 & December 31, 2006
NCH Healthcare Foundation extends its appreciation to the many supporters who contributed to
the NCH Healthcare System during 2006. These friends are perpetuating a tradition of
philanthropic giving that has facilitated essential progress in the delivery of healthcare for our
community. Their contributions are vital to ensure that NCH provides innovative & gracious
clinical care; acquires state-of-the art equipment, technologies & treatments; & attracts the best
physicians & staff. These gifts are acknowledged in the Sharon & Dolph von Arx Donor
Recognition Galleries located in the main lobbies of both NCH hospitals.
"Deceased
\(Q Fi
\-a1 ~O~
Chainnan's Circle
($5,000 or more) Individual & Family Fourulalion Donon
Anonymous (7)
Mr. & Mrs. Larry J. Abels
Don & lean Ackerman
Mr. & Mrs.]ohn N. Allen
Mr. & Mrs. William F. Allyn
Mr. William G. Allyn *
Mr. & Mrs. Lee R. Anderson, Sr.
Mr. Lowell W. Andreas
Mr. & Mrs. Leo Armatis
Mr. & Mrs.]ohn L. Ashby
Mr. & Mrs. William W. Bain, Jr.
Mr. & Mrs.]ay H. Baker
Mr. Alton G. Bale, Jr.
F. Roben & Mona Ball, Jr.
Barbara & Ronald Da\-js BaL~er
Mr. & Mrs.]. T. Battenberg, III
Mr. * & Mrs. Richard L Battram
Mr. & Mrs. Richard A. Bearse
Frank & Marilyn Beddor
Mr. & Mrs. Frank Bendheim
Mr. & Mrs. Robert J. Bennett
Mrs. Keith S. Benson
Mr. & Mrs. Phillip Beuth
Mr. & Mrs. William E. Bindley
The Blair Foundation
Mr. & Mrs. John T. Blakely
Mr. & Mrs. Richard S. Bodman
Mr. & Mrs. Donald R. Borgeson
Mr. & Mrs. Stefan Bothe
Dr. & Mrs. Peter R. Boyd
Mr. & Mrs. Daniel F. Breeden
Mr. & Mrs. John M. Brennan
Dr. & Mrs. John N. Briggs
Frederick F. Buechel, Sr., M.D. &
Frederick F. Buechel, Jr., M.D.
Mr. & Mrs. Gerard L. Cafesjian
Virginia & Robert W. Carlson, Jr.
Gerald & Sally Ann Carrier
Mr. & Mrs. Robert L. Carsello
Mr. & Mrs. Richard J. Censits
Robert & Carol Chambers
Robert & Suzanne Chute
Mr. & Mrs. John C. Clark
Mr. & Mrs. Robert A. Clifford
Mr. & Mrs. Brian Cobb
Mr. & Mrs. Uoyd H. Coffin, Jr.
Harvey D. & Janet G. Cohen
Miles & Parker Collier
Mr. & Mrs. Dale R. Corney
Mr. & Mrs. Tllomas A. Cooper
Mr. & Mrs. Ralph). Cox
Mr. & Mrs. Andrew B. Craig, III
Dr. & Mrs. Blane N. Crandall
Mr. & Mrs. Thomas C. Curtis, Jr
William & Susan Dalton
Jerry & Vernon Davidson & Family
Mr. & Mrs. Charles J. DeGrange
Mr. & Mrs. Edward L Delahanty
Mr. & Mrs. Cbarles W. Denny
Mr. & Mrs. Richard H. DeVoe
Mr. Joseph E. D'Jamoos
Mr. & Mrs. John F. Donahue
Me & Mrs. Gary D. Downey
Duluth-Superior Area
Community Foundation
Bob & Connie Eaton
Mr. & Mrs. Stuart Egerton, [J
Mr. & Mrs. Herbert E. Ehlers
Mr. & Mrs. David J. Esha
Christina & Doug Esson
Mr. & Mrs. Arthur L. Fagan
Mr. & Mrs. David C. Farrell
Mr. & Mrs. John F. Farrell, Jr.
Mr. & Mrs. Gerald F Fitzgerald
Russell & Patricia Fleischma
Mr. & Mrs. James E. Fligg
Mr. & Mrs. Terrance R. Flynn
Kathryn R. Foley Trust
Susan Regenstein Frank & Barry Frank
Eugene & Mary Frey
Fritz & Kathy Friday
John & Mary Anne Gamba
Chuck & Arlene Garrity
Mr. & Mrs. Richard I. Giertsen
Mrs. Jan M. Goldsmith
Mr. & Mrs. Donald W. Goodwin
Perry A. Gotsis, M.D.
Mr. & Mrs. Robert T Gow
Mr. & Mrs. Thomas C. Graham
Harry Grandis & Nancy Grandis White
Pierson M. & Florence B. Grieve
Mr. & Mrs. Sidney Grossman
Dr. & Mrs. James J- Guerra
The Tim & Torn Gullibon Foundation
Mr. & Mrs. Don ]. Gunther
Mr. & Mrs. John R. Hall
Mrs. Mildred G. Hall"
Mr. & Mrs. Jonathan C. I Iamill
Mr. & Mn. Richud M. Hamlin
John & Ann Harris
Mr. & Mrs. E. J. Hartmann
Barry & Carol Hastings
Frances Pew Hayes Family Foundation
Mrs. Normall A. Herrell
Mr. & Mrs Robert G. Hershenhorn
Mr. & Mrs_ Leo]. Hertzog, Jr.
Mr. & Mrs. Paul F. Hills
Mr. & Mrs. Earl G. Hodges
Mr. & Mrs. John W. Holley
Mr. & Mrs. David R. Hubers
Mr. & Mrs. Glenn Illig
Mr. & Mrs. Verne G. lstock
Marjorie Jewell Trust & John Jewell Trusts
John & Barbara Jordan
In Memory of Bernice Orkin Kaye
Mr. & Mrs. George R. Kempton
Mr. & Mrs. Maurice D. Kent
Mrs. Shirley [ten Kern
Mr. & Mrs. John H. Kolmer, Jr.
Mr. & Mts. William]. Kopp
Mr. & Mrs. George R. Kraus
Mr. & Mrs. John Kuhne
Mr. & Mrs. Arthur H. Kurtz
Dr. Stephen & Rebecca Kwedar
Mr. & Mrs. Robert Lanigan
Mrs. Doris S. Lanphier~
Ralph & Dorothy Larsen
Mr. & Mrs. Ned C. Lautenhach
Mr. Michael laVerdiere
Raymond W. Leclerc
Mr. & Mrs. Paul E. Lego
Maureen & Arnold Lerner
Sue & David Lipman
Dr. & Mrs. Morris]. Lipnik
Dr. & Mrs. John S. Little
Mrs. Ellen wring
Mrs. G. Donald Lwe
Mr. & Mrs. Raymond L. Lutgen
Mt. & Mrs. Roben J. MacDonald
Mrs. Leslie S. Magin
Mr. & Mrs. Edward H. Malone
Mr. & Mrs. Paul J. Marinelli
James Harper Marsha!!
The Manin Foundation, Inc.
Mr. Richard Maslow
The Masterson Foundation, Inc.
Ms. Carol Ann May &
Mr. James M. Saindon
Herb & Judi McCord
Mr. & Mrs. Samuel A. McCullough
Mr. & Mrs. TI'omas P. McDonagh, Jr.
Malcolm & Sonia McDonald
Mr. & Mrs. Richard E. McGinnis
Mr. & Mrs. James W. McKee, Jr.
Mr. & Mrs. Alvin E. McQuinn
Dr. & Mrs. Leon P. Mead
Mr. & Mrs.]. William Meek, III
Dr. & Mrs. Roben]. Meli
Mr. & Mrs. C. John Miller
Jan M. E\'tleigh & Richard W. Miller
Richard & Clair Mohn
Brenda & Ronald Morey
Mr. & Mrs. Frank]. Morgan
Mr. & Mrs. John J. Morgan, Jr.
John M. & Susan Morrison
Mr. & Mrs. Dennis Morrissette
Mr. & Mrs. Edward A. Morton
Mr. & Mrs. William B. Ogden, III
Alexandra Hayes, Griffin Olness,
Linden Olness & Fletcher Olness
Dr. & Mrs. Leslie C. Norino
Mr. & Mrs. Patrick]. O'Meara
Dwight D. Opperman
Mr. & Mrs. William B. Ogden, IV
Thomas A. & Evelyn Owens
Dr. & Mrs.' Chris Papadopoulos
Mr. & Mrs. John F. Pavlish
Mr. & Mrs. Bernard S. Peck
Audrey & Al Petersen
Mr. & Mrs.james S. Peterson
Mr. & Mrs. Raymond F. Pettit
Mr. & Mrs. F. Fred Pezeshkan
Dr. & Mrs. R.1ymond W. Phillips
Mr. & Mrs.' Charles W. Pingree
Mr. & Mrs. R!lben P. Poisson
Henry & Laura Prange
Mr. & Mrs. Lawrence R. Pugh
Mr_ & Mrs. D,mald Redlinger
Mr. & Mrs. James Reid
Mr. & Mrs. Scott B. Relf
Mr. & Mrs. Howard T. Rosen
Janet O. Ross~
The Savitz Family Foundation
Mr. & Mrs. James C. Schacker
Mr. & Mrs. Gerald R. Schmidt
Mr. & Mrs. James M. Schoonmaker, II
Mr. & Mrs. Richard M. Schulze
Dr. Rosann Schwartz &
Mr. Richard Schwam
Mr. & Mrs. Samuel Schwartz
Mr. & Mrs. Srephen L. Schwanz
Stephen L Schwam, Pres.
Btookdale Foundation
MI. & Mrs. Stanley A. Seneker
Mr. & Mrs. Michael F. Shanahan, Sr.
Mr_ & Mrs. Robert D. Sherman
Mr. & Mrs. William W. Slocum
MI. & Mrs. David Byron Smith
Mr. & Mrs. Walter C. Spengler
Robert & Carolyn Springborn
Lynne & Howard Stacker
Julia M. Stagg
Mr. & Mrs. Stanley Star
Mrs. Robert L. Stocking
Mr. & Mrs. Jay R. Stonesifer
Bert Axelrad, Chairman,
Harry Sudakoff Foundation
Mr. Mark Sudduth
Mr. & Mrs. Leland N. Sunder
Mr. & Mrs. Kermit S. Sutton
Mr. & Mrs. Edward T. Swan
The Telford Foundation
John & Patti Thornton
Mr. & Mrs. Thomas Tisbo
Mr. & Mrs. Robert H. Transou
The Honorable & Mrs. William W. Treat
Mr. & Mrs. Byron W. Trerice, Jr.
Mrs. Betty Lou Tucker
Mr. & Mrs. Tucker Tyler
Mr. & Mrs. William F. Vernon, Jr.
Mr. & Mrs. Joseph P. Viviano
Patty & Dick Vogel
Mr. & Mrs. Dolph W. von Arx
lwFtf
\-dt1~D~
Mr. & Mrs. George P. Wagner, Jr.
Mr. & Mts. C. C. Waldbillig
Mr. & Mrs. Hicks B. Waldron
Mr_ & Mrs. TIlornas M. Wamser
MI. & Mrs. David Wang
Mr. & Mrs. John C. Wasmer, Jr.
Mr. & Mrs. Paul H. Way
Drs. Allen & Marla Weiss
Mrs. Ted J. Welch
Mr. & Mrs. Carl E. Westman
Mr. & Mrs. Rodney L Woods
Karl & Joanne Wyss
MI. & Mrs. Gary L. Yates
Mrs. Judy Ziegler
Chairman',Cirrl"
Corporate & Foundation DOTWTS
Anonymous
Agostino's Furniture & Design
Antaramian Development Group, LLC
Automated Shading, Inc.
Bank of America
Bank of Florida
Barron Collier Companies
Cerner Corporation
Cohen & Grigsby, P.c.
Collier Anesthesia, P.A.
Comcast
Community Foundation of Collier County
Congress Jewelers
Crowther Roofing
DeVoe Automotive
Dunwody, White & Landon, PA
Dyehouse Comeriato Architect
Embarq
Emergency Physicians of Naples, LLC
Florida Gulf Coast University Foundation
G.E. Foundation
Gtant, Fridkin, Pearson, Athan & Crown, PA
HealthSouth
Island Country Club
Kelley, Stiffler & Thomas
Kent Technologies
Kraft Construction Co., Inc.
The Lutgen Companies
McKesson Corporation
Mellon Private Wealth Management
Merck Company Foundation
Morgan Keegan & Company, Inc.
Naples Pathology A~ociates
Naples Radiologists, PA
TIle Earl Monall Celebrity Golf Classic
National Healing Corporation
NCHAuxiliary
North Collier Hospital Auxiliary
Northern Trust Bank of Florida
Private Capital Management
Pulte Homes & DiVosta Homes
R.J. Reynolds Tobacco
Company Foundation
RegenrCruiseLines
Saks Fifth Avenue
Salvatori & Wood
Sodexho Healthcare Services
Sr. Jude Medical
Stock Development
The English-Speaking Union.Naples Branch
Meredith Corporation
"nle Wachm'ia Foundation
Tiffany & Company
Unilever United States Foundation, Inc.
Wacho,'ia Bank
Wasmer, Schroeder & Company, Inc.
Wicker, Smith, O'Hara, McCoy,
Graham & Ford, P.A.
Willis North America, Inc.
t
I
J
.<<1,
.
~Decea~ed
Annnal Patrons
($1,000 or more) Indi\!idual & Family
Foundation Donors
Anonymous (11)
Mr. & Mrs. Lew E Allyn
Mr. Roberr E. Anders
Mrs. C. Allen Applegate
Dr. & Mrs. Matthew James Baker
Mr. & Mrs. Richard J. Baker
The Honorable & Mrs. William E. Bartlett
Mr. & Mrs. Tom H. Barrett
Mr. & Mrs.~ Alan L Berckmann
Mr. & Mrs. Donald C. Berkey
Ms. Terri Boyd
Boyd Family
Wilma & Bill Boyd
Harold & Marita Brayman
Miriam C. Bwoke
Paula & Fred Brothers
Mr. Russell A. Budd & Mrs. Katie Pa..~chal1
NallL)' & Doug Campbell
Patsy D. Carter
Dr. J. D. Labs & Dr. Pamela L. Caslowitz
Ms. Sheri Chase
Art & Bev Cherry
Mr. & Mrs. Carleton A. Cleveland, Jr.
Mr. & Mrs. Edward B. Collum
Mr. & Mrs. Frank S. Comeriato
Mr. & Mrs. Ke\in Cooper
Mr. David L Corder
Trafton M. & Maude W, Crandall
Foundation A
Mrs. Cynthia C. Crocker, R.N.
Mr. & Mrs. Robert A. Crown
Mr. & Mrs. Walter D. Dance
Dr. & Mrs. Michael T. Dent
Dr. & Mrs. Paul D. Dernhach
Connie & Mike Dillon
Mr. & Mrs. Theodore Dimitriou
Mr. & Mrs. Burt N. Dorsett
Mr. & Mrs.~ James P. Dupey
Mr. William H. Earls
Mr. & Mrs. Carl E. Eklof
Mr. & Mrs. Thomas Elwood
Mr. & Mrs. Richard H. Erickson
Mr. & Mrs. Peter]. Evano..ich
Mr. & Mrs. Robert S. Evans
Mr. & Mrs. Rohert M. Feerick
Mt. & Mrs. Jerry Felicelli
Mr. & Mrs. David L Fenelon
Mr: & Mrs. Sru~rt L. Feuer
Eurick & Linda Flewelling
Mr. & Mrs. Stephen Flood
Mr. & Mrs. Alan C. Freeman
Palma & Jerry Fuson
Ms. Mimi Gabr
Dr. & Mrs. Merit F. Gadallah
Jim & Lydia Galton
Ms. Judirh Gardetto
Mr. & Mrs. Charles M. Gately
Mr. & Mrs. Jay G. Gates
Tom & Jan Garoic
Mr. & Mrs. Arthur W. Gilbart
Mr. & Mrs. Daniel E. Gill
Ms. Eileen M. Golden
Goodman_Klein. Pinckney
Family Foundation
Mr. Mark S. Goodman
Mn. William A. Gossett
Richard & Rissa Grossman
Mr. & Mrs. William Hagen
Mr. & Mrs. Harry A Hammerly
Ms. Diana J. Harrison
Mr. & Mrs. Richard G. Hartigan, Jr.
Mrs. Paul J. Henegan
Mt. & Mrs. Donald R. Hibbert
Mr. Andrew Hill & Dr. Susan M. Liberski
Mr. & Mrs. A John Holton
\(oFL{-
l- aq -o~
Ms. Mary A. Holtt
The Homan Foundation
Mt. ~ & Mrs. Gerald]. Hoselton
Mr. & Mrs. Howard M. Hujsa
Dr. & Mrs. Keith P. Hussey
Bill & Marge Hyland
Mr. & Mrs. Columbus o. Donnell Iselin
The Javitch Foundation
James & Andrea ]ohannsell
Mr. & Mrs. Robert C. Jones
Dr. & Mrs. Colin L. Kanar
]an & Kim Kantor
Mrs. Walter A. Keane
Mrs. Polly Keller
Dr. & Mrs. Sean Kelley
Mr. & Mrs. Edwin F. Kerr
Mr. Frederick B. Kieckhefer
Mr. & Mrs. Joseph F. Kindlon
William A. & Barbara A. Klauber
Dr. & Mrs. Hermes O. Koop
Mr. & Mrs. Walrer G. Korntheuer
Elaine & Samuel Kreiger
Mr. & Mrs. John A. Krol
Zelda Kronfeld
Mr. & Mrs. T. ]. Kukk
Dt. & Mrs. William P. Lascheid
Mr. & Mrs. PaulJ. Lav.-rcnce
Mr. & Mrs. Harvey S. Le\'en~on
Annette Rae & Samuel M. Levine
Mr. & Mrs. Stephen R. Levitan
Mr. & Mrs. Jay C. Levitt
Dr. & Mrs. John P. Lewis
Mr. & Mrs. Charles A. Lister
Dr. & Mrs. Bernard Lublin
Scott & Simone Lutgert
Mt. & Mrs. John W. Lyon
Mr. & Mrs. Michael J. LYOllS
Mr. & Mrs. William MacClarence
Linda Halverstadt MacDuffie
Mr. & Mrs. James R. Malone
Dr. & Mrs. James S. Manzanares
Mr. & Mrs. Robert C. Marconi
Mr. Matthew Mathias
Mr. & Mrs. William C. Merritt
Norma D. Meyer
Mrs. Lloyd I. Miller
Kimberley Speer Miller
Mr. Paul Mongerson
Mr. & Mrs. Richard W. Moulton
Mr. & Mrs. Kenneth J. Muraski
Mr. & Mrs. Robert F. Naples
Mr. & Mrs. Jerry F. Nichols
Mrs. Richard E. Novak
Mr. & Mrs. D. Eugene Nugent
Mr. Hugh J. O'Hare
Mr. & Mrs. William J. O'Meara
Mr. & Mrs. 11lomas F. O'Reilly
Mr. & Mrs.~ Robert C. Ortner
Dr. & Mrs. William C. Pallas
Mrs. Lester E. Pankonin
Mr. PaulL. Parshall
Dr. & Mrs. Torrence P. B. Payne
Mr. Joseph 1. Perkovich
Mt. & Mrs. William Pike
Mrs. Virginia C. Quirk
Mr. & Mrs. W. Jay Rasmussen
Mt. & Mr~. Larry Ray
Ms. Patricia Read
Mr. & Mrs. John Recco
Mr. & Mrs. Larry E. Rich
Mr. & Mrs. George T. Richardson
Mr. R. A Roberts
Roy & Pearl Rogers Foundarion
Mr. & Mr~. Francis G. Ronnenberg
Mr. & Mrs. Charles L. Rue, Jr.
Mr. & Mrs. Tom Rush
Dr. & Mrs. John J. Ryan
Thomas & Cynthia Rynalslci
Mr. & Mrs. Joseph $. Sample
Mr.~ & Mrs. CharlesJ. Sanders, Jr.
Donald & Eleanor Sang
Mr. Ou Scarponi~
Mr. & Mrs. Edward A. Schefer
Mr. & Mrs, David Sciacqua
Mr. & Mrs. Brian c.o. Settle
Mr. John T. & Dr. Debra Shepard
Mr. & Mrs. Harvey Shreve
Mr. & Mrs. Elliott Singer
Ms. Carrie Shfton
Capt. & Mrs. Allan P. Slaff
Mr. & Mrs. Robert N. Small
Mr. & Mrs. Donald Smith
Dr. & Mrs. David E. Smock
Mr. & Mrs. John F. Sorey, III
Dr. & Mrs. David M. Spellberg
Mr. & Mrs. John M. Stafford
Mr. & Mrs. Edgar Starns
Mr. & Mrs. Edwin]. Stedem
Mr. & Mrs. Joseph T. Steuer
Mrs. NeL,on R. Stewart
Dr. & Mrs. Joseph F Sullivan
Mr. Dan E. Summers
Tasker/Elwell Family
Mr. & Mrs. George S. Trees, Jr.
Mr. & Mrs. Sonny Van Arsdale
Mr. & Mrs. Dean G. VanNest
Jim & Debbi Wallace
Mr. & Mrs. James A. Warnken
Mr. & Mrs. Robert K. Weinfurtner
Mr. & Mrs. Felipe Weingartt
Nancy Grandis White
Mr. & Mrs. Motdechai Wider
Sallie & Kevin Williams
Ms. Matianne Wisner
Alice & Larry Wolf
Dr. & Mrs. Brian D. Wolff
Susan B. Wolff
Dr. & Mrs. Edward Woliver
Mr. & Mrs. Charles A. Womack, Jr.
Mrs. Henry C. Wood
Mr_ & Mrs. Gordon R. Worley
Annnal Patrons
Corporate & Foundation Donors
Anonymous
A. Gail Boorman & Associates, P.A.
A. Vernon Allen Builder, Ine.
AmeriCare Home Health Services, lnc,
AMN Healthcare
Anchor Health Centers
Arrhrex, Inc.
AveMariaUni\'ersity
Bank of America
BCC Financial Management Services, Inc.
Bond, Schoeneck & King, P.A.
Border Bancshares, Inc.
Mr. & Mrs. R. Scott Cameron
Ciccarelli Advisory Services, Inc.
Coastal Beverage Ltd.
Collier Neurologic Specialists, L.L.c.
Colonial Bank
Comaica Bank & Trust
Community Bank of Naples
Community Health Panners-Naples PHO
Community Home Care
CSI Financial Services
Culture Connection, Ine.
Cummings & Lockwood, LLC
Demandata Systems, LLC
Dr. Johnny's Supreme Auto
OSI Laboratories
Estero Chamber of Commerce
Eye Consultants of Bonita Springs
Fifth 1l1ird Bank, South Rorida
Gates McVey Builders
Gibraltar Private Bank & Trust
Gulf Coast Cardiothoracic Surgeons
Gulfshore Homes, Ine.
Gulfsrream Homes
Hole Montes, Inc.
Hotel Plaza Athenee, New York
HSBC - North America
Integrated Therapeutics Corporation
John R. Wood Realtors
Johnson & Johmon
Jonathan Bailey Associates
JPMorgan Private Bank
Key Private Bank
La Playa Beach & Golf Resort
Liberty Bank
Mandarin Oriental, Miami
Marino Group Inc
Marissa Collections
MedQuist, Inc.
Medtronlc Sohmor Danek
Midwest Exchange Company, Ine.
Mill Park Foundation, Ine.
Mimi JoIie Maison, Ine.
Naples Day Surgery
Naples Engraving
Naples Historical Society
Jerry F. Nichols & Brown & Brown Benefits
Norman Love Confections
O'Donnell Landscapes, Ine.
Option Care
Pfizer Foundation Matching Gifts Program
PFM: Advisors
Porter, Wright, Morris, & Arthur, LLP
PriceWaterhouseCoopers LLP
Quai! Creek Country Club
Quality Med Tran - Sarah Ann of SW
Florida, Inc.
Reflections - Alphamedia Productions
Richards Company
Robert of Philadelphia
Robins, Kaplan, Miller & Ciresi, LLP
South Beach Wine & Food Festival
Southwest Direct
Square 0 Foundation
St. William Council of Catholic
Women (CCW)
State Farm Companies Foundation
SunTrust Banks, Ine.
The Goring Bed & Breakfast
The Graham Group, Ine.
The Thomas Riley Artisans' Guild
Maria Procacci, Vineyards
The Whitaker WelIness Center
Williams
TlB Bank
TLC Engineering for Architecmre
Total Communication Concept.< Group, Ine.
Trinity Medical Services, [ne.
United States Trusr Company, N.A.
WiL,onMilIer,lne.
YamronJewelers
Zola Keller
CumulariVf~ GivinP We sincerely appreciate
the continuing & long-te-nn generosity of the
follnwing individlUlls, families, foundations, &
corporations.
Vision:lries
($5,000,000 or more)
Individual & Family Foundation Donors
Anonymous
Mr. & Mrs. Jay H. Baker
Briggs Family Foundation
Mr. & Mrs_ Raymond L Lutgert
NCH Auxiliary
Mrs. Helen E. S. Shick"
l (0 Ftf
\~ dq -08
Philanthrotlists
($1,000,000)
In&vidlUll & Family Foundation Donors
General Da\id H. Baker~
Mr. John H. Becker~
Mrs. Helen W. Bell
Louise M. Benson ~
Estate of Mina D. Brmm ~
Dr* & Mrs! John E. Burch
Harvey D. & Janet G. Cohen
In Memory of D. Graham Copeland
Mr. & Mrs. John F. Donahue
Bob & Connie Eaton
Mr. & Mrs. Vincent Foglia
Mr. & Mrs. James L. French
Mr. John E. Kohan
Mrs. Florence T. Kress~
Mr. & Mrs. Robert Lanigan
Mr. & Mrs._ Robert J. MacDonald
Magnolia Balls
NCH Hospital Balls
Mr. & Mrs. William A. Read, Jr.
Stephen L. Schwartz, Pres.
Btookdale Foundation
Bruce & Cynthia Sherman
Mrs. Herbert J. Sugden
The Telford FOUlldation
Mr. & Mrs. Dolph W. von Arx
The Whitaker Foundation
Benefar.tors
($500.000)
Individual & Family Foundation Donors
Anonymous
Mr.~ & Mrs. John P. Blair
Miles & Parker Collier
William & Susan Dalton
Louise Powers Degen Trust
Russell & Patricia Fleischman
Mr. & Mrs. Terrance R. Flynn
Mrs. Doris S, Lanphier"
Mr. & Mrs. Robert Needham
Dellora A. & Lester J. Norris Foundation
Mr. & Mrs. F. Fred Pezesbkan
Tasker/Elwell Family
Mr. ~ & Mrs.' Charles P. Walker
~
($250,000)
Individual & Family Foundation Donors
Anonymous
Mr. & Mrs. William F. Allyn
Robert & Suzanne Chute
Dr. & Mrs. Allen W. Cowley, Sr.
Mr. & Mrs. John Grado
Mrs. Mary Anne Harrington"
Alexandra Hayes, Griffjn Olness,
Linden Olness & Fletcher 0lneS5
Frances Pew Hayes' Family Foundation
Marjorie Jewell Trust & John Jewell Trusts
Dr. & Mrs" Chris Papadopoulos
Mr. & Mrs. ~ Lloyd Pettit
Mr. & Mrs.~ Charles W. Pingree
Mr.~ & Mrs.~ John E. Rhodes
Mrs. Robert L. Stocking
Mr. & Mrs. Kermit S. Sutton
Mildred H. 1l10mas~
Ms. Catherine Wolfe & Mr. Jack Stanley
l'mnm
Corporate & Foundation Donors
Bank of America
Barron Collier Companies
Narrow Estate
North Collier Hospital Auxiliary
*Deceased
Imm<lm
($100,000)
Individual & Family Foundation Donors
Anonymous 0)
Rurh Abramson *
Mr. & Mrs. John N, Allen
Mr. William G. Allyn~
Mr. & Mrs. John L. Ashby
Bruce J. Bergman
Mr. & Mrs. Richard S. Bodman
Paulette M. Boiardi
Mr. & Mrs. Daniel F. Breeden
Mrs. Alice Brugler*
Mr. & Mrs. Andrew B. Craig, III
Mr. & Mrs. Richard H. DeVoe
Lois DeYoung*
Mr. & Mrs. Daniel C. Ferguson
Mr. John F. Forsyth *
Mr. Curtiss E. Frank*
Fritz & Kathy Friday
John & Mary Anne Gamba
Mr.* & Mrs. George H. Gaynor
William Gierisch Trust
Mr.* & Mrs.* Edward R. Godfrey
Harry Grandis & Nancy Grandis White
Pierson M. & Rorence B. Grieve
Mr. & Mrs. Sidney Grossman
Mr. Charles A. Hamilton ~
Jack Harker*
Barry&Ca.roIHastings
Mr.* & Mrs. Marshall M. Holcombe
Mr. Alfred l.W. LeBien*
Maureen & Arnold Lerner
Gordon Lozier*
Scott & Simone Lutgert
The Martin Foundation, Ine.
Mr. Richard Maslow
Mr. RobertW. Mcll\'ain,Jr.~
Mr. & Mrs. James W. McKee, Jr.
Daniel F. McKnight Unitrusr
John M. & Susan Morrison
Chuck & Sue Mueller
Dwight D. Opperman
The Lutgert Family
Mr. John M. Rachal
JanetD. Ross'
Mrs. Nettie Lou Samuels*
Gene & Mary Sarazen Foundation, lne.
Estate of Henry O. Schumacher
Mr. ~ & Mrs. Miles B. Scofield
Duane & Robin Stranahan
Sidney A. Swensrud Foundation
Mrs. Barbara Thoma.,
Edward F. & Marion Knight Foundation
of rhe Toledo Community Foundation
Mr. & Mrs. Joseph P. Viviano
Mr. & Mrs. George P. Wagner, Jr.
Mr. & Mrs. David Wang
Mrs. Catherine M. Ward
Mrs. Alvina P. Wendt
fu!ndm
Corporate & Foundation Donors
Collier Anesthesia, PA
Embarq
Fifrh Third Bank, South Florida
G.E. Foundation
HealthSouth
Island Countty Club
Kraft Construction Co., lne.
Marco Island Hospital Auxiliary
Merck Company Foundation
Sodexho Healthcare Services
Stock Development
filIllnL
($75,000)
Indivit.lunl & Family Foundation Donm
Anonymous (2)
Mrs. Keith S. Benson
Mr. Edwin H. Bower~
Mr. Henry C. Church, Jr.~
Susan Regenstein Frank & Barry Frank
Fredricksen Foundation
The Elizabeth E. Kennedy Fund
Mr. & Mrs. Thomas P. McDonagh, Jr.
Malcolm & Sonia McDonald
Mr. & Mrs. Edward A. Morton
Mr. & Mrs. Raymond F. Pettit
Mr. & Mrs. Howard T. Rosen
Lyle & Gloria Rosenzweig
Bert Axelrad, Chairman, Harry Sudakoff
Foundation
Mr. & Mrs. Morrison Waud
Mr. & Mr~. Da\-id K. Wibon
Karl & Joanne Wys~
.I'atron>
Corpora!e & Foundation Donon
Carlson-Harris General Contractors, lne.
DeVoe Automotive
Naples Radiologists, PA
Northern Trust Bank of Florida
Saks Fifth Avenue
The Wachovia Foundarion
~
($50,000)
lndilliduaJ & Family Foundation Donors
Anonymous (2)
Don & Jean Ackerman
Mr. Lowell W. Andreas
Mr. & Mrs. William E. Bindley
Mr. Thomas E. Bolger
Mr. Robert P. Brown, Jr.
Mr." & Mrs.~ Joseph M. Carmosino
Mr. & Mrs. Richard J. Censits
Mr. & Mrs. Donald L Clark
Mr. * & Mrs.' Norman H. Curtis
Christina & Doug Esson
Mr. & Mrs. Da\id C. Farrell
Mr. Edward H_ Fish
Eugene & Mary Frey
Mr. Dewey Gargiulo
Mr. & Mrs.~ Walter Glass
Mr.~ & Mrs. William F. Grady
Mr. & Mrs. Thomas C. Graham
Mr.~ & Mrs.* Harold F. Grumhaus
Mrs. Mildred G. Hall"
Mrs. PauIJ. Henegan
Mr. & Mrs. Paul F. Hills
Mr. ~ & Mrs. Thomas B. Holzer
Mr. & Mrs.~ Frank X. Homan, Sr.
Mr. & Mrs. John A. Johnston
Mr.* & Mrs. James J. Kerrigan, Jr.
Mr. & Mrs. George R. Kraus
Mr. & Mrs. Carl Lambein
Ms. Carol Ann May &
Mr. James M. Saindon
Mr. Scott McFarland~
Dr. & Mrs. Michael Meftah
Mr.' & Mrs: Joseph W_ Oliver
Mrs. Yvonne Pabst'
Mr. & Mrs. James Reid
Ms. Adriannc B. Reilly
Mr. & Mrs. Stephen L. Schwartz
Mr_ & Mrs. Stanley A. Seneker
Ms. JulietC. Sproul
Joseph T. & Jamie G. Steuer
EsrateofMarianTerrell*
Mr. & Mrs. Tucker Tyler
Drs. Allen & Marla Weiss
I&F~
l-~ -0&
WilliamB.West*
Mrs. Sylvia WiUiam.~~
Me. & Mrs. Edward T. Yawney
"""""'"
Corporate & Foundation Donors
Bank of Rorida
Crowther Roofing
Dyehouse Comeriaro Architect
The English.speaking Union.Naples Branch
Naples Pathology Associates
Pulte Homes & DiVosra Homes
SCM Properties, LLC
United States Trust Company, N.A.
Wacho\'ia Bank
Wasmer, Schroeder & Company, lne.
Wicker, Smith, O'Hara, McCoy, Graham &
Ford, PA
Banvan Sodetv
OUT legaq society recogniz.es individuah
whose charitable gift planning amms a
bright future for the NCH Healthcare Sysrem
Anonymous (4)
Mr. & Mrs. John L A;hby
Mrs. Helen W. Bell
Willeen L Benedum
Mr. Robert T. Benson
Mr.' & Mrs. John P. Blair
Mr. & Mrs. Howard A. Bolton
Karl H. * & Helga Brand
Dr. & Mrs. John N. Briggs
Mr.* & Mrs.* Richard E. Brown
Oscar~ & Alexandra Clark-Dunn
Mr.' & Mrs. John E. Dabbert
Mr. & Mrs. Donald E. Farmer
Mrs. Nancy Faye
Mrs. Helen Frame
Dr. & Mrs. Ralph Geller
Mr. ~ & Mrs. ~ Joseph E. Godfrey
Mrs. Paola Copeland Groverman
F. L Gunther.Mohr
Ms. Marjorie Harrison
Mr. Andrew Hill & Dr. Susan M. Liberski
William A. & Barbara A. Klauber
Dr. & Mrs. Morris J. Lipnik
LeslieS.Magin
Dr. & Mrs. Douglas Gene McCree
Mr.* & Mrs.* Fergus J. McDiarmid
Tom & Gloria McDonagh
Winifred Hinton McKenzie'
Norma D. Meyer
Mr. & Mrs. Ted Myers
Daniel' & Barbara R. Newman
Dr. Leslie C. Norins & Ann "Rainey" Norins
Mrs. Antoinette Benson Porter*
Mr.' & Mrs. George G. Raymond, Jr.
M!. & Mrs. William A Read, Jr.
Mr. & Mrs. Gerald R. Schmidt
Mr.* & Mr~. Michael Sttamiello
Tasker/Elwell Family
Mr: & Mrs: Richard L Terrell
Me. & Mrs. Tucker Tyler
Dr. & Mrs. Donald P. Ullrich
Mr. & Mrs. Dolph W. \'On Arx
Mr. & Mrs. R. L. Walker
Mrs. Alvina P. Wendt
Mr. August Zolororofe~
~
We are deeply grateful to the loyal contributors
who steadfastly support the NCH Healtlu:are
System with annual gifts for five Qr more
consecutweyea1S.
25 Consecutive Years
Individual & Family FOltndation Donors
Mr. William G. Allyn~
Mrs. Keith S. Benson
Mr.~ & Mrs. John P. Blair
Mr. & Mrs. Walter D. Dance
Mr. & Mrs. Richard H. DeVoe
Oscar~ & Alexandra Clark-Dunn
Mr. & Mrs. Arthur W. Gilbart
Mr. & Mrs. James R. King
NCH Auxiliary
Mr. R. A. Roberts
20 Consecutive Years
lruUtJidual & Family Foundation Donon
Anonymous
Mr. & Mrs" Charles W. Pingree
Mr. & Mrs. Joseph S. Sample
Mr. & Mrs. Joseph T. Steuer
Tasker/Elwell Family
1 Ii Consecutive Years
Individual & Family Foundation Dorwn
Anonymous
Mr. & Mrs.~ Alan L. Berckmann
Mr. & Mrs. Edward B. Collum
Mr. & Mrs: James P. Dupey
Mr. ~ & Mrs. Stuart L. Feuer
Mr. & Mrs. Charles J. Fields
Mr. & Mrs. John M. Gregg
Mr. & Mrs. Delong O. Kellogg
Mrs. Doris S. Lanphier~
Dr. & Mrs. William P. Lascheid
Dr. & Mrs. Robert S. McKnight
Mr. & Mrs. James E. Mellinger
Harold Narrow' Estate
Dr. & Mrs. Torrence P. B. Payne
Mrs. Virginia C Quirk
Mr. & Mrs. William W. Slocum
Mrs. Nelson R. Stewart
Mr. & Mrs. Dolph W. van Arx
Mrs. Henry C. Wood
li.llia
Corporate & Foundation Donors
Cerner Corporation
DeVoe Automorive
10 Consec:utive Years
rndividual & Family Foundation Donors
Mr. Lowell W. Andreas
Mr. & Mrs. John L. A>hby
Mr. Robert D. & Dr. Mary M. Cadieux
Gerald & Sally Ann Carrier
Mr. & Mrs. Richard J. Censits
Russell & Patricia Fleischman
Mr. & Mrs. Orville W. Forte, Jr.
Mrs. Barbara L. Goodof
Mrs. Shirley lten Kern
Mr. & Mrs. Alfred E. Liebetrau
Mr. & Mrs. William MacClarence
Mr. & Mrs. James W. McKee, Jr.
Mr. & Mrs. Edward A. Morton
Mr. & Mrs. Charles L. Rue, Jr.
Mrs. Robert L. Srocking
Bert kelrad, Chairman, Harry Sudakoff
Foundation
Cot. & Mrs. Charles L. Sues
Mr. & Mrs. Kermit S. Sutton
Mr. & Mrs. James A. Warnken
Sallie & Kevin Williams
.lll..Yl=
Corporate & Foundation Dorwrs
Fifth Third Bank, South Aorida
G. E. Foundation
Kraft Construction Co., Inc.
North Collier Hospital Auxiliary
United States Trust Company, NA.
USG Foundation, Ine.
S Consecutive Years
Inditridual & Family Foundation DOI1OTs
Anonymous (3)
Mr. & Mrs. William C AllL~on, IV
Mr. & Mrs. Angelo R. Arena
Mr. & Mrs. William E. Bindley
Mr. & Mrs. Richard S. Bodman
Karl H. * & Helga Brand
Robert & Suzanne Chute
Mr. & Mrs. John C. Clark
Miles & Parker Collier
Mr. & Mrs. Thomas A. Cooper
Mrs. Cynthia C. Crocker, R.N.
Mr. & Mrs. Jack D. Crutchfield
William & Susan Dalton
Mr. & Mrs. John J. Daly
Gail & Kevin Dolan
Mr. & Mrs. John F Donahue
Mrs. Mary Louise Donkersgoed
Mr. & Mrs. Robett J. Eaton
Mr. & Mrs. Gordon l. Erikson
Edrick & Linda Flewelling
Mr. & Mrs. Terrance R. Flynn
Mr. & Mrs. Gerard Gallian
Mr. & Mrs. Jay G. Gates
Perry A. GotsLs, M.D.
Mr. & Mrs. Robert T. Gow
Mr. & Mrs. Don J< Gunther
Mr. & Mrs. Richard G. Hartigan, Jr.
Ms. Martha B. Hedges &
Mr. Judson J. Mohl
Ms. Ann Hruby
Mr. & Mrs. Da\id R. Huber~
John & Barbara Jordan
Mr_ Richard N. Jowitt
Mr. & Mrs. Robert P. Kepen
Mr. & Mrs. John H. Kolmer, Jr.
Dr. & Mrs. Hermes O. Koop
Mr. & Mrs. Walter G. Korntheuer
Dr. Stephen & Rebecca Kwedar
Mr. & Mrs. John B. Lepore
Dr. & Mrs. Morris J. Lipnik
Mr. & Mrs. Charles A. Lister
Mr. & Mrs. Ronald J. McGinty
Dr. & Mrs. Robert J. Meli
Norma D. Meyer
Kevin & Susan Miller
Alexandra Hayes, Griffin Olness,
Linden Olness & Fletcher Olness
Mr. & Mrs. Robert F. Naples
Mr. & Mrs. Robert Needham
Mr. & Mrs. William B. Ogden, 1II
Mr. HenryL. Ohlef
Mr. & Mrs. William J. O'Meara
Dwight D. Opperman
Mr. & Mrs" Robert C. Ortner
Mr. & Mrs. F. Fred Pezeshkan
MaryE. Plotz
Mr. & Mrs. Larry Ray
Ms. Patricia Read
Mr. & Mrs. James Reid
Thomas & Cynthia Rynalski
Mr.* & Mrs. Charles J. Sanders, Jr.
Mr. & Mrs. Vincent A. Sarni
Mr. & Mrs. Stephen L. Schwam
Mr. William M. Sebring, Jr.
Mr. & Mrs. Brian CG. Settle
Mr_ Frank & Dr. Susan Short
Ms. Carrie Skifron
Patricia A. Stratton
Dr. & Mrs. Joseph F. Sullivan
Mr. & Mrs. Petcr A. Thomas
Mr. & Mrs. El\\in W. Thurlow
Mr. & Mrs. Tucker Tyler
Rosetta G. Valleau
Mr. & Mrs. George P. Wagner, Jr.
Mr. & Mrs. Edwin F. Walmer
\~FY
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The Watkins Family
Mr. & Mrs. Robert K Weinfurtner
On. Allen & Marla Weiss
Mr. & Mrs. George E. Willis
Mr. & Mrs. Mark B. WiL~on
Dr. & Mrs. Robert W. Wilson
Susan B.Wolff
i.Xow
Corporate & Foundation Donors
Anchor Health Centers
Bank of Aorida
Collier Anesthesia, P.A.
Crowther Roofing
Cummings & Lockwood, LLC
Dyehouse Comeriato Architect
Embarq
Aorida Gulf Coast University Foundation
Gesbay A>sociates, Architect
HealthSouth
IBM International Foundation
Island Country Club
La Playa Beach & Golf Club
Lutgert Imunnce
Marino Group Inc
Meredith Corporation
Naples Day Surgery
Naples Pathology Associates
Naples RadiolOgists, PA
Northern Trust Bank of Florida
Potter, Wright, Morris, & Arthur, LLP
Preferred Travel of Naples, Ine.
Price WaterhouseCoopers LLP
Private Capital Management
Quality Med Tran - Sarah Ann of SW
Florida, rne.
Sodexho Healthcare Senices
Square D Foundation
The Telford Foundation
TIB Bank
TLC Engineering for Architecture
Total Communication Concept.~ Group, Inc.
Unilever United States Foundation, Ine.
Wacho\<ia Bank
Wasmer, Schroeder & Company, Inc.
Wicker, Smith, O'Hara,
McCoy, Graham & Ford, P.A
T~ NCH Healthcare Foundation
has made every effort to acknowledge
accurately our 2006 contributors.
If you haw any questioru or comments
aboutrhis listing; please conract the
Foundntion Office at 239-436-4511.
Thank you.
Ai; the expansions and innovations demonstrate, this past year of transition
has also been one of accomplishment, both of tangible and intangible goals.
Massive building projects completed during FY2006 included not only the
Baker Patient Tower, but also the Briggs Health Pavilion and Wellness Center,
the Garden of Hope and Courage, and the von Arx Diabetes Center of
Excellence and Nutrition Health. Each was a response to the needs of the
growing community-and each relied on effective partnerships between NCH
and the people it serves.
Creating and sustaining partnerships are crucial to accomplishing the mission
of the NCH Healthcare System-to promote, maintain and restore the health
of the community it serves. Everyone who is recognized and honored in this
annual report is a partner in this noble cause.
\0 ftf
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Meeting needs
Patients, physicians, volunteers, nurses and
support people along with benefactors-all trying
to make each other successful-have created the current high quality
healthcare of which N CH is justly proud. But each person or group alone
could not be as effective in caring for individual patients or the community.
Working together with the common goal of demonstrated quality, the entire
community can share in the satisfaction that the N CH Healthcare System has
progressed to the top 5% nationally and will continue leading the community
in the quest for exceptional healthcare. N CH has cared for this community
for more than 51 years and plans to make the next 51 years even better.
Thank you for your continuous and generous support as well as the
opportunity to serve.
J
"
,*"
I'.
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,
\
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2006 Board of Trustees and Camorate Officers
Carl E. Westman, Esq., Chairman
Stephen L Schwartz, 1st VICe Chairman
Richard Roland, M.D., 2nd Vice Chairman
Richard]. Censits, Secretary(freasurer
Edward A Morton, CEO
Allen Weiss, M.D., President
James A Warnken, Exec. VP./CFO & Asst. Treasurer
Kevin Cooper, VP. & General Counsel
Cynthia A Bennett, Asst. Secretary
Elizabeth Allen
Jay Baker
William Bindle'll
Richard Bodman
Susan Dalton
Paul Oernbach, M.D.
Linda Flewelling
laVerne C. Franklin
EllinGoetz
Thomas Grady
Pierson Griew
Fritz Harrington, M.D.
Robert Lanigan
Arnold Lerner
Scott Lurgert
Nelson Maldonado, M.D.
Paul Marinelli
GerriMoll
John Morrison
Joseph Perkovich
Rabbi James Perman
Edwin Stedem
2006 NeB Foundation Committee
Terrace R. Flynn, Chairman Lois W. Lipnik
William F. Allyn Matthew Mathias
Harvey D. Cohen Carol Ann May
Thomas L Cook, M.D. Malcolm S. McDonald
Andrew B. Craig Edward A Monon
Susan L Dalton Jane S. Ogden
David L. Fenelon F. Fred Pezeshkan
John D. Fumagalli James Reid
Kay F. Gow Duane Stranahan, Jr.
Kim Ciccarelli Kantor Joseph P. Viviano
George R. Kraus Allen S. Weiss, M.D.
Stephen A Kwedar, M.D. Carl Westman, Esq.
Robert Lanigan Sallie L. Williams, Exec. Director
Nancy C. Lascheid
Planned Givin2' Subcommittee
Kim Ciccareli Kantor, Chairman Robert D. W. Landon, II, Esq.
Steve Benson Tucker Tyler
Ronald B. Ciesla Carl E. Westman, Esq.
Judy M. Coleman Edward E. Wollman, Esq
William A Klauber, ex officio
2006 Mfdical Exec.llth'e Committee & Officers
Hermes Koop, MD, President Corey Howard, MO, Medkine
Debra McCormack, MD, VICe President Kevin Collins, MD, Obstetrics/Gynecology
Jeffrey McCartney, MD, SecretaryJTreasurer H. David Greider, MD, Pathology
Perry Gotsis, MD, Past President Debra Shepard, MO, Pediatrics
Albert Alessi, DO, Chairman, NCH North Naples Hospital Jeffrey McCartney, Neurology
Lee Anderson, MO, Anesthesiology James Boorstin, MO, Psychiatry
Andrew Shuter~ DO, ER Director, NCH Naples Downtown HosPital Michael Theobald, MD, Radiology
Carolyn Walters, MO, NeB North Naples Hospital Paul Dembach, MD, Surgery
Daniel Kaplan, DO, Family Practice
fJR/CEWA1i:RHOusE(aJPERS I
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,
NCH Healthcare System, Inc.
Consolidated Financial Statements and
, Supplemental Schedule
September 30, 2006 and 2005
l0 F-Lt
l~<11-oq
NCH Healthcare System, Inc.
Index
September 30, 2006 and 2005
Pagels)
Report of Independent Certified Public Accountants ............................................................................. 1
Consolidated Financial Statements
Consolidated Balance Sheets..................................................
........................................2-3
Consolidaled Stalemenls of Operations ....................................
..........................................4
Consolidated Statemenls of Changes in Nel Assets.................................................................................... 5
Consolidated Slatements of Cash Flows ........... .......................................................................................... 6
Noles 10 Consolidated Financial Statements.... .....................................................................................7-22
Supplemental Schedule
Report of Independent Certified Public Accountants on Accompanying Information.. ...................23
Schedule of Income from Operations before Charitable Contributions ...................................................... 24
lioFq
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~CEWA1fRHOUSE[QJPERS I
PricewaterhouseCoopers LLP
101 East Kennedy Boulevard
Suite 1500
Tampa FL 33602.5147
Telephone (813) 229 0221
Facsimile (813) 229 3646
Report of Independent Certified Public Accountants
To the Board of Trustees of
NCH Healthcare System, Inc.
In our opinion, the accompanying consolidaled balance sheets and the related consolidated
statements of operalions, of changes in nel assets, and of cash flows present fairly, in all material
respects, lhe financial position of NCH Healthcare System, Inc. (the "System") al September 30, 2006
and 2005, and the results of their operations and their cash flows for the years Ihen ended in
conformity with accounling principles generally accepled in lhe Uniled States of America. These
financial statements are lhe responsibility of lhe System's management. Our responsibility is 10
express an opinion on lhese financial stalements based on our audits. We conducted our audils of
lhese statements in accordance wilh auditing slandards generally accepted in the United Slates of
America. Those standards require that we plan and perform the audit to obtain reasonable assurance
about whether lhe financial slatements are free of material misstatement. An audit includes examining,
on a test basis, evidence supporting lhe amounts and disclosures in the financial statements,
assessing the accounting principles used and significant estimates made by management, and
evaluating the overall financiai stalement presenlation. We believe that our audits provide a
reasonable basis for our opinion.
f~"l:lp
December 15, 2006
NCH Healthcare System, Inc.
Consolidated Balance Sheets
September 30, 2006 and 2005
\ Co Flf-
\-3t1~O~
Assets
Current assets
Cash and cash equivalenls
Investments
Due from patients and others, net of allowance for estimated
uncollectibles of approximately $34,975,000 in 2006 and
$25,281,000 in 2005
Assets limiled as to use
Inventories
Other current assets
Total current assets
Assets limited as to use
Self-insurance fund
Board-designated assels
Assets held by truslee under bond indentures
Less: assets limited as 10 use lhal are required for current
liabilities
Investments in partnerships
Property and equipment, nel of accumulated depreciation
Long-term inveslments
Bond issue cosls
Other assets
Total assets
2006
2005
$ 28,852,852 $ 50,725,982
56,754,860 34,164,919
64,550,434 51,540,363
21,255,464 12,959,421
8,685,440 7,487,636
7,348,085 6,807,754
187,447,135 163,686,075
15,410,267 10,464,032
74,539 72,557
16,118,708 27,709,835
31,603,514 38,246,424
(21,255,464) (12,959,421 )
10,348,050 25,287,003
5,744,152 5,151,557
259,286,263 210,856,142
8,444,956 8,039,211
2,446,998 2,614,944
36,608,208 40,900,493
$510,325,762 $ 456,535,425
2
The accompanying notes are an inlegral part of lhese consolidated financial statements.
10F<-t
(- CJt1 -0'6
NCH Healthcare System, Inc.
Consolidated Balance Sheets, continued
September 30, 2006 and 2005
2006
2005
Liabilities and Net Assets
Current liabilities
Current portion of long-lerm debt and capilallease obligations $ 7,833,637 $ 4,904,674
Current portion of self-insurance liabilities 5,136,756 3,484,523
Accounls payable 27,022,289 16,582,714
Accrued expenses 32,495,698 29,888,829
Accrued interest 2,986,111 3,088,543
Estimated third-party payor setllements 6,291,952 5,625,505
Total currenlliabilities 81,766,443 63,574,788
Long-lerm debt and capilallease obligations, excluding
current portion 134,338,477 129,155,727
Estimated self-insurance liabilities, excluding current portion 10,273,511 6,979,509
Other liabililies 7,974,386 7,334,645
T olalliabilities 234,352,817 207,044,669
Commitments and contingencies
Net assets
Unrestricted 247,389,092 211,883,429
Temporarily reslricted 18,602,352 28,156,379
Permanently restricted 9,981,501 9,450,948
Total nel assets 275,972,945 249,490,756
Tolalliabllitles and net assets $ 510,325,762 $ 456,535,425
The accompanying noles are an integral part of lhese consolidated financial statements.
3
NCH Healthcare System, Inc.
Consolidated Statements of Operations
Years Ended September 30, 2006 and 2005
\ (pF4-
\ - a-zi -o~
Unrestricted revenues
Nel patient service revenue
Other revenue
Total revenues
Expenses
Salaries and wages
Employee benefits
Supplies and other expenses
Purchased services
Depreciation and amortization
Interest expense
Provision for bad debts
Total expenses
Other nonoperating revenue
Excess of revenues over expenses
Change in nel unrealized gains on other lhan lrading securities
Net assets released from restrictions
Increase in unrestricted net assets
2006 2005
$ 454,194,902 $ 421,790,246
21,153,471 31,263,881
475,348,373 453,054,127
180,066,349 163,862,327
36,548,960 32,285,342
138,891,678 124,384,097
23,429,795 21,378,415
23,994,079 22,172,121
5,392,960 5,087,892
53,213,723 40,839,652
461,537,544 410,009,846
5,585,290
19,396,119 43,044,281
1,197,303 58,487
14,912,241 2,260,622
$ 35,505,663 $ 45,363,390
The accompanying notes are an integral part of these consolidated financial statemenls.
4
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NCH Healthcare System, Inc.
Consolidated Statements of Changes in Net Assets
Years Ended September 30, 2006 and 2005
Temporarily Permanently
Unrestricted Restricted Restricted rota'
Net assets at September 30, 2004 $ 166,520,039 $ 14,879,438 $ 14,908,204 $ 196,307,681
Excess of revenues over expenses 43,044,281 43,044,281
Change in net unrealized gains (losses)
on other than trading securities 58,487 (42,928) (427,907) (412,348)
Restricted gifts and bequests 9,121,15S 9,121,155
Income from restricted investments 196,713 1,233,274 1,429,987
Net assets released from restrictions 2,260,622 4,002,001 (6,262,623)
Change in net assets 45,363,390 13,276,941 (5,457,256) 53,183,075
Net assets at September 30, 2005 211,883,429 28,156,379 9,450,948 249,490,756
Excess of revenues over expenses 19,396,119 19,396,119
Change in net unrealized gains (losses)
on other than trading securities 1,197,303 9,318 (922,156) 284,465
Restricted gifts and bequests 4,702,075 326,963 5,029,038
Income from restricted investments 482,931 1,289,636 1,772,567
Net assets released from restrictions 14,912,241 (14,748,351) (163,890)
Change in net assets 35,50S,663 (9,554,027) 530,553 26,482,189
Net assets at September 30, 2006 $ 247,389,092 $ 18,602,352 $ 9,981,501 $ 275,972,945
The accompanying noles are an inlegral part of lhese consolidated financial statemenls.
5
NCH Healthcare System, Inc.
Consolidated Statements of Cash Flows
Years Ended September 30, 2006 and 2005
lroFY
\-Qt1~og
Cash flows from operating activities
Change in net assets
Adjustmenls to reconcile change in net assets to net cash
provided by operating activities
Restricted gifts and bequests
Change in net unrealized (gains) losses
on other than trading securities
Income from restricted investments
Deprecialion and amortization
Provision for bad debls
Loss (gain) on disposal of property and equlpmenl
Changes in assets and liabilities
Increase in due from patients and olhers
Increase in inventories
(Increase) decrease in olher current assets
Increase (decrease) in accounls payable
Increase in accrued expenses
(Decrease) increase in accrued interest
Increase In eslimaled self-insurance liabilities
Increase in estimated lhird-party payor settlements
Increase in other liabilities
Nel cash provided by operating activities
Cash flows from investing activities
Purchases of property and equipment
Proceeds from lhe sales of property and equipment
(Purchases) proceeds of investments, net
Decrease (increase) in other assets
Decrease in assets limited as to use
Increase in investment in partnerships
Net cash used in investing activilies
Cash flows from financing activities
Proceeds from long-term borrowings
Repaymenl of long-lerm debt and capital lease obligations
Payment of bond issue costs
Net cash provided by (used in) financing activities
(Decrease) increase in cash and cash equivalents
Cash and cash equivalents
Beginning of year
End of year
Supplemental disclosure of cash flow information
Cash paid during the year for interest
Supplemental noncash disclosures
Property and equipmenl included in accounts payable
2006 2005
$ 26,482,189 $ 53,183,075
(4,611,068) (6,828,597)
(284,465) 412,348
(1,772,567) (1,429,987)
23,994,079 22,172,121
53,213,723 40,839,652
74,270 (10,485,116)
(66,223,794) (41,045,369)
(1,197,804) (995,351 )
(540,331) 535,305
2,271,060 (3,274,707)
2,606,869 4,310,583
(102,432) 596,172
4,946,235 262,177
666,447 375,082
639,741 3,022,553
40,162,152 61,649,941
(64,151,695) (34,638,929)
3,735,427 3,538,347
(16,307,844) 4,700,457
572,285 (2,867,274)
6,642,910 13,609,994
(592,595) (1,589,831)
(70,101,512) (17,247,236)
15,000,000
(6,888,287) (20,643,384)
(45,483) (8,245)
8,066,230 (20,651,629)
(21,873,130) 23,751,076
50,725,982 26,974,906
$ 28,852,852 $ 50,725,982
$ 6,424,039 $ 5,702,836
$ 8,168,515 $ 2,692,441
The accompanying noles are an Inlegral part of these consolidaled financial statements.
6
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NCH Healthcare System, Inc.
Notes to Consolidated Financial Statements
September 30, 2006 and 2005
1. Summary of Significant Accounting Policies
Organization
The NCH Healthcare System, Inc. (the "System") was incorporated as a 501 (c)(3) not-for-profit
parenl holding corporation in 1983 under a plan of reorganization to better serve the community's
health care needs and to provide managemenl with greater flexibility in providing services.
The Syslem mainlains the legal righl to select trustees of its not-for-profit subsidiaries for approval
by the subsidiaries' respeclive corporate memberships and to elect all the directors of its
proprietary subsidiaries. In addition, the System maintains the right 10 approve (1) the operating
and oapilal budgets, (2) all amendments to lhe bylaws and articles of incorporation, and (3) all
long-term debt obligations and requesls for certificates of need for all of the subsidiaries. The
System owns 100% of the outstanding stock of ils proprietary enlerprise subsidiaries.
The System's companies and the consolidated financial slalements consisl of the following enlilies:
Naples Community Hospital, Inc. (lhe "Hospital"), a not-for-profit corporalion, operates two general
acute care hospilals in Collier County, Florida, a blood donor center and various other outpatient
centers iocated throughout the communily.
Marco Island Hospital, Inc. d/b/a Marco Healthcare Center ("MIH"), a nol-for-profit corporalion,
operates an urgent care cenler and medical office building on Marco Island, Florida.
Community Home Services, Inc., a not-for-profit corporation, provides durable medical equipment
and operates Lifeline emergency response services.
Collier Health Care, Inc. (CHCI), a nol-for-profit corporation, owns and leases healthcare facilities
in Naples and lmmokalee, Florida. CHCI also operates Children's Medical Services, a program
serving chronically ill and special needs children under Tille V and the Florida KidCare Program
lhrough Tille XXI.
NCHMD, Inc. d/b/a S.W. Florida Hematology and Oncology Specialists, a nol-for-profit corporation,
was incorporated on November 14, 2003 and provides services 10 patienls with cancer and blood
disorders.
Heallh Resources Corporation ("HRC"), a for-profit holding company which consists of lhe
following proprielary subsidiaries: (i) Diagnostic Services, Inc. d/b/a DSI Laboratories provides
various laboratory testing services primarily in Southwest Florida. (iI) Community Imaging, Inc.
("CII") was formed to operate as a partner in lhe operalion of diagnoslic imaging cenlers. CII's
50% partnership inleresl in Naples Diagnostic Imaging Center, Ltd. ("NDlC") is accounled for using
lhe equity method of accounting. In conjunction with the issuance of long-lerm debt for the
construction and equipping of NDIC facilities, the Syslem has provided an unconditional guarantee
to pay 5'0% of the obligalions related to lhis debt should NDIC default. As of September 30, 2006
and 2005, lolallong-term debt oulslanding al NDIC was $5,492,050 and $3,785,545, respectively.
(iil) Ambulatory Surgical Care Center, Inc. ("ASCC") owns a 15% inleresl in Naples Day Surgery
("NOS"), a non-affiliated limiled liability company which operales two ambulatory surgery centers in
7
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NCH Healthcare System, Inc.
Notes to Consolidated Financial Statements
September 30, 2006 and 2005
Collier County, Florida. (iv) Community Home Care, Inc. disconlinued operating its privale duty
home health agency during fiscal year 2005, and concurrently purchased a 49% interest in Kokua
Healing Arts, Inc., an established privale duty home heallh agency headquartered in Naples,
Florida. (v) Counseling and Employee Assistance Program, Inc., acquired in September 2005,
provides employee assistance services, such as individual and family counseling, to NCH affiliates
and other local companies.
The System also owns a 50% interesl in Bonila Community Heallh Center ("BCHC"), a not-for-
profit organizalion. BCHC operates an urgent care center, an ambulatory surgical care cenler, a
diagnoslic imaging center and an outpatient rehabililation center in Estero, Florida. Additionally,
BCHC leases office space to physicians and olher health care providers. The inveslment in BCHC
is accounled for using lhe equity method. In conjunclion with the issuance of long-term debl for
lhe conslruction and equipping of the BCHC facility, lhe Syslem has provided an unconditional
guaranlee to pay 50% of lhe obligations related 10 this debl should BCHC default. As of
Seplember 30, 2006 and 2005, lotallong-term debt outstanding at BCHC was $27,625,566 and
$28,125,390, respectively.
The System also owns a 50% interesl in Naples Physician Hospilal Organization dlbla Community
Heallh Partners ("CHP"), a not-for-profit taxable entily under the laws of the Slale of Florida. CHP
contracts with various employers and other third-party payors for the provision of healthcare
services by CHP members. The investment in CHP is accounted for using the equily method.
Basis of Presentation
These consolidated financial statemenls, which are presented on the accrual basis of accounting,
have been prepared 10 focus on the Syslem as a whole and 10 presenl balances and lransactions
according 10 the existence or absence of donor-imposed restrictions. This has been accomplished
by classification of net assels and transactions into three classes of net assels - permanently
restricted, temporarily restricted or unrestricted as follows:
Permanently restricted net assets
Net assets subject 10 donor-imposed slipulations thallhey be maintained permanently by the
System. Generally, the donor of lhese assels permits lhe Syslem to use all or part of Ihe income
earned on related investments for general or specific purposes.
Temporarily restricted net assets
Net assets subject 10 donor-imposed stipulations lhal will evenlually be met by actions of the
System andlor the passage of time.
Unrestricted net assets
Nel assets generaled from operalions, unrestricted donations, and the satisfaclion or lapse of
temporary restriclions. These are not subject to donor-imposed stipulations.
Principles of Consolidation
The consolidated financial statements include the accounls of lhe Syslem. All significanl
intercompany amounls and transactions have been eliminated in consolidation.
8
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NCH Healthcare System, Inc.
Notes to Consolidated Financial Statements
September 30, 2006 and 2005
Use of Estimates
The preparalion of financial slatements in conformity with accounting principles generaily accepled
in the United States of America requires management 10 make estimates and assumptions that
affect the reported amounts of assets and liabilities and disclosure of contingent assets and
liabilities at the date of the financial stalemenls and lhe reported revenues and expenses during
the reporting period. Actual results could differ from those estimates.
Cash and Cash Equivalents
Cash and cash equivalents include investmenls in highly liquid debt inslruments with original
malurities of three months or less al date of purchase bul exclude amounts whose use is limited by
self-insurance programs, board designalion or arrangements under trusl agreements.
Investments and Investment Income
Investments in equity securilies with readily delerminable fair values and ail investmenls in debt
securities are measured at fair value in the consolidated balance sheels. Investment income or
loss (including realized gains and losses on investments, interest and dividends) is included in the
excess of revenues over expenses unless income or loss is restricted by donor or law. Unrealized
gains and losses on investments are excluded from lhe excess of revenues over expenses unless
lhe investmenls are trading securilies. Ail of the System's investments are classified as available
for sale securilies.
Inventories
Inventories consist of operaling supplies and are staled at lhe lower of cost or market, on a first-in,
first-oul basis.
Assets Limited as to Use
Assels limited as to use primarily include assets required by state insurance laws to fund claims in
lhe Syslem's self-insurance programs, assets set aside by the Board of Trustees, and assets held
by trustee under bond indenture agreements. Amounts required to meet current liabilities of the
Syslem have been classified as current assets. Assets limiled as to use are carried on lhe
consolidated balance sheets at fair value based upon quoted market prices.
Donor Receivables
Donalions to be received in lhe future that are held in irrevocable trusts are reported at nel present
value. Pledges to make future donations are reported at net presenl value, nel of an ailowance for
estimaled uncoileclible pledges. Donor receivables are classified as other assets in the
consolidaled balance sheels. Gifts are reported as eilher temporarily or permanently reslricted if
lhey are received wilh donor slipulalions that limit the use of lhe donated assets. When a
stipulated lime restriction ends or purpose restriction is satisfied, temporarily restricted net assets
are reclassified as unrestricted net assets and reported in the consolidated slatemenls of
operations as net assets released from restriclions. Donor-restricted conlributions whose
reslriclions are met within the same year as received are reported as unrestricted contributions in
the acCompanying consolidated financial statements.
9
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NCH Healthcare System, Inc.
Notes to Consolidated Financial Statements
September 30, 2006 and 2005
Property and Equipment
Property and equipment are recorded al cost or if donaled, at fair market value at date of dona lion.
Property and equipment donated for operalions are recorded as additions to unrestricted net
assels. Major asset classifications and useful lives are generally in accordance wilh lhose
recommended by lhe American Hospital Association. Deprecialion is provided over the eslimated
useful life of each class of depreciable assets, which range from 3 to 40 years, and is computed on
the straight-line method. Equipment under capilal iease obligalions is amortized on the slraighl-
line method over lhe lease lerm or the estimated useful life of the equipment, whichever is shorter.
Such amortization is included in depreciation and amortization expense in lhe consolidaled
stalemenls of operations. Upon sale or retirement of depreciable assets, the related cost and
accumulaled depreciation are removed and any resulting gain or loss is included in olher revenue.
Bond Issue Costs
Bond issue costs are amortized over lhe life of the related bonds using the slraight-line method,
which approximates the effective interest method.
Estimated Self-Insurance Liabilities
The provision for estimated self-insured medical malpractice claims, workers' compensation claims
and health and dental claims includes estimales of the ultimate costs for bolh reported claims and
claims incurred but not reported. Heallh and dental claim provisions are included with accrued
expenses. The provisions for medical malpractice claims and workers' compensation claims have
been actuarially determined.
Excess of Revenues Over Expenses
The consolidated slatements of operations include excess of revenues over expenses. Changes
in unreslricled net assets which are excluded from excess of revenues over expenses, consistent
with induslry practice, include unrealized gains and losses on investments other than trading
securities and assets released from donor restrictions in accordance with stipulalions of the gift.
Net Patient Service Revenue
The System has agreements with lhird-party payors that provide for payments to the Syslem al
amounls differenl from its eslablished rates. Payment arrangemenls include prospectively
determined rales on the basis of per discharge, per procedure, per capita (capitation), reimbursed
cost, discounted charges, and per diem. Net palient service revenue is reported at the eslimated
net realizable amounts from patients, third-party payors, and others for services rendered,
including estimated relroaclive adjustments under reimbursement agreements with lhird-party
payors. Retroactive adjuslments are accrued on an estimated basis in the period the related
services are rendered and adjusted in future periods as final selllements are determined.
Functional Expenses
The System does not present expense information by functional classification because its
resources and activities are primarily related to providing health care services. Further, since lhe
Syslem receives substantially all of its resources from providing health care services in a manner
similar 10 a business enlerprise, other indicators contained in these consolidated financial
statemenls are considered important in evalualing how well management has discharged their
stewardship responsibilities.
10
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\~~'Or
NCH Healthcare System, Inc.
Notes to Consolidated Financial Statements
September 30, 2006 and 2005
Charity Care
The System provides care wilhout charge or at amounls less than its established rates to patients
who meet specific criteria under the State's charity care guidelines. Because the System does not
pursue collection of accounls determined to qualify as charity care, these amounts are nol reported
as revenue.
Income Taxes
The System and all of its not-far-profit subsidiaries are exempt from federal income taxes under
Section 501 (c)(3) of the Internal Revenue Code (the "Code") and are exemptfrom federal income
laxes on related income pursuanl to Seclion 501 (a) of lhe Code. The System and all of its not-for-
profit subsidiaries do not have significant unrelated business income; however, such stalus is
subject 10 final determination upon examination of the related income lax relurns by lhe
appropriate laxing authorities. The Syslem's for-profit subsidiaries are subject to income tax.
Accounting for Derivative Instruments
The System uses derivative financial instrumenls for lhe purpose of managing lheir exposure to
adverse flucluations in interesl rates. While lhese instrumenls are subjecl to fluctuations in value,
such fluctuations are generally offset by lhe change in value of the underlying exposures being
hedged. The Syslem does not enter into any derivalive financial inslruments for lrading purposes.
The System records all of their derivative instruments in the consolidated balance sheets at fair
value. Although lhese derivative instrumenls are used for risk managemenl purposes, the Syslem
does not meet the crileria to qualify for hedge accounling and, therefore, lhe changes in fair value
are recorded in lhe consolidaled stalements of operalions as interest expense.
New Accounting Pronouncements
Financial Accounting Slandards Board ("FASB") Interpretation No. 47, Accounting for Conditional
Asset Retirement Obligations (an interpretation of FASB Statement No. 143) ("FIN No. 47") was
issued in March 2005. FIN No. 47 provides c1arificalion wilh respect to the timing of liability
recognition for legal obligations associated with the retirement of tangible long-lived assets when
the timing andlor melhod of settlement of lhe obligalion is conditional on a future event. This
inlerpretation requires thai the fair value of a liability for a conditional asset reliremenl obligalion be
recognized in lhe period in which it occurred if a reasonable estimale of fair value can be made.
FIN No. 47 requires the initial applicalion of the inlerpretation to be recognized as a cumulalive
effect of a change in an accounling principle. Specifically, FIN No, 47 requires the recognition, a
cumulative effect, the cumulative accretion and accumulaled depreCiation for the period from lhe
date the liability is incurred to the date of adoption of Ihis interpretalion. The liability incurred dale is
presumed 10 be lhe date upon which the legal requirement 10 perform lhe asset retirement activity
was enacled. The adoplion of FIN No. 47 did not have a malerial impact on the consolidaled
financial statements at September 30, 2006.
11
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NCH Healthcare System, Inc.
Notes to Consolidated Financial Statements
September 30, 2006 and 2005
On November 10, 2005, the FASB issued FASB Staff Posilion ("FSP") FIN 45-3, Application of
FASB Interpretation No. 45 to Minimum Revenue Guarantees Granted to a Business or Its Owners
(FSP FIN 45-3). FSP FIN 45-3 clarified lhat FIN 45 is applicable to minimum revenue guarantees
granled to a non-employee physician by a not-for-profit health care facliity thai has recruited lhe
physician to move 10 lhe tacility's geographical area to establish a practice. This FSP applies 10
minimum revenue guarantees gran led to physicians regardless of whelher the physician's praclice
qualifies as a business. FSP FIN 45-3 is effective tor new minimum revenue guarantees issued or
modified on or after January 1, 2006. Earlier application of the provisions of this FSP is permitted.
The guarantor's previous accounting for minimum revenue guarantees issued prior 10 the date of
this FSP's inilial application shall not be revised or restated 10 reflect lhe effect of the recognilion
and measurement provisions of Inlerprelalion 45. Upon adoption of FSP FIN 45-3, the System
recognized physician income guarantees of approximately $787,000. The System also recognized
a corresponding asset for the physician income guarantees that will be amortized over the
guarantee period which is approximateiy 36 to 60 monlhs.
Reclassifications
Certain reclassifications have been made to the consolidated financial statemenls ot the prior
period in order 10 conform 10 lhe currenl period presentation. These reclassifications had no effecl
on excess of revenues over expenses, changes in net assets, or net assets.
2. Third-Party Payors
The Syslem has agreements with third-party payors that provide for payment 10 the System at
amounts different from its established rates. A summary of the basis of paymenls from the
System's primary third-party payors follows:
Medicare
Most inpatient and outpatient services rendered to Medicare program beneficiaries are paid at
prospectiveiy determined rales. These rates vary according to a patient c1assificalion system that
is based on clinical, diagnoslic, and other factors. Psychialric services and some oulpalient
services continue 10 be paid based upon a cost reimbursement melhodology. The System is
reimbursed for cosl reimbursabie items at a tentalive interim rate with final setliemenl determined
after submission of annual cosl reports by the System which are subsequently audiled by the
Medicare fiscal inlermediary.
The System's Medicare cost reports have been filed for all years through Seplember 30, 2005 and
have been audited and final settlements determined by lhe Medicare intermediary for all years
through September 30, 2004. Retroaclive adjustments for cost report setliements are accrued on
an estimated basis in the period when the relaled services are rendered and adjusted in future
periods when final setliements are determined.
12
\0f2L{
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NCH Healthcare System, Inc.
Notes to Consolidated Financial Statements
September 30, 2006 and 2005
Medicaid
Inpatient and outpatient services (except for laboratory and palhology services paid by fee
schedule) rendered to Medicaid program beneficiaries are reimbursed under a cosl reimbursemenl
methodology. Reimbursable cosl is delermined in accordance with the principles of
reimbursement established by the Florida Title XIX Hospilal Reimbursement Plan, supplemenled
by the Medicare Principles of Reimbursement. The interim rates are lentatively established for
each hospital, subject 10 cost ceilings with exceptions. The Syslem is reimbursed at a lenlative
interim rale with final seltlemenl determined after the inlermediary audit of the combined Medicare
and Medicaid cosl report. Retroactive adjustmenls for interim rale changes anlicipated after the
intermediary audil of the cost report are accrued on an estimated basis in the period when final
settlements are delermined. The System's Medicaid interim rales are based on the
Medicare/Medicaid cost report which has been audiled by the fiscal intermediary through
September 30, 2002.
Laws and regulations governing the Medicare and Medicaid Programs are complex and subjecl to
inlerpretation. The System believes that il is in compliance with all applicable laws and regulations
and is nol aware of any pending or threatened investigations involving allegations of polential
wrongdoing. While no such regulalory inquiries have been made, compliance with such laws and
regulations can be subjecl to future governmenlal review and inlerpretalion as well as significanl
regulatory action including fines, penalties, and exclusion from the Medicare and Medicaid
Programs. The Syslem's classification of patienls and the appropriateness of their care are
subject to review by the fiscal intermediaries administering lhe Medicare and Medicaid programs.
In June 2005, lhe System became aware lhat there was an irregulariIy in lhe process for billing two
drugs in the pharmacy which resulled in overcharges to the Medicare program and other payers
over a period of several years. The System self-reported this issue to lhe Office of the Inspector
General ("DIG") and believes that adequate reserves have been made as of September 30, 2006
and 2005 to account for refunds thai will be made in addition 10 any penalties or fines that
potentially could be assessed.
Other
The System has also enlered inlo payment arrangemenls with certain commercial insurance
carriers, heallh maintenance organizations, and preferred provider organizations. The basis for
payment to lhe System under these arrangements includes prospectively determined rates per
discharge, per diem, per capita (capitation), discounts from established charges, and prospeclively
delermined rates per procedure for oulpatient services. Some of lhese arrangements provide for
review of paid claims for compliance with lhe lerms of the contract and resull in relroactive
selllement with third parties. Retroaclive adjuslmenls for other third party claims are recorded in
the period when final seltlemenl is determined.
13
NCH Healthcare System, Inc.
Notes to Consolidated Financial Statements
September 30, 2006 and 2005
\0F4
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3. Net Patient Service Revenue
Net patient service revenue was the following for the years ended September 30, 2006 and 2005:
2006
Gross patient service revenue
Less: Medicare and Medicaid allowances
Other discounts and allowances
$1,138,443,974
(528,904,708)
(155,344,364)
(684,249,072)
$ 454,194,902
Net patient service revenue
4. Uncompensated Care
2005
$ 1,065,375,140
(507,430,892)
(136,154,002)
(643,584,894)
$ 421,790,246
Uncompensated care represents either charges foregone or charges in excess of payment
received for services provided 10 patients who are nol covered under conlracls with third-party
payors. The major components of uncompensated care are calegorized as charity, welfare, and
bad debls.
Charily care represenls 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 Ihe Collier County Welfare
Program. Paymenls under the County Welfare Program are limited by the amount appropriated by
the County. However, payments received are based on 80% of Medicaid rates. During the year
ending September 30,2006, lhe System began participating in lhe Trailblazers Seclion 1011
Federal Program which compensales heaithcare providers for emergency services rendered to
undocumented illegal aliens who have no other means to pay lheir bills. Patienls are pre-screened
to delermine if they meel criteria for the program which will only reimburse for inilial emergency
and stabilization lrealment. Paymenls are received on a quarterly basis and the System is
reimbursed a percentage of Medicare rates for inpatients and outpatients. The difference between
the charges and what was received in lhe Trailblazers program was included in the welfare
amount. Finaliy, bad debts represent charges deemed uncolleclible due 10 either (a) a patient's
inability 10 qualify as charity, welfare, or Medicaid, yet clear financial indications exist that
demonstrate an inability to pay, or (b) a palient's refusai to pay for services provided and the
System's decision to cease further colleclion efforts.
Uncompensated care for the years ended September 30, 2006 and 2005 was as follows:
2006
Charily care - charges foregone, based on eslablished rates
Welfare - difference between established rates and
reimbursement received
Total charity care and welfare
Bad debts - charges deemed uncollectible
Tolal uncompensated care
$ 46,079,414
6,254,321
52,333,735
53,213,723
$ 105,547,458
14
2005
$ 44,325,950
5,021,524
49,347,474
40,839,652
$ 90,187,126
\(pF'i
\~dt1 ~of
NCH Healthcare System, Inc.
Notes to Consolidated Financial Statements
September 30, 2006 and 2005
5. Temporarily and Permanently Restricted Net Assets
Temporarily restricled net assels are available for the following purposes at September 30, 2006
and 2005:
2006
2005
Health care services
Building construction and purchase of equipment
Indigent care and educalion
$ 18,313,171
289,181
$ 18,602,352
$ 27,768,649
387,730
$ 28,156,379
Permanently restricted net assets al September 30, 2006 and 2005 are restricled to:
2006
2005
Inveslments to be held in perpetuily, the income from
which is expendable to support health care services
$ 9,981,501
$ 9,450,948
. 6. Due from Patients and Others
Amounts due from patienls and others is nel of uncolleclible accounts for bad debts and
contractual allowances under third-party payor arrangements. Medicare and Medicaid represenl
approximately 36% and 37% of amounls due from patients and olhers as of Seplember 30, 2006
and 2005, respectively. The credit risk for other receivables is limited due to the large number of
insurance and managed care companies and other payors thai provide payments for services.
These receivables are reported net of an estimated allowance for uncolleclible accounts in the
accompanying consolidated financial slatements.
15
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NCH Healthcare System, Inc.
Notes to Consolidated Financial Statements
September 30, 2006 and 2005
7. Assets Limited as to Use and Investments
The composition of assets limited as to use and investmenls are stated at fair value al
September 30, 2006 and 2005, and are sel forth in the following lable:
2006
2005
Assets limited as to use
Self-insurance fund
Cash and cash equivalents
U.S. governmenl and agency securities
Corporate bonds
Total assels limiled as 10 use
$ 6,985,310 $ 6,779,919
2,954,845 1,021,206
5,470,112 2,662,907
15,410,267 10,464,032
74,539 72,557
16,044,273 27,699,380
74,435 10,455
16,118,708 27,709,835
$ 31,603,514 $ 38,246,424
2006 2005
$ 880,345 $ 306,117
22,219,938 9,568,985
36,502,876 26,983,185
76,368 139,790
5,520,289 5,206,053
65,199,816 42,204,130
(56,754,860) (34,164,919)
$ 8,444,956 $ 8,039,211
Board designated fund
Cash and cash equivalents
Assets held by trustee under bond indenlures
U.S. government and agency securities
Interest receivable
Investments
Cash and cash equivalents
U.S. governmenl and agency securities
Corporate bonds
Preferred stock
Common stock
Less: amount included in current assets
Long-lerm investments
Investment income and gains (losses) from unreslricted cash, assets limited as to use, and
investments are comprised of the following for the years ended Seplember 30, 2006 and 2005:
2006
2005
Interest income and realized gains and losses on
sale of investments
Change in unrealized gains on olher than trading securities
$ 5,038,917
$ 1,197,303
$ 1,446,367
$ 58,467
16
NCH Healthcare System, Inc.
Notes to Consolidated Financial Statements
September 30, 2006 and 2005
\ipF1{
I <)Cj--og
8. Property and Equipment
Property and equipmenl and accumulaled depreciation and amortization consist of the following at
September 30, 2006 and 2005:
2006
Land
Land improvements
Buildings
Fixed equipment
Movable equipment
Rental apartmenls
Leasehold improvements
Plant expansion in progress
$ 15,741,117
3,970,629
208,568,550
41,369,638
163,178,812
857,813
6,682,006
72,022,549
512,391,114
(253,104,851 )
$ 259,286,263
Less: Accumulated depreciation and amortization
2005
$ 15,669,852
3,885,949
201,349,388
39,036,140
149,783,829
857,814
6,592,649
23,851,792
441,027,413
(230,171,271 )
$ 210,856,142
As of Seplember 30, 2006, lhe System had capital leases for equipmenllolaling $1,628,003 with
reiated accumulated amortization of $1,152,453. As of September 30, 2005, lhe System had
capitai leases for equipment Iota ling $1,628,003 wilh related accumulaled amortization of
$990,746.
Depreciation expense was approximaleiy $23,535,000 and $21,904,000 for lhe years ended
September 30, 2006 and 2005, respectively.
The plant expansion in progress al Seplember 30, 2006 inciuded the construclion costs of the
North Naples Hospilai expansion, the NCH Briggs Health Pavilion and various other projecls,
which management estimales will cost an additional $15,000,000 to compiete. il is expected that
lhe majority of these projects will be completed by February 2007.
The System closed on the sale of Grand Cenlral Slation Shopping Plaza on March 1, 2005, and
concurrent wilh the closing, retired outstanding debt of approximalely $14,600,000 of the Series
1999 Bonds associated with this property. The Syslem was paid $4,000,000 in cash and received
a $21,000,000 note receivabie, secured by the property, to be paid no laler than June 30, 2007.
With a book value of approximately $14,000,000, lhe System recognized a gain on the sale of
approximately $10,500,000 which is included in other revenue in lhe consolidaled slatemenls of
operations in 2005. In April 2006, the System was paid $3,720,000 of the note receivable. The
balance ?f $17,280,000 on lhe nole receivable was paid in November 2006.
17
NCH Healthcare System, Inc.
Notes to Consolidated Financial Statements
September 30, 2006 and 2005
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9. Long-Term Debt and Capital Lease Obligations
The System was obligated under long-lerm debl and capital lease obligations as follows at
September 30, 2006 and 2005:
City of Naples, Florida, Hospital Refunding Revenue Bonds,
Series 1993 (payable by the Hospital under an agreement with the
City of Naples), consisting of $7,475,QOO of term bonds due
October 1, 2009, interest payable annually at 5.25%; $8,285,000
of term bonds due October 1, 2011, interest payable annually at
5.375%; $11,045,000 of term bonds due October 1, 2014,
interest payable annually at 5.25%; $10,700,000 of term bonds
due October 1, 2019, interest payable annually at 5.00%; and
$6,765,000 of serial bonds due from October 1, 1994 to 2007,
interest payable annually at rates of 2.70% to 5.10%.
City of Naples, Florida, Hospital Revenue Bonds, Series 1996
(payable by the Hospital under an agreement with the City of Naples),
consisting of $2,835,000 of serial bonds with varying interest
rates (from 4.00% to 5.125%) maturing through October 1, 2008;
$10,125,000 term bonds, interest payable annually at 5.5%,
maturing October 1, 2016; and $20,585,000 term bonds interest
payable annually at 5.5%, maturing October 1, 2026.
Collier County Industrial Development Authority Healthcare
Facilities Revenue Bonds, Series 2002 (payable by the System
under an agreement with Collier County) consisting of
$11,390,000 serial bonds with interest at rates ranging from 2.60% to
3.97% during the year ended September 30, 2006, maturing
November 1, 2022.
Collier County Industrial Development Authority Healthcare
Facilities Revenue Bonds, (payable by the Hospital under
an agreement with Collier County) consisting of $38,000,000
serial bonds with interest at 4.65% at September 30, 2006,
maturing September 30,2019.
Bank promissory note, variable interest at bank's prime rate
minus 1.25%, monthly principal payments of $11 ,850 plus accrued
interest, through November 2008, balloon of $3,089,850 due December
2008, collateralized by land, building, property and equipment.
GE Capital Public Finance, Inc. (payable by the Hospital under an
agreement with Collier County) consisting of $12,932,291 note with
interest at 3.79% at September 30, 2006, maturing January 1, 2011.
Present value of capital lease obligations
Total long-term debt
Less: Unamortized original issue discount
Less: Current maturities
18
2006
2005
$
44,270,000 $
47,410,000
33.545,000
34,405,000
11,390,000
11,860,000
38.000,000
38.000,000
3.397.573 3.539.773
12,932,291
142,928 443,295
143,677.792 135,658,068
(1.505,678) (1,597,667)
(7,833,637) (4,904.674)
$ 134,338,477 $ 129,155,727
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NCH Healthcare System, Inc.
Notes to Consolidated Financial Statements
September 30, 2006 and 2005
The agreemenls underlying the bond issues described above conlain covenants which provide for,
among other lhings, the maintenance of certain ratios, conditions for addilional indebtedness and
the transferability of funds. The System was in compliance with all covenants for the years ended
September 30, 2006 and 2005. The bonds are collaleralized by all revenue, accounts receivable,
contract rights and general intangibles of the System and by the money and securities held in the
funds and accounts established under the applicable indentures. The Series 2004 Bonds are
collateralized by a mortgage on the North Naples Campus. Payment of principal and interest on
the Series 1993 and Series 1996 Bonds is guaranteed by municipal bond insurance. The Series
2002 and Series 2004 Bonds are backed by direct pay letters of credit with separale financial
instilutions which expire on November 15, 2007 and Oclober 15, 2011, respectively.'
The System entered Into a tax-exempt debl agreement 10 finance equipment acquisitions with a
financial institution on December 27,2005 consisting of a $15,000,000 note with a fixed interest
rate of 3.79%, maturing January 2011. The total amounl oulstanding al Seplember 30, 2006 was
$12,932,291.
The System ulilizes interesl rate swap agreements 10 manage interesl rate exposure. The interest
rale differenlials to be paid or received under such interesl rate swaps are recognized over the life
of the agreements as adjustments 10 interest expense. The principal objective of lhe agreements
is 10 minimize the risks and/or costs associated wilh financing activities.
The System has an inlerest rale swap agreement with a financial institution on outstanding debl of
$11,390,000 at Seplember 30, 2006. Under the agreemenl, lhe System pays a fixed rate of 4.0%
through November 1,2006. The fair value of the interest rate swap at September 30, 2006 of
$9,492 is reflected in other liabilities in the accompanying consolidated balance sheets, and lhe
income of $124,662 related to lhe change in fair value of the interest rate swap is recorded as a
reduclion to inleresl expense for the year ended September 30,2006. The fair value of the interesl
rate swap at Seplember 30, 2005 of $134,154 is reflecled in olher liabililies in the accompanying
consolidaled balance sheets, and the income of $407, 131 reiated 10 lhe change in fair value of the
interest rate swap is recorded as a reduclion to interest expense for the year ended Seplember 30,
2005.
At September 30, 2006, the Syslem has an $8,000,000 line of credil with a financial institution.
There were no draws during lhe years ended September 30,2006 and 2005. Borrowings under
lhe line of credil bear interesl al L1BOR plus .55%. The line of credit expires on August 29, 2007.
The approximate aggregate principal malurities and sinking fund requiremenls on long-term debt in
each of lhe next five years and lhereafler are as follows:
Years Ending September 30,
2007
2008
2009
2010
2011
Thereafter
$ 7,690,709
8,030,949
11,356,412
8,617,145
6,524,649
101,315,000
$ 143,534,864
19
NCH Healthcare System, Inc.
Notes to Consolidated Financial Statements
September 30, 2006 and 2005
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The System leases equipment under noncancelable lease agreemenls which qualify as capilal
lease obligations. Future minimum lease payments under lhese obligalions are as follows:
Years Ending September 30,
2007
Total minimum lease payments
Less: Amount representing inlerest
Present value of minimum lease paymenls
$
146,305
146,305
(3,377)
142,928
$
10. Self-Insured Claims
The System's Board of Trustees elected to self-insure its professionalliabilily, workers'
compensation, and employee health programs.
For 2006 and 2005 professionalliabilily, the System had a $3,000,000 per claim self-insured
relenlion. To pay claims in excess of the self-insured relention, the Syslem purchased an excess
professionalliabilily policy (claims-made basis). Losses from asserted claims and from unasserted
claims identified under the System's incident reporting system are accrued based on estimales lhat
incorporate the System's pasl experience, as well as other considerations including the nature of
each claim or incident and relevant trend faclors and incidents lhat may have occurred but that
have not been identified under the incidenl reporting system. Total expenses under lhis program
were $8,957,599 and $5,493,042 during the years ended September 30, 2006 and 2005,
respectively, and are included in supplies and other expenses in lhe consolidated slalemenls of
operalion. As of September 30,2006 and 2005, the Syslem had accrued $12,350,970 and
$7,321,582, respectively, which, in the opinion of management, based on historical experience and
currenl acluarial analyses, is sufficient to cover reported claims and claims incurred but not
reported. The accrued professionalliabilily has been discounted at a rate of 5% in 2006 and 2005.
The discount on the accrual professionalliabilily was approximalely $1 ,599,000 and $1,157,000 at
September 30, 2006 and 2005, respectively.
For 2006 and 2005 workers' compensation, the System had a per claim self-insured relention of
$500,000 per claim self-insured relenlion. To pay claims in excess of its self-insured relenlion, the
System purchased an excess Iiabilily policy (occurrence-basis). Total expenses under lhis
program were $2,252,805 and $2,053,178 during the years ended Seplember 30,2006 and 2005,
respectively and are included in supplies and olher expenses in the consolidaled statement of
operalions. As of September 30, 2006 and 2005, the System had accrued $3,059,297 and
$3,142,450, respectively, which, in the opinion of management, based on historical experience and
currenl acluarial analyses, is sufficienllo cover reported claims and claims incurred but nol
reported. The accrued workers' compensation reserve has been discounted at a rate of 5% in
2006 and 2005. The discounl on the accrued workers' compensation was approximalely $828,000
and $945,000 at September 30,2006 and 2005, respectively.
For 2006 and 2005 employee heallh coverage, the System had a $275,000 per claim self-insured
retenlion. The plan calls for a Iifelime maximum of $1 ,500,000 per covered life. As of
September 30,2006 and 2005, the System had accrued $6,662,912 and $5,040,774, respectively,
which, in the opinion of management based on historical experience, is sufficient to cover reported
claims and claims incurred bul not reported. Due to lhe short-term nature of these claims, the
reserve is included in accrued expenses and has nol been discounted.
20
\ CpFtt
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NCH Healthcare System, Inc.
Notes to Consolidated Financial Statements
September 30, 2006 and 2005
The Syslem is involved in litigation arising from the ordinary course of business. In lhe opinion of
management and counsel, these mailers will be resolved without a material adverse effect to the
System's financial position, results of operations or cash fiows.
11. Defined Contribution Plan
The Syslem has a 401 (k) plan (the "Plan") subjecl to the provisions of ERISA in which the System,
al its discretion, contributes 2% of base compensalion for each participant. The Syslem makes an
addilionai conlribution of 50% of employee contributions up to a maximum System contribution of
2% of base compensation. The System's contributions, net of forfeitures, for the years ended
Seplember 30, 2006 and 2005 were approximately $5,930,000 and $5,360,000, respeclively.
12. Related Party Transactions
Two members of the Board are employed as Senior Vice-Presidents at financial instilutions wilh
which Ihe Syslem conducls business and another member of lhe Board is employed by a law firm
which provides services to the System. One physician member of the Board served as an elected
medical slaff department chair and was paid a stipend for serving in thai position. Anolher
physician member of the Board served as a Medical Director for one of lhe departments of the
Hospital and was paid a stipend for serving in that role.
13. Leases
The System leases buildings and equipment under operating leases. Rent expense for the years
ended September 30,2006 and 2005 approximated $5,471,000 and $4,578,000, respectively. The
future minimum lease paymenls under operating leases at September 30, 2006 are approximalely
as follows:
Years Ending September 30,
2007
2008
2009
2010
2011
Thereafter
$ 4,716,000
2,386,000
1,338,000
977,000
890,000
785,000
$ 11,092,000
14. Fair Value of Financial Instruments
The following methods and assumptions were used by the System in estimating the fair value of its
financial instruments:
(a) Cash and cash equivalents: The carrying amount reported in the consolidated balance sheets
for cash and cash equivalents approximates its fair value.
(b) Invesfments: Fair values, which are the amounts reported in lhe consolidated balance sheels,
are based on quoted market prices, if available, or estimated using quoted market prices for
similar securities.
21
\ Cc> F L\-
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NCH Healthcare System, Inc.
Notes to Consolidated Financial Statements
September 30, 2006 and 2005
(c) Assets limited as to use: These assets consist primarily of cash and short-term investments
and interest receivable. The carrying amounl reported in the consoiidaled balance sheets is
fair value.
(d) Accounts payable and accrued expenses: The carrying amount reported in lhe consolidaled
balance sheets for accounls payable and accrued expenses approximales lheir fair value.
(e) Long-term debt and capital lease obligations: The fair value of the long-lerm debt and capital
lease obiigalions are eslimaled based on lhe quoted markel prices for the same or similar
issues or on lhe current rates offered 10 the System for debt of the same remaining maturilies.
The carrying amounts and fair values of the System's financial instrumenls at September 30, 2006
and 2005 are as follows:
2006
Carrying
Amount
Fair
Value
2005
Carrying
Amount
Fair
Value
Cash and cash equivalenls $ 28,852,852 $ 28,852,852 $ 50,725,982 $ 50,725,982
Investments 65,199,816 65,199,816 42,204,130 42,204,130
Assets limited as to use 31,603,514 31,603,514 38,246,424 38,246,424
Accounts payable and accrued
expenses 59,517,987 59,517,987 46,471,543 46,471,543
Long-term debt and capital
lease obiigations 142,172,114 145,483,396 134,060,401 138,831,853
Interest rate swaps (included
in other liabilities) 9,492 9,492 134,154 134,154
15. Concentrations of Credit Risk
Financial instrumenls which potentially subject lhe Syslem to concenlrations of credil risk consist
principally of cash and cash equivalents, investments, and assets limited as 10 use.
The Syslem places ils cash and cash equivalents wilh what managemenl believes to be high credit
quality financial inslitutions. Included in cash and cash equivalents are bank deposits, certificates
of deposit and olher short-term investments in the amount of approximately $28,853,000 and
$50,726,000 as of September 30,2006 and 2005, respectively. The Syslem's assets limited as 10
use and inveslments include U.S. government and agency securilies, corporale bonds, preferred
stock and common stock which are subject 10 markel risk. The System limils the amount of credit
exposure to anyone company or financial institution by diversifying its inveslments. The fair value
of assets limited as to use and other investments is estimated based on quoted market prices for
those or similar investmenls.
16. Other Nonoperating Revenue
Other nonoperaling revenue consists of seltlemenls of various legal mailers during lhe year ended
September 30, 2006.
22
\(0 f=ct
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fJR!CEWAlj:RHOUSE(OOPERS I
PricewaterhouseCoopers llP
101 East Kennedy Boulevard
Suite 1500
Tampa FL 33602-5147
Telephone (813) 229 0221
Facsimile (813) 229 3646
Report of Independent Certified Public Accountants on Accompanying Information
To lhe Board of Trustees of
NCH Heallhcare Syslem, Inc.
The report on our audils of the consolidated financial statemenls of NCH Healthcare System, Inc. as of
September 30, 2006 and 2005 and for the years then ended appears on page 1 of lhis document.
Those audits were conducted for lhe purpose of forming an opinion on the consolidated financial
statemenls taken as a whole. The Schedule of Income from Operations before Charilable
Contributions is presenled for purposes of additional analysis and is nol a required part of lhe basic
financial statements. Such information has been subjected to lhe audiling procedures applied in the
audit of the basic financial statements and, in our opinion, is fairly stated in all material respects in
relalion to the basic financial statements taken as a whole.
f' ~:l)'P
December 15, 2006
23
\CpFi
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NCH Healthcare System, Inc.
Schedule of Income from Operations Before Charitable Contributions
Years Ended September 30, 2006 and 2005
2006 2005
Increase in unrestricted net assets $ 35,505,663 $ 45,363,390
Less: Net assets released from restrictions (14,912,241) (2,260,622)
Other nonoperating revenue (5,585,290)
Unreslricted charitable contributions (2,221,721 ) (4,272,709)
Income from operalions before charilable conlributions $ 12,786,411 $ 38,830,059
24
Naples Campus
350 Seventh Street N.
Naples, Florida 34102
(239) 436-5000
NCH
\CoF-Y-
V-CA~O~
North Collier C.
11190 H..lthpark
Naples, Florida 34'
(239) 513-7000
>'11?B.JftJF
--..........
Healthcare
System
REFERENCES FOR THE NCH HEAL THCARE SYSTEM:
CARL WESTMAN
1952 CRAYTON RD
NAPLES, FL 34102
ALLEN WEISS
1221 GULF SHORE BLVD N
NAPLES, FL 34102
GAIL DOLAN
535 RIDGE DR
NAPLES, FL 34108
www.NCHmd.org
,
I