NCHMD INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- NCHMD INC (EIN 33-1075317)
- Tax period
- 2014-10-01 to 2015-09-30
- Filed
- 2016-08-11
- IRS object ID
- 201602249349302255
- Schema version
- 2014v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-08-11T14:05:40-05:00 | ReturnTs |
| Tax Period End | 2015-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420714325 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RSM US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE SOUTH WACKER STE 800 | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 331075317 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NCHMD INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NCHM | BusinessNameControlTxt |
| Phone | 2396246338 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 413029 | AddressLine1Txt |
| City | NAPLES | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 341013029 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RICK WYLES | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 2396244005 | PhoneNum |
| Signature | 2016-08-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | WAYNE HARDER | PreparerPersonNm |
| PTIN | P00294296 | PTIN |
| Phone | 3126343400 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-12-15 16:53:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NCH PHYSICIAN GROUP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RICK WYLES | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 413029 | AddressLine1Txt |
| City | NAPLES | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 341013029 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $71,167,816 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NCHMD.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2003 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | THROUGH THE PROVISION OF CHARITABLE HEALTHCARE, OUR MISSION IS HELPING EVERYONE LIVE A LONGER, HAPPIER, AND HEALTHIER LIFE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 2 | VotingMembersIndependentCnt |
| Total Employee | 567 | TotalEmployeeCnt |
| Total Volunteers | 6 | TotalVolunteersCnt |
| Total Gross UBI | $240,079 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $68,075,529 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $70,021,282 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$262 | PYInvestmentIncomeAmt |
| CY Investment Income | $9,702 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,088,652 | PYOtherRevenueAmt |
| CY Other Revenue | $1,136,832 | CYOtherRevenueAmt |
| PY Total Revenue | $69,163,919 | PYTotalRevenueAmt |
| CY Total Revenue | $71,167,816 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $58,912,616 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $62,976,919 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $22,204,966 | PYOtherExpensesAmt |
| CY Other Expenses | $25,212,049 | CYOtherExpensesAmt |
| PY Total Expenses | $81,117,582 | PYTotalExpensesAmt |
| CY Total Expenses | $88,188,968 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$11,953,663 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$17,021,152 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $18,449,997 | TotalAssetsBOYAmt |
| Total Assets EOY | $17,256,560 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $13,190,615 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $14,360,571 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,259,382 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,895,989 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THROUGH THE PROVISION OF CHARITABLE HEALTHCARE, OUR MISSION IS HELPING EVERYONE LIVE A LONGER, HAPPIER, AND HEALTHIER LIFE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $13,782,178 | ExpenseAmt |
| Revenue | $10,413,760 | RevenueAmt |
| Desc | CARDIOLOGY SERVICES WERE NCH PHYSICIAN GROUP'S LARGEST PROGRAM SERVICE ACCOMPLISHMENT IN 2015. NCHMD, INC., IN CONJUNCTION WITH THE NCH DOWNTOWN NAPLES HOSPITAL, IS HOME TO ONE OF THE MOST SUCCESSFUL CARDIAC PROGRAMS IN THE NATION. WE HAVE BEEN RANKED AMONG THE TOP 5% IN THE NATION FOR OVERALL CARDIAC SERVICES AND CARDIOLOGY SERVICES FOR 10 CONSECUTIVE YEARS (2013). OUR SERVICES INCLUDE INVASIVE AND NON-INVASIVE CARDIAC PROCEDURES, CARDIAC REHABILITATION AND WELLNESS PROGRAMS.WITHIN THIS SERVICE LINE, NCHMD EMPLOYED 27 LICENSED INDEPENDENT PRACTITIONERS AND 32 FULL-TIME EQUIVALENT EMPLOYEES WHO SERVICED 43,411 ARRIVED APPOINTMENTS, PROVIDED $290,768 OF CHARITY CARE AND ALSO WROTE OFF $401,646 OF BAD DEBT. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $13,411,523 | ExpenseAmt |
| Revenue | $10,744,953 | RevenueAmt |
| Desc | FAMILY PRACTICE SERVICES WERE NCH PHYSICIAN GROUP'S SECOND LARGEST PROGRAM SERVICE ACCOMPLISHMENT IN 2015. THIS PROGRAM SERVICE OFFERS CARE TO THE WHOLE FAMILY, BY TREATING NOT ONLY ILLNESSES, BUT BY HELPING YOU FIND WAYS TO IMPROVE YOUR HEALTH AND PREVENT DISEASE. OUR FAMILY MEDICINE OFFICES PROVIDE COMPLETE CARE TO INFANTS, CHILDREN, ADOLESCENTS, ADULTS AND THE ELDERLY.WITHIN THIS SERVICE LINE, NCHMD EMPLOYED 34 LICENSED INDEPENDENT PRACTITIONERS AND 63 FULL-TIME EQUIVALENT EMPLOYEES WHO SERVICED 84,955 ARRIVED APPOINTMENTS, PROVIDED $2,054. OF CHARITY CARE AND ALSO WROTE OFF $102,065 OF BAD DEBT. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $10,222,834 | ExpenseAmt |
| Revenue | $8,395,125 | RevenueAmt |
| Desc | SEE SCHEDULE OINTERNAL MEDICINE SERVICES WERE NCH PHYSICIAN GROUP'S THIRD LARGEST PROGRAM SERVICE ACCOMPLISHMENT IN 2015. THE NCH PHYSICIAN GROUP'S INTERNAL MEDICINE PHYSICIANS FOCUS ON ADULT MEDICINE BY EMPHASIZING PREVENTION AND TREATMENT OF ADULT DISEASES WITH STATE OF THE ART TECHNOLOGY IN A COMPASSIONATE ENVIRONMENT. THESE PHYSICIANS WORK CLOSELY WITH ALL OUR SPECIALISTS AS WELL AS OUR ANCILLARY TESTING DEPARTMENTS SUCH AS RADIOLOGY, LABORATORY AND PHYSICAL THERAPY TO HELP SOLVE DIAGNOSTIC PROBLEMS. WITHIN THIS SERVICE LINE, NCHMD EMPLOYED 30 LICENSED INDEPENDENT PRACTITIONERS AND 37 FULL-TIME EQUIVALENT EMPLOYEES WHO SERVICED 39,715 ARRIVED APPOINTMENTS, PROVIDED $63,187 OF CHARITY CARE AND ALSO WROTE OFF $88,863 OF BAD DEBT. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $45,425,590 | ExpenseAmt |
| Revenue | $41,358,152 | RevenueAmt |
| Desc | IN PROVIDING THE OTHER PROGRAM SERVICE LINES, NCHMD EMPLOYED 80 LICENSED INDEPENDENT PRACTITIONERS AND 136 FTES WHO SERVICED 175,194 ARRIVED APPOINTMENTS, PROVIDED $932,196 OF CHARITY CARE AND ALSO WROTE OFF $1,465,582 OF BAD DEBT.NCH PHYSICIAN GROUP'S OTHER PROGRAM SERVICE LINES ARE: EXPENSE REVENUEINFECTIOUS DISEASE $8,331,947 $7,724,611LAB & RADIOLOGY 7,313,092 8,033,806PULMONARY 6,789,322 5,868,005ORTHOPEDICS 6,160,340 4,897,791GENERAL SURGERY 2.579.430 2,576,507PEDIATRICS 2,495,356 2,334,518GASTROENTEROLOGY 2,310,169 1,923,977PAIN MANAGEMENT 2,154,026 2.070.834GERIATRICS 1,994,167 1,514,958URGENT CARE 1,829,888 1,915,463PSYCHIATRY 1,670,059 991,368 RHEUMATOLOGY 669,658 622,270PHYSICAL THERAPY 563,231 425,543PRO TIME 436,357 381,034WOUND HEALING 128,548 77,467 | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $45,425,590 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $41,358,152 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $82,842,125 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 81 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 567 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 2 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | FL | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RICK WYLES CHIEF FINANCIAL OFFICER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2396244005 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 SEVENTH STREET NORTH | AddressLine1Txt |
| City | NAPLES | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 34102 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| MARIANN MACDONALD | |||||||||
| TRUSTEE | 0.50 | 1.50 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS J GAZDIC | |||||||||
| TRUSTEE | 0.50 | 1.50 | Yes (X) | $0 | $0 | $0 | |||
| DAVID R AXLINE MD | |||||||||
| PHYSICIAN/TRUSTEE | 40.00 | Yes (X) | $986,820 | $0 | $32,867 | ||||
| JON S DOUNCHIS MD | |||||||||
| PHYSICIAN/TRUSTEE | 40.00 | Yes (X) | $1,495,097 | $0 | $31,788 | ||||
| KAREN HENRICHSEN DO | |||||||||
| PHYSICIAN/TRUSTEE CHAIR | 40.00 | Yes (X) | $323,624 | $0 | $20,476 | Yes (X) | |||
| ROBERT HANSON MD | |||||||||
| PHYSICIAN/TRUSTEE | 40.00 | Yes (X) | $413,862 | $0 | $27,343 | ||||
| GARY SWAIN MD | |||||||||
| PHYSICIAN/TRUSTEE VICE CHAIR | 40.00 | Yes (X) | $304,163 | $0 | $0 | ||||
| DAVID LAMON MD | |||||||||
| PHYSICIAN/TRUSTEE | 40.00 | Yes (X) | $532,184 | $0 | $29,144 | ||||
| DAMIAN M MCGOVERN MD | |||||||||
| PHYSICIAN/TRUSTEE | 40.00 | Yes (X) | $563,415 | $0 | $31,788 | ||||
| KEVIN D COOPER | |||||||||
| SEC/TREAS/GNRL COUNSEL/CHF OF STAFF | 1.00 | 44.00 | Yes (X) | $0 | $460,368 | $32,115 | Yes (X) | ||
| MICHELE THOMAN RN | |||||||||
| CHIEF NURSING OFFICER | 1.00 | 44.00 | Yes (X) | $0 | $346,330 | $28,585 | Yes (X) | ||
| ALLEN S WEISS MD | |||||||||
| PRESIDENT/CEO | 1.00 | 44.00 | $0 | $792,105 | $25,971 | Yes (X) | |||
| PHILLIP DUTCHER | |||||||||
| COO, NCH HEALTHCARE SYSTEM | 1.00 | 44.00 | $0 | $466,178 | $10,571 | Yes (X) | |||
| MICHAEL STEPHENS TERM 0715 | |||||||||
| CFO/ASSISTANT TREASURER | 1.00 | 44.00 | $0 | $387,885 | $22,864 | Yes (X) | |||
| CHARLES DARDOINMDTERM 0115 | |||||||||
| CHIEF MEDICAL OFFICER | 1.00 | 44.00 | $0 | $418,488 | $8,140 | Yes (X) | |||
| FRANK ASTOR MD START 0315 | |||||||||
| CHIEF MEDICAL OFFICER | 1.00 | 44.00 | $0 | $0 | $0 | Yes (X) | |||
| MICHAEL RILEY | |||||||||
| CHIEF STRATEGY OFFICER | 1.00 | 44.00 | $0 | $247,326 | $27,078 | Yes (X) | |||
| SARAH RICHARDSON | |||||||||
| CHIEF INFORMATION OFFICER | 1.00 | 44.00 | $0 | $35,961 | $80 | Yes (X) | |||
| RENEE M THIGPEN | |||||||||
| CHIEF HR OFFICER | 1.00 | 44.00 | $0 | $169,999 | $24,213 | Yes (X) | |||
| ELIZABETH MARTIN | |||||||||
| ASSISTANT SECRETARY | 1.00 | 44.00 | $0 | $59,511 | $14,442 | Yes (X) | |||
| JAMES K MARTIN | |||||||||
| CHIEF DEVELOPMENT OFFICER | 1.00 | 44.00 | $0 | $296,444 | $26,905 | Yes (X) | |||
| ZACHARY BOSTOCK | |||||||||
| CHIEF ADMINISTRATIVE OFFICER | 40.00 | 5.00 | $301,623 | $0 | $27,567 | Yes (X) | |||
| HOWARD KAPP MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $2,017,688 | $0 | $30,380 | Yes (X) | |||
| DENNIS STAPLETON MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $1,438,774 | $0 | $29,484 | Yes (X) | |||
| JAN BARRIOS MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $915,347 | $0 | $31,788 | Yes (X) | |||
| ROBERT D PASCOTTO JR MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $897,809 | $0 | $31,150 | Yes (X) | |||
| GARY BERGEN MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $705,071 | $0 | $26,561 | Yes (X) | |||
| DAVID LINDNER DO | |||||||||
| PHYSICIAN/FORMER TRUSTEE | 0.00 | 0.00 | $437,790 | $0 | $27,925 | Yes (X) | |||
| MARYANN LOMONACO MD | |||||||||
| PHYSICIAN/FORMER TRUSTEE | 0.00 | 0.00 | $260,193 | $0 | $25,964 | Yes (X) | |||
| DOREEN CASSARINO ARNP | |||||||||
| NURSE PRACTITIONER/FORMER TRUSTEE | 0.00 | 0.00 | $35,032 | $0 | $4,471 | Yes (X) | |||
| GARY PARSONSMD TERM 1213 | |||||||||
| FORMER CHIEF MEDICAL OFFICER | 0.00 | 0.00 | $212,710 | $0 | $7,256 | Yes (X) | |||
| JOHN MCGIRL TERM 0814 | |||||||||
| FORMER CHIEF HR OFFICER | 0.00 | 0.00 | $0 | $201,904 | $22,516 | Yes (X) | |||
| VICKI D ORR TERM 0513 | |||||||||
| FORMER CHIEF FINANCIAL OFFICER | 0.00 | 0.00 | $0 | $412,833 | $21,413 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $11,841,202 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,295,332 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $680,845 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 90 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| F & S RADIOLOGY | |||||
| PO BOX 674360 | DETROIT | MI | 482674360 | RADIOLOGY SERVICES | $1,230,280 |
| CERNER CORPORATION | |||||
| PO BOX 959156 | ST LOUIS | MO | 631959156 | IT CONSULTING SERVICES & SUPPORT | $811,232 |
| GE HEALTHCARE | |||||
| PO BOX 96483 | CHICAGO | IL | 60693 | MAINTANENCE SERVICES | $437,872 |
| GE HEALTHCARE IITS | |||||
| 15724 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60693 | PATIENT BILLING MAINTENANCE | $333,915 |
| NEXTGEN HEALTHCARE INC | |||||
| PO BOX 809390 | CHICAGO | IL | 606809390 | IT SOFTWARE SUPPORT | $164,957 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 10 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OFFICES OF PHYSICIANS | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $70,021,282 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $70,021,282 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $70,021,282 | TotalProgramServiceRevenueAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $9,702 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $9,702 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,702 | TotalRevenueColumnAmt |
| Exclusion | $9,702 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| PHYSICIAN ON-CALL REV | 900099 | $889,634 | $889,634 | ||
| SUBLEASE SPACE/PERS | 561000 | $240,079 | $240,079 | ||
| EMPLOYEE SALES | 900099 | $6,045 | $6,045 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,074 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,074 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,136,832 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $71,167,816 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $70,911,990 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $240,079 | UnrelatedBusinessRevenueAmt |
| Exclusion | $15,747 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,033,483 | TotalAmt |
| Program Services | $4,756,906 | ProgramServicesAmt |
| Management And General | $276,577 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,910 | TotalAmt |
| Program Services | $9,542 | ProgramServicesAmt |
| Management And General | $13,368 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,493,204 | TotalAmt |
| Program Services | $50,755,530 | ProgramServicesAmt |
| Management And General | $2,737,674 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $967,224 | TotalAmt |
| Program Services | $917,219 | ProgramServicesAmt |
| Management And General | $50,005 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $771,149 | TotalAmt |
| Program Services | $731,518 | ProgramServicesAmt |
| Management And General | $39,631 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,688,949 | TotalAmt |
| Program Services | $2,549,930 | ProgramServicesAmt |
| Management And General | $139,019 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,017,584 | TotalAmt |
| Program Services | $2,425,315 | ProgramServicesAmt |
| Management And General | $592,269 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $232,399 | TotalAmt |
| Program Services | $232,399 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,082,481 | TotalAmt |
| Program Services | $1,292,364 | ProgramServicesAmt |
| Management And General | $790,117 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,184,108 | TotalAmt |
| Program Services | $1,122,890 | ProgramServicesAmt |
| Management And General | $61,218 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,385,324 | TotalAmt |
| Program Services | $3,808,673 | ProgramServicesAmt |
| Management And General | $576,651 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,017 | TotalAmt |
| Program Services | $116,891 | ProgramServicesAmt |
| Management And General | $1,126 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,799,390 | TotalAmt |
| Program Services | $2,758,361 | ProgramServicesAmt |
| Management And General | $41,029 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,872,622 | TotalAmt |
| Program Services | $1,845,402 | ProgramServicesAmt |
| Management And General | $27,220 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $7,454,182 | $7,453,243 | $939 |
| BAD DEBT | $2,058,157 | $2,058,157 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,785 | TotalAmt |
| Program Services | $7,785 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,188,968 | TotalAmt |
| Program Services | $82,842,125 | ProgramServicesAmt |
| Management And General | $5,346,843 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,271,598 | BOYAmt |
| EOY | $4,128,318 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $828,721 | BOYAmt |
| EOY | $820,004 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $512,761 | BOYAmt |
| EOY | $569,713 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $22,130,090 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $12,376,742 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,629,228 | BOYAmt |
| EOY | $9,753,348 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,087,969 | BOYAmt |
| EOY | $1,923,865 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,720 | BOYAmt |
| EOY | $61,312 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,449,997 | BOYAmt |
| EOY | $17,256,560 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,350,895 | BOYAmt |
| EOY | $13,257,529 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $588,500 | BOYAmt |
| EOY | $995,377 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $251,220 | BOYAmt |
| EOY | $107,665 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,190,615 | BOYAmt |
| EOY | $14,360,571 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,259,382 | BOYAmt |
| EOY | $2,895,989 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,259,382 | BOYAmt |
| EOY | $2,895,989 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,449,997 | BOYAmt |
| EOY | $17,256,560 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$17,021,152 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $14,657,759 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $59,422,838 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $58,705,784 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $59,487,869 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $68,075,529 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $70,021,282 | CurrentTaxYearAmt |
| Total | $315,713,302 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $59,422,838 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $58,705,784 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $59,487,869 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $68,075,529 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $70,021,282 | CurrentTaxYearAmt |
| Total | $315,713,302 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $315,713,302 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | -$28,315 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | -$43,979 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | -$4,596 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | -$262 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,702 | CurrentTaxYearAmt |
| Total | -$67,450 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | -$28,315 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | -$43,979 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | -$4,596 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | -$262 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,702 | CurrentTaxYearAmt |
| Total | -$67,450 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $798,247 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $939,411 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $911,014 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,088,652 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $896,753 | CurrentTaxYearAmt |
| Total | $4,634,077 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $60,192,770 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $59,601,216 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $60,394,287 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $69,163,919 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $70,927,737 | CurrentTaxYearAmt |
| Total | $320,279,929 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98570 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98550 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | PHYSICIAN ON CALL REVENUE - 2010 AMOUNT: $ 572,899. 2011 AMOUNT: $ 910,408. 2012 AMOUNT: $ 802,140. 2013 AMOUNT: $ 1,085,355. 2014 AMOUNT: $ 889,634. MISC ACCOUNTS REC RECEIPTS - 2010 AMOUNT: $ 212,499. 2011 AMOUNT: $ 10,860. 2012 AMOUNT: $ 5,478. 2013 AMOUNT: $ 452. 2014 AMOUNT: $ 1,074. EMPLOYEE SALES - 2010 AMOUNT: $ 3,320. 2011 AMOUNT: $ 3,070. 2012 AMOUNT: $ 2,943. 2013 AMOUNT: $ 2,845. 2014 AMOUNT: $ 6,045. MISC VENDOR RECEIPTS - 2010 AMOUNT: $ 9,529. 2011 AMOUNT: $ 15,073. PHYSICIAN CONTRACT BUYOUT - 2012 AMOUNT: $ 100,453. | ExplanationTxt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,139,363 | OtherCostOrOtherBasisAmt |
| Depreciation | $690,523 | DepreciationAmt |
| Book Value | $4,448,840 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,133,523 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,028,942 | DepreciationAmt |
| Book Value | $104,581 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,185,701 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,657,277 | DepreciationAmt |
| Book Value | $4,528,424 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $671,503 | OtherCostOrOtherBasisAmt |
| Book Value | $671,503 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $9,753,348 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LONG-TERM LEASE LIABILITY | Desc |
| Amt | $107,665 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $107,665 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE SYSTEM AND ALL OF ITS NOT-FOR-PROFIT SUBSIDIARIES ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE (THE CODE) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE CODE, AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE SYSTEM AND ALL OF ITS NOT-FOR-PROFIT SUBSIDIARIES DO NOT HAVE SIGNIFICANT UNRELATED BUSINESS INCOME; HOWEVER, SUCH STATUS IS SUBJECT TO FINAL DETERMINATION UPON EXAMINATION OF THE RELATED INCOME TAX RETURNS BY THE APPROPRIATE TAXING AUTHORITIES. THE SYSTEM IS NO LONGER SUBJECT TO TAX EXAMINATIONS IN THE MAJOR U.S. TAXING JURISDICTIONS IN WHICH THEY OPERATE FOR TAX YEARS PRIOR TO 2011. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (28 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DAVID R AXLINE MD | ||||||||||||||
| PHYSICIAN/TRUSTEE | $549,201 | $0 | $420,119 | $0 | $17,500 | $0 | $10,400 | $0 | $22,467 | $0 | $1,019,687 | $0 | $0 | $0 |
| JON S DOUNCHIS MD | ||||||||||||||
| PHYSICIAN/TRUSTEE | $1,127,751 | $0 | $349,846 | $0 | $17,500 | $0 | $10,400 | $0 | $21,388 | $0 | $1,526,885 | $0 | $0 | $0 |
| KAREN HENRICHSEN DO | ||||||||||||||
| PHYSICIAN/TRUSTEE CHAIR | $238,383 | $0 | $67,741 | $0 | $17,500 | $0 | $6,075 | $0 | $14,401 | $0 | $344,100 | $0 | $0 | $0 |
| ROBERT HANSON MD | ||||||||||||||
| PHYSICIAN/TRUSTEE | $386,490 | $0 | $9,872 | $0 | $17,500 | $0 | $5,955 | $0 | $21,388 | $0 | $441,205 | $0 | $0 | $0 |
| GARY SWAIN MD | ||||||||||||||
| PHYSICIAN/TRUSTEE VICE CHAIR | $288,413 | $0 | $0 | $0 | $15,750 | $0 | $0 | $0 | $0 | $0 | $304,163 | $0 | $0 | $0 |
| DAVID LAMON MD | ||||||||||||||
| PHYSICIAN/TRUSTEE | $494,125 | $0 | $20,559 | $0 | $17,500 | $0 | $7,756 | $0 | $21,388 | $0 | $561,328 | $0 | $0 | $0 |
| DAMIAN M MCGOVERN MD | ||||||||||||||
| PHYSICIAN/TRUSTEE | $457,916 | $0 | $87,999 | $0 | $17,500 | $0 | $10,400 | $0 | $21,388 | $0 | $595,203 | $0 | $0 | $0 |
| KEVIN D COOPER | ||||||||||||||
| SEC/TREAS/GNRL COUNSEL/CHF OF STAFF | $0 | $392,917 | $0 | $49,951 | $0 | $17,500 | $0 | $9,687 | $0 | $22,428 | $0 | $492,483 | $0 | $0 |
| MICHELE THOMAN RN | ||||||||||||||
| CHIEF NURSING OFFICER | $0 | $294,211 | $0 | $34,619 | $0 | $17,500 | $0 | $5,399 | $0 | $23,186 | $0 | $374,915 | $0 | $0 |
| ALLEN S WEISS MD | ||||||||||||||
| PRESIDENT/CEO | $0 | $688,145 | $0 | $86,460 | $0 | $17,500 | $0 | $10,400 | $0 | $15,571 | $0 | $818,076 | $0 | $0 |
| PHILLIP DUTCHER | ||||||||||||||
| COO, NCH HEALTHCARE SYSTEM | $0 | $398,727 | $0 | $49,951 | $0 | $17,500 | $0 | $9,531 | $0 | $1,040 | $0 | $476,749 | $0 | $0 |
| MICHAEL STEPHENS TERM 0715 | ||||||||||||||
| CFO/ASSISTANT TREASURER | $0 | $354,800 | $0 | $15,585 | $0 | $17,500 | $0 | $436 | $0 | $22,428 | $0 | $410,749 | $0 | $0 |
| CHARLES DARDOINMDTERM 0115 | ||||||||||||||
| CHIEF MEDICAL OFFICER | $0 | $237,245 | $0 | $0 | $0 | $181,243 | $0 | $0 | $0 | $8,140 | $0 | $426,628 | $0 | $0 |
| MICHAEL RILEY | ||||||||||||||
| CHIEF STRATEGY OFFICER | $0 | $203,647 | $0 | $26,179 | $0 | $17,500 | $0 | $3,923 | $0 | $23,155 | $0 | $274,404 | $0 | $0 |
| RENEE M THIGPEN | ||||||||||||||
| CHIEF HR OFFICER | $0 | $166,509 | $0 | $3,490 | $0 | $0 | $0 | $3,104 | $0 | $21,109 | $0 | $194,212 | $0 | $0 |
| JAMES K MARTIN | ||||||||||||||
| CHIEF DEVELOPMENT OFFICER | $0 | $247,593 | $0 | $31,351 | $0 | $17,500 | $0 | $4,650 | $0 | $22,255 | $0 | $323,349 | $0 | $0 |
| ZACHARY BOSTOCK | ||||||||||||||
| CHIEF ADMINISTRATIVE OFFICER | $251,963 | $0 | $32,160 | $0 | $17,500 | $0 | $6,352 | $0 | $21,215 | $0 | $329,190 | $0 | $0 | $0 |
| HOWARD KAPP MD | ||||||||||||||
| PHYSICIAN | $1,562,547 | $0 | $437,641 | $0 | $17,500 | $0 | $10,400 | $0 | $19,980 | $0 | $2,048,068 | $0 | $0 | $0 |
| DENNIS STAPLETON MD | ||||||||||||||
| PHYSICIAN | $955,135 | $0 | $466,139 | $0 | $17,500 | $0 | $10,400 | $0 | $19,084 | $0 | $1,468,258 | $0 | $0 | $0 |
| JAN BARRIOS MD | ||||||||||||||
| PHYSICIAN | $513,805 | $0 | $384,042 | $0 | $17,500 | $0 | $10,400 | $0 | $21,388 | $0 | $947,135 | $0 | $0 | $0 |
| ROBERT D PASCOTTO JR MD | ||||||||||||||
| PHYSICIAN | $729,911 | $0 | $150,398 | $0 | $17,500 | $0 | $9,762 | $0 | $21,388 | $0 | $928,959 | $0 | $0 | $0 |
| GARY BERGEN MD | ||||||||||||||
| PHYSICIAN | $510,796 | $0 | $176,775 | $0 | $17,500 | $0 | $5,157 | $0 | $21,404 | $0 | $731,632 | $0 | $0 | $0 |
| DAVID LINDNER DO | ||||||||||||||
| PHYSICIAN/FORMER TRUSTEE | $398,828 | $0 | $21,462 | $0 | $17,500 | $0 | $6,537 | $0 | $21,388 | $0 | $465,715 | $0 | $0 | $0 |
| MARYANN LOMONACO MD | ||||||||||||||
| PHYSICIAN/FORMER TRUSTEE | $186,250 | $0 | $56,443 | $0 | $17,500 | $0 | $4,576 | $0 | $21,388 | $0 | $286,157 | $0 | $0 | $0 |
| DOREEN CASSARINO ARNP | ||||||||||||||
| NURSE PRACTITIONER/FORMER TRUSTEE | $34,038 | $0 | $994 | $0 | $0 | $0 | $0 | $0 | $4,471 | $0 | $39,503 | $0 | $0 | $0 |
| GARY PARSONSMD TERM 1213 | ||||||||||||||
| FORMER CHIEF MEDICAL OFFICER | $12,763 | $0 | $40,778 | $0 | $159,169 | $0 | $2,196 | $0 | $5,060 | $0 | $219,966 | $0 | $0 | $0 |
| JOHN MCGIRL TERM 0814 | ||||||||||||||
| FORMER CHIEF HR OFFICER | $0 | $160,172 | $0 | $28,944 | $0 | $12,788 | $0 | $5,749 | $0 | $16,767 | $0 | $224,420 | $0 | $0 |
| VICKI D ORR TERM 0513 | ||||||||||||||
| FORMER CHIEF FINANCIAL OFFICER | $0 | -$8,121 | $0 | $32,660 | $0 | $388,294 | $0 | $0 | $0 | $21,413 | $0 | $434,246 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4A | DETAIL OF SEVERANCE PAYMENTS: CHARLES D. ARDOIN, M.D., CHIEF MEDICAL OFFICER RESIGNED 01/13/15, AND RECEIVED A SEVERANCE PAYMENT OF $171,147 FOR CALENDAR YEAR 2014. GARY A. PARSONS, M.D., FORMER CHIEF MEDICAL OFFICER RESIGNED 12/30/13, AND RECEIVED A SEVERANCE PAYMENT OF $158,496. FOR CALENDAR YEAR 2014. VICKI D. ORR, FORMER CHIEF FINANCIAL OFFICER/ASST TREASURER RESIGNED 5/22/13, AND RECEIVED A SEVERANCE PAYMENT OF $388,294. FOR CALENDAR YEAR 2014. |
| PART I, LINE 7 | PROVISION OF NON-FIXED PAYMENTS THIS ORGANIZATION IS AN AFFILIATE OF NAPLES COMMUNITY HOSPITAL, INC. ("NCH"). ALL COMPENSATION ARRANGEMENTS ARE DETERMINED AND PAID THROUGH NCH. NCH MAY PROVIDE DISCRETIONARY BONUS AND/OR INCENTIVE COMPENSATION PAYMENTS TO ELIGIBLE EMPLOYEES. PAYMENTS MADE TO ANY DISQUALIFIED PERSON IS APPROVED BY THE NCH COMPENSATION COMMITTEE THROUGH THE PROCESS DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 15. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| GMANCHOR EAGLEVIEW DEVELOPMENT LLC | |||
| FORMER TRUSTEE/PARTNER | $761,792 | NCHMD LEASES BUILDING | 0 |
| LDCH REAL ESTATE HOLDINGS LLC | |||
| FORMER TRUSTEE/PARTNER | $129,936 | NCHMD LEASES BUILDING | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE L, PART IV | FormAndLineReferenceDesc |
| Explanation | MARYANN LOMONACO M.D., FORMER BOARD TRUSTEE, AND GARY PARSONS M.D., FORMER CHIEF MEDICAL OFFICER, HAVE A PARTNERSHIP INTEREST IN GM/ANCHOR EAGLEVIEW DEVELOPMENT, LLC THAT NCHMD LEASES OFFICE SPACE FROM.DAVID LINDNER D.O., FORMER BOARD TRUSTEE, HAS A PARTNERSHIP INTEREST IN LDCH REAL ESTATE HOLDINGS THAT NCHMD LEASES OFFICE SPACE FROM. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4, PROGRAM SERVICES | NCHMD, INC. ("NDH PHYSICIAN GROUP") PROVIDES OUTPATIENT HEALTHCARE SERVICES WITHOUT REGARD TO A PATIENT'S ABILITY TO PAY. DURING 2015, NCHMD, INC. PROVIDED $1,288,205 OF CHARITY CARE TO PATIENTS WHO WERE UNABLE TO PAY AND NOT COVERED BY ANY GOVERNMENTAL OR PRIVATE INSURANCE PROGRAM. ADDITIONALLY, NCHMD, INC. WROTE OFF $2,058,157 CLASSIFIED AS BAD DEBTS. THE SERVICES OFFERED WITHIN THE NCH PHYSICIAN GROUP ARE EXTENSIVE AND INCLUDE A VARIETY OF MEDICAL SPECIALTIES SUCH AS CARDIOLOGY, PULMONARY, FAMILY MEDICINE, PEDIATRICS, INTERNAL MEDICINE AND URGENT CARE. A TOTAL OF 439 FULL-TIME EQUIVALENT EMPLOYEES, WHICH INCLUDE 171 LICENSED INDEPENDENT PRACTITIONERS, COMPRISE THE OUTSTANDING MEDICAL TEAM WORKING TOGETHER TO PROVIDE THESE SERVICES TO 343,275 ARRIVED APPOINTMENTS IN 2015. |
| FORM 990, PART VI, SECTION A, LINE 6 | GOVERNING BODY AND MANAGEMENT NCH HEALTHCARE SYSTEM,INC. IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | GOVERNING BODY AND MANAGEMENT NCH HEALTHCARE SYSTEM, INC. SOLE MEMBER OF THIS ORGANIZATION, ELECTS THIS ORGANIZATION'S DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | GOVERNING BODY AND MANAGEMENT ALL OF THE GOVERNANCE DECISIONS FOR NCHMD, INC. ARE RESERVED TO THE GOVERNING BODY OF NCH HEALTHCARE SYSTEM, INC. |
| FORM 990, PART VI, SECTION B, LINE 11 | REVIEW PROCESS INFORMATION RELATED TO NCHMD, INC.'S ("NCHMD") FORM 990 FILING IS GATHERED BY FINANCE STAFF AND PROVIDED TO RSM US, LLP FOR REVIEW. AFTER THE REVIEW BY RSM US, LLP THE TAX RETURN IS REVIEWED BY THE NCH HEALTHCARE SYSTEM CHIEF OF STAFF AND CHIEF FINANCIAL OFFICER. THE TAX RETURN IS THEN REVIEWED BY THE CHAIRMAN OF THE NCH FINANCE COMMITTEE AND OUTSIDE COUNSEL FOR THE BOARD. PRIOR TO BOARD APPROVAL, THE 990 IS PROVIDED TO ALL OF THE BOARD OF TRUSTEES FOR THEIR REVIEW VIA THE BOARD PORTAL. AT THE CONCLUSION OF THIS REVIEW PROCESS THE FORM 990 IS APPROVED BY THE BOARD OF TRUSTEES (COMPENSATION COMMITTEE) PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST POLICY ANNUALLY, ALL NCH HEALTHCARE SYSTEM, INC. OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE INTERESTS THAT COULD POTENTIALLY GIVE RISE TO CONFLICTS. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. MANAGEMENT SHALL DISCLOSE OTHER POTENTIAL CONFLICTS WITH THE COMPLIANCE OFFICER. AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE CORPORATION CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINED UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED TRUSTEES WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE CORPORATION AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. THE COMPLIANCE OFFICER WILL DETERMINE IF A MANAGEMENT TEAM MEMBER OR EMPLOYEE SHOULD BE EXCUSED FROM A DISCUSSION OR PARTICIPATE IN A DECISION IN WHICH THERE MAY BE A CONFLICT OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION PROCESS THIS ORGANIZATION IS AN AFFILIATE OF NAPLES COMMUNITY HOSPITAL, INC. ("NCH"). ALL COMPENSATION ARRANGEMENTS ARE DETERMINED BY AND PAID THROUGH NCH. COMPENSATION ARRANGEMENTS INVOLVING OUR CEO AND SENIOR LEADERSHIP TEAM ARE ESTABLISHED BY NCH PURSUANT TO A PROCESS THAT SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR SECTION 4958 EXCESS BENEFIT TRANSACTION TAX PURPOSES (WHICH REQUIRES A REVIEW OF COMPENSATION DETERMINATION BY DISINTERESTED PERSONS, USE OF APPROPRIATE COMPARABILITY DATA, AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS). |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS AVAILABLE TO THE PUBLIC THE FORMS 1023 AND 990, GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY OF NHSI ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FINANCIAL STATEMENTS ARE ALSO AVAILABLE VIA OUR WEBSITE: WWW.NCHMD.ORG. DOCUMENTS AVAILABLE FOR REQUEST ARE AVAILABLE PURSUANT TO THE PERIOD OF DISCLOSURE PROVIDED IN SECTION 6104(D). |
| FORM 990, PART IX, LINE 9, OTHER EMPLOYEE BENEFITS | BENEFIT EXPENSES CONTAIN A NON-CASH PAYMENT TRANSFER FROM NAPLES COMMUNITY HOSPITAL OF $1,582,874 |
| FORM 990, PART XI, LINE 9: | TRANSFERS FROM AFFILIATES 14,657,759. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| NCH HEALTHCARE SYSTEM INC | |||||||||||
| PO BOX 413029 | NAPLES | FL | 34101 | 592314655 | HOLDING CO | FL | 501(C) (3) | LINE 11B, II | N/A | 0 | |
| NAPLES COMMUNITY HOSPITAL INC | |||||||||||
| PO BOX 413029 | NAPLES | FL | 34101 | 590694358 | HEALTHCARE | FL | 501(C) (3) | LINE 3 | 0 | NCH SYSTEM | |
| MARCO ISLAND HOSPITAL INC | |||||||||||
| 40 HEATHWOOD DRIVE | MARCO ISLAND | FL | 34145 | 592315435 | HEALTHCARE | FL | 501(C) (3) | LINE 3 | 0 | NCH SYSTEM | |
| COMMUNITY HOME SERVICES INC | |||||||||||
| PO BOX 413029 | NAPLES | FL | 34101 | 592440516 | SUPPORT ORG. | FL | 501(C) (3) | LINE 11B, II | 0 | NCH SYSTEM | |
| COLLIER HEALTH CARE INC | |||||||||||
| PO BOX 413029 | NAPLES | FL | 34101 | 650244276 | HEALTHCARE | FL | 501(C) (3) | LINE 3 | 0 | NCH SYSTEM | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| HEALTH RESOURCES CORPORATION | |||||||||
| 350 7TH STREET NORTH | NAPLES | FL | 34102 | 592568003 | HOLDING COMPANY | FL | NCH SYSTEM | C | 0 |
| AMBULATORY SURGICAL CARE CENTER INC | |||||||||
| 350 7TH STREET NORTH | NAPLES | FL | 34102 | 592568029 | OUTPAT. SURGERY | FL | HRC | C | 0 |
| COMMUNITY HOME CARE INC | |||||||||
| 350 7TH STREET NORTH | NAPLES | FL | 34102 | 592372966 | HOME HEALTH | FL | HRC | C | 0 |
| COMMUNITY IMAGING INC | |||||||||
| 350 7TH STREET NORTH | NAPLES | FL | 34102 | 592446336 | RADIOLOGY LAB | FL | HRC | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (1) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |