NCHMD INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- NCHMD INC (EIN 33-1075317)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-08-07
- IRS object ID
- 201442199349300349
- Schema version
- 2012v2.3
- 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) |
|---|---|---|
| Timestamp | 2014-08-07T11:30:39-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PricewaterhouseCoopers LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 MARKET ST SUITE 1700 | AddressLine1 |
| City | PHILADELPHIA | City |
| State | PA | State |
| ZIP Code | 19103 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 331075317 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NCHmd INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % MICHAEL E STEPHENS CFO | InCareOfName |
| Name Control | NCHM | NameControl |
| Phone | 2396244005 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 413029 | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | NAPLES | City |
| State | FL | State |
| ZIP Code | 341013029 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MICHAEL STEPHENS | Name |
| Title | CFO | Title |
| Phone | 2396246338 | Phone |
| Date Signed | 2014-08-05 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2673303000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NCH Physician Group | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MICHAEL E STEPHENS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 413029 | AddressLine1 |
| City | NAPLES | City |
| State | FL | State |
| ZIP Code | 341013029 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 60701501 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.nchmd.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2003 | YearFormation |
| State Legal Domicile | FL | StateLegalDomicile |
| Activity Or Mission Description | THROUGH THE PROVISION OF CHARITABLE HEALTHCARE, OUR MISSION IS HELPING EVERYONE LIVE A LONGER, HAPPIER, AND HEALTHIER LIFE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 2 | NbrIndependentVotingMembers |
| Total Nbr Employees | 464 | TotalNbrEmployees |
| Total Nbr Volunteers | 2 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 58705784 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 59487869 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -2324 | InvestmentIncomePriorYear |
| Investment Income Current Year | -4596 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 897756 | OtherRevenuePriorYear |
| Other Revenue Current Year | 911015 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 59601216 | TotalRevenuePriorYear |
| Total Revenue Current Year | 60394288 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 51865099 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 54077197 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 21059824 | OtherExpensePriorYear |
| Other Expenses Current Year | 20366167 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 72924923 | TotalExpensesPriorYear |
| Total Expenses Current Year | 74443364 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -13323707 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -14049076 | RevenuesLessExpensesCY |
| Total Assets BOY | 22252404 | TotalAssetsBOY |
| Total Assets EOY | 19098498 | TotalAssetsEOY |
| Total Liabilities BOY | 8978641 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 10147140 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 13273763 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 8951358 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THROUGH THE PROVISION OF CHARITABLE HEALTHCARE, OUR MISSION IS HELPING EVERYONE LIVE A LONGER, HAPPIER, AND HEALTHIER LIFE. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 11858297 | Expense |
| Revenue | 8827581 | Revenue |
| Description | OPERATION OF CARDIOLOGIST PRACTICE | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 7327151 | Expense |
| Revenue | 6566575 | Revenue |
| Description | OPERATION OF FAMILY PRACTICE PRACTICES | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 7316653 | Expense |
| Revenue | 6012095 | Revenue |
| Description | OPERATION OF INTERNAL MEDICINE PRACTICES | Description |
Activity Other ActivityOther (18 entries)
| ExpenseExpense | RevenueRevenue | DescriptionDescription |
|---|---|---|
| 6519582 | 6601352 | OPERATION OF RADIOLOGY SERVICE LINE |
| 6373004 | 4944982 | OPERATION OF PULMONARY PRACTICE |
| 6270611 | 4998435 | OPERATION OF ORTHOPEDICS PRACTICE |
| 5331164 | 4595464 | OPERATION OF INFECTIOUS DISEASE PRACTICE |
| 4516523 | 4711332 | OPERATION OF PEDIATRICS PRACTICE |
| 2690238 | 2189163 | OPERATION OF GASTROENTEROLOGY PRACTICES |
| 2324924 | 1730276 | OPERATION OF GERIATRICS PRACTICE |
| 2208973 | 1981998 | OPERATION OF RHEUMATOLOGY PRACTICE |
| 1875536 | 1910527 | OPERATION OF URGENT CARE PRACTICE |
| 1463929 | 503494 | OPERATION OF PSYCHIATRISTS PRACTICE |
| 949315 | 834627 | OPERATION OF PAIN MANAGEMENT PRACTICE |
| 627648 | 628087 | OPERATION OF PHYSICAL THERAPY LINE |
| 555225 | 2080799 | OPERATION OF LABORATORY PRACTICE |
| 449663 | 474133 | OPERATION OF PROTIME SERVICE LINES |
| 436524 | 639473 | OPERATION OF SLEEP STUDY SERVICE LINE |
| 188636 | 117584 | OPERATION OF GENERAL SURGERY PRACTICE |
| 54568 | 47964 | OPERATION OF WOUND CARE PRACTICE |
| 13228 | OPERATION OF CONCIERGE SERVICE LINE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 42849291 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 38989690 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 69351392 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | true | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 73 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 464 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 2 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | true | LocalChapters |
| Policies Reference Chapters | true | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | FL | StatesWhereCopyOfReturnIsFiled |
| Own Website | X | OwnWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MICHAEL E STEPHENS CFO | NamePerson |
| Telephone Number | 2396244005 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 SEVENTH STREET NORTH | AddressLine1 |
| City | NAPLES | City |
| State | FL | State |
| ZIP Code | 34102 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (28 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| THOMAS J GAZDIC | ||||||||
| TRUSTEE | 0.5 | 1.5 | X | 0 | 0 | 0 | ||
| KEVIN D COOPER | ||||||||
| GENERAL COUNSEL/CHIEF OF STAFF | 1.0 | 44.0 | X | 0 | 463096 | 33284 | X | |
| MICHELE THOMAN | ||||||||
| CNO, NCH HEALTHCARE SYSTEM | 1.0 | 44.0 | X | 0 | 326473 | 33554 | X | |
| DAVID R AXLINE MD | ||||||||
| PHYSICIAN/TRUSTEE | 40.0 | 0.0 | X | 781883 | 0 | 33444 | ||
| DOREEN CASSARINO ARNP | ||||||||
| NURSE PRACTITIONER/TRUSTEE | 40.0 | 0.0 | X | 116736 | 0 | 20486 | ||
| JON S DOUNCHIS MD | ||||||||
| PHYSICIAN/TRUSTEE | 40.0 | 0.0 | X | 1558437 | 0 | 33824 | ||
| ROBERT E HANSON MD | ||||||||
| PHYSICIAN/PRESIDENT TRUSTEE | 40.0 | 0.0 | X | 443283 | 0 | 33094 | ||
| DAVID LINDNER DO | ||||||||
| PHYSICIAN/TRUSTEE | 40.0 | 0.0 | X | 532475 | 0 | 33094 | ||
| MARYANN LOMONACO MD | ||||||||
| PHYSICIAN/TRUSTEE | 40.0 | 0.0 | X | 286272 | 0 | 33044 | ||
| MARIANN MACDONALD | ||||||||
| TRUSTEE | 0.5 | 1.5 | X | 0 | 0 | 0 | ||
| KAREN HENRICHSEN DO | ||||||||
| PHYSICIAN/TRUSTEE | 40.0 | 0.0 | X | 426674 | 0 | 23052 | ||
| ALLEN S WEISS MD | ||||||||
| PRESIDENT/CEO | 1.0 | 44.0 | 0 | 1333749 | 26068 | X | ||
| PHILLIP DUTCHER | ||||||||
| COO, NCH HEALTHCARE SYSTEM | 1.0 | 44.0 | 0 | 468149 | 10388 | X | ||
| AURORA ESTEVEZ MD | ||||||||
| CMO, NCH HEALTHCARE SYSTEM | 1.0 | 44.0 | 0 | 493680 | 18677 | X | ||
| VICKI D ORR- TERM 0513 | ||||||||
| CFO,NCH HEALTHCARE SYSTEM | 1.0 | 44.0 | 0 | 454402 | 33334 | X | ||
| ELIZABETH MARTIN | ||||||||
| ASSISTANT SECRETARY | 1.0 | 44.0 | 0 | 57567 | 14812 | X | ||
| MICHAEL RILEY | ||||||||
| CHIEF STRATEGY OFFICER | 1.0 | 44.0 | 0 | 234325 | 31934 | X | ||
| JAMES K MARTIN | ||||||||
| CHIEF DEVELOPMENT OFFICER | 1.0 | 44.0 | 0 | 277234 | 33175 | X | ||
| GARY PARSONS MD | ||||||||
| CHIEF MEDICAL OFFICER | 40.0 | 5.0 | 383268 | 0 | 18018 | X | ||
| ZACHARY BOSTOCK | ||||||||
| CHIEF ADMINISTRATIVE OFFICER | 40.0 | 5.0 | 246115 | 0 | 25341 | X | ||
| JOHN MCGIRL | ||||||||
| CHIEF HUMAN RESOURCE OFFICER | 1.0 | 44.0 | 0 | 126861 | 5356 | X | ||
| HELEN THOMPSON | ||||||||
| CHIEF INFORMATION OFFICER | 1.0 | 44.0 | 0 | 125585 | 2417 | X | ||
| MICHAEL STEPHENS- START 0513 | ||||||||
| CFO,NCH HEALTHCARE SYSTEM | 1.0 | 44.0 | 0 | 0 | 0 | X | ||
| HOWARD J KAPP MD | ||||||||
| PHYSICIAN | 40.0 | 0.0 | 2187140 | 0 | 31107 | X | ||
| GARY A BERGEN MD | ||||||||
| PHYSICIAN | 40.0 | 0.0 | 713925 | 0 | 32579 | X | ||
| JAN M BARRIOS MD | ||||||||
| PHYSICIAN | 40.0 | 0.0 | 926497 | 0 | 33454 | X | ||
| GUY R WINZENRIED MD | ||||||||
| PHYSICIAN | 40.0 | 0.0 | 734204 | 0 | 33157 | X | ||
| CARLO D SANTOS-OCAMPO MD | ||||||||
| PHYSICIAN | 40.0 | 0.0 | 775084 | 0 | 33299 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 10111993 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 4361121 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 659992 | TotalOtherCompensation |
| Number Individuals GT100 K | 73 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| CERNER CORPORATION | |||||
| PO BOX 412702 | KANSAS CITY | MO | 64141 | IT CONSULTING | 324996 |
| MEDSCRIPT SERVICES INC | |||||
| 5567 TAYLOR RAOD SUITE 27 | NAPLES | FL | 34109 | TRANSCRIPTION | 149967 |
| J MAX CLEANERS | |||||
| 3823 TAMIAMI TRAIL EAST SUITE 203 | NAPLES | FL | 34112 | CLEANING | 110303 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PROGRAM SERVICE REVENUES | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 59487869 | TotalRevenueColumn |
| Related Or Exempt Function Income | 59487869 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 59487869 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 279273 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 279273 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Exclusion | $0 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 23344 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 27940 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -4596 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -4596 | TotalRevenueColumn |
| Exclusion | -$4,596 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PHYSICIAN ON-CALL REVENUE | 900099 | 802141 | 802141 |
| PHYSICIAN CONTRACT BUY OUT | 900099 | 100453 | 100453 |
| MISC RECEIPTS | 900099 | 5478 | 5478 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2943 | TotalRevenueColumn |
| Exclusion | $2,943 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 911015 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 60394288 | TotalRevenueColumn |
| Related Or Exempt Function Income | 60395941 | RelatedOrExemptFunctionIncome |
| Exclusion | -$1,653 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4898090 | Total |
| Program Services | 4898090 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43662326 | Total |
| Program Services | 40727253 | ProgramServices |
| Management And General | 2935073 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1186619 | Total |
| Program Services | 1106878 | ProgramServices |
| Management And General | 79741 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2107539 | Total |
| Program Services | 1965912 | ProgramServices |
| Management And General | 141627 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2222623 | Total |
| Program Services | 2073263 | ProgramServices |
| Management And General | 149360 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49973 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 49973 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8280 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 8280 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Fundraising | 0 | Fundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1856403 | Total |
| Program Services | 1486511 | ProgramServices |
| Management And General | 369892 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 189255 | Total |
| Program Services | 189255 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1957005 | Total |
| Program Services | 1127335 | ProgramServices |
| Management And General | 829670 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 536476 | Total |
| Program Services | 500425 | ProgramServices |
| Management And General | 36051 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3552931 | Total |
| Program Services | 3102976 | ProgramServices |
| Management And General | 449955 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 110532 | Total |
| Program Services | 109302 | ProgramServices |
| Management And General | 1230 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4063150 | Total |
| Program Services | 4062173 | ProgramServices |
| Management And General | 977 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1533012 | Total |
| Program Services | 1494120 | ProgramServices |
| Management And General | 38892 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| MEDICAL SUPPLIES | 5179059 | 5177798 | 1261 | 0 |
| BAD DEBT EXPENSE | 1327649 | 1327649 | 0 | 0 |
| MISCELLANEOUS EXPENSES | 2442 | 2452 | -10 | 0 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 74443364 | Total |
| Program Services | 69351392 | ProgramServices |
| Management And General | 5091972 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3531114 | BOY |
| EOY | 4224625 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 481817 | BOY |
| EOY | 671501 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 162866 | BOY |
| EOY | 283722 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 18360739 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 9171790 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11675051 | BOY |
| EOY | 9188949 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5263428 | BOY |
| EOY | 4174707 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1138128 | BOY |
| EOY | 554994 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22252404 | BOY |
| EOY | 19098498 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8440309 | BOY |
| EOY | 9752364 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 538332 | BOY |
| EOY | 394776 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8978641 | BOY |
| EOY | 10147140 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13273763 | BOY |
| EOY | 8951358 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13273763 | BOY |
| EOY | 8951358 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22252404 | BOY |
| EOY | 19098498 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -14049076 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 9726671 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 0 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 0 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 0 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 0 | CurrentTaxYearMinus1Year |
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 0 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 0 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5074301 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 59422838 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 58705784 | CurrentTaxYearMinus1Year |
| Current Tax Year | 59487869 | CurrentTaxYear |
| Total | 182690792 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 0 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5074301 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 59422838 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 58705784 | CurrentTaxYearMinus1Year |
| Current Tax Year | 59487869 | CurrentTaxYear |
| Total | 182690792 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 182690792 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 0 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 0 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | -28315 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | -43979 | CurrentTaxYearMinus1Year |
| Current Tax Year | -4596 | CurrentTaxYear |
| Total | -76890 | Total |
Post1975 UBTI Post1975UBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 0 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 0 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | -28315 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | -43979 | CurrentTaxYearMinus1Year |
| Current Tax Year | -4596 | CurrentTaxYear |
| Total | -76890 | Total |
Net Income From Other UBI NetIncomeFromOtherUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 0 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 0 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 798247 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 939411 | CurrentTaxYearMinus1Year |
| Current Tax Year | 911015 | CurrentTaxYear |
| Total | 2648673 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 0 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5074301 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 60192770 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 59601216 | CurrentTaxYearMinus1Year |
| Current Tax Year | 60394288 | CurrentTaxYear |
| Total | 185262575 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.98612 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.98667 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00042 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00058 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Current Year Minus4 Years | CurrentYearMinus4Years | |
| Land | Land | |
| Buildings | Buildings |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10002363 | OtherCostOrOtherBasis |
| Depreciation | 5837845 | Depreciation |
| Book Value | 4164518 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8138878 | OtherCostOrOtherBasis |
| Depreciation | 3333945 | Depreciation |
| Book Value | 4804933 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 219498 | OtherCostOrOtherBasis |
| Book Value | 219498 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 9188949 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | LONG-TERM LEASE LIABILITY | Description |
| Amount | $394,776 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 394776 | TotalOfAmounts |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (21 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALLEN S WEISS MD | ||||||||||||||
| PRESIDENT/CEO | 0 | 1206453 | 0 | 110296 | 0 | 17000 | 0 | 9800 | 0 | 16268 | 0 | 1359817 | 0 | 492651 |
| KEVIN D COOPER | ||||||||||||||
| GENERAL COUNSEL/CHIEF OF STAFF | 0 | 382343 | 0 | 63753 | 0 | 17000 | 0 | 9800 | 0 | 23484 | 0 | 496380 | 0 | 0 |
| PHILLIP DUTCHER | ||||||||||||||
| COO, NCH HEALTHCARE SYSTEM | 0 | 387396 | 0 | 63753 | 0 | 17000 | 0 | 9800 | 0 | 588 | 0 | 478537 | 0 | 0 |
| AURORA ESTEVEZ MD | ||||||||||||||
| CMO, NCH HEALTHCARE SYSTEM | 0 | 409138 | 0 | 67542 | 0 | 17000 | 0 | 9800 | 0 | 8877 | 0 | 512357 | 0 | 0 |
| VICKI D ORR- TERM 0513 | ||||||||||||||
| CFO,NCH HEALTHCARE SYSTEM | 0 | 373649 | 0 | 63753 | 0 | 17000 | 0 | 9800 | 0 | 23534 | 0 | 487736 | 0 | 0 |
| MICHELE THOMAN | ||||||||||||||
| CNO, NCH HEALTHCARE SYSTEM | 0 | 266666 | 0 | 44207 | 0 | 15600 | 0 | 10000 | 0 | 23554 | 0 | 360027 | 0 | 0 |
| MICHAEL RILEY | ||||||||||||||
| CHIEF STRATEGY OFFICER | 0 | 217566 | 0 | 16759 | 0 | 0 | 8808 | 0 | 23126 | 0 | 266259 | 0 | 0 | |
| JAMES K MARTIN | ||||||||||||||
| CHIEF DEVELOPMENT OFFICER | 0 | 257179 | 0 | 20055 | 0 | 0 | 9731 | 0 | 23444 | 0 | 310409 | 0 | 0 | |
| DAVID R AXLINE MD | ||||||||||||||
| PHYSICIAN/TRUSTEE | 565138 | 0 | 216745 | 0 | 0 | 10000 | 0 | 23444 | 0 | 815327 | 0 | 0 | 0 | |
| JON S DOUNCHIS MD | ||||||||||||||
| PHYSICIAN/TRUSTEE | 1162824 | 0 | 378613 | 0 | 17000 | 0 | 10875 | 0 | 22949 | 0 | 1592261 | 0 | 0 | 0 |
| ROBERT E HANSON MD | ||||||||||||||
| PHYSICIAN/PRESIDENT TRUSTEE | 308815 | 0 | 117468 | 0 | 17000 | 0 | 10000 | 0 | 23094 | 0 | 476377 | 0 | 0 | 0 |
| DAVID LINDNER DO | ||||||||||||||
| PHYSICIAN/TRUSTEE | 433810 | 0 | 81665 | 0 | 17000 | 0 | 10000 | 0 | 23094 | 0 | 565569 | 0 | 0 | 0 |
| MARYANN LOMONACO MD | ||||||||||||||
| PHYSICIAN/TRUSTEE | 224904 | 0 | 44368 | 0 | 17000 | 0 | 9950 | 0 | 23094 | 0 | 319316 | 0 | 0 | 0 |
| GARY PARSONS MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | 314265 | 0 | 52060 | 0 | 16943 | 0 | 9164 | 0 | 8854 | 0 | 401286 | 0 | 0 | 0 |
| ZACHARY BOSTOCK | ||||||||||||||
| CHIEF ADMINISTRATIVE OFFICER | 232081 | 0 | 13572 | 0 | 462 | 0 | 2369 | 0 | 22972 | 0 | 271456 | 0 | 0 | 0 |
| KAREN HENRICHSEN DO | ||||||||||||||
| PHYSICIAN/TRUSTEE | 182881 | 0 | 226793 | 0 | 17000 | 0 | 10188 | 0 | 12864 | 0 | 449726 | 0 | 0 | 0 |
| HOWARD J KAPP MD | ||||||||||||||
| PHYSICIAN | 1562961 | 0 | 607179 | 0 | 17000 | 0 | 10000 | 0 | 21107 | 0 | 2218247 | 0 | 0 | 0 |
| GARY A BERGEN MD | ||||||||||||||
| PHYSICIAN | 507766 | 0 | 189159 | 0 | 17000 | 0 | 10000 | 0 | 22579 | 0 | 746504 | 0 | 0 | 0 |
| JAN M BARRIOS MD | ||||||||||||||
| PHYSICIAN | 472280 | 0 | 437217 | 0 | 17000 | 0 | 10360 | 0 | 23094 | 0 | 959951 | 0 | 0 | 0 |
| GUY R WINZENRIED MD | ||||||||||||||
| PHYSICIAN | 471251 | 0 | 245953 | 0 | 17000 | 0 | 10373 | 0 | 22784 | 0 | 767361 | 0 | 0 | 0 |
| CARLO D SANTOS-OCAMPO MD | ||||||||||||||
| PHYSICIAN | 523279 | 0 | 234805 | 0 | 17000 | 0 | 10205 | 0 | 23094 | 0 | 808383 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PARTICIPATION | FORM 990, SCHEDULE J, LINE 4B | IN 1996, THE NCH HEALTHCARE SYSTEM, INC. BOARD OF TRUSTEES APPROVED A RECOMMENDATION OF THE EXECUTIVE COMPENSATION COMMITTEE THAT CERTAIN EXECUTIVES OF THE NCH HEALTHCARE SYSTEM WOULD BE PROVIDED WITH A SERP THAT WAS SUPPORTED THROUGH THE USE OF LIFE INSURANCE PROGRAMS. DUE TO CHANGES IN THE IRS TAX CODE, EFFECTIVE OCTOBER 1, 2003, THE FUNDING MECHANISM FOR ACTIVE EMPLOYEES WAS CHANGED FROM USING LIFE INSURANCE TO FUNDING RABBI TRUSTS. HOWEVER, THE PLAN DESIGN WAS NOT CHANGED. DURING FISCAL YEAR 2013, THE TRUST WAS OWNED BY NCH AND WAS SUBJECT TO THE RISK OF CREDITORS OF NCH. CONSEQUENTLY, DEPOSITS MADE TO THE TRUSTS REMAINED AS ASSETS OF NCH UNTIL THE PARTICIPANT VESTS IN ACCORDANCE WITH THE PLAN. THE SERP HAD BEEN DISCONTINUED WITH THE EXCEPTION OF DR. ALLEN WEISS, PRESIDENT & CEO, WHO NO LONGER RECEIVED CONTRIBUTIONS TO THE PLAN, BUT WHOSE PLAN CONTINUED TO REALIZE INVESTMENT INCOME/LOSSES ON PREVIOUS CONTRIBUTIONS WHICH HAVE BEEN REPORTED ON PRIOR YEAR FORMS 990. DURING CALENDAR YEAR 2012, THE ACCOUNT OF DR. ALLEN WEISS MET THE CRITERIA FOR THE SERP PROGRAM AND HE RECEIVED A FINAL DISTRIBUTION IN THE AMOUNT OF $537,124. THIS DISTRIBUTION IS INCLUDED IN SCHEDULE J, PART II, COLUMN B(i). AS OF THE FINAL DISTRIBUTION TO DR. ALLEN WEISS THE RABBI TRUST AND ASSOCIATED SERP PLAN WERE DISCONTINUED. |
| PROVISION OF NON-FIXED PAYMENTS | FORM 990, SCHEDULE J, LINE 7 | THIS ORGANIZATION IS AN AFFILIATE OF NAPLES COMMUNITY HOSPITAL, INC. ("NCH"). ALL COMPENSATION ARRANGEMENTS ARE DETERMINED 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
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| GMANCHOR EAGLEVIEW DEVELOPMENT LL | |||
| COMMON TRUSTEE/PARTNER | 746413 | NCHMD LEASES BUILDING | false |
| LDCH REAL ESTATE HOLDINGS LLC | |||
| COMMON TRUSTEE/PARTNER | 120610 | NCHMD LEASES BUILDING | false |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | BUSINESS TRANSACTIONS INVOLVING INTERESTED PARTIES | Identifier |
| Return Reference | FORM 990, SCHEDULE L, PART IV | ReturnReference |
| Explanation | MARYANN LOMONACO M.D., BOARD TRUSTEE, AND GARY PARSONS M.D., CHIEF MEDICAL OFFICER, HAVE A PARTNERSHIP INTEREST IN GM/ANCHOR EAGLEVIEW DEVELOPMENT, LLC THAT NCHMD LEASES OFFICE SPACE FROM. DAVID LINDNER D.O., BOARD TRUSTEE, HAS A PARTNERSHIP INTEREST IN LDCH REAL ESTATE HOLDINGS THAT NCHMD LEASES OFFICE SPACE FROM. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DETAIL OF BUSINESS RELATIONSHIPS | FORM 990, PART VI, SECTION A, LINE 2 | MARYANN LOMONACO M.D., BOARD TRUSTEE, DAVID LINDNER D.O, BOARD TRUSTEE, AND GARY PARSONS, M.D., CHIEF MEDICAL OFFICER, ARE PARTIAL OWNERS OF OFFICE SPACE LEASED BY NCHMD, INC. |
| GOVERNING BODY AND MANAGEMENT | FORM 990, PART VI, SECTION A, LINES 6, 7A & 7B | THE BOARD OF DIRECTORS OF NCH HEALTHCARE SYSTEM, INC., SOLE MEMBER OF THIS ORGANIZATION, ELECTS THIS ORGANIZATION'S DIRECTORS. |
| FORM 990 REVIEW PROCESS | FORM 990, PART VI, SECTION B, LINE 11 | INFORMATION RELATED TO NCHMD, INC.'S ("NCHMD") FORM 990 FILING IS GATHERED BY FINANCE STAFF AND PROVIDED TO PRICEWATERHOUSECOOPERS LLP FOR REVIEW AND RETURN PREPARATION. THE 2012 FORM 990 FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2013 WAS REVIEWED AND APPROVED BY THE CHAIRMAN OF THE NCH FINANCE COMMITTEE, SENIOR LEADERSHIP TEAM, AND OUTSIDE COUNSEL FOR THE BOARD PRIOR TO FILING WITH THE IRS. |
| CONFLICT OF INTEREST POLICY | FORM 990, PART VI, SECTION B, LINE 12 | ANNUALLY, ALL NCHMD OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE INTERESTS THAT COULD POTENTIALLY GIVE RISE TO CONFLICTS. |
| COMPENSATION PROCESS | FORM 990, PART VI, SECTION B, LINE 15 | 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 COMPENSATIION DETERMINATIONS BY DISINTERESTED PERSONS, USE OF APPROPRIATE COMPARABILITY DATA, AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS). WRITTEN EMPLOYMENT CONTRACTS ARE ALSO UTILIZED. |
| DOCUMENTS AVAILABILITY TO PUBLIC | FORM 990, PART VI, SECTION C, LINE 19 | THE FORMS 1023 AND 990, GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY OF NCHMD ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FINANCIAL STATEMENTS ARE ALSO AVAILABLE VIA OUR WEBSITE: WWW.NCHMD.ORG. |
| DETAIL OF OTHER CHANGES IN NET ASSETS | FORM 990, PART XI, LINE 9 | TRANSFERS FROM AFFILIATES $9,726,671 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| NCH HEALTHCARE SYSTEM INC | ||||||||||
| PO BOX 413029 | NAPLES | FL | 34101 | 592314655 | HOLDING CO | FL | 501(C)(3) | 11,B | NA | false |
| NAPLES COMMUNITY HOSPITAL INC | ||||||||||
| PO BOX 413029 | NAPLES | FL | 34101 | 590694358 | HEALTHCARE | FL | 501(C)(3) | 3 | NCH SYSTEM | false |
| MARCO ISLAND HOSPITAL INC | ||||||||||
| PO BOX 413029 | NAPLES | FL | 34101 | 592315435 | HEALTHCARE | FL | 501(C)(3) | 3 | NCH SYSTEM | false |
| COMMUNITY HOME SERVICES INC | ||||||||||
| PO BOX 413029 | NAPLES | FL | 34101 | 592440516 | SUPPORT ORG. | FL | 501(C)(3) | 11,B | NCH SYSTEM | false |
| COLLIER HEALTH CARE INC | ||||||||||
| PO BOX 413029 | NAPLES | FL | 34101 | 650244276 | HEALTHCARE | FL | 501(C)(3) | 3 | NCH SYSTEM | false |
Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| HEALTH RESOURCES CORPORATION | |||||||||
| 350 7TH STREET NORTH | NAPLES | FL | 34102 | 592568003 | HOLDING COMPANY | FL | NCH SYSTEM | C CORP | false |
| AMBULATORY SURGICAL CARE CENTER INC | |||||||||
| 350 7TH STREET NORTH | NAPLES | FL | 34102 | 592568029 | OUTPAT. SURGERY | FL | HRC | C CORP | false |
| COMMUNITY HOME CARE INC | |||||||||
| 350 7TH STREET NORTH | NAPLES | FL | 34102 | 592372966 | HOME HEALTH | FL | HRC | C CORP | false |
| COMMUNITY IMAGING INC | |||||||||
| 350 7TH STREET NORTH | NAPLES | FL | 34102 | 592446336 | RADIOLOGY LAB | FL | HRC | C CORP | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | true | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |