Civic Intelligence

Nchmd Inc

EIN 33-1075317 • 501(c)3 • Naples, FL

Profile

Through the provision of charitable healthcare, our mission is helping everyone live a longer, happier, and healthier life.

PO Box 413029Naples, FL 34101-3029

www.nchmd.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

39th percentile

0.18x

Higher debt load relative to assets than 39% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

26th percentile

0.18x

Higher debt load relative to revenue than 26% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Net Margin

9th percentile

-21%

Higher net margin than 9% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

94th percentile

$2,564,183

Higher top officer pay than 94% of similar nonprofits.

Top officer pay equals 1.9% of source-year revenue.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Asset Growth

97th percentile

82%

Faster asset growth than 97% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2022 to 2024

Revenue Growth

37th percentile

3.0%

Faster revenue growth than 37% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2022 to 2024

Assets

Up

$131,035,825

Up $91,668,708 (+233%) from 2022

Liabilities

Down

$23,730,310

Down $1,304,355 (-5.2%) from 2022

Net Assets

Up

$107,305,515

Up $92,973,063 (+649%) from 2022

Revenue

Up

$134,605,770

Up $7,676,068 (+6.0%) from 2022

Expenses

Up

$163,159,344

Up $6,115,484 (+3.9%) from 2022

Net Income

Up

-$28,553,574

Up $1,560,584 (+5.2%) from 2022

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$150M$100M$50M$0Assets 2011: $18,905,287Liabilities 2011: $7,265,511Net Assets 2011: $11,639,7762011Assets 2012: $22,252,404Liabilities 2012: $8,978,641Net Assets 2012: $13,273,7632012Assets 2013: $19,098,498Liabilities 2013: $10,147,140Net Assets 2013: $8,951,3582013Assets 2014: $18,449,997Liabilities 2014: $13,190,615Net Assets 2014: $5,259,3822014Assets 2015: $17,256,560Liabilities 2015: $14,360,571Net Assets 2015: $2,895,9892015Assets 2016: $20,703,752Liabilities 2016: $15,258,363Net Assets 2016: $5,445,3892016Assets 2017: $36,813,623Liabilities 2017: $16,004,130Net Assets 2017: $20,809,4932017Assets 2018: $38,189,533Liabilities 2018: $19,611,508Net Assets 2018: $18,578,0252018Assets 2019: $44,445,588Liabilities 2019: $19,479,380Net Assets 2019: $24,966,2082019Assets 2020: $41,550,306Liabilities 2020: $33,787,455Net Assets 2020: $7,762,8512020Assets 2021: $43,477,542Liabilities 2021: $30,380,405Net Assets 2021: $13,097,1372021Assets 2022: $39,367,117Liabilities 2022: $25,034,665Net Assets 2022: $14,332,4522022Assets 2024: $131,035,825Liabilities 2024: $23,730,310Net Assets 2024: $107,305,5152024

Highlighted filing

2024

Assets$131,035,825
Liabilities$23,730,310
Net Assets$107,305,515

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$200M$100M$0-$100MExpenses 2011: $76,699,6772011Expenses 2012: $72,924,9232012Expenses 2013: $74,443,3642013Revenue 2014: $69,163,919Expenses 2014: $81,117,582Net Income 2014: -$11,953,6632014Revenue 2015: $71,167,816Expenses 2015: $88,188,968Net Income 2015: -$17,021,1522015Revenue 2016: $72,757,958Expenses 2016: $94,680,451Net Income 2016: -$21,922,4932016Revenue 2017: $90,930,848Expenses 2017: $113,490,313Net Income 2017: -$22,559,4652017Revenue 2018: $110,711,566Expenses 2018: $134,968,528Net Income 2018: -$24,256,9622018Revenue 2019: $112,964,796Expenses 2019: $150,036,190Net Income 2019: -$37,071,3942019Revenue 2020: $113,310,626Expenses 2020: $152,898,538Net Income 2020: -$39,587,9122020Revenue 2021: $127,733,197Expenses 2021: $166,755,162Net Income 2021: -$39,021,9652021Revenue 2022: $126,929,702Expenses 2022: $157,043,860Net Income 2022: -$30,114,1582022Revenue 2024: $134,605,770Expenses 2024: $163,159,344Net Income 2024: -$28,553,5742024

Highlighted filing

2024

Revenue$134,605,770
Expenses$163,159,344
Net Income-$28,553,574

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$131$23.7$107$135$163$28.6
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$39.4$25.0$14.3$127$157$30.1
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$43.5$30.4$13.1$128$167$39.0
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$41.6$33.8$7.76$113$153$39.6
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$44.4$19.5$25.0$113$150$37.1
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$38.2$19.6$18.6$111$135$24.3
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$36.8$16.0$20.8$90.9$113$22.6
2016Detailed filing. Detailed filing data is available for this year.$20.7$15.3$5.45$72.8$94.7$21.9
2015Detailed filing. Detailed filing data is available for this year.$17.3$14.4$2.90$71.2$88.2$17.0
2014Detailed filing. Detailed filing data is available for this year.$18.4$13.2$5.26$69.2$81.1$12.0
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$19.1$10.1$8.95$74.4
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$22.3$8.98$13.3$72.9
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$18.9$7.27$11.6$76.7
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 8, 2025
Return Version
2023v6.0
Gross Receipts
$134,719,274
Mission and Program Overview

Mission

Through the provision of charitable healthcare, our mission is helping everyone live a longer, happier, and healthier life.

Helping everyone live a longer, happier, and healthier life.our vision is to be a world-class leader of excellence inhealthcare and to provide excellence in every patient experience.

Balance Sheet Detail
LineBeginningEndChange
Assets
Pledges and Grants Receivable$54,123,618$88,900,613▲ $34,776,995
Land, Buildings, and Equipment, Net$16,792,764$16,744,021▼ $48,743
Accounts Receivable$6,494,879$7,032,247▲ $537,368
Investments Program Related$4,423,289$3,872,461▼ $550,828
Cash and Non-Interest-Bearing Accounts-$3,063,676-
Prepaid Expenses and Deferred Charges$2,318,487$2,199,474▼ $119,013
Intangible Assets$1,923,865$1,972,872▲ $49,007
Inventories for Sale or Use$1,153,260$1,139,099▼ $14,161
Total Assets$94,177,869$131,035,825▲ $36,857,956
Other Assets Total$6,947,707$6,111,362▼ $836,345
Liabilities
Accounts Payable and Accrued Expenses$18,332,097$13,684,292▼ $4,647,805
Other Liabilities$8,108,489$6,656,848▼ $1,451,641
Deferred Revenue$2,858,796$3,389,170▲ $530,374
Total Liabilities$29,299,382$23,730,310▼ $5,569,072
Net Assets / Fund Balance
Net Assets With Donor Restrictions$52,582,067$87,501,282▲ $34,919,215
Net Assets Without Donor Restrictions$12,296,420$19,804,233▲ $7,507,813
Total Net Assets Fund Balance$64,878,487$107,305,515▲ $42,427,028
Total Liabilities and Net Assets / Fund Balance$94,177,869$131,035,825▲ $36,857,956

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$8,718,352$5,459,862$14,178,215
Equipment$2,509,657$10,623,870$13,133,526
Leasehold Improvements$2,005,510$6,753,232$8,758,742
Land$2,559,424-$2,559,424
Other Land Buildings$951,078-$951,078
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Howard Kapp MdPhysicianFT$2,216,342$347,841$2,564,183
Dinesh Sharma MdPhysicianFT$1,683,837$439,977$2,123,814
Jon S Dounchis MdPhysicianFT$1,760,988$289,000$2,049,988
Roberto Cubeddu MdPhyscianFT$1,615,995$361,193$1,977,188
David R Axline MdPhysicianFT$1,192,181$188,826$1,381,007
Edison Valle Giler MdPhysicianFT$871,515$374,697$1,246,212
David Linz MdPhysician/trusteeFT$899,539$222,581$1,122,120
Carlo Santos-ocampo MdPhysician/officerFT$884,596$187,406$1,072,002
Bryan C Murphey MdPhysician/chairmanFT$813,182$216,378$1,029,560
Robert Grossman MdPhysician/trusteeFT$537,803$230,873$768,676
Carlos B Quintero MdChief Quality OfficerFT$527,573$150,432$678,005
Emily Essert MdPhysician/trusteeFT$329,716$76,935$406,651
Rebecca Witherell MdPhysician/trusteeFT$312,686$85,212$397,898
Mara Hammond Start 1023Chief Impact Officer--$105,591$105,591

Board Members and Trustees

NameTitle
Paul HiltzPresident/CEO/trustee
Jim MahonSenior Vice President
Kevin BeebeTrustee
Michael WynnTrustee
Scott LutgertTrustee
Kristin Mascotti Md Term 0224Trustee/CMO
Noble ArringtonCFO/assistant Treasurer
Erin RaneyChief Administrative Officer
Magali Palma Start 0224Chief Assistant Operations Officer
Jennifer Hart Start 0624Chief Culture Officer
Renee M Thigpen Term 0824Chief Hr Officer
Andrew CooperChief Information Officer
Gina Teegarden RnChief Nursing Executive
Ilia Echevarria RnChief Nursing Officer Nnh
Jonathan Kling RnChief Operating Officer System
Matthew StacellChief Performance Management Officer
Margaret Dimond Term 0423Former Chief Administrative Officer
Rick Wyles Term 0523Former Chief Financial Officer
Phillip Dutcher Term 0721Former Chief Operating Officer
Michael Riley Term 1120Former Chief Strategy Officer

Highest Paid Contractors

ContractorServicesLocationCompensation
Envera Health INCCollection Resource1001 HAXALL POINT 1B, Richmont, VA 23219$2,910,664
Sunny Day Maternal Fetal MedicineSunny Day Mfm Is Npg's Contracted Servic203 8TH AVE S, Naples, FL 34102$1,179,300
D And YPhysician Staffing ServicesPO BOX 635715, Cincinnati, OH 45263$956,390
Gulf To Bay Anesthesiology Assoc PaPhysician Staffing ServicesPO BOX 639425, Cincinnati, OH 45263$651,796
Virence Health TechnologiesSoftware And Support ServicesPO BOX 840952, Dallas, TX 75284-0952$465,557
Revenue and Support

Revenue Composition

Contributions and Grants
$34,524,936
Program Service Revenue
$100,286,497
Investment Income
$-93,054
Other Revenue
$-112,609
All Other Contributions
$34,524,936
Change in Net Assets
$-28,553,574

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
Yes
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Securities Publicly Traded8$680,294Fair Market Value (FMV)
Total Noncash Contributions8$680,294-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$139,666,453
Other Expenses$23,492,891
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$115,376,962$6,160,225-$121,537,187
Current Officers, Directors, Trustees, and Key Employees$7,424,458$343,430-$7,767,888
Fees for Services Other$6,268,924$1,185,919-$7,454,843
Payroll Taxes$5,317,964$281,661-$5,599,625
Occupancy$3,415,435$579,120-$3,994,555
Pension Plan Contributions$2,346,957$124,304-$2,471,261
Insurance$2,359,685--$2,359,685
Other Employee Benefits$2,149,741$110,174-$2,259,915
Depreciation Depletion$1,841,160$74,035-$1,915,195
Information Technology$1,072,718$56,767-$1,129,485
Office Expenses$846,741$269,931-$1,116,672
Advertising$171,449--$171,449
Travel$116,222$1,794-$118,016
Comp Disqual Persons$30,577--$30,577
Other Expenses$42,963$26,254-$26,254
Fees for Services Legal-$5,000-$5,000
Total Functional Expenses$153,941,299$9,218,045$0$163,159,344
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Vladimira KlingFmly Member/officerEmployeeNo$30,577
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Estimated Self Insurance Claims$5,257,516
Liability of Restricted Funds$1,399,332
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

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 11B

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 form 990 is reviewed by the nch healthcare system chief financial officer. The form 990 is then reviewed by outside counsel for the board. Prior to board approval, the form 990 is provided to all of the finance committee 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 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 greater than two-thirds 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 the nch healthcare system, inc. ("the system"). Compensation arrangements involving our ceo and senior leadership team are established by the system board of trustees compensation committee 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: http://www.nchmd.org/about-us/annual-reports. Documents available for request are available pursuant to the period of disclosure provided in section 6104(d).

Filing and Contact Details

Filer

Filer Name
Nchmd Inc
EIN
33-1075317
Phone
2396246338
Address
PO BOX 413029, NAPLES, FL 34101-3029
Doing Business As
Nch Physician Group

Signing Officer

Name
Noble Arrington
Title
CFO
Phone
2396244005
Signed
2025-08-08
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Paul Hiltz
Formed
2003
Legal Domicile
Fl
Voting Board Members
12
Independent Board Members
3
Employees
930
Volunteers
9

Preparer

Firm
Rsm US Llp
Address
30 SOUTH WACKER DR SUITE 3300, CHICAGO, IL 60606-3392
Preparer
Rebekuh Eley
Phone
3126343400
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Transfers from affiliates 69,347,855. Proscan nch imaging, inc. Investment gain 1,014,291.

Financial Statement Notes

PART X, LINE 2:

The system and all of its not-for-profit subsidiaries are exempt from federal income taxes on related income under section 501(a) of the internal revenue code (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 generally no longer subject to tax examinations in the major u.s. Taxing jurisdictions in which they operate for tax years prior to 2020.

Raw XML AppendixShowing 400 of 1,441 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
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IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0HELPING EVERYONE LIVE A LONGER, HAPPIER, AND HEALTHIER LIFE.OUR VISION IS TO BE A WORLD-CLASS LEADER OF EXCELLENCE INHEALTHCARE AND TO PROVIDE EXCELLENCE IN EVERY PATIENT EXPERIENCE.
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IRS990/Desc0CARDIOLOGY IS THE LARGEST SERVICE LINE OF THE NCH PHYSICIANS GROUP FOR 2024. THIS PROGRAM OFFERS SPECIALIZED SERVICES THAT FOCUS ON THE STUDY AND TREATMENT OF DISORDERS OF THE CARDIOVASCULAR SYSTEM, WHICH INCLUDE THE HEART, ARTERIES, AND VIENS. THESE PHYSICIANS USE A VARIETY OF TREATMENTS INCLUDING SURGERY, MEDICATION, LIFESTYLE CHANGES, WEIGHT LOSS RECOMMENDATIONS, DIET MANAGEMENT, THERAPIES, AND OTHER METHODS TO HELP OUR PATIENTS LIVE A HAPPIER, HEALTHIER LIFE. WITHIN THIS SERVICE LINE, NCHMD EMPLOYED 40 LICENSED INDEPENDENT PRACTITIONERS AND 75 FULL-TIME EQUIVALENT EMPLOYEES WHO PERFORMED 386,146 RELATIVE VALUE UNITS AND PROVIDED $581,070 OF CHARITY CARE.
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IRS990/Form990PartVIISectionAGrp/TitleTxt30FORMER CHIEF FINANCIAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt31FORMER CHIEF ADMINISTRATIVE OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt32FORMER CHIEF OPERATING OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt33FORMER CHIEF STRATEGY OFFICER
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