Civic Intelligence

Nchmd Inc.

990 • Fiscal year 2016 • EIN 33-1075317

Oct 01, 2015 to Sep 30, 2016 • Filed on Aug 10, 2017

PO Box 413029Naples, FL 34101-3029

(239) 624-6338

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

82nd percentile

0.74x

Higher debt load relative to assets than 82% of similar nonprofits.

2016 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2016

Liabilities / Revenue

31st percentile

0.21x

Higher debt load relative to revenue than 31% of similar nonprofits.

2016 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2016

Net Margin

8th percentile

-30%

Higher net margin than 8% of similar nonprofits.

2016 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2016

Top Officer Pay

98th percentile

$2,335,686

Higher top officer pay than 98% of similar nonprofits.

Top officer pay equals 3.2% of source-year revenue.

2016 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2016

Asset Growth

89th percentile

20%

Faster asset growth than 89% of similar nonprofits.

2016 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2015 to 2016

Revenue Growth

48th percentile

2.2%

Faster revenue growth than 48% of similar nonprofits.

2016 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2015 to 2016

Assets

Up

$20,703,752

Up $3,447,192 (+20%) from 2015

Net Assets

Up

$5,445,389

Up $2,549,400 (+88%) from 2015

Liabilities

Up

$15,258,363

Up $897,792 (+6.3%) from 2015

Revenue

Up

$72,757,958

Up $1,590,142 (+2.2%) from 2015

Expenses

Up

$94,680,451

Up $6,491,483 (+7.4%) from 2015

Net Income

Down

-$21,922,493

Down $4,901,341 (-29%) from 2015

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$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

2016

Assets$20,703,752
Liabilities$15,258,363
Net Assets$5,445,389

Operations Trend

Revenue, expenses, and net income across loaded years, with this 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

2016

Revenue$72,757,958
Expenses$94,680,451
Net Income-$21,922,493
Jump To
Filing Snapshot
Filing Period
Oct 1, 2015 to Sep 30, 2016
Signed
Aug 10, 2017
Return Version
2015v3.0
Gross Receipts
$72,838,674
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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$9,753,348$12,211,738▲ $2,458,390
Accounts Receivable$4,128,318$5,085,992▲ $957,674
Intangible Assets$1,923,865$1,923,865→ $0
Prepaid Expenses and Deferred Charges$569,713$745,990▲ $176,277
Inventories for Sale or Use$820,004$736,167▼ $83,837
Total Assets$17,256,560$20,703,752▲ $3,447,192
Other Assets Total$61,312--
Liabilities
Accounts Payable and Accrued Expenses$13,257,529$14,059,767▲ $802,238
Deferred Revenue$995,377$1,198,596▲ $203,219
Other Liabilities$107,665$0▼ $107,665
Total Liabilities$14,360,571$15,258,363▲ $897,792
Net Assets / Fund Balance
Unrestricted Net Assets$2,895,989$5,445,389▲ $2,549,400
Total Net Assets Fund Balance$2,895,989$5,445,389▲ $2,549,400
Total Liabilities and Net Assets / Fund Balance$17,256,560$20,703,752▲ $3,447,192

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$4,839,376$9,544,635$14,384,011
Buildings$5,407,993$925,333$6,333,326
Leasehold Improvements$1,904,151$3,194,985$5,099,136
Other Land Buildings$60,218-$60,218
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Howard Kapp MdPhysicianFT$1,712,422$623,264$2,335,686
Dennis Stapletonmdterm 1216PhysicianFT$1,034,786$54,452$1,089,238
Miguel G Madariaga MdPhysicianFT$566,972$381,288$948,260
Gary Bergen MdPhysicianFT$588,704$315,685$904,389
Carlo D Santos-ocampo MdPhysicianFT$718,867$149,210$868,077
Mazen Albeldawimdstart 0116Physician/trusteeFT$676,887$53,529$730,416
Damian McgovernmdPhysician/trustee Sec/treasFT$514,762$164,961$679,723
David Lamon MdPhysician/trusteeFT$510,404$116,830$627,234
Michael Flynnmdstart 0116Physician/trusteeFT$504,811$82,112$586,923
Bryan Murphey Mdstart 0116Physician/trustee ChairFT$419,228$60,162$479,390
Gary Swain MdPhysician/trustee Vice ChairFT$313,191$32,927$346,118
Karen HenrichsendoPhysician/trustee Past ChairFT$276,058$65,947$342,005
Zachary BostockCHF Administrative OfficerPT$157,089$79,001$236,090
Elizabeth MartinAssistant Secretary--$88,948$88,948
Rick Wyles - Start 1015Chief Financial Officer--$70,371$70,371
Gary Tomcik - Start 1115Chief Experience Officer--$26,467$26,467

Board Members and Trustees

NameTitle
Allen S Weiss Mdstart 0816Trustee/president/CEO
John Lewis Mdstart 0116Trustee
Mariann Macdonald Term 0416Trustee
Thomas J Gazdic Start 0816Trustee
Frank Astor Mdstart 0116Trustee/CHF Medical Officer
Michele Thoman Rnterm 416Trustee/CHF Nursing Officer
James K MartinChief Development Officer
Renee M ThigpenChief Hr Officer
Sarah Richardson - Term 216Chief Information Officer
Michael RileyChief Strategy Officer
Phillip DutcherCOO, Nch Healthcare System
Michael Stephens Term 0715Former Chief Financial Officer
Vicki D Orr Term 0513Former Chief Financial Officer
Kevin D CooperGnrl Counsel/CHF of Staff

Highest Paid Contractors

ContractorServicesLocationCompensation
Sheridan Radiology Mgmt Services INCRadiology ServicesPO BOX 452796, Sunrise, FL 33323-2197$966,124
Cerner CorporationIt Consulting Services & SupportPO BOX 959156, St Louis, MO 63195-9156$803,347
Bcbe Construction LLCConstruction Services3570 ENTERPRISE AVE SUITE 200, Naples, FL 34104$645,991
Ge Healthcare IitsIt Consulting Services & Support15724 COLLECTIONS CENTER DRIVE, Chicago, IL 60693$387,686
Medical Imaging Innovations LLCEquipment Support And Repair Services544 NW 7TH STREET, Boca Raton, FL 33487$233,113
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$72,592,000
Investment Income
$-47,708
Other Revenue
$213,666
Change in Net Assets
$-21,922,493
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$70,539,980
Other Expenses$24,140,471
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$57,550,463$2,858,963-$60,409,426
Current Officers, Directors, Trustees, and Key Employees$4,137,687$395,234-$4,532,921
Occupancy$3,257,186$597,301-$3,854,487
Fees for Services Other$2,932,812$474,143-$3,406,955
Payroll Taxes$2,773,889$145,380-$2,919,269
Other Expenses$2,389,013$216-$2,389,013
Depreciation Depletion$1,951,019$55,131-$2,006,150
Office Expenses$1,228,862$748,628-$1,977,490
Information Technology$1,287,510$67,478-$1,354,988
Other Employee Benefits$1,231,342$64,340-$1,295,682
Insurance$1,069,816$48,996-$1,118,812
Pension Plan Contributions$928,215$48,648-$976,863
Comp Disqual Persons$405,819--$405,819
Advertising$389,879--$389,879
Travel$139,663$922-$140,585
Fees for Services Legal$12,168--$12,168
All Other Expenses$3,510--$3,510
Total Functional Expenses$89,175,071$5,505,380$0$94,680,451
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
Rasai Ernst MdSpouse of TrusteeEmployed PhysicianNo$381,415
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 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 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 (executive 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 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 appropiate 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).

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
Rick Wyles
Title
Chief Financial Officer
Phone
2396244005
Signed
2017-08-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Rick Wyles
Formed
2003
Legal Domicile
Fl
Voting Board Members
11
Independent Board Members
2
Employees
664
Volunteers
4

Preparer

Firm
Rsm US Llp
Address
ONE SOUTH WACKER STE 800, CHICAGO, IL 60606
Preparer
Wayne Harder
Phone
3126343400
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 2

Endocrinology and graduate medical education

Form 990, Part III, Line 3

Physical therapy service line was moved and is now housed under nch hospital inc.

For 990, Part III, Line 4, Program Services

Nchmd, inc. ("nch physician group") provides outpatient healthcare services without regard to a patient's ability to pay. During 2016, nchmd, inc. Provided $2,086,597 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 $2,389,013 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 489 full-time equivalent employees, which include 127 licensed independent practitioners, comprise the outstanding medical team working together to provide these services in 2016.

Form 990, Part IX, Line 9, Other Employee Benefits

Benefit expenses contain a non-cash payment transfer from naples community hospital of $1,536,483.

FORM 990, PART XI, LINE 9:

Transfers from affiliates 24,471,893.

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 2012.

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IRS990/Form990PartVIISectionAGrp/TitleTxt14COO, NCH HEALTHCARE SYSTEM
IRS990/Form990PartVIISectionAGrp/TitleTxt15CHIEF FINANCIAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt16CHIEF STRATEGY OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt17CHIEF INFORMATION OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt18CHIEF HR OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt19ASSISTANT SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt20CHIEF DEVELOPMENT OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt21CHIEF EXPERIENCE OFFICER
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IRS990/Form990PartVIISectionAGrp/TitleTxt24PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt25PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt26PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt27PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt28FORMER CHIEF FINANCIAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt29FORMER CHIEF FINANCIAL OFFICER
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Document Assets

No mirrored PDF or thumbnail assets are attached yet.

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
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2016 filings • 501(c)3 • $50M-$100M nonprofits