Civic Intelligence

Nchmd Inc.

990 • Fiscal year 2019 • EIN 33-1075317

Oct 01, 2018 to Sep 30, 2019 • Filed on Aug 05, 2020

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

64th percentile

0.44x

Higher debt load relative to assets than 64% of similar nonprofits.

2019 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2019

Liabilities / Revenue

23rd percentile

0.17x

Higher debt load relative to revenue than 23% of similar nonprofits.

2019 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2019

Net Margin

6th percentile

-33%

Higher net margin than 6% of similar nonprofits.

2019 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2019

Top Officer Pay

94th percentile

$2,325,629

Higher top officer pay than 94% of similar nonprofits.

Top officer pay equals 2.1% of source-year revenue.

2019 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2019

Asset Growth

81st percentile

16%

Faster asset growth than 81% of similar nonprofits.

2019 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2018 to 2019

Revenue Growth

42nd percentile

2.0%

Faster revenue growth than 42% of similar nonprofits.

2019 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2018 to 2019

Assets

Up

$44,445,588

Up $6,256,055 (+16%) from 2018

Net Assets

Up

$24,966,208

Up $6,388,183 (+34%) from 2018

Liabilities

Down

$19,479,380

Down $132,128 (-0.7%) from 2018

Revenue

Up

$112,964,796

Up $2,253,230 (+2.0%) from 2018

Expenses

Up

$150,036,190

Up $15,067,662 (+11%) from 2018

Net Income

Down

-$37,071,394

Down $12,814,432 (-53%) from 2018

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

2019

Assets$44,445,588
Liabilities$19,479,380
Net Assets$24,966,208

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

2019

Revenue$112,964,796
Expenses$150,036,190
Net Income-$37,071,394
Jump To
Filing Snapshot
Filing Period
Oct 1, 2018 to Sep 30, 2019
Signed
Aug 5, 2020
Return Version
2018v3.2
Gross Receipts
$112,975,907
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
Land, Buildings, and Equipment, Net$23,987,350$26,301,946▲ $2,314,596
Accounts Receivable$8,611,130$12,370,760▲ $3,759,630
Intangible Assets$4,106,974$4,120,788▲ $13,814
Inventories for Sale or Use$855,527$1,103,333▲ $247,806
Prepaid Expenses and Deferred Charges$628,552$548,761▼ $79,791
Total Assets$38,189,533$44,445,588▲ $6,256,055
Liabilities
Accounts Payable and Accrued Expenses$18,247,286$17,805,323▼ $441,963
Deferred Revenue$1,364,222$1,674,057▲ $309,835
Total Liabilities$19,611,508$19,479,380▼ $132,128
Net Assets / Fund Balance
Unrestricted Net Assets$18,578,025$24,966,208▲ $6,388,183
Total Net Assets Fund Balance$18,578,025$24,966,208▲ $6,388,183
Total Liabilities and Net Assets / Fund Balance$38,189,533$44,445,588▲ $6,256,055

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$10,779,997$15,962,915$26,742,912
Buildings$7,258,952$2,158,934$9,417,886
Leasehold Improvements$3,633,980$4,273,607$7,907,587
Land$2,559,424-$2,559,424
Other Land Buildings$2,069,593-$2,069,593
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Howard Kapp MdPhysicianFT$1,949,617$376,012$2,325,629
Jon Dounchis MdPhysicianFT$1,365,556$351,193$1,716,749
Brian Solomon MdPhysicianFT$714,018$564,608$1,278,626
Dinesh Sharma MdPhysicianFT$821,933$317,524$1,139,457
Mazen Albeldawi MdPhysician/trusteeFT$856,067$170,680$1,026,747
Damian M Mcgovern MdPhysician/secr/treasurerFT$761,234$245,604$1,006,838
Rajeev Prabakaran MdPhysicianFT$700,815$252,503$953,318
David Axline MdPhysician/former TrusteeFT$761,868$79,369$841,237
David Lamon MdPhysician/trusteeFT$633,573$50,869$684,442
Michael S Flynn MdPhysician/trusteeFT$477,617$147,643$625,260
Bryan Murphey MdPhysician/chairmanFT$461,609$110,533$572,142
Marc D Colton MdPhysician/trusteeFT$406,449$44,383$450,832
Sharla PattersonmdPhysician/trusteeFT$343,106$50,152$393,258
Emily Essert MdPhysician/trusteeFT$280,780$110,629$391,409
Gary Swain MdPhysician/vice ChairmanFT$296,865$81,168$378,033
Elizabeth MartinAssistant Secretary--$83,164$83,164

Board Members and Trustees

NameTitle
Phillip DutcherCOO/interim President/CEO/trustee
Allen S Weiss Md Term 0119Trustee/president/CEO
John Lewis MdTrustee
Thomas J GazdicTrustee
Frank Astor MdTrustee/chief Medical Officer
Zachary BostockChief Administrative Officer
Linda Roeback Start 0119Chief Counsel
Gary TomcikChief Experience Officer
Rick WylesChief Financial Officer
Renee M ThigpenChief Human Resource Officer
Kevin D Cooper Md Term 0119Chief of Staff
Michael RileyChief Strategy Officer
Jonathan Kling RnCNO, Nch Healthcare System
James K Martin Term 517Former Chief Development Officer

Highest Paid Contractors

ContractorServicesLocationCompensation
Sheridan Radiology MgmtRadiology ServicesPO BOX 452796, Sunrise, FL 33323-2197$2,897,125
Brooks & Freund LLCConstruction Services5661 INDEPENDENCE CIR STE 1, Fort Myers, FL 33912$2,228,475
Advanced Imaging SystemsRadiology Services3200 NW 27TH AVE STE 100, Pompano Beach, FL 33069$1,213,427
Locumstenens Com LLCPhysician Staffing ServicesPO BOX 405547, Atlanta, GA 30384-5547$659,217
Waltbillig & Hood General Contractors LConstruction Services1004 COLLIER CENTER WAY STE 100, Naples, FL 34110$568,937
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$112,969,917
Investment Income
$-5,121
Other Revenue
$0
Change in Net Assets
$-37,071,394
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$118,657,546
Other Expenses$31,378,644
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$97,698,615$3,868,826-$101,567,441
Current Officers, Directors, Trustees, and Key Employees$6,527,467$467,122-$6,994,589
Fees for Services Other$3,879,770$1,680,244-$5,560,014
Occupancy$4,906,720$428,695-$5,335,415
Payroll Taxes$4,565,994$189,259-$4,755,253
Office Expenses$2,541,887$1,378,453-$3,920,340
Depreciation Depletion$3,732,181$63,924-$3,796,105
Other Employee Benefits$2,699,994$111,914-$2,811,908
Pension Plan Contributions$1,989,106$82,448-$2,071,554
Insurance$1,102,875$34,992-$1,137,867
Information Technology$755,475$31,315-$786,790
Comp Disqual Persons$456,801--$456,801
Advertising$255,658$48,378-$304,036
Travel$150,884$1,237-$152,121
Other Expenses$0$3,564-$3,564
Total Functional Expenses$141,644,060$8,392,130$0$150,036,190
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 MdFmly Member/trusteeEmployed PhysicianNo$310,922
Vladimira KlingFmly Member/officerEmployeeNo$113,203
Alyssa J SchlotmannFmly Member/officerEmployeeNo$32,676
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
Yes
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 4

Bylaws amended and restated nch healthcare system, inc. Amended and restated its bylaws in fiscal year 2019. Article ii board of trustees 2.2.1 number, election and tenure were revised to include "no trustee may serve as chair of the board for more than six years, nor may any trustee serve in any other office position (e.g., vice chair, treasurer or secretary) for more than three years. Nothing in this section is intended to prohibit a trustee from serving in different officer positions during consecutive terms". 2.6 quorum revised from eight to "a majority of the voting members of the board of trustees shall be necessary to constitute a quorom for the transactions of business at meetings of the board. Trustees may not appoint proxies to act for them".

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 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 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
Rick Wyles
Title
Chief Financial Officer
Phone
2396246338
Signed
2020-08-05
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Rick Wyles
Formed
2003
Legal Domicile
Fl
Voting Board Members
10
Independent Board Members
2
Employees
878
Volunteers
8

Preparer

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

Additional Explanations

FORM 990, PART XI, LINE 9:

Transfers from affiliates 43,459,577.

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 2015.

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IRS990/Form990PartVIISectionAGrp/PersonNm28DAVID AXLINE MD
IRS990/Form990PartVIISectionAGrp/PersonNm29JAMES K MARTIN TERM 517
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IRS990/Form990PartVIISectionAGrp/TitleTxt4PHYSICIAN/TRUSTEE
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IRS990/Form990PartVIISectionAGrp/TitleTxt9TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt10TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt11TRUSTEE/PRESIDENT/CEO
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IRS990/Form990PartVIISectionAGrp/TitleTxt14CHIEF OF STAFF
IRS990/Form990PartVIISectionAGrp/TitleTxt15CNO, NCH HEALTHCARE SYSTEM
IRS990/Form990PartVIISectionAGrp/TitleTxt16CHIEF FINANCIAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt17CHIEF STRATEGY OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt18CHIEF HUMAN RESOURCE OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt19ASSISTANT SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt20CHIEF EXPERIENCE OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt21CHIEF ADMINISTRATIVE OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt22CHIEF COUNSEL
IRS990/Form990PartVIISectionAGrp/TitleTxt23PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt24PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt25PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt26PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt27PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt28PHYSICIAN/FORMER TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt29FORMER CHIEF DEVELOPMENT OFFICER
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Document Assets

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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
2019Detailed filing. Detailed filing data is available for this year.$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. 2019 filings • 501(c)3 • $100M-$250M nonprofits