Civic Intelligence

Nchmd Inc.

990 • Fiscal year 2021 • EIN 33-1075317

Oct 01, 2020 to Sep 30, 2021 • Filed on Aug 03, 2022

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

80th percentile

0.70x

Higher debt load relative to assets than 80% of similar nonprofits.

2021 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2021

Liabilities / Revenue

32nd percentile

0.24x

Higher debt load relative to revenue than 32% of similar nonprofits.

2021 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2021

Net Margin

5th percentile

-31%

Higher net margin than 5% of similar nonprofits.

2021 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2021

Top Officer Pay

93rd percentile

$2,092,355

Higher top officer pay than 93% of similar nonprofits.

Top officer pay equals 1.6% of source-year revenue.

2021 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2021

Asset Growth

28th percentile

4.6%

Faster asset growth than 28% of similar nonprofits.

2021 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2020 to 2021

Revenue Growth

54th percentile

13%

Faster revenue growth than 54% of similar nonprofits.

2021 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2020 to 2021

Assets

Up

$43,477,542

Up $1,927,236 (+4.6%) from 2020

Net Assets

Up

$13,097,137

Up $5,334,286 (+69%) from 2020

Liabilities

Down

$30,380,405

Down $3,407,050 (-10%) from 2020

Revenue

Up

$127,733,197

Up $14,422,571 (+13%) from 2020

Expenses

Up

$166,755,162

Up $13,856,624 (+9.1%) from 2020

Net Income

Up

-$39,021,965

Up $565,947 (+1.4%) from 2020

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

2021

Assets$43,477,542
Liabilities$30,380,405
Net Assets$13,097,137

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

2021

Revenue$127,733,197
Expenses$166,755,162
Net Income-$39,021,965
Jump To
Filing Snapshot
Filing Period
Oct 1, 2020 to Sep 30, 2021
Signed
Aug 3, 2022
Return Version
2020v4.2
Gross Receipts
$128,210,319
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$27,221,399$19,916,484▼ $7,304,915
Accounts Receivable$8,392,908$9,808,361▲ $1,415,453
Investments Program Related-$7,818,678-
Prepaid Expenses and Deferred Charges$426,960$2,460,255▲ $2,033,295
Intangible Assets$4,054,785$1,940,365▼ $2,114,420
Inventories for Sale or Use$1,454,254$1,533,399▲ $79,145
Cash and Non-Interest-Bearing Accounts$0--
Total Assets$41,550,306$43,477,542▲ $1,927,236
Liabilities
Accounts Payable and Accrued Expenses$17,365,492$21,596,564▲ $4,231,072
Other Liabilities$11,142,849$6,851,864▼ $4,290,985
Deferred Revenue$5,279,114$1,931,977▼ $3,347,137
Total Liabilities$33,787,455$30,380,405▼ $3,407,050
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$7,762,851$13,097,137▲ $5,334,286
Total Net Assets Fund Balance$7,762,851$13,097,137▲ $5,334,286
Total Liabilities and Net Assets / Fund Balance$41,550,306$43,477,542▲ $1,927,236

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$4,288,372$10,169,874$14,458,246
Buildings$9,877,233$3,320,317$13,197,550
Leasehold Improvements$2,687,321$5,240,347$7,927,668
Land$2,559,424-$2,559,424
Other Land Buildings$504,134-$504,134
Investment Program Related Org$7,818,678--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Howard Kapp MdPhysicianFT$1,941,684$150,671$2,092,355
Jon Dounchis MdPhysicianFT$1,601,587$201,961$1,803,548
Dinesh Sharma MdPhysicianFT$1,375,735$402,685$1,778,420
David Axline MdPhysicianFT$952,531$198,194$1,150,725
Larry Leslie MdPhysicianFT$931,157$206,454$1,137,611
Mazen Albeldawi MdPhysician/trusteeFT$787,365$56,530$843,895
Bryan Murphey MdPhysician/chairmanFT$676,051$129,509$805,560
Michael S Flynn MdPhysician/trusteeFT$630,504$134,906$765,410
Marc D Colton Md Term 821Physician/trusteeFT$600,001$56,632$656,633
David Linz Md Start 1120Physician/trusteeFT$430,307$106,309$536,616
Sharla Patterson MdPhysician/trusteeFT$431,585$80,445$512,030
Emily Essert MdPhysician/trusteeFT$353,735$110,168$463,903

Board Members and Trustees

NameTitle
Allen S Weissmd Term 119Former President/CEO/trustee
Paul HiltzPresident/CEO/trustee
Jim MahonSenior Vice President
Frank Astor Md Term 1119Former Trustee/CMO
Kevin BeebeTrustee
Michael WynnTrustee
Scott LutgertTrustee
Pamela Zipperer-davis Trm 0321Trustee/chief Admin. Officer
Kristin Mascotti MdTrustee/CMO
Rick WylesChief Financial Officer
Renee M ThigpenChief Hr Officer
Jonathan Kling Rn Strt 0721Chief Operating Officer System
Phillip Dutcher Term 0721Chief Operating Officer System
Michael Riley Term 1120Chief Strategy Officer
Zackary Bostock Term 320Former Chief Admin Officer
Linda Roeback Term 520Former Chief Counsel
Gary Tomcik Term 420Former Chief Experience Officer
Kevin D Cooper Term 119Former Chief of Staff
Gina Teegarden Rn St 0721Interim Chief Nursing Officer

Highest Paid Contractors

ContractorServicesLocationCompensation
Neurointerventional Associates PaPhysician Staffing Services335 31ST STREET SOUTH, St Petersburg, FL 33712$1,599,996
Surety ConstructionCommercial Construction6640 WILLOW PARK DRIVE SUITE B, Naples, FL 34109$1,305,677
Cerner CorporationIt Software & Consulting ServicesPO BOX 959156, St Louis, MO 63195-9156$1,091,571
Locum-tenens Com LLCPhysician Staffing ServicesPO BOX 405547, Atlanta, GA 30384-5547$1,006,412
Nfv Healthcare GroupPhysician Staffing ServicesPO BOX 1118, Fort Myers, FL 33902$710,866
Revenue and Support

Revenue Composition

Contributions and Grants
$3,354,173
Program Service Revenue
$124,724,841
Investment Income
$-471,592
Other Revenue
$125,775
Change in Net Assets
$-39,021,965
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$133,594,557
Other Expenses$33,160,605
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$110,943,012$4,656,341-$115,599,353
Occupancy$5,093,660$519,658-$5,613,318
Current Officers, Directors, Trustees, and Key Employees$4,902,972$593,259-$5,496,231
Payroll Taxes$5,213,803$246,820-$5,460,623
Fees for Services Other$3,333,810$1,166,697-$4,500,507
Other Employee Benefits$3,676,094$172,593-$3,848,687
Depreciation Depletion$3,725,694$87,374-$3,813,068
Office Expenses$2,170,164$1,144,403-$3,314,567
Pension Plan Contributions$2,483,486$117,568-$2,601,054
Information Technology$1,768,960$83,742-$1,852,702
Insurance$1,713,425$34,479-$1,747,904
Comp Disqual Persons$333,618$254,991-$588,609
Travel$46,028$988-$47,016
Advertising$46,351--$46,351
Other Expenses$12,211,680$8,283-$8,283
All Other Expenses$2,400--$2,400
Total Functional Expenses$157,665,157$9,090,005$0$166,755,162
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$208,826
Alyssa J CenziFmly Member/officerEmployeeNo$73,903
Vladimira KlingFmly Member/officerEmployeeNo$23,330
Tiffany WynnFmly Member/trusteeEmployeeNo$18,826
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Medicare Advanced Payment$6,851,864
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).

Form 990, Part VIII, Line 1E

Phssef funds of the public health and social services emergency fund (the phssef) payments, $3,354,173 qualified as reimbusement for lost operating margin and incremental expenses and was recognized as other revenue in the consolidated statements of operations.

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
2022-08-03
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Paul Hiltz
Formed
2003
Legal Domicile
Fl
Voting Board Members
11
Independent Board Members
3
Employees
1,058
Volunteers
3

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 46,404,671. Goodwill impairment -2,048,420.

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 2017.

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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/Form990PartVIISectionAGrp/PersonNm26GARY TOMCIK TERM 420
IRS990/Form990PartVIISectionAGrp/PersonNm27GINA TEEGARDEN RN ST 0721
IRS990/Form990PartVIISectionAGrp/PersonNm28KEVIN BEEBE
IRS990/Form990PartVIISectionAGrp/PersonNm29SCOTT LUTGERT
IRS990/Form990PartVIISectionAGrp/PersonNm30MICHAEL WYNN
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IRS990/Form990PartVIISectionAGrp/TitleTxt0PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt1PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt2PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt3PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt4PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt5PRESIDENT/CEO/TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt6FORMER PRESIDENT/CEO/TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt7PHYSICIAN/TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt8PHYSICIAN/CHAIRMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt9PHYSICIAN/TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt10CHIEF OPERATING OFFICER SYSTEM
IRS990/Form990PartVIISectionAGrp/TitleTxt11PHYSICIAN/TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt12CHIEF FINANCIAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt13FORMER CHIEF OF STAFF
IRS990/Form990PartVIISectionAGrp/TitleTxt14PHYSICIAN/TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt15PHYSICIAN/TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt16FORMER TRUSTEE/CMO
IRS990/Form990PartVIISectionAGrp/TitleTxt17CHIEF OPERATING OFFICER SYSTEM
IRS990/Form990PartVIISectionAGrp/TitleTxt18FORMER CHIEF ADMIN OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt19PHYSICIAN/TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt20TRUSTEE/CMO
IRS990/Form990PartVIISectionAGrp/TitleTxt21FORMER CHIEF COUNSEL
IRS990/Form990PartVIISectionAGrp/TitleTxt22SENIOR VICE PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt23CHIEF HR OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt24CHIEF STRATEGY OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt25TRUSTEE/CHIEF ADMIN. OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt26FORMER CHIEF EXPERIENCE OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt27INTERIM CHIEF NURSING OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt28TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt29TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt30TRUSTEE
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/Form990TFiledInd01
IRS990/FormationYr02003
IRS990/FormerOfcrEmployeesListedInd01
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IRS990/FSAuditedInd01
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IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
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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
2021Detailed filing. Detailed filing data is available for this year.$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. 2021 filings • 501(c)3 • $100M-$250M nonprofits