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Nonprofiteer
← NCHMD INC

Form 990 for tax year 2023

Filed by NCHMD INC.

Totals

Total revenue
$134,605,770
Total expenses
$163,159,344
Contributions and grants received
$34,524,936
Grants paid
$0
Program service revenue
$100,286,497
Investment income
-$93,054
Other revenue
-$112,609
Total assets, end of year
$131,035,825
Total liabilities, end of year
$23,730,310
Net assets or fund balances, end of year
$107,305,515
Program services expenses (Part IX)
$153,941,299
Management and general expenses
$9,218,045
Fundraising expenses
$0
Program service expenses (Part III)
$153,941,299

Program services were 94.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1f · All other contributions, gifts and grants

    $34,524,936

  • 1g · Noncash contributions included above

    $680,294

  • 2a · Program service revenue: OFFICES OF PHYSICIANS

    total $100,286,497 · related or exempt $100,286,497

  • 6a · Gross rents

    real property $298,382

  • 6b · Less rental expenses

    real property $5,450

  • 6c · Rental income or loss

    real property $292,932

  • 6d · Net rental income or loss

    total $292,932 · excluded $292,932

  • 7a · Gross sales of assets other than inventory

    other assets $15,000

  • 7b · Less cost or other basis and sales expenses

    other assets $108,054

  • 7c · Gain or loss

    other assets -$93,054

  • 7d · Net gain or loss

    total -$93,054 · excluded -$93,054

  • 11a · Other revenue: OUTSOURCING MILLENNIUM

    total $462,903 · excluded $462,903

  • 11b · Other revenue: MEDICAL DIRECTORSHIP

    total $39,675 · related or exempt $39,675

  • 11c · Other revenue: LOSS INVESTMNT PROSCAN

    total -$908,119 · unrelated business -$908,119

  • 11e · Other revenue, total

    -$405,541

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $7,767,888 · program services $7,424,458 · management and general $343,430

  • 6 · Compensation of disqualified persons

    total $30,577 · program services $30,577

  • 7 · Other salaries and wages

    total $121,537,187 · program services $115,376,962 · management and general $6,160,225

  • 8 · Pension plan contributions

    total $2,471,261 · program services $2,346,957 · management and general $124,304

  • 9 · Other employee benefits

    total $2,259,915 · program services $2,149,741 · management and general $110,174

  • 10 · Payroll taxes

    total $5,599,625 · program services $5,317,964 · management and general $281,661

  • 11b · Fees: legal

    total $5,000 · management and general $5,000

  • 11g · Fees: other

    total $7,454,843 · program services $6,268,924 · management and general $1,185,919

  • 12 · Advertising and promotion

    total $171,449 · program services $171,449

  • 13 · Office expenses

    total $1,116,672 · program services $846,741 · management and general $269,931

  • 14 · Information technology

    total $1,129,485 · program services $1,072,718 · management and general $56,767

  • 16 · Occupancy

    total $3,994,555 · program services $3,415,435 · management and general $579,120

  • 17 · Travel

    total $118,016 · program services $116,222 · management and general $1,794

  • 22 · Depreciation, depletion and amortization

    total $1,915,195 · program services $1,841,160 · management and general $74,035

  • 23 · Insurance

    total $2,359,685 · program services $2,359,685

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $5,158,774 · program services $5,159,343 · management and general -$569

  • 24b · Other expenses: OTHER MISC EXPENSE

    total $42,963 · program services $42,963

  • 24c · Other expenses: BAD DEBT

    total $26,254 · management and general $26,254

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    end of year $3,063,676

  • 3 · Pledges and grants receivable

    beginning of year $54,123,618 · end of year $88,900,613

  • 4 · Accounts receivable

    beginning of year $6,494,879 · end of year $7,032,247

  • 8 · Inventories for sale or use

    beginning of year $1,153,260 · end of year $1,139,099

  • 9 · Prepaid expenses and deferred charges

    beginning of year $2,318,487 · end of year $2,199,474

  • 10a · Land, buildings and equipment: cost or other basis

    $39,580,985

  • 10b · Land, buildings and equipment: accumulated depreciation

    $22,836,964

  • 10c · Land, buildings and equipment, net

    beginning of year $16,792,764 · end of year $16,744,021

  • 13 · Investments: program-related

    beginning of year $4,423,289 · end of year $3,872,461

  • 14 · Intangible assets

    beginning of year $1,923,865 · end of year $1,972,872

  • 15 · Other assets

    beginning of year $6,947,707 · end of year $6,111,362

  • 17 · Accounts payable and accrued expenses

    beginning of year $18,332,097 · end of year $13,684,292

  • 19 · Deferred revenue

    beginning of year $2,858,796 · end of year $3,389,170

  • 25 · Other liabilities

    beginning of year $8,108,489 · end of year $6,656,848

  • 27 · Net assets without donor restrictions

    beginning of year $12,296,420 · end of year $19,804,233

  • 28 · Net assets with donor restrictions

    beginning of year $52,582,067 · end of year $87,501,282

Mission and programs · 2023

Mission

HELPING EVERYONE LIVE A LONGER, HAPPIER, AND HEALTHIER LIFE.

Activities or mission (Part I)

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.

  • CARDIOLOGY 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.

    Expenses $41,403,022 · Revenue $23,526,954

  • FAMILY PRACTICE IS THE SECOND LARGEST SERVICE LINE ACCOMPLISHMENT FOR NCH PHYSICIANS GROUP FOR 2024. THIS PROGRAM SERVICE OFFERS CARE TO THE WHOLE FAMILY, BY TREATING NOT ONLY ILLNESSES, BUT BY HELPING YOU FIND WAYS TO IMPROVE YOUR HEALTH AND PREVENT DISEASE. OUR FAMILY MEDICINE OFFICES PROVIDE COMPLETE CARE TO INFANTS, CHILDREN, ADOLESCENTS, ADULTS AND THE ELDERLY.WITHIN THIS SERVICE LINE, NCHMD EMPLOYED 36 LICENSED INDEPENDENT PRACTITIONERS AND 86 FULL-TIME EQUIVALENT EMPLOYEES WHO PERFORMED 170,213 RELATIVE VALUE UNITS AND PROVIDED $83,791 OF CHARITY CARE.

    Expenses $29,950,644 · Revenue $27,326,232

  • INTERNAL MEDICINE SERVICES WERE NCH PHYSICIAN GROUP'S THIRD LARGEST PROGRAM SERVICE IN 2024. THE NCH PHYSICIAN GROUP'S INTERNAL MEDICINE PHYSICIANS FOCUS ON ADULT MEDICINE BY EMPHASIZING PREVENTION AND TREATMENT OF ADULT DISEASES WITH STATE OF THE ART TECHNOLOGY IN A COMPASSIONATE ENVIRONMENT. THESE PHYSICIANS WORK CLOSELY WITH ALL OUR SPECIALISTS AS WELL AS OUR ANCILLARY TESTING DEPARTMENTS SUCH AS RADIOLOGY AND LABORATORY TO HELP SOLVE DIAGNOSTIC PROBLEMS.WITHIN THIS SERVICE LINE, NCHMD EMPLOYED 58 LICENSED INDEPENDENT PRACTITIONERS AND 29 FULL-TIME EQUIVALENT EMPLOYEES WHO PERFORMED 268,569 RELATIVE VALUE UNITS, PROVIDED $996,422 OF CHARITY CARE.

    Expenses $26,158,494 · Revenue $15,347,918

  • IN PROVIDING THE OTHER SERVICE PROGRAM SERVICE LINES, NCHMD EMPLOYED 71 LICENSED INDEPENDENT PRACTICIONERS AND 237 FTES WHO PERFORMED 454,095 RELATIVE VALUE UNITS AND PROVIDED $1,101,405 OF CHARITY CARE.SERVICE LINE EXPENSES REVENUE ORTHOPEDICS 15,070,621 9,993,250 PULMONARY 14,377,366 5,959,698 GASTROENTEROLOGY 10,172,164 5,079,902 GENERAL SURGERY 5,143,529 4,373,112 URGENT CARE 3,955,971 3,264,079 PEDIATRICS 1,897,517 1,419,027 PAIN MANAGEMENT 1,100,102 472,080 NEUROLOGY 1,019,264 711,663 GME 919,209 1,143,372 PSYCHIATRY 824,477 451,456 INFECTIOUS DISEASE 686,116 549,633 LAB AND RADIOLOGY 492,814 230,437 WOUND HEALING 392,113 536,690 PRO TIME 232,513 3,302 UROLOGY 54,158 2,212 RHEUMATOLOGY 43,891 -4,060 ENDOCRINOLOGY 26,902 3,504 POST ACUTE 10,999 722 NEUROSURGERY 8,793 -65,009 GERIATRICS 622 0

    Expenses $56,429,139 · Revenue $34,125,068

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Dinesh Sharma MD

    PHYSICIAN

    Total calculated
    $2,123,814
    From this org
    $2,084,846
    From related orgs
    $0
    Other
    $38,968
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,683,837
    Bonus
    $378,329
    Other
    $22,680
    Deferred
    $13,200
    Nontaxable benefits
    $25,768
    Filer's total
    $2,123,814
  • Paul Hiltz

    PRESIDENT/CEO/TRUSTEE

    Total calculated
    $2,192,972
    From this org
    $0
    From related orgs
    $2,156,805
    Other
    $36,167
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,056,981 related
    Bonus
    $0 + $911,722 related
    Other
    $0 + $188,102 related
    Deferred
    $0 + $13,200 related
    Nontaxable benefits
    $0 + $22,967 related
    Filer's total
    $0 + $2,192,972 related
  • David Linz MD

    PHYSICIAN/TRUSTEE

    Total calculated
    $1,122,120
    From this org
    $1,081,735
    From related orgs
    $0
    Other
    $40,385
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $899,539
    Bonus
    $159,534
    Other
    $22,662
    Deferred
    $13,200
    Nontaxable benefits
    $27,185
    Filer's total
    $1,122,120
  • Carlo Santos-Ocampo MD

    PHYSICIAN/OFFICER

    Total calculated
    $1,072,002
    From this org
    $1,036,481
    From related orgs
    $0
    Other
    $35,521
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $884,596
    Bonus
    $128,197
    Other
    $23,688
    Deferred
    $13,200
    Nontaxable benefits
    $22,321
    Filer's total
    $1,072,002
  • Bryan C Murphey MD

    PHYSICIAN/CHAIRMAN

    Total calculated
    $1,029,560
    From this org
    $991,694
    From related orgs
    $0
    Other
    $37,866
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $813,182
    Bonus
    $151,198
    Other
    $27,314
    Deferred
    $13,200
    Nontaxable benefits
    $24,666
    Filer's total
    $1,029,560
  • Kristin Mascotti MD Term 0224

    TRUSTEE/CMO

    Total calculated
    $922,726
    From this org
    $0
    From related orgs
    $890,788
    Other
    $31,938
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $717,818 related
    Bonus
    $0 + $145,655 related
    Other
    $0 + $27,315 related
    Deferred
    $0 + $13,200 related
    Nontaxable benefits
    $0 + $18,738 related
    Filer's total
    $0 + $922,726 related
  • Robert Grossman MD

    PHYSICIAN/TRUSTEE

    Total calculated
    $768,676
    From this org
    $747,520
    From related orgs
    $0
    Other
    $21,156
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $537,803
    Bonus
    $187,055
    Other
    $22,662
    Deferred
    $13,200
    Nontaxable benefits
    $7,956
    Filer's total
    $768,676
  • Emily Essert MD

    PHYSICIAN/TRUSTEE

    Total calculated
    $406,651
    From this org
    $370,902
    From related orgs
    $0
    Other
    $35,749
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $329,716
    Bonus
    $18,507
    Other
    $22,679
    Deferred
    $11,228
    Nontaxable benefits
    $24,521
    Filer's total
    $406,651
  • Rebecca Witherell MD

    PHYSICIAN/TRUSTEE

    Total calculated
    $397,898
    From this org
    $377,095
    From related orgs
    $0
    Other
    $20,803
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $312,686
    Bonus
    $41,747
    Other
    $22,662
    Deferred
    $13,200
    Nontaxable benefits
    $7,603
    Filer's total
    $397,898
  • Kevin Beebe

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.5 + 2 related
  • Scott Lutgert

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.5 + 2 related
  • Michael Wynn

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.5 + 2 related
  • Jonathan Kling RN

    CHIEF OPERATING OFFICER SYSTEM

    Total calculated
    $732,361
    From this org
    $0
    From related orgs
    $693,883
    Other
    $38,478
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $555,617 related
    Bonus
    $0 + $113,144 related
    Other
    $0 + $25,122 related
    Deferred
    $0 + $13,200 related
    Nontaxable benefits
    $0 + $25,278 related
    Filer's total
    $0 + $732,361 related
  • Carlos B Quintero MD

    CHIEF QUALITY OFFICER

    Total calculated
    $678,005
    From this org
    $636,644
    From related orgs
    $0
    Other
    $41,361
    Hours/week
    41 + 4 related

    Schedule J breakdown matched by us

    Base
    $527,573
    Bonus
    $84,970
    Other
    $24,101
    Deferred
    $13,200
    Nontaxable benefits
    $28,161
    Filer's total
    $678,005
  • Jim Mahon

    SENIOR VICE PRESIDENT

    Total calculated
    $654,072
    From this org
    $0
    From related orgs
    $640,135
    Other
    $13,937
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $445,789 related
    Bonus
    $0 + $90,090 related
    Other
    $0 + $104,256 related
    Deferred
    $0 + $13,200 related
    Nontaxable benefits
    $0 + $737 related
    Filer's total
    $0 + $654,072 related
  • Renee M Thigpen Term 0824

    CHIEF HR OFFICER

    Total calculated
    $572,622
    From this org
    $0
    From related orgs
    $538,268
    Other
    $34,354
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $375,297 related
    Bonus
    $0 + $77,340 related
    Other
    $0 + $85,631 related
    Deferred
    $0 + $13,200 related
    Nontaxable benefits
    $0 + $21,154 related
    Filer's total
    $0 + $572,622 related
  • Noble Arrington

    CFO/ASSISTANT TREASURER

    Total calculated
    $489,395
    From this org
    $0
    From related orgs
    $429,341
    Other
    $60,054
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $403,050 related
    Bonus
    $0
    Other
    $0 + $26,291 related
    Deferred
    $0 + $33,472 related
    Nontaxable benefits
    $0 + $26,582 related
    Filer's total
    $0 + $489,395 related
  • Andrew Cooper

    CHIEF INFORMATION OFFICER

    Total calculated
    $425,651
    From this org
    $0
    From related orgs
    $373,336
    Other
    $52,315
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $330,718 related
    Bonus
    $0 + $19,443 related
    Other
    $0 + $23,175 related
    Deferred
    $0 + $33,420 related
    Nontaxable benefits
    $0 + $18,895 related
    Filer's total
    $0 + $425,651 related
  • Gina Teegarden RN

    CHIEF NURSING EXECUTIVE

    Total calculated
    $424,170
    From this org
    $0
    From related orgs
    $375,123
    Other
    $49,047
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $302,459 related
    Bonus
    $0 + $48,616 related
    Other
    $0 + $24,048 related
    Deferred
    $0 + $38,947 related
    Nontaxable benefits
    $0 + $10,100 related
    Filer's total
    $0 + $424,170 related
  • Matthew Stacell

    CHIEF PERFORMANCE MANAGEMENT OFFICER

    Total calculated
    $342,891
    From this org
    $0
    From related orgs
    $292,790
    Other
    $50,101
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $254,297 related
    Bonus
    $0 + $15,145 related
    Other
    $0 + $23,348 related
    Deferred
    $0 + $23,822 related
    Nontaxable benefits
    $0 + $26,279 related
    Filer's total
    $0 + $342,891 related
  • Erin Raney

    CHIEF ADMINISTRATIVE OFFICER

    Total calculated
    $300,207
    From this org
    $0
    From related orgs
    $254,142
    Other
    $46,065
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $231,462 related
    Bonus
    $0
    Other
    $0 + $22,680 related
    Deferred
    $0 + $20,382 related
    Nontaxable benefits
    $0 + $25,683 related
    Filer's total
    $0 + $300,207 related
  • Ilia Echevarria RN

    CHIEF NURSING OFFICER NNH

    Total calculated
    $290,830
    From this org
    $0
    From related orgs
    $266,751
    Other
    $24,079
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $242,560 related
    Bonus
    $0 + $1,421 related
    Other
    $0 + $22,770 related
    Deferred
    $0 + $10,756 related
    Nontaxable benefits
    $0 + $13,323 related
    Filer's total
    $0 + $290,830 related
  • Magali Palma Start 0224

    CHIEF ASSISTANT OPERATIONS OFFICER

    Total calculated
    $237,391
    From this org
    $0
    From related orgs
    $207,581
    Other
    $29,810
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $206,690 related
    Bonus
    $0 + $711 related
    Other
    $0 + $180 related
    Deferred
    $0 + $4,504 related
    Nontaxable benefits
    $0 + $25,306 related
    Filer's total
    $0 + $237,391 related
  • Jennifer Hart Start 0624

    CHIEF CULTURE OFFICER

    Total calculated
    $183,111
    From this org
    $0
    From related orgs
    $151,320
    Other
    $31,791
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $151,050 related
    Bonus
    $0
    Other
    $0 + $270 related
    Deferred
    $0 + $5,899 related
    Nontaxable benefits
    $0 + $25,892 related
    Filer's total
    $0 + $183,111 related
  • Mara Hammond Start 1023

    CHIEF IMPACT OFFICER

    Total calculated
    $105,591
    From this org
    $0
    From related orgs
    $102,127
    Other
    $3,464
    Hours/week
    1 + 44 related
  • Howard Kapp MD

    PHYSICIAN

    Total calculated
    $2,564,183
    From this org
    $2,534,713
    From related orgs
    $0
    Other
    $29,470
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $2,216,342
    Bonus
    $293,585
    Other
    $24,786
    Deferred
    $13,200
    Nontaxable benefits
    $16,270
    Filer's total
    $2,564,183
  • Jon S Dounchis MD

    PHYSICIAN

    Total calculated
    $2,049,988
    From this org
    $2,009,786
    From related orgs
    $0
    Other
    $40,202
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,760,988
    Bonus
    $225,538
    Other
    $23,260
    Deferred
    $13,200
    Nontaxable benefits
    $27,002
    Filer's total
    $2,049,988
  • David R Axline MD

    PHYSICIAN

    Total calculated
    $1,381,007
    From this org
    $1,341,829
    From related orgs
    $0
    Other
    $39,178
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,192,181
    Bonus
    $125,960
    Other
    $23,688
    Deferred
    $13,200
    Nontaxable benefits
    $25,978
    Filer's total
    $1,381,007
  • Edison Valle Giler MD

    PHYSICIAN

    Total calculated
    $1,246,212
    From this org
    $1,214,266
    From related orgs
    $0
    Other
    $31,946
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $871,515
    Bonus
    $325,513
    Other
    $17,238
    Deferred
    $13,200
    Nontaxable benefits
    $18,746
    Filer's total
    $1,246,212
  • Roberto Cubeddu MD

    PHYSCIAN

    Total calculated
    $1,977,188
    From this org
    $1,938,904
    From related orgs
    $0
    Other
    $38,284
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,615,995
    Bonus
    $300,000
    Other
    $22,909
    Deferred
    $13,200
    Nontaxable benefits
    $25,084
    Filer's total
    $1,977,188
  • Rick Wyles Term 0523

    FORMER CHIEF FINANCIAL OFFICER

    Total calculated
    $825,215
    From this org
    $0
    From related orgs
    $793,225
    Other
    $31,990
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $236,350 related
    Bonus
    $0 + $116,346 related
    Other
    $0 + $440,529 related
    Deferred
    $0 + $13,842 related
    Nontaxable benefits
    $0 + $18,148 related
    Filer's total
    $0 + $825,215 related
  • Margaret Dimond Term 0423

    FORMER CHIEF ADMINISTRATIVE OFFICER

    Total calculated
    $417,317
    From this org
    $0
    From related orgs
    $400,663
    Other
    $16,654
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $184,209 related
    Bonus
    $0 + $115,713 related
    Other
    $0 + $100,741 related
    Deferred
    $0 + $12,286 related
    Nontaxable benefits
    $0 + $4,368 related
    Filer's total
    $0 + $417,317 related
  • Phillip Dutcher Term 0721

    FORMER CHIEF OPERATING OFFICER

    Total calculated
    $345,127
    From this org
    $0
    From related orgs
    $344,359
    Other
    $768
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $7,912 related
    Bonus
    $0
    Other
    $0 + $336,447 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $768 related
    Filer's total
    $0 + $345,127 related
  • Michael Riley Term 1120

    FORMER CHIEF STRATEGY OFFICER

    Total calculated
    $141,564
    From this org
    $0
    From related orgs
    $141,564
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $141,564 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $141,564 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINES 4A-B
PART I, LINE 4A: CHIEF FINANCIAL OFFICER RESIGNED 05/23 AND RECEIVED A SEVERANCE PAYMENT OF $330,890 FOR CALENDAR YEAR 2023. PART I, LINE 4B: THE FOLLOWING EXECUTIVES PARTICIPATED IN A 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: PAUL HILTZ PRESIDENT AND CEO JONATHAN KLING CHIEF OPERATING OFFICER JENNIFER HART CHIEF CULTURE OFFICER CARLOS QUINTERO, M.D. CHIEF QUALITY OFFICER GINA TEEGARDEN, R.N. CHIEF NURSING EXECUTIVE ANDREW COOPER CHIEF INFORMATION OFFICER MATTHEW STACELL CHIEF PERFORMANCE MANAGEMENT OFFICER NOBLE ARRINGTON CHIEF FINANCIAL OFFICER ERIN RANEY CHIEF ADMINISTRATIVE OFFICER MAGALI PALMA CHIEF ASSISTANT OPERATIONS OFFICER DT MARA HAMMOND CHIEF IMPACT OFFICER ILIA ECHEVARRIA CHIEF NURSING OFFICER NNH KRISTIN MASCOTTI, M.D. FORMER CHIEF MEDICAL OFFICER RENEE M. THIGPEN FORMER CHIEF HUMAN RESOURCES OFFICER JIM MAHON SENIOR VICE PRESIDENT THE FOLLOWING EXECUTIVES RECEIVED A DISTRIBUTION FROM THE 457 (F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN IN CALENDAR YEAR 2023: PAUL HILTZ PRESIDENT AND CEO $ 158,079 RICK WYLES FORMER CHIEF FINANCIAL OFFICER $ 86,428 JIM MAHON SENIOR VICE PRESIDENT $ 66,924 RENEE M. THIGPEN CHIEF HR OFFICER $ 57,452 MARGARET DIMOND FORMER CHIEF ADMINISTRATIVE OFFICER $ 90,254
PART I, LINE 7
PROVISIONS OF NON-FIXED PAYMENTS THIS ORGANIZATION IS AN AFFILIATE OF NCH HEALTHCARE SYSTEM, INC. ("THE SYSTEM"). THE SYSTEM MAY PROVIDE DISCRETIONARY BONUS AND/OR INCENTIVE COMPENSATION PAYMENTS TO ELIGIBLE EMPLOYEES. COMPENSATION PAYMENTS FOR ALL EMPLOYEES EXCLUDING THE CEO AND SENIOR LEADERSHIP TEAM IS DETERMINED BY THE SYSTEM BOARD OF TRUSTEES HUMAN RESOURCES COMMITTEE AND/OR CEO. COMPENSATION PAYMENTS MADE TO ANY DISQUALIFIED PERSON IS APPROVED BY THE SYSTEM THROUGH THE PROCESS DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 15.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • PROSCAN NCH IMAGING LLC

    UNRELATED · RADIOLOGY SERVICES · DE · 51% owned · share of income $94,748 · share of assets $1,098,448 · general or managing partner

    Directly controlled by NCHMD INC

  • NCH- VH JOINT VENTURE LLC

    SURGICAL SERVICES · KS

  • NCH NH BONITA JV LLC

    SURGICAL SERVICES · FL

  • NCH BONITA AMBULATORY SURGERY CENTER LLC

    SURGICAL SERVICES · FL

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • HEALTH RESOURCES CORPORATION

    C · HOLDING COMPANY · FL · controlled entity

    Directly controlled by NCH SYSTEM

  • AMBULATORY SURGICAL CARE CENTER INC

    C · OUTPATIENT SURGERY · FL · controlled entity

    Directly controlled by HEALTH RESOURCES CORPORATION

  • COMMUNITY HOME CARE INC

    C · HOME HEALTH · FL · controlled entity

    Directly controlled by HEALTH RESOURCES CORPORATION

  • COMMUNITY IMAGING INC

    C · RADIOLOGY LAB · FL · controlled entity

    Directly controlled by HEALTH RESOURCES CORPORATION

  • GREATER COLLIER INSURANCE LTD

    C · INSURANCE · CJ

Provenance

Return type
form_990
Tax year
2023
Filed
8 August 2025
IRS schema version
2023v6.0
Source object
202512239349301141

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