2019-08-14T14:52:16-05:00 2018-09-30 420714325 RSM US LLP ONE SOUTH WACKER STE 800 CHICAGO IL 60606 990 2017-10-01 331075317 NCHMD INC NCHM 2396246338 PO BOX 413029 NAPLES FL 341013029 RICK WYLES CHIEF FINANCIAL OFFICER 2396244005 2019-08-13 1 REBEKUH ELEY P01247672 3126343400 66.98.98.129 2019-08-13 14:53:52 CD P F821929016DC0F48A42118C677E65E4DF9420738 64E34636FEC2DFD844E3D394C3B342543AC68841 2017 2019-02-21 02:37:17Z NCH PHYSICIAN GROUP RICK WYLES PO BOX 413029 NAPLES FL 341013029 110711566 0 X WWW.NCHMD.ORG X 2003 FL 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. 10 2 823 12 14143 0 0 0 90888451 110657971 0 0 42397 53595 90930848 110711566 0 0 0 0 85586452 98790087 0 0 0 27903861 36178441 113490313 134968528 -22559465 -24256962 36813623 38189533 16004130 19611508 20809493 18578025 X HELPING EVERYONE LIVE A LONGER, HAPPIER, AND HEALTHIER LIFE. 0 0 20238453 17978894 FAMILY PRACTICE SERVICES IS THE LARGEST SERVICE LINE ACCOMPLISHMENT FOR NCH PHYSICIANS GROUP FOR 2018. 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 55 LICENSED INDEPENDENT PRACTITIONERS AND 93 FULL-TIME EQUIVALENT EMPLOYEES WHO PERFORMED 146,279 RELATIVE VALUE UNITS, PROVIDED $4,589 OF CHARITY CARE AND ALSO WROTE OFF $254,236. OF BAD DEBT. 19790640 15739034 SEE SCHEDULE OINTERNAL MEDICINE SERVICES WERE NCH PHYSICIAN GROUP'S SECOND LARGEST PROGRAM SERVICE ACCOMPLISHMENT IN 2017. 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 80 LICENSED INDEPENDENT PRACTITIONERS AND 36 FULL-TIME EQUIVALENT EMPLOYEES WHO PERFORMED 268,866 RELATIVE VALUE UNITS, PROVIDED $1,907,582 OF CHARITY CARE AND ALSO WROTE OFF $1,007,746 OF BAD DEBT. 18692607 23362022 THE NCH PHYSICIAN GROUP LABORATORY AND RADIOLOGY PLAYS AN ACTIVE AND KEY ROLE IN ASSISTING THE NCH PHYSICIAN GROUP PHYSICIANS, NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS. DIAGNOSTIC TESTING IS ESSENTIAL TO THE BASIC MANAGEMENT OF PATIENT CARE, ALLOWING PHYSICIANS TO DETECT DISEASE EARLIER, MAKE DIAGNOSES, PRESCRIBE THERAPIES AND MONITOR RESULTS.WITHIN THIS SERVICE LINE, NCHMD EMPLOYED 82 FULL-TIME EQUIVALENT EMPLOYEES WHO PERFORMED $94,073 RELATIVE VALUE UNITS, PROVIDED $158,368 OF CHARITY CARE AND ALSO WROTE OFF $623,002 OF BAD DEBT. 68501664 53590872 IN PROVIDING THE OTHER PROGRAM SERVICE LINES, NCHMD EMPLOYED 96 LICENSED INDEPENDENT PRACTITIONERS AND 241 FTES WHO PERFORMED 684,247RELATIVE VALUE UNITS, PROVIDED $2,818,754 OF CHARITY CARE AND ALSOWROTE OFF $2,420,332 OF BAD DEBT.NCH PHYSICAN GROUP'S OTHER PROGRAM SERVICE LINES ARE: EXPENSE REVENUECARDIOLOGY $18,538,656 $14,026,551PULMONARY 9,764,897 7,057,286INFECTIOUS DISEASES 9,226,006 9,219,744ORTHOPEDICS 8,947,090 6,888,240GASTROENTEROLOGY 4,985,681 3,921,499GENERAL SURGERY 4,072,365 3,336,217PAIN MANAGEMENT 2,898,254 1,962,718PSYCHIATRY 2,245,162 1,284,110ENDOCRINOLOGY 1,929,580 1,306,795URGENT CARE 1,884,497 1,689,799PEDIATRICS 1,169,156 1,121,754UROLOGY 979,689 606,448GME 531,877 321,895 GERIATRICS 442,193 149,738PRO TIME 339,732 263,784POST ACUTE 257,207 128,528WOUND HEALING 224,184 305,743CHRONIC CARE 65,314 0RHEMOATOLOGY 124 23 68501664 53590872 127223364 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 1 0 0 1 64 0 1 823 1 1 1 0 0 0 0 0 0 0 0 0 X 10 2 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X X RICK WYLES CHIEF FINANCIAL OFFICER 2396244005 350 SEVENTH STREET NORTH NAPLES FL 34102 THOMAS J GAZDIC TRUSTEE 0.50 1.50 X 0 0 0 JOHN LEWIS MD TRUSTEE 0.50 1.50 X 0 0 0 BRYAN MURPHEY MD PHYSICIAN/CHAIRMAN 40.00 0.00 X X 555678 0 47035 DAMIAN M MCGOVERN MD PHYSICIAN/SECR/TREASURER 40.00 0.00 X X 670673 0 47663 GARY SWAIN MD PHYSICIAN/VICE CHAIRMAN 40.00 0.00 X X 387133 0 22797 MAZEN ALBELDAWI MD PHYSICIAN/TRUSTEE 40.00 0.00 X 945463 0 48668 MICHAEL S FLYNN MD PHYSICIAN/TRUSTEE 40.00 0.00 X 588403 0 47217 DAVID LAMON MD PHYSICIAN/TRUSTEE 40.00 0.00 X 766347 0 49818 SHARLA PATTERSONMD PHYSICIAN/TRUSTEE 40.00 0.00 X 163363 0 15103 ALLEN S WEISS MD TRUSTEE/PRESIDENT/CEO 1.00 44.00 X X 0 892228 43326 FRANK ASTOR MD TRUSTEE/CHIEF MEDICAL OFFICER 1.00 44.00 X X 0 502866 44008 KEVIN D COOPER MD CHIEF OF STAFF 1.00 44.00 X 0 517919 50024 JONATHAN KLING RN CNO, NCH HEALTHCARE SYSTEM 1.00 44.00 X 0 242755 42713 PHILLIP DUTCHER COO, NCH HEALTHCARE SYSTEM 1.00 44.00 X 0 524439 24924 RICK WYLES CHIEF FINANCIAL OFFICER 1.00 44.00 X 0 400398 41962 MICHAEL RILEY CHIEF STRATEGIC OFFICER 1.00 44.00 X 0 296655 42541 RENEE M THIGPEN CHIEF HUMAN RESOURCE OFFICER 1.00 44.00 X 0 283575 43180 ELIZABETH MARTIN ASSISTANT SECRETARY 1.00 44.00 X 0 67878 25002 GARY TOMCIK CHIEF EXPERIENCE OFFICER 1.00 44.00 X 0 227392 36177 ZACHARY BOSTOCK CHIEF ADMINISTRATIVE OFFICER 1.00 44.00 X 0 392277 48490 HOWARD KAPP MD PHYSICIAN 40.00 0.00 X 2065035 0 39686 JON DOUNCHIS MD PHYSICIAN 40.00 0.00 X 1428376 0 49707 DAVID R AXLINE MD PHYSICIAN 40.00 0.00 X 980251 0 48220 ROBERT PASCOTTO JR MD PHYSICIAN 40.00 0.00 X 916474 0 50857 CARLO D SANTOS-OCAMPO MD PHYSICIAN 40.00 0.00 X 853249 0 51242 KAREN HENRICHSENDO TERM 517 FORMER PHYSICIAN/TRUSTEE 0.00 0.00 X 145340 0 22331 JAMES K MARTIN TERM 517 FORMER CHIEF DEVELOPMENT OFFICER 0.00 0.00 X 0 323854 26431 10465785 4672236 1009122 155 1 1 0 SHERIDAN RADIOLOGY MGMT PO BOX 452796 SUNRISE FL 333232197 RADIOLOGY SERVICES 2456788 CERNER CORPORATION PO BOX 959156 ST LOUIS MO 631959156 IT CONSULTING AND SUPPORT SERVICES 1318525 LOCUMSTENENS COM LLC PO BOX 405547 ATLANTA GA 303845547 PHYSICIAN STAFFING SERVICES 1269191 BROOKS&FREUND LLC 5661 INDEPENDENCE CIR STE 1 FORT MYERS FL 33912 CONSTRUCTION SERVICES 982529 GE HEALTHCARE IITS 15724 COLLECTIONS CENTER DR CHICAGO IL 60693 IT CONSULTING AND SUPPORT SERVICES 362133 10 OFFICES OF PHYSICIANS 621110 110657971 110657971 110657971 EMPLOYEE SALES 900099 26601 26601 SUBLEASE SPACE/PERS 561000 14143 14143 MISC RECEIPTS 900099 12851 12851 53595 110711566 110670822 14143 26601 4855225 4406396 448829 610888 610888 85162855 81442567 3720288 1934083 1845115 88968 1921742 1833395 88347 4305294 4107250 198044 8237451 7028670 1208781 320057 320057 3312286 2230396 1081890 881709 841150 40559 5563837 4807928 755909 134884 134008 876 3174109 3104531 69578 491887 449109 42778 MEDICAL SUPPLIES 9742091 9741774 317 BAD DEBT 4305318 4305318 0 14812 14812 134968528 127223364 7745164 0 8229485 8611130 785734 855527 527519 628552 43055455 19068105 23018100 23987350 4252785 4106974 36813623 38189533 14653108 18247286 1351022 1364222 16004130 19611508 X 20809493 18578025 20809493 18578025 36813623 38189533 X -24256962 22025494 X 0 1 X 1 0 X 68075529 70021282 72592000 90888451 110657971 412235233 68075529 70021282 72592000 90888451 110657971 412235233 0 0 0 412235233 -262 9702 -47708 -38268 -262 9702 -47708 -38268 1088652 896753 11815 11631 39452 2048303 69163919 70927737 72556107 90900082 110697423 414245268 0.99510 0.99210 0.00000 0.00000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: PHYSICIAN ON CALL REVENUE - 2013 AMOUNT: $ 1,085,355. 2014 AMOUNT: $ 889,634. MISC ACCOUNTS REC RECEIPTS - 2013 AMOUNT: $ 452. 2014 AMOUNT: $ 1,074. 2015 AMOUNT: $ 282. 2016 AMOUNT: $ 2,527. 2017 AMOUNT: $ 12,851. EMPLOYEE SALES - 2013 AMOUNT: $ 2,845. 2014 AMOUNT: $ 6,045. 2015 AMOUNT: $ 8,233. 2016 AMOUNT: $ 9,104. 2017 AMOUNT: $ 26,601. PHYSICIAN CONTRACT BUYOUT - PATIENT STUDY REGISTRATION SERVICES - 2015 AMOUNT: $ 3,300. 2559424 2559424 8969172 1718910 7250262 8548652 3777582 4771070 22333958 13571613 8762345 644249 644249 23987350 X 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 2014. X X X X 1 0 0 0 0 0 0 1 0 BRYAN MURPHEY MD PHYSICIAN/CHAIRMAN 464231 0 73177 0 18270 0 21400 0 25635 0 602713 0 0 0 DAMIAN M MCGOVERN MD PHYSICIAN/SECR/TREASURER 607637 0 44766 0 18270 0 21400 0 26263 0 718336 0 0 0 GARY SWAIN MD PHYSICIAN/VICE CHAIRMAN 277903 0 90042 0 19188 0 21400 0 1397 0 409930 0 0 0 MAZEN ALBELDAWI MD PHYSICIAN/TRUSTEE 834922 0 88876 0 21665 0 21400 0 27268 0 994131 0 0 0 MICHAEL S FLYNN MD PHYSICIAN/TRUSTEE 479610 0 90019 0 18774 0 21400 0 25817 0 635620 0 0 0 DAVID LAMON MD PHYSICIAN/TRUSTEE 565272 0 182805 0 18270 0 21400 0 28418 0 816165 0 0 0 SHARLA PATTERSONMD PHYSICIAN/TRUSTEE 145322 0 0 0 18041 0 0 0 15103 0 178466 0 0 0 ALLEN S WEISS MD TRUSTEE/PRESIDENT/CEO 0 779423 0 91097 0 21708 0 21400 0 21926 0 935554 0 0 FRANK ASTOR MD TRUSTEE/CHIEF MEDICAL OFFICER 0 433386 0 49194 0 20286 0 21400 0 22608 0 546874 0 0 KEVIN D COOPER MD CHIEF OF STAFF 0 446875 0 52630 0 18414 0 21400 0 28624 0 567943 0 0 JONATHAN KLING RN CNO, NCH HEALTHCARE SYSTEM 0 227679 0 0 0 15076 0 16971 0 25742 0 285468 0 0 PHILLIP DUTCHER COO, NCH HEALTHCARE SYSTEM 0 451523 0 52630 0 20286 0 21400 0 3524 0 549363 0 0 RICK WYLES CHIEF FINANCIAL OFFICER 0 344311 0 37313 0 18774 0 13439 0 28523 0 442360 0 0 MICHAEL RILEY CHIEF STRATEGIC OFFICER 0 247951 0 29516 0 19188 0 21400 0 21141 0 339196 0 0 RENEE M THIGPEN CHIEF HUMAN RESOURCE OFFICER 0 237697 0 27104 0 18774 0 21400 0 21780 0 326755 0 0 GARY TOMCIK CHIEF EXPERIENCE OFFICER 0 189606 0 19012 0 18774 0 8940 0 27237 0 263569 0 0 ZACHARY BOSTOCK CHIEF ADMINISTRATIVE OFFICER 0 334619 0 39478 0 18180 0 21400 0 27090 0 440767 0 0 HOWARD KAPP MD PHYSICIAN 1884706 0 161141 0 19188 0 21400 0 18286 0 2104721 0 0 0 JON DOUNCHIS MD PHYSICIAN 1217824 0 192282 0 18270 0 21400 0 28307 0 1478083 0 0 0 DAVID R AXLINE MD PHYSICIAN 832959 0 128518 0 18774 0 21400 0 26820 0 1028471 0 0 0 ROBERT PASCOTTO JR MD PHYSICIAN 694409 0 203795 0 18270 0 21400 0 29457 0 967331 0 0 0 CARLO D SANTOS-OCAMPO MD PHYSICIAN 749349 0 85126 0 18774 0 21400 0 29842 0 904491 0 0 0 KAREN HENRICHSENDO TERM 517 FORMER PHYSICIAN/TRUSTEE 95836 0 42787 0 6717 0 16054 0 6277 0 167671 0 0 0 JAMES K MARTIN TERM 517 FORMER CHIEF DEVELOPMENT OFFICER 0 118672 0 33033 0 172149 0 15152 0 11279 0 350285 0 0 PART I, LINE 4A DETAIL OF SEVERANCE PAYMENTS: JAMES K. MARTIN RESIGNED 5/27/2017 AND RECEIVED A SEVERANCE PAYMENT OF $164,388 FOR CALENDAR YEAR 2017. 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. RASAI ERNST MD FMLY MEMBER/TRUSTEE 511262 EMPLOYED PHYSICIAN 0 ALYSSA J SCHLOTMANN FMLY MEMBER/OFFICER 28805 EMPLOYEE 0 FORM 990, SCHEDULE L, PART IV MAZEN ALBELDAWI M.D., BOARD TRUSTEE IS THE SPOUSE OF RASAI ERNST, M.D. AN EMPLOYED PHYSICIAN OF NCHMD. FORM 990, SCHEDULE L, PART IV ALYSSA J. SCHLOTMANN IS THE DAUGHTER OF RENEE THIGPEN, CHIEF HUMAN RESOURCES OFFICER. 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 TAX RETURN IS REVIEWED BY THE NCH HEALTHCARE SYSTEM 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 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 XI, LINE 9: TRANSFERS FROM AFFILIATES 22,025,494. NCH HEALTHCARE SYSTEM INC PO BOX 413029 NAPLES FL 34101 592314655 HOLDING CO FL 501(C) (3) LINE 12B, II N/A 0 NAPLES COMMUNITY HOSPITALINC PO BOX 413029 NAPLES FL 34101 590694358 HEALTHCARE FL 501(C) (3) LINE 3 NCH SYSTEM 0 MARCO ISLAND HOSPITAL INC 40 HEATHWOOD DRIVE MARCO ISLAND FL 34145 592315435 HEALTHCARE FL 501(C) (3) LINE 3 NCH SYSTEM 0 COMMUNITY HOME SERVICES INC PO BOX 413029 NAPLES FL 34101 592440516 SUPPORT ORG. FL 501(C) (3) LINE 12B, II NCH SYSTEM 0 COLLIER HEALTH CARE INC PO BOX 413029 NAPLES FL 34101 650244276 HEALTHCARE FL 501(C) (3) LINE 3 NCH SYSTEM 0 HEALTH RESOURCES CORPORATION 350 7TH STREET NORTH NAPLES FL 34102 592568003 HOLDING COMPANY FL NCH SYSTEM C 0 AMBULATORY SURGICAL CARE CENTER INC 350 7TH STREET NORTH NAPLES FL 34102 592568029 OUTPAT. SURGERY FL HRC C 0 COMMUNITY HOME CARE INC 350 7TH STREET NORTH NAPLES FL 34102 592372966 HOME HEALTH FL HRC C 0 COMMUNITY IMAGING INC 350 7TH STREET NORTH NAPLES FL 34102 592446336 RADIOLOGY LAB FL HRC C 0 1 1 1 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 NAPLES COMMUNITY HOSPITAL INC P 1210032 FMV NAPLES COMMUNITY HOSPITAL INC P 1127405 FMV NAPLES COMMUNITY HOSPITAL INC Q -23729729 FMV NCH HEALTHCARE SYSTEM INC Q -643953 FMV