2017-08-11T13:31:30-05:00 2016-09-30 420714325 RSM US LLP ONE SOUTH WACKER STE 800 CHICAGO IL 60606 990 2015-10-01 331075317 NCHMD INC NCHM 2396246338 PO BOX 413029 NAPLES FL 341013029 RICK WYLES CHIEF FINANCIAL OFFICER 2396244005 2017-08-10 1 WAYNE HARDER P00294296 3126343400 2015 2021-01-29 14:40:06Z NCH PHYSICIAN GROUP RICK WYLES PO BOX 413029 NAPLES FL 341013029 72838674 0 X WWW.NCHMD.ORG X 2003 FL HELPING EVERYONE LIVE A LONGER, HAPPIER, AND HEALTHIER LIFE. 11 2 664 4 201851 0 0 0 70021282 72592000 9702 -47708 1136832 213666 71167816 72757958 0 0 0 0 62976919 70539980 0 0 0 25212049 24140471 88188968 94680451 -17021152 -21922493 17256560 20703752 14360571 15258363 2895989 5445389 X HELPING EVERYONE LIVE A LONGER, HAPPIER, AND HEALTHIER LIFE. 1 1 17560390 14191400 FAMILY PRACTICE SERVICES WERE NCH PHYSICIAN GROUP'S LARGEST PROGRAM SERVICE ACCOMPLISHMENT IN 2016. 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 51 LICENSED INDEPENDENT PRACTITIONERS AND 81 FULL-TIME EQUIVALENT EMPLOYEES WHO PERFORMED 129,917 RELATIVE VALUE UNITS, PROVIDED $1,965. OF CHARITY CARE AND ALSO WROTE OFF $276,186 OF BAD DEBT. 14844510 11049224 CARDIOLOGY SERVICES WERE NCH PHYSICIAN GROUP'S SECOND LARGEST PROGRAM SERVICE ACCOMPLISHMENT IN 2016. NCHMD, INC., IN CONJUNCTION WITH THE NCH DOWNTOWN NAPLES HOSPITAL, IS HOME TO THE NCH HEART INSTITUTE, ONE OF THE MOST SUCCESSFUL CARDIAC PROGRAMS IN THE NATION. THE NCH HEART INSTITUTE IS RANKED #1 IN FLORIDA AGAIN FOR OVERALL CARDIC CARE AND IS RECOGNIZED FOR ITS CODE SAVE-A-HEART PROGRAM. OUR SERVICES INCLUDE INVASIVE AND NON-INVASIVE CARDIAC PROCEEDURES, CARDIAC REHABILITATION AND WELLNESS PROGRAMS.WITHIN THIS SERVICE LINE, NCHMD EMPLOYED 31 LICENSED INDEPENDENT PRACTITIONERS AND 33 FULL-TIME EQUIVALENT EMPLOYEES WHO PERFORMED 167,262 RELATIVE VALUE UNITS, PROVIDED $457,255. OF CHARITY CARE AND ALSO WROTE OFF $455,750 OF BAD DEBT. 10308711 8152914 SEE SCHEDULE OINTERNAL MEDICINE SERVICES WERE NCH PHYSICIAN GROUP'S THIRD LARGEST PROGRAM SERVICE ACCOMPLISHMENT IN 2016. 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 COMPASSSIONATE ENVIRONMENT. THESE PHYSICIANS WORK CLOSELY WITH ALL OUR SPECIALISTS AS WELL AS OUR ANCILLARY TESTING DEPARTMENTS SUCH AS RADIOLOGY, LABORATORY AND PHYSICAL THERAPY TO HELP SOLVE DIAGNOSTIC PROBLEMS.WITHIN THIS SERVICE LINE, NCHMD EMPLOYED 47 LICENSED INDEPENDENT PRACTITIONS AND 33 FULL-TIME EQUIVALENT EMPLOYEES WHO PERFORMED 117,244 RELATIVE VALUE UNITS, PROVIDED $171,374 OF CHARITY CARE AND ALSO WROTE OFF $177,970 OF BAD DEBT. 46461460 39202044 IN PROVIDING THE OTHER PROGRAM SERVICE LINES, NCHMD EMPLOYED 79 LICENSED INDEPENDENT PRACTITIONERS AND 214 FTES WHO PERFORMED 386,756 RELATIVE VALUE UNITS, PROVIDED $1,456,003 OF CHARITY CARE AND ALSO WROTE OFF $1,479,108 OF BAD DEBT.NCH PHYSICIAN GROUP'S OTHER PROGRAM SERVICE LINES ARE: EXPENSE REVENUEPULMONARY $8,980,432 $5,829,053INFECTIOUS DISEASE 8,000,142 7,856,412ORTHOPEDICS 7,601,919 5,234,992LAB AND RADIOLOGY 7,251,721 8,643,228GENERAL SURGERY 2,651,078 2,491,784GASTROENTEROLOGY 2,464,010 1,694,963PAIN MANAGEMENT 1,824,710 1,381,372PSYCHIATRY 1,776,079 1,021,244URGENT CARE 1,660,254 1,817,146GERIATRICS 1,461,947 1,136,251PEDIATRICS 1,374,905 975,279RHEUMATOLOGY 737,636 559,376PRO TIME 488,699 445,493WOUND HEALING 98,382 102,414ENDOCRINOLOGY 87,137 10,235PHYSICAL THERAPY 1,223 2,802GME 1,186 0 46461460 39202044 89175071 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 0 0 0 1 80 0 1 664 1 1 1 0 0 0 0 0 0 0 0 0 X 11 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 START 0816 TRUSTEE 0.50 1.50 X 0 0 0 JOHN LEWIS MDSTART 0116 TRUSTEE 0.50 1.50 X 0 0 0 MARIANN MACDONALD TERM 0416 TRUSTEE 0.50 1.50 X 0 0 0 BRYAN MURPHEY MDSTART 0116 PHYSICIAN/TRUSTEE CHAIR 40.00 0.00 X X 457228 0 22162 KAREN HENRICHSENDO PHYSICIAN/TRUSTEE PAST CHAIR 40.00 0.00 X X 313008 0 28997 DAMIAN MCGOVERNMD PHYSICIAN/TRUSTEE SEC/TREAS 40.00 0.00 X X 643649 0 36074 GARY SWAIN MD PHYSICIAN/TRUSTEE VICE CHAIR 40.00 0.00 X X 334330 0 11788 MAZEN ALBELDAWIMDSTART 0116 PHYSICIAN/TRUSTEE 40.00 0.00 X 698545 0 31871 MICHAEL FLYNNMDSTART 0116 PHYSICIAN/TRUSTEE 40.00 0.00 X 548237 0 38686 DAVID LAMON MD PHYSICIAN/TRUSTEE 40.00 0.00 X 586335 0 40899 ALLEN S WEISS MDSTART 0816 TRUSTEE/PRESIDENT/CEO 1.00 44.00 X X 0 897804 33347 FRANK ASTOR MDSTART 0116 TRUSTEE/CHF MEDICAL OFFICER 1.00 44.00 X X 0 355420 14886 MICHELE THOMAN RNTERM 416 TRUSTEE/CHF NURSING OFFICER 1.00 44.00 X X 0 396304 42410 KEVIN D COOPER GNRL COUNSEL/CHF OF STAFF 1.00 44.00 X 0 521934 41826 PHILLIP DUTCHER COO, NCH HEALTHCARE SYSTEM 1.00 44.00 X 0 528905 14702 RICK WYLES - START 1015 CHIEF FINANCIAL OFFICER 1.00 44.00 X 0 65404 4967 MICHAEL RILEY CHIEF STRATEGY OFFICER 1.00 44.00 X 0 295359 42372 SARAH RICHARDSON - TERM 216 CHIEF INFORMATION OFFICER 1.00 44.00 X 0 250440 10475 RENEE M THIGPEN CHIEF HR OFFICER 1.00 44.00 X 0 244987 36674 ELIZABETH MARTIN ASSISTANT SECRETARY 1.00 44.00 X 0 65790 23158 JAMES K MARTIN CHIEF DEVELOPMENT OFFICER 1.00 44.00 X 0 334734 37719 GARY TOMCIK - START 1115 CHIEF EXPERIENCE OFFICER 1.00 44.00 X 0 23269 3198 ZACHARY BOSTOCK CHF ADMINISTRATIVE OFFICER 30.00 15.00 X 210175 155655 39257 HOWARD KAPP MD PHYSICIAN 40.00 0.00 X 2314885 0 20801 DENNIS STAPLETONMDTERM 1216 PHYSICIAN 40.00 0.00 X 1056847 0 32391 MIGUEL G MADARIAGA MD PHYSICIAN 40.00 0.00 X 907169 0 41091 GARY BERGEN MD PHYSICIAN 40.00 0.00 X 877968 0 26421 CARLO D SANTOS-OCAMPO MD PHYSICIAN 40.00 0.00 X 826519 0 41558 MICHAEL STEPHENS TERM 0715 FORMER CHIEF FINANCIAL OFFICER 0.00 0.00 X 0 281664 33081 VICKI D ORR TERM 0513 FORMER CHIEF FINANCIAL OFFICER 0.00 0.00 X 0 165085 13747 9774895 4582754 764558 116 1 1 0 SHERIDAN RADIOLOGY MGMT SERVICES INC PO BOX 452796 SUNRISE FL 333232197 RADIOLOGY SERVICES 966124 CERNER CORPORATION PO BOX 959156 ST LOUIS MO 631959156 IT CONSULTING SERVICES & SUPPORT 803347 BCBE CONSTRUCTION LLC 3570 ENTERPRISE AVE SUITE 200 NAPLES FL 34104 CONSTRUCTION SERVICES 645991 GE HEALTHCARE IITS 15724 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 IT CONSULTING SERVICES & SUPPORT 387686 MEDICAL IMAGING INNOVATIONS LLC 544 NW 7TH STREET BOCA RATON FL 33487 EQUIPMENT SUPPORT AND REPAIR SERVICES 233113 10 OFFICES OF PHYSICIANS 621110 72592000 72592000 72592000 33008 80716 -47708 -47708 -47708 SUBLEASE SPACE/PERS 561000 201851 201851 EMPLOYEE SALES 900099 8233 8233 PATIENT STUDY REGISTRA 611710 3300 3300 282 282 213666 72757958 72595582 201851 -39475 X 4532921 4137687 395234 405819 405819 60409426 57550463 2858963 976863 928215 48648 1295682 1231342 64340 2919269 2773889 145380 12168 12168 3406955 2932812 474143 389879 389879 1977490 1228862 748628 1354988 1287510 67478 3854487 3257186 597301 140585 139663 922 2006150 1951019 55131 1118812 1069816 48996 MEDICAL SUPPLIES 7486434 7486218 216 BAD DEBT 2389013 2389013 3510 3510 94680451 89175071 5505380 0 4128318 5085992 820004 736167 569713 745990 25876691 13664953 9753348 12211738 1923865 1923865 61312 17256560 20703752 13257529 14059767 995377 1198596 107665 0 14360571 15258363 X 2895989 5445389 2895989 5445389 17256560 20703752 X -21922493 24471893 X 0 1 X 1 0 X 0.00000 58705784 59487869 68075529 70021282 72592000 328882464 58705784 59487869 68075529 70021282 72592000 328882464 0 0 0 328882464 -43979 -4596 -262 9702 -47708 -86843 -43979 -4596 -262 9702 -47708 -86843 939411 911014 1088652 896753 11815 3847645 59601216 60394287 69163919 70927737 72556107 332643266 0.98870 0.98570 0.00000 0.00000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: PHYSICIAN ON CALL REVENUE - 2011 AMOUNT: $ 910,408. 2012 AMOUNT: $ 802,140. 2013 AMOUNT: $ 1,085,355. 2014 AMOUNT: $ 889,634. MISC ACCOUNTS REC RECEIPTS - 2011 AMOUNT: $ 10,860. 2012 AMOUNT: $ 5,478. 2013 AMOUNT: $ 452. 2014 AMOUNT: $ 1,074. 2015 AMOUNT: $ 282. EMPLOYEE SALES - 2011 AMOUNT: $ 3,070. 2012 AMOUNT: $ 2,943. 2013 AMOUNT: $ 2,845. 2014 AMOUNT: $ 6,045. 2015 AMOUNT: $ 8,233. MISC VENDOR RECEIPTS - 2011 AMOUNT: $ 15,073. PHYSICIAN CONTRACT BUYOUT - 2012 AMOUNT: $ 100,453. PATIENT STUDY REGISTRATION SERVICES - 2015 AMOUNT: $ 3,300. 6333326 925333 5407993 5099136 3194985 1904151 14384011 9544635 4839376 60218 60218 12211738 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 2012. X X X X 1 0 0 0 0 0 0 1 0 BRYAN MURPHEY MDSTART 0116 PHYSICIAN/TRUSTEE CHAIR 419228 0 20000 0 18000 0 0 0 22162 0 479390 0 0 0 KAREN HENRICHSENDO PHYSICIAN/TRUSTEE PAST CHAIR 276058 0 18950 0 18000 0 10120 0 18877 0 342005 0 0 0 DAMIAN MCGOVERNMD PHYSICIAN/TRUSTEE SEC/TREAS 514762 0 110887 0 18000 0 10600 0 25474 0 679723 0 0 0 GARY SWAIN MD PHYSICIAN/TRUSTEE VICE CHAIR 313191 0 3139 0 18000 0 9213 0 2575 0 346118 0 0 0 MAZEN ALBELDAWIMDSTART 0116 PHYSICIAN/TRUSTEE 676887 0 3658 0 18000 0 0 0 31871 0 730416 0 0 0 MICHAEL FLYNNMDSTART 0116 PHYSICIAN/TRUSTEE 504811 0 27224 0 16202 0 10803 0 27883 0 586923 0 0 0 DAVID LAMON MD PHYSICIAN/TRUSTEE 510404 0 57931 0 18000 0 11516 0 29383 0 627234 0 0 0 ALLEN S WEISS MDSTART 0816 TRUSTEE/PRESIDENT/CEO 0 763144 0 116660 0 18000 0 10600 0 22747 0 931151 0 0 FRANK ASTOR MDSTART 0116 TRUSTEE/CHF MEDICAL OFFICER 0 327420 0 10000 0 18000 0 0 0 14886 0 370306 0 0 MICHELE THOMAN RNTERM 416 TRUSTEE/CHF NURSING OFFICER 0 327738 0 50566 0 18000 0 13250 0 29160 0 438714 0 0 KEVIN D COOPER GNRL COUNSEL/CHF OF STAFF 0 436535 0 67399 0 18000 0 11313 0 30513 0 563760 0 0 PHILLIP DUTCHER COO, NCH HEALTHCARE SYSTEM 0 443506 0 67399 0 18000 0 11469 0 3233 0 543607 0 0 MICHAEL RILEY CHIEF STRATEGY OFFICER 0 242036 0 35323 0 18000 0 11021 0 31351 0 337731 0 0 SARAH RICHARDSON - TERM 216 CHIEF INFORMATION OFFICER 0 232440 0 0 0 18000 0 0 0 10475 0 260915 0 0 RENEE M THIGPEN CHIEF HR OFFICER 0 206884 0 14149 0 23954 0 8293 0 28381 0 281661 0 0 JAMES K MARTIN CHIEF DEVELOPMENT OFFICER 0 274431 0 42303 0 18000 0 9555 0 28164 0 372453 0 0 ZACHARY BOSTOCK CHF ADMINISTRATIVE OFFICER 157089 147347 43394 0 9692 8308 11589 0 14326 13342 236090 168997 0 0 HOWARD KAPP MD PHYSICIAN 1712422 0 584463 0 18000 0 10600 0 10201 0 2335686 0 0 0 DENNIS STAPLETONMDTERM 1216 PHYSICIAN 1034786 0 4061 0 18000 0 10600 0 21791 0 1089238 0 0 0 MIGUEL G MADARIAGA MD PHYSICIAN 566972 0 322197 0 18000 0 12625 0 28466 0 948260 0 0 0 GARY BERGEN MD PHYSICIAN 588704 0 271264 0 18000 0 0 0 26421 0 904389 0 0 0 CARLO D SANTOS-OCAMPO MD PHYSICIAN 718867 0 89652 0 18000 0 10600 0 30958 0 868077 0 0 0 MICHAEL STEPHENS TERM 0715 FORMER CHIEF FINANCIAL OFFICER 0 211219 0 60752 0 9693 0 17986 0 15095 0 314745 0 0 VICKI D ORR TERM 0513 FORMER CHIEF FINANCIAL OFFICER 0 0 0 0 0 165085 0 0 0 13747 0 178832 0 0 PART I, LINE 4A DETAIL OF SEVERANCE PAYMENTS: VICKI D. ORR, FORMER CHIEF FINANCIAL OFFICER/ASST TREASURER RESIGNED 5/22/13, AND RECEIVED A SEVERANCE PAYMENT OF $168,759. FOR CALENDAR YEAR 2015. 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 SPOUSE OF TRUSTEE 381415 EMPLOYED PHYSICIAN 0 FORM 990, SCHEDULE L, PART IV MAZEN ALBELDAWI M.D., BOARD TRUSTEE IS MARRIED TO RASAI ERNST, M.D. AN EMPLOYED PHYSICIAN OF NCHMD 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 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). 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. NCH HEALTHCARE SYSTEM INC PO BOX 413029 NAPLES FL 34101 592314655 HOLDING CO FL 501(C) (3) LINE 11B, II N/A 0 NAPLES COMMUNITY HOSPITAL INC 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 11B, 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