2026-08-14T13:50:54-05:00 2025-09-30 420714325 RSM US LLP 30 S WACKER DRIVE STE 3300 CHICAGO IL 60606 990 2024-10-01 331075317 NCHMD INC NCHM 2396246338 PO BOX 413029 NAPLES FL 341013029 NOBLE ARRINGTON CFO 2396244005 2026-08-12 1 0 REBEKUH ELEY P01247672 3126343400 2026-08-12 2024 2025-03-06 01:10:19Z NCH MEDICAL GROUP PAUL HILTZ PO BOX 413029 NAPLES FL 341013029 151788081 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. 12 3 913 105 936112 186222 34524936 45560793 100286497 105413520 -93054 -41330 -112609 849352 134605770 151782335 0 0 0 0 139666453 151515215 0 0 0 23492891 25207097 163159344 176722312 -28553574 -24939977 131035825 186054109 23730310 24838515 107305515 161215594 X HELPING EVERYONE LIVE A LONGER, HAPPIER, AND HEALTHIER LIFE. 0 0 46813315 0 26746532 CARDIOLOGY IS THE LARGEST SERVICE LINE OF THE NCH MEDICAL GROUP FOR 2025. 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 49 LICENSED INDEPENDENT PRACTITIONERS AND 82 FULL-TIME EQUIVALENT EMPLOYEES WHO PERFORMED 427,838 RELATIVE VALUE UNITS AND PROVIDED $612,366 OF CHARITY CARE. 30595685 0 27361456 FAMILY PRACTICE IS THE SECOND LARGEST SERVICE LINE ACCOMPLISHMENT FOR NCH MEDICAL GROUP FOR 2025. 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 39 LICENSED INDEPENDENT PRACTITIONERS AND 74 FULL-TIME EQUIVALENT EMPLOYEES WHO PERFORMED 182,401 RELATIVE VALUE UNITS AND PROVIDED $101,161 OF CHARITY CARE. 25084487 0 14454200 INTERNAL MEDICINE SERVICES WERE NCH PHYSICIAN GROUP'S THIRD LARGEST PROGRAM SERVICE IN 2025. THE NCH MEDICAL 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 57 LICENSED INDEPENDENT PRACTITIONERS AND 22 FULL-TIME EQUIVALENT EMPLOYEES WHO PERFORMED 271,203 RELATIVE VALUE UNITS, PROVIDED $1,437,438 OF CHARITY CARE. 63298400 0 36890313 IN PROVIDING THE OTHER SERVICE PROGRAM SERVICE LINES, NCHMD EMPLOYED 93 LICENSED INDEPENDENT PRACTICIONERS AND 243 FTES WHO PERFORMED 514,398 RELATIVE VALUE UNITS AND PROVIDED $1,412,478 OF CHARITY CARE.SERVICE LINE EXPENSES REVENUE ORTHOPEDICS 17,903,859 10,555,759 PULMONARY 15,257,210 6,015,877 GASTROENTEROLOGY 10,340,311 5,451,803 GENERAL SURGERY 5,572,217 3,970,443 URGENT CARE 4,847,616 3,459,129 PEDIATRICS 1,956,990 1,621,811 PSYCHIATRY 1,591,773 445,907 PAIN MANAGEMENT 1,477,665 627,391 NEUROLOGY 1,322,229 1,019,927 INFECTIOUS DISEASE 864,023 601,613 GME 778,257 1,168,059 WOUND HEALING 666,773 859,852 LAB AND RADIOLOGY 465,230 1,069,232 PRO TIME 168,416 0 UROLOGY 30,212 0 RHEUMATOLOGY 20,067 1,299 ENDOCRINOLOGY 14,133 1,554 POST ACUTE 10,931 19,529 NEUROSURGERY 4,573 1,128 PHYSICAL THERAPY 4,550 0 GERIATRICS 365 0 63298400 0 36890313 165791887 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 1 0 0 1 63 0 1 913 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 12 3 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 FL X NOBLE ARRINGTON CFO 2396246338 350 SEVENTH STREET NORTH NAPLES FL 34102 DINESH SHARMA MD PHYSICIAN/TRUSTEE 40.00 0.00 X 0 2580918 42358 PAUL HILTZ PRESIDENT/CEO/TRUSTEE 1.00 44.00 X X 0 2360046 38373 BRYAN C MURPHEY MD PHYSICIAN/CHAIRMAN 40.00 0.00 X X 0 1113274 41600 DAVID LINZ MD PHYSICIAN/TRUSTEE 40.00 0.00 X 0 1079539 43687 CARLO SANTOS-OCAMPO MD PHYSICIAN/TRUSTEE 40.00 0.00 X 0 1005647 36033 ROBERT GROSSMAN MD PHYSCIAN/TRUSTEE 40.00 0.00 X 0 787912 23201 NOBLE ARRINGTON CFO/ASSISTANT TREASURER 1.00 44.00 X X 0 556823 89459 EMILY ESSERT MD PHYSICIAN/TRUSTEE 40.00 0.00 X 0 411163 39780 REBECCA WITHERELL MD PHYSCIAN/TRUSTEE 40.00 0.00 X 0 409029 22724 KEVIN BEEBE TRUSTEE 0.50 2.00 X 0 0 0 MICHAEL WYNN TRUSTEE 0.50 2.00 X 0 0 0 SCOTT LUTGERT TRUSTEE 0.50 2.00 X 0 0 0 JONATHAN KLING RN CHIEF OPERATING OFFICER SYSTEM 1.00 44.00 X 0 908169 42224 CARLOS B QUINTERO MD CHIEF QUALITY OFFICER 40.00 0.00 X 0 714263 45264 JIM MAHON SENIOR VICE PRESIDENT 1.00 44.00 X 0 571395 7131 GINA TEEGARDEN RN CHIEF NURSING EXECUTIVE 1.00 44.00 X 0 473928 25889 MATTHEW STACELL CHIEF PERFORMANCE MANAGEMENT OFFICER 1.00 44.00 X 0 464343 81626 ANDREW COOPER CHIEF INFORMATION OFFICER 1.00 44.00 X 0 461341 74408 ERIN RANEY START 0323 CHIEF ADMINISTRATIVE OFFICER 1.00 44.00 X 0 342560 66810 ILIA ECHEVARRIA RN CHIEF NURSING OFFICER NNH 1.00 44.00 X 0 314783 37807 MAGALI PALMA CHIEF ASSISTANT OPERATIONS OFFICER DT 1.00 44.00 X 0 293882 48940 MARA HAMMOND CHIEF IMPACT OFFICER 1.00 44.00 X 0 292265 33890 JENNIFER HART CHIEF CULTURE OFFICER 1.00 44.00 X 0 263294 48019 MATTHEW HEINLE START 112024 CHIEF STRATEGY OFFICER & GEN COUNSEL 1.00 44.00 X 0 72905 949 JON S DOUNCHIS MD PHYSICIAN 40.00 0.00 X 0 1988060 40741 ROBERTO CUBEDDU MD PHYSICIAN 40.00 0.00 X 0 1918958 41855 HOWARD KAPP MD PHYSICIAN 40.00 0.00 X 0 1839464 26488 BRIAN SOLOMON MD PHYSICIAN 40.00 0.00 X 0 1316238 42330 ROBERT PASCOTTO JR MD PHYSICIAN 40.00 0.00 X 0 1315635 43767 KRISTIN MASCOTTI MD TM 224 FORMER CHIEF MEDICAL OFFICER 0.00 0.00 X 0 1025706 34636 RICK WYLES TERM 0523 FORMER CFO/ASSISTANT TREASURER 0.00 0.00 X 0 617319 18484 RENEE M THIGPEN TERM 0824 FORMER CHIEF HR OFFICER 0.00 0.00 X 0 612905 37668 MICHAEL RILEY TERM 1120 FORMER CHIEF STRATEGY OFFICER 0.00 0.00 X 0 158484 0 0 26270248 1176141 243 1 1 0 ENVERA HEALTH INC 1001 HAXALL POINT 1B RICHMOND VA 23219 COLLECTION RESOURCE 2321678 LOCUMTENENS COM LLC PO BOX 405547 ATLANTA GA 30834 PHYSICIAN STAFFING SERVICES 1953034 SUNNY DAY MATERNAL FETAL MEDICINE 203 8TH AVE S NAPLES FL 34102 SUNNY DAY MFM IS NPG'S CONTRACTED SERVIC 1352716 ALL STAR RECRUITING LOCUMS LLC PO BOX 936725 ATLANTA GA 31193 PHYSICIAN STAFFING SERVICES 1169894 ENSEMBLE HEALTH PARTNERS PO BOX 639076 CINCINNATI OH 45263 COLLECTION RESOURCE 872033 20 45560793 3516666 45560793 OFFICES OF PHYSICIANS 621110 105413520 105413520 105413520 -41330 936112 -977442 268851 5746 263105 263105 263105 OUTSOURCING MILLENNIUM 561300 547266 547266 MEDICAL DIRECTORSHIP 900099 38981 38981 586247 151782335 105452501 936112 -167071 10794386 10395599 398787 36020 36020 130605418 123424442 7180976 2750422 2602999 147423 1905246 1800864 104382 5423723 5108808 314915 33820 33820 8843800 6820981 2022819 666038 666038 1016055 877161 138894 1071021 1013133 57888 4063134 3645462 417672 163495 161125 2370 2183688 2091953 91735 2799622 2799622 MEDICAL SUPPLIES 4287636 4287213 423 OTHER MISC EXPENSE 60467 60467 BAD DEBT 18321 18321 176722312 165791887 10930425 0 3063676 8646167 88900613 133317526 7032247 7217158 1139099 963624 2199474 3894155 44645948 25028544 16744021 19617404 3872461 3831131 1972872 1995771 6111362 6571173 131035825 186054109 13684292 14485358 3389170 3707957 6656848 6645200 23730310 24838515 X 19804233 53910082 87501282 107305512 107305515 161215594 131035825 186054109 X -24939977 254480 78595576 X 0 1 X 1 0 X 3354173 20261566 72741488 34524936 45560793 176442956 124724841 108052859 98178436 100286497 105413520 536656153 128079014 128314425 170919924 134811433 150974313 713099109 0 0 0 713099109 89775 359590 325314 292932 263105 1330716 89775 359590 325314 292932 263105 1330716 186222 186222 36000 44517 38469 502578 586248 1207812 128204789 128718532 171283707 135606943 152009888 715823859 0.99620 0.99740 0.00190 0.00160 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISC ACCOUNTS REC RECEIPTS - 2022 AMOUNT: $ 2,469. 2023 AMOUNT: $ 462,903. 2024 AMOUNT: $ 547,267. EMPLOYEE SALES - 2021 AMOUNT: $ 2,402. MEDICAL DIRECTORSHIP - 2020 AMOUNT: $ 36,000. 2021 AMOUNT: $ 42,115. 2022 AMOUNT: $ 36,000. 2023 AMOUNT: $ 39,675. 2024 AMOUNT: $ 38,981. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2559424 2559424 14367545 6197548 8169997 12463173 7585746 4877427 14700693 11245250 3455443 555113 555113 19617404 ESTIMATED SELF INSURANCE CLAIMS 5227467 LIABILITY OF RESTRICTED FUNDS 1417733 6645200 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 2021. X X X X 1 1 0 0 0 0 0 1 0 DINESH SHARMA MD PHYSICIAN/TRUSTEE 0 2015321 0 542417 0 23180 0 13800 0 28558 0 2623276 0 0 PAUL HILTZ PRESIDENT/CEO/TRUSTEE 0 1120235 0 1022927 0 216884 0 13800 0 24573 0 2398419 0 167550 JON S DOUNCHIS MD PHYSICIAN 0 1767014 0 197271 0 23775 0 13800 0 26941 0 2028801 0 0 ROBERTO CUBEDDU MD PHYSICIAN 0 1595544 0 300000 0 23414 0 13800 0 28055 0 1960813 0 0 HOWARD KAPP MD PHYSICIAN 0 1577054 0 244885 0 17525 0 13800 0 12688 0 1865952 0 0 ROBERT PASCOTTO JR MD PHYSICIAN 0 1074363 0 217858 0 23414 0 13800 0 29967 0 1359402 0 0 BRIAN SOLOMON MD PHYSICIAN 0 1075200 0 217858 0 23180 0 13800 0 28530 0 1358568 0 0 BRYAN C MURPHEY MD PHYSICIAN/CHAIRMAN 0 824043 0 193937 0 95294 0 13800 0 27800 0 1154874 0 67392 DAVID LINZ MD PHYSICIAN/TRUSTEE 0 896312 0 160048 0 23179 0 13800 0 29887 0 1123226 0 0 KRISTIN MASCOTTI MD TM 224 FORMER CHIEF MEDICAL OFFICER 0 119392 0 186827 0 719487 0 13145 0 21491 0 1060342 0 108202 CARLO SANTOS-OCAMPO MD PHYSICIAN/TRUSTEE 0 885377 0 95026 0 25244 0 13800 0 22233 0 1041680 0 0 JONATHAN KLING RN CHIEF OPERATING OFFICER SYSTEM 0 640426 0 145126 0 122617 0 13800 0 28424 0 950393 0 96995 ROBERT GROSSMAN MD PHYSCIAN/TRUSTEE 0 688125 0 76625 0 23162 0 13800 0 9401 0 811113 0 0 CARLOS B QUINTERO MD CHIEF QUALITY OFFICER 0 511000 0 119980 0 83283 0 13800 0 31464 0 759527 0 57814 RENEE M THIGPEN TERM 0824 FORMER CHIEF HR OFFICER 0 281990 0 99201 0 231714 0 13800 0 23868 0 650573 0 63714 NOBLE ARRINGTON CFO/ASSISTANT TREASURER 0 454334 0 74964 0 27525 0 58671 0 30788 0 646282 0 0 RICK WYLES TERM 0523 FORMER CFO/ASSISTANT TREASURER 0 0 0 0 0 617319 0 89 0 18395 0 635803 0 0 JIM MAHON SENIOR VICE PRESIDENT 0 445141 0 115555 0 10699 0 5344 0 1787 0 578526 0 0 MATTHEW STACELL CHIEF PERFORMANCE MANAGEMENT OFFICER 0 372759 0 67344 0 24240 0 51596 0 30030 0 545969 0 0 ANDREW COOPER CHIEF INFORMATION OFFICER 0 350257 0 87283 0 23801 0 50904 0 23504 0 535749 0 0 GINA TEEGARDEN RN CHIEF NURSING EXECUTIVE 0 368369 0 79087 0 26472 0 13800 0 12089 0 499817 0 0 EMILY ESSERT MD PHYSICIAN/TRUSTEE 0 334346 0 53637 0 23180 0 12503 0 27277 0 450943 0 0 REBECCA WITHERELL MD PHYSCIAN/TRUSTEE 0 352854 0 33013 0 23162 0 13800 0 8924 0 431753 0 0 ERIN RANEY START 0323 CHIEF ADMINISTRATIVE OFFICER 0 283019 0 35908 0 23633 0 39080 0 27730 0 409370 0 0 ILIA ECHEVARRIA RN CHIEF NURSING OFFICER NNH 0 290465 0 0 0 24318 0 22588 0 15219 0 352590 0 0 MAGALI PALMA CHIEF ASSISTANT OPERATIONS OFFICER D 0 270346 0 0 0 23536 0 21359 0 27581 0 342822 0 0 MARA HAMMOND CHIEF IMPACT OFFICER 0 268876 0 0 0 23389 0 15155 0 18735 0 326155 0 0 JENNIFER HART CHIEF CULTURE OFFICER 0 236862 0 14215 0 12217 0 17915 0 30104 0 311313 0 0 MICHAEL RILEY TERM 1120 FORMER CHIEF STRATEGY OFFICER 0 158484 0 0 0 0 0 0 0 0 0 158484 0 0 PART I, LINES 4A-B PART I, LINE 4A: CHIEF FINANCIAL OFFICER RESIGNED 05/23 AND RECEIVED A SEVERANCE PAYMENT OF $617,319 FOR CALENDAR YEAR 2024. CHIEF MEDICAL OFFICER RESIGNED 02/24 AND RECEIVED A SEVERAGE PAYMENT OF $596,960 FOR CALENDAR YEAR 2024. CHIEF HR OFFICER RESIGNED 08/24 AND RECEIVED A SEVERANCE PAYMENT OF $140,995 FOR CALENDAR YEAR 2024. PART I, LINE 4B: THE FOLLOWING EXECUTIVES PARTICIPATED IN A 457 (F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: PAUL HILTZ PRESIDENT AND CEO BRYAN MURPHEY, M.D. PRESIDENT OF NCH MEDICAL GROUP/PHYSICIANS 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 MATTHEW HEINLE CHIEF STRATEGY OFFICER AND GENERAL COUNSEL THE FOLLOWING EXECUTIVES RECEIVED A DISTRIBUTION FROM THE 457 (F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN IN CALENDAR YEAR 2024: PAUL HILTZ PRESIDENT AND CEO $ 167,550 RENEE THIGPEN CHIEF HR OFFICER $ 63,714 KRISTIN MASCOTTI, M.D. CHIEF MEDICAL OFFICER $ 108,202 BRYAN MURPHEY, M.D. PRESIDENT NCH MEDICAL GROUP $ 67,392 JONATHAN KLING CHIEF OPERATING OFFICER $ 96,995 CARLOS QUINTERO, M.D. CHIEF QUALITY OFFICER $ 57,814 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. VLADIMIRA KLING FMLY MEMBER/OFFICER 33820 EMPLOYEE 0 FORM 990, SCHEDULE L, PART IV FORM 990, SCHEDULE L, PART IV VLADIMIRA KLING, ARNP. IS THE SPOUSE OF JONATHAN KLING, CHIEF OPERATING OFFICER. X 6 3516666 FMV 0 0 1 0 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 XI, LINE 9: TRANSFERS FROM AFFILIATES 78,595,576. 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 1 MARCO ISLAND HOSPITAL INC 40 HEATHWOOD DRIVE MARCO ISLAND FL 34145 592315435 HEALTHCARE FL 501(C) (3) LINE 3 NCH SYSTEM 1 COLLIER HEALTH CARE INC PO BOX 413029 NAPLES FL 34101 650244276 HEALTHCARE FL 501(C) (3) LINE 3 NCH SYSTEM 1 PROSCAN NCH IMAGING LLC 350 7TH STREET NORTH NAPLES FL 34102 861212843 RADIOLOGY SERVICES DE NCHMD INC UNRELATED 1408861 1680320 0 1 0.51000 NCH NH BONITA JV LLC 350 7TH STREET NORTH NAPLES FL 34102 874042152 SURGICAL SERVICES FL N/A 0 0 HSS-NCH SURGERY CENTER HOLDINGS LLC 350 7TH STREET NORTH NAPLES FL 34102 334623667 SURGICAL SERVICES DE N/A 0 0 NCH-VH JOINT VENTURE LLC 350 7TH STREET NORTH NAPLES FL 34102 874042152 SURGICAL SERVICES KS N/A N/A 0 0 HEALTH RESOURCES CORPORATION 350 7TH STREET NORTH NAPLES FL 34102 592568003 HOLDING COMPANY FL NCH SYSTEM C 1 AMBULATORY SURGICAL CARE CENTER INC 350 7TH STREET NORTH NAPLES FL 34102 592568029 OUTPATIENT SURGERY FL HEALTH RESOURCES CORPORATION C 1 COMMUNITY HOME CARE INC 350 7TH STREET NORTH NAPLES FL 34102 592372966 HOME HEALTH FL HEALTH RESOURCES CORPORATION C 1 COMMUNITY IMAGING INC 350 7TH STREET NORTH NAPLES FL 34102 592446336 RADIOLOGY LAB FL HEALTH RESOURCES CORPORATION C 1 GREATER COLLIER INSURANCE LTD 350 7TH STREET NORTH NAPLES FL 34102 INSURANCE CJ N/A C 0 NCH HEALTHCARE SYSTEM LIMITADA 350 7TH STREET NORTH NAPLES FL 34102 CALL CENTER CS N/A 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 Q 79094725 FMV NCH HEALTHCARE SYSTEM INC Q 543854 FMV