NCHMD INC

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

2003

Legal Domicile

Principal Officer

PAUL HILTZ

Phone

2396246338

Tax Period

2023-10-01 to 2024-09-30

NCHMD INC, founded in 2003, is a major nonprofit in the Health Care sector that reported $134.6M in total revenue in fiscal year 2023. Revenue decreased 20% compared to the prior year. Expenses of $163.2M exceeded revenue, resulting in a 21% operating deficit.

Mission

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

Program Service Accomplishments

Program 1

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

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.

Program 2

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

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...

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.

Program 3

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

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.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $34,524,936

Program Service Revenue $100,286,497

Investment Income $-93,054

Other Revenue $-112,609

TOTAL REVENUE $134,605,770

Expense Breakdown

Grants Paid $0

Salaries & Benefits $139,666,453

Fundraising Expenses $0

Program Expenses $153,941,299

Other Expenses $23,492,891

TOTAL EXPENSES $163,159,344

Year-over-Year Comparison

	2023	2022	Change
Revenue	$134,605,770	$167,692,898	-0.2%
Expenses	$163,159,344	$154,594,451	+0.1%
Net Income	$-28,553,574	$13,098,447	-3.2%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

930

Volunteers

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$9,581,555

Total Directors

$10,036,419

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
DINESH SHARMA MD	PHYSICIAN	40.00	Director	$2,084,846	$38,968	$2,123,814
PAUL HILTZ	PRESIDENT/CEO/TRUSTEE	1.00	Officer Director	$0	$36,167	$2,192,972
DAVID LINZ MD	PHYSICIAN/TRUSTEE	40.00	Director	$1,081,735	$40,385	$1,122,120
CARLO SANTOS-OCAMPO MD	PHYSICIAN/OFFICER	40.00	Director	$1,036,481	$35,521	$1,072,002
BRYAN C MURPHEY MD	PHYSICIAN/CHAIRMAN	40.00	Officer Director	$991,694	$37,866	$1,029,560
KRISTIN MASCOTTI MD TERM 0224	TRUSTEE/CMO	1.00	Officer Director	$0	$31,938	$922,726
ROBERT GROSSMAN MD	PHYSICIAN/TRUSTEE	40.00	Director	$747,520	$21,156	$768,676
EMILY ESSERT MD	PHYSICIAN/TRUSTEE	40.00	Director	$370,902	$35,749	$406,651
REBECCA WITHERELL MD	PHYSICIAN/TRUSTEE	40.00	Director	$377,095	$20,803	$397,898
KEVIN BEEBE	TRUSTEE	0.50	Director	$0	$0	$0
SCOTT LUTGERT	TRUSTEE	0.50	Director	$0	$0	$0
MICHAEL WYNN	TRUSTEE	0.50	Director	$0	$0	$0
JONATHAN KLING RN	CHIEF OPERATING OFFICER SYSTEM	1.00	Officer	$0	$38,478	$732,361
CARLOS B QUINTERO MD	CHIEF QUALITY OFFICER	41.00	Officer	$636,644	$41,361	$678,005
JIM MAHON	SENIOR VICE PRESIDENT	1.00	Officer	$0	$13,937	$654,072
RENEE M THIGPEN TERM 0824	CHIEF HR OFFICER	1.00	Officer	$0	$34,354	$572,622
NOBLE ARRINGTON	CFO/ASSISTANT TREASURER	1.00	Officer	$0	$60,054	$489,395
ANDREW COOPER	CHIEF INFORMATION OFFICER	1.00	Officer	$0	$52,315	$425,651
GINA TEEGARDEN RN	CHIEF NURSING EXECUTIVE	1.00	Officer	$0	$49,047	$424,170
MATTHEW STACELL	CHIEF PERFORMANCE MANAGEMENT OFFICER	1.00	Officer	$0	$50,101	$342,891
ERIN RANEY	CHIEF ADMINISTRATIVE OFFICER	1.00	Officer	$0	$46,065	$300,207
ILIA ECHEVARRIA RN	CHIEF NURSING OFFICER NNH	1.00	Officer	$0	$24,079	$290,830
MAGALI PALMA START 0224	CHIEF ASSISTANT OPERATIONS OFFICER	1.00	Officer	$0	$29,810	$237,391
JENNIFER HART START 0624	CHIEF CULTURE OFFICER	1.00	Officer	$0	$31,791	$183,111
MARA HAMMOND START 1023	CHIEF IMPACT OFFICER	1.00	Officer	$0	$3,464	$105,591
HOWARD KAPP MD	PHYSICIAN	40.00	Highest	$2,534,713	$29,470	$2,564,183
JON S DOUNCHIS MD	PHYSICIAN	40.00	Highest	$2,009,786	$40,202	$2,049,988
DAVID R AXLINE MD	PHYSICIAN	40.00	Highest	$1,341,829	$39,178	$1,381,007
EDISON VALLE GILER MD	PHYSICIAN	40.00	Highest	$1,214,266	$31,946	$1,246,212
ROBERTO CUBEDDU MD	PHYSCIAN	40.00	Highest	$1,938,904	$38,284	$1,977,188
RICK WYLES TERM 0523	FORMER CHIEF FINANCIAL OFFICER	0.00		$0	$31,990	$825,215
MARGARET DIMOND TERM 0423	FORMER CHIEF ADMINISTRATIVE OFFICER	0.00		$0	$16,654	$417,317
PHILLIP DUTCHER TERM 0721	FORMER CHIEF OPERATING OFFICER	0.00		$0	$768	$345,127
MICHAEL RILEY TERM 1120	FORMER CHIEF STRATEGY OFFICER	0.00		$0	$0	$141,564

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2024	$134,605,770	$163,159,344	$131,035,825	$-28,553,574
2023	$167,692,898	$154,594,451	$94,177,869	$13,098,447
2022	$126,929,702	$157,043,860	$39,367,117	$-30,114,158
2021	$127,733,197	$166,755,162	$43,477,542	$-39,021,965
2020	$113,310,626	$152,898,538	$41,550,306	$-39,587,912
2019	$112,964,796	$150,036,190	$44,445,588	$-37,071,394
2018	$110,711,566	$134,968,528	$38,189,533	$-24,256,962