2025-08-11T11:52:44-05:00 2024-09-30 420714325 RSM US LLP 30 SOUTH WACKER DR SUITE 3300 CHICAGO IL 606063392 990 2023-10-01 650244276 COLLIER HEALTH CARE INC COLL 2396246338 PO BOX 413029 NAPLES FL 341013029 NOBLE ARRINGTON CHIEF FINANCIAL OFFICER 2396244005 2025-08-08 1 1 REBEKUH ELEY P01247672 3126343400 2025-08-08 2023 2025-03-06 01:10:19Z PAUL HILTZ PO BOX 413029 NAPLES FL 341013029 0 0 X WWW.NCHMD.ORG X 1986 FL HELPING EVERYONE LIVE A LONGER, HAPPIER, AND HEALTHIER LIFE.OUR VISION IS TO BE A WORLD-CLASS LEADER OF EXCELLENCE IN HEALTHCARE AND TO PROVIDE EXCELLENCE IN EVERY PATIENT EXPERIENCE. 15 12 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 238181 258458 238181 258458 -238181 -258458 1441650 1094394 463885 488370 977765 606024 HELPING EVERYONE LIVE A LONGER, HAPPIER, AND HEALTHIER LIFE. 0 0 COLLIER HEALTH CARE, INC. IS IN A TRANSTIONAL PHASE AND FUTURE PLANSFOR THE ENTITY'S PURPOSE ARE BEING EVALUATED. 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 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 15 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X NOBLE ARRINGTONCHIEF FINANCIAL OFFICER 2396246338 350 7TH STREET N NAPLES FL 341023029 PAUL HILTZ PRESIDENT/CEO/TRUSTEE 1.00 44.00 X X 0 2156805 36167 KRISTIN MASCOTTIMD TERM 0224 CHIEF MEDICAL OFFICER 1.00 44.00 X 0 890788 31938 RICK WYLES TERM 0523 FORMER CFO/ASSISTANT TREASURER 0.00 0.00 X 0 793225 31990 JONATHAN KLING CHIEF OPERATING OFFICER SYSTEM 1.00 44.00 X 0 693883 38478 CARLOS B QUINTERO MD CHIEF QUALITY OFFICER 1.00 44.00 X 0 636644 41361 JIM MAHON SENIOR VICE PRESIDENT 1.00 44.00 X 0 640135 13937 RENEE M THIGPEN TERM 0824 CHIEF HR OFFICER 1.00 44.00 X 0 538268 34354 NOBLE ARRINGTON CFO/ASSISTANT TREASURER 1.00 44.00 X 0 429341 60054 ANDREW COOPER CHIEF INFORMATION OFFICER 1.00 44.00 X 0 373336 52315 GINA TEEGARDEN RN CHIEF NURSING EXECUTIVE 1.00 44.00 X 0 375123 49047 MARGARET DIMOND TERM 423 FORMER CHIEF ADMINISTRATIVE OFFICER 0.00 0.00 X 0 400663 16654 PHILLIP DUTCHER TERM 0721 FORMER CHIEF OPERATING OFFICER 0.00 0.00 X 0 344359 768 MATTHEW STACELL CHIEF PERFORMANCE MANAGEMENT OFFICER 1.00 44.00 X 0 292790 50101 ERIN RANEY CHIEF ADMINISTRATIVE OFFICER 1.00 44.00 X 0 254142 46065 ILIA ECHEVARRIA CHIEF NURSING OFFICER NNH 1.00 44.00 X 0 266751 24079 MAGALI PALMA START 0224 CHIEF ASSISTANT OPERATIONS OFFICER 1.00 44.00 X 0 207581 29810 JENNIFER HART START 0624 CHIEF CULTURE OFFICER 1.00 44.00 X 0 151320 31791 MICHAEL RILEY TERM 1120 FORMER CHIEF STRATEGY OFFICER 0.00 0.00 X 0 141564 0 MARA HAMMOND START 1023 CHIEF IMPACT OFFICER 1.00 44.00 X 0 102127 3464 PETER LUTHRINGER MD TRUSTEE 0.50 2.00 X 0 18125 0 SCOTT LUTGERT CHAIRMAN 0.50 2.00 X X 0 0 0 KEVIN BEEBE 1ST VICE CHAIRMAN 0.50 2.00 X X 0 0 0 MICHAEL WYNN 2ND VICE CHAIRMAN 0.50 2.00 X X 0 0 0 KERRY EDWARDS TREASURER 0.50 2.00 X X 0 0 0 JAY BAKER SECRETARY 0.50 2.00 X 0 0 0 ALAN EINHORN TRUSTEE 0.50 2.00 X 0 0 0 BLAKE GABLE TRUSTEE 0.50 2.00 X 0 0 0 ANNE MCNULTY TRUSTEE 0.50 2.00 X 0 0 0 BILL PEREZ TRUSTEE 0.50 2.00 X 0 0 0 LAURIE COWAN PHILLIPS TRUSTEE 0.50 2.00 X 0 0 0 AMBASSADOR FRANCIS ROONEY TRUSTEE 0.50 2.00 X 0 0 0 DAVEY SCOON TRUSTEE 0.50 2.00 X 0 0 0 JANICE TEAL TRUSTEE 0.50 2.00 X 0 0 0 0 9706970 592373 0 1 1 0 0 0 0 0 0 185651 185651 15909 15909 56898 56898 258458 0 258458 0 474894 403750 47500 572000 587910 572000 449990 0 1441650 1094394 457087 488370 6798 0 463885 488370 X 977765 606024 977765 606024 1441650 1094394 X -258458 -113283 X 0 1 X 1 0 X 0 0 64500 64500 0 0 0 129000 129000 0.00000 0.59330 X 572000 572000 572000 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 APPROPIATE 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 2020. X X X X 1 1 0 0 0 0 0 1 0 PAUL HILTZ PRESIDENT/CEO/TRUSTEE 0 1056981 0 911722 0 188102 0 13200 0 22967 0 2192972 0 158079 KRISTIN MASCOTTIMD TERM 0224 CHIEF MEDICAL OFFICER 0 717818 0 145655 0 27315 0 13200 0 18738 0 922726 0 0 RICK WYLES TERM 0523 FORMER CFO/ASSISTANT TREASURER 0 236350 0 116346 0 440529 0 13842 0 18148 0 825215 0 86428 JONATHAN KLING CHIEF OPERATING OFFICER SYSTEM 0 555617 0 113144 0 25122 0 13200 0 25278 0 732361 0 0 CARLOS B QUINTERO MD CHIEF QUALITY OFFICER 0 527573 0 84970 0 24101 0 13200 0 28161 0 678005 0 0 JIM MAHON SENIOR VICE PRESIDENT 0 445789 0 90090 0 104256 0 13200 0 737 0 654072 0 66924 RENEE M THIGPEN TERM 0824 CHIEF HR OFFICER 0 375297 0 77340 0 85631 0 13200 0 21154 0 572622 0 57452 NOBLE ARRINGTON CFO/ASSISTANT TREASURER 0 403050 0 0 0 26291 0 33472 0 26582 0 489395 0 0 ANDREW COOPER CHIEF INFORMATION OFFICER 0 330718 0 19443 0 23175 0 33420 0 18895 0 425651 0 0 GINA TEEGARDEN RN CHIEF NURSING EXECUTIVE 0 302459 0 48616 0 24048 0 38947 0 10100 0 424170 0 0 MARGARET DIMOND TERM 423 FORMER CHIEF ADMINISTRATIVE OFFICER 0 184209 0 115713 0 100741 0 12286 0 4368 0 417317 0 90254 PHILLIP DUTCHER TERM 0721 FORMER CHIEF OPERATING OFFICER 0 7912 0 0 0 336447 0 0 0 768 0 345127 0 0 MATTHEW STACELL CHIEF PERFORMANCE MANAGEMENT OFFICER 0 254297 0 15145 0 23348 0 23822 0 26279 0 342891 0 0 ERIN RANEY CHIEF ADMINISTRATIVE OFFICER 0 231462 0 0 0 22680 0 20382 0 25683 0 300207 0 0 ILIA ECHEVARRIA CHIEF NURSING OFFICER NNH 0 242560 0 1421 0 22770 0 10756 0 13323 0 290830 0 0 MAGALI PALMA START 0224 CHIEF ASSISTANT OPERATIONS OFFICER 0 206690 0 711 0 180 0 4504 0 25306 0 237391 0 0 JENNIFER HART START 0624 CHIEF CULTURE OFFICER 0 151050 0 0 0 270 0 5899 0 25892 0 183111 0 0 MICHAEL RILEY TERM 1120 FORMER CHIEF STRATEGY OFFICER 0 141564 0 0 0 0 0 0 0 0 0 141564 0 0 PART I, LINE 3 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. CHIEF OPERATING OFFICER RESIGNED 07/21 AND RECEIVED A SEVERANCE PAYMENT OF $328,461 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 PROVISION 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. FORM 990, PART VI, SECTION A, LINE 6 GOVERNING BODY AND MANAGEMENT NCH HEALTHCARE SYSTEM, INC. IS THE SOLE MEMBER OF THIS 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 COLLIER HEALTH CARE 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 COLLIER HEALTH CARE, INC.'S ("CHI") 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 IV, LINE 20A AND SCHEDULE H, PART I, LINE 3 INAPPLICABILITY OF SCHEDULE H ALTHOUGH COLLIER HEALTH CARE, INC. RECEIVES ITS PUBLIC CHARITY STATUS AS A HOSPITAL, IT IS NOT REQUIRED TO FILE SCHEDULE H OF THE FORM 990, AS THE ORGANIZATION IS NOT REQUIRED TO BE LICENSED, REGISTERED OR SIMILARLY RECOGNIZED BY THE STATE OF FLORIDA AS A HOSPITAL. FORM 990, PART XI, LINE 9: TRANSFER TO RELATED ORGANIZATION -120,081. DEFERRED CAPITAL LEASE REVENUE 6,798. MARCO ISLAND HOSPITAL INC 40 HEATHWOOD DRIVE MARCO ISLAND FL 34145 592315435 HEALTHCARE FL 501(C)(3) LINE 3 NCH SYSTEM 1 NAPLES COMMUNITY HOSPITAL INC PO BOX 413029 NAPLES FL 34101 590694358 HEALTHCARE FL 501(C)(3) LINE 3 NCH SYSTEM 1 NCH HEALTHCARE SYSTEM INC PO BOX 413029 NAPLES FL 34101 592314655 HOLDING COMPANY FL 501(C)(3) LINE 12B, II N/A 0 NCHMD INC PO BOX 413029 NAPLES FL 34101 331075317 HEALTHCARE FL 501(C)(3) LINE 10 NCH SYSTEM 1 PROSCAN NCH IMAGING LLC 350 7TH STREET NORTH NAPLES FL 34102 861212843 RADIOLOGY SERVICES DE N/A 0 0 NCH-VH JOINT VENTURE LLC 350 7TH STREET NORTH NAPLES FL 34102 874042152 SURGICAL SERVICES KS N/A 0 0 NCH-NH BONITA JV LLC 350 7TH STREET NORTH NAPLES FL 34102 873854125 SURGICAL SERVICES FL N/A 0 0 NCH BONITA AMBULATORY SURGERY CENTER LLC 350 7TH STREET NORTH NAPLES FL 34102 873854125 SURGICAL SERVICES FL N/A 0 0 HEALTH RESOURCES CORPORATION 350 7TH STREET N NAPLES FL 34102 592568003 HOLDING COMPANY FL NCH SYSTEM C 1 COMMUNITY HOME CARE INC 350 7TH STREET N NAPLES FL 34102 592372966 HOME HEALTH FL HEALTH RESOURCES CORPORATION C 1 COMMUNITY IMAGING INC 350 7TH STREET N NAPLES FL 34102 592446336 RADIOLOGY LAB FL HEALTH RESOURCES CORPORATION C 1 GREATER COLLIER INSURANCE LTD 350 7TH STREET N NAPLES FL 34102 INSURANCE CJ N/A C 0 AMBULATORY SURGICAL CARE CENTER INC 350 7TH STREET N NAPLES FL 34102 592568029 OUTPATIENT SURGERY FL HEALTH RESOURCES CORPORATION C 1 1 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 NAPLES COMMUNITY HOSPITAL INC P 120073 FMV