NCH

Nonprofit profile at a glance

EIN
590694358
IRS 990 coverage
2009–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-T 2024
Location
Naples, FL, United States
Phone
239-624-5000
Rating
76
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospital, General

Official website

Reported finances

Revenue
$928,211,103
Expenses
$833,538,322
Assets
$1,278,725,709
Liabilities
$556,580,282

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

37 people listed

Executive titles in this filing

  • PAUL HILTZ (PRESIDENT/CEO/TRUSTEE)
  • JIM MAHON (SENIOR VICE PRESIDENT)

Highest reported compensation

  • PAUL HILTZ (PRESIDENT/CEO/TRUSTEE): $2,398,419 total reported compensation
  • KRISTIN MASCOTTI MD TRM 224 (FORMER CHIEF MEDICAL OFFICER): $1,060,342 total reported compensation
  • JONATHAN KLING (CHIEF OPERATING OFFICER SYSTEM): $950,393 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

NCH (Naples Comprehensive Health) is a locally governed non-profit and an Advanced Community Health System™ located in Naples, Florida. Our mission is to help everyone live a longer, happier, healthier life. The System includes: NCH Baker Hospital and NCH North Hospital with a total of 713 beds. As an independent, non-profit we boldly pursue our mission to help people live happier, healthier and longer lives. One way we fulfill our mission is by serving our community’s greatest healthcare needs. Learn More NCH White Logo.

What it reported doing in 2024

See schedule onaples community hospital, inc. (nch) provides inpatient and outpatient healthcare services without regard to a patient's ability to pay. From its two hospitals, cancer treatment centers, wound care centers and outpatient rehabilitation centers, nch provided $106,933,833 of charity care to patients who were unable to pay and not covered by any governmental or private insurance program. Additionally, nch wrote off $424,464 classified as bad debts, much of which represented services delivered to indigent patients, who did not receive a charity care determination in accordance with the state's criteria.the services offered at nch are extensive and include medical, surgical, obstetric, pediatric, rehabilitative, psychiatric, diagnostic, and emergency treatment. A total of 610 active and associate physicians, 2,915 full-time equivalent employees, and 328 volunteers comprise the outstanding medical team working together to provide these services.the two hospitals are comprised of 632 acute care beds and 19 nicu beds. Additional specialty services for the care of certain critical and life threatening medical conditions include the medical intensive care unit, surgical intensive care unit, cardiac care unit, cardiac catheterization unit and intermediate care unit. Other specialties include oncology, diagnostic services (cardio-diagnostics, mammography, computerized topographic scanning (ct), and magnetic resonance imaging (mri), and special procedures such as biopsy, angiography, and angioplasty).during the 2025 fiscal year, nch had 32,623 inpatient admissions resulting in 128,214 days of care. Additionally, 119,494 patients were treated in our emergency care centers.naples community hospital, inc. Receives volunteer assistance for operating its hospitality and gift shops.naples community hospital, inc. Also provides health enhancing educational programs in addition to medical care. These programs include: whitaker wellness center; better breathers club; mended hearts; diabetes education program; childbirth classes; health fairs; and career days.

Operating model

Revenue model
Earned-program. 93% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
  • Includes noncash contributions: Reported contributions include donated property or goods.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. The filing reports few safeguards for money sent abroad and the filing does not identify recipients for some grant dollars.

Rating breakdown

  • Financial Efficiency: 79
  • Transparency & Controls: 61
  • Accountability: 88
  • Sustainability: 63
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 73.3%; rating input score 73
  • Program expense ratio: 82%; rating input score 82
  • Fundraising efficiency: $5,337.85 raised per $1 spent on fundraising; rating input score 99; 99th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
  • Pay-setting controls: 4 of 6 controls in place; rating input score 67
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Scored; rating input score 0
  • Grant itemization coverage: 0%; rating input score 0; 3rd percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 80%; rating input score 80; 28th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 10.2%; rating input score 73; 73rd percentile among comparable filings
  • Total-asset coverage ratio: 1.53; rating input score 54; 54th percentile among comparable filings
  • Liabilities to assets ratio: 0.44; rating input score 42; 42nd percentile among comparable filings
  • Officer compensation ratio: 1.5%; rating input score 64; 64th percentile among comparable filings

Growth

  • Program expense growth: 5.5% per year; rating input score 100; 45th percentile among comparable filings
  • Revenue growth: 4.8% per year; rating input score 100; 40th percentile among comparable filings
  • Asset growth: 5.4% per year; rating input score 100; 39th percentile among comparable filings

Details

  • What they do: 3 programs and campaigns described on the official site · 1 operating location identified
  • Where the money goes: 73.3% of revenue deployed · 82% of spending went to programs
  • Governance: 12 of 15 board members independent · 9 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $683.1M in reported program spending
  • Leadership: top reported pay $2.4M · 37 people listed · 4 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $154.9M reported
  • Consistency: 36 of 36 current checks pass
  • Schedules: 12 filed schedules · includes major donors, foreign activity, executive pay, and related organizations
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 23 filed money-flow records
  • Related organizations: 14 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Foreign activity oversight scored 0/100.
  • High — Transparency & Controls: Grant itemization coverage scored 0/100.
  • Review — Sustainability: Total-asset coverage ratio scored 54/100.
  • Moderate — Sustainability: Liabilities to assets ratio scored 42/100.