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Nonprofiteer
← OLEAN GENERAL HOSPITAL

Form 990 for tax year 2022

Filed by OLEAN GENERAL HOSPITAL.

Totals

Total revenue
$175,027,214
Total expenses
$200,445,334
Contributions and grants received
$14,587,682
Grants paid
$0
Program services expenses (Part IX)
$159,721,317
Management and general expenses
$40,724,017
Fundraising expenses
$0
Program service expenses (Part III)
$159,721,317

Program services were 79.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • JEFF BELT

    BOARD CHAIRMAN

    Total calculated
    $0
    Hours/week
    5.5 + 1 related

  • MUHAMMED JAVED MD

    BOARD VICE CHAIRMAN

    Total calculated
    $147,167
    From this org
    $147,167
    From related orgs
    $0
    Other
    $0
    Hours/week
    5.5 + 1 related

  • LISA FIORENTINO PHD RN

    BOARD SECRETARY

    Total calculated
    $0
    Hours/week
    5.5 + 1 related

  • PAUL RIDLEY

    BOARD TREASURER

    Total calculated
    $0
    Hours/week
    5.5 + 1 related

  • SHABIR BHAYANI MD

    DIRECTOR

    Total calculated
    $63,975
    From this org
    $0
    From related orgs
    $63,975
    Other
    $0
    Hours/week
    5.5 + 40 related

  • MARC BOUTILLETTE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    5.5 + 1 related

  • DANIEL DEROSE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    5.5 + 1 related

  • LISELLE ESPOSITO

    DIRECTOR (AS OF 4/22)

    Total calculated
    $0
    Hours/week
    5.5 + 1 related

  • DAVID FERGUSON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    5.5 + 1 related

  • JULIE MARASCO

    DIRECTOR

    Total calculated
    $0
    Hours/week
    5.5 + 1 related

  • ZAFAR MIRZA MD

    DIRECTOR AND PHYSICIAN

    Total calculated
    $1,926,246
    From this org
    $1,926,246
    From related orgs
    $0
    Other
    $0
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $1,926,246
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $1,926,246

  • DOUGLAS PISANO PHD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    5.5 + 1 related

  • ANIL PRADHAN MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    5.5 + 1 related

  • DAVID PRINCE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    5.5 + 1 related

  • GILBERT WITTE MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    5.5 + 1 related

  • MARY LAROWE

    INTERIM PRES AND CEO (THRU 04/22)

    Total calculated
    $0
    Hours/week
    1 + 40 related

  • MELISSA SCHOLL OSF

    DIRECTOR (THRU 04/22)

    Total calculated
    $0
    Hours/week
    5.5 + 1 related

  • JEANNINE SCHOENECKER

    SECRETARY (THRU 04/22)

    Total calculated
    $0
    Hours/week
    5.5 + 1 related

  • JILL OWENS

    PRESIDENT (AS OF 5/22)

    Total calculated
    $331,217
    From this org
    $220,499
    From related orgs
    $107,489
    Other
    $3,229
    Hours/week
    40 + 5.5 related

    Schedule J breakdown matched by us

    Base
    $220,499 + $104,275 related
    Bonus
    $0
    Other
    $0 + $3,214 related
    Deferred
    $0
    Nontaxable benefits
    $3,229
    Filer's total
    $223,728 + $107,489 related

  • LUIS GONZALEZ MD

    PRESIDENT & CEO (AS OF 1/22)

    Total calculated
    $883,403
    From this org
    $0
    From related orgs
    $763,809
    Other
    $119,594
    Hours/week
    40 + 5.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $763,809 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $20,500 related
    Nontaxable benefits
    $0 + $99,094 related
    Filer's total
    $0 + $883,403 related

  • GAIL A BAGAZZOLI

    VP - QUALITY & CNO (THRU 8/22)

    Total calculated
    $166,139
    From this org
    $126,764
    From related orgs
    $0
    Other
    $39,375
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $126,764
    Bonus
    $0
    Other
    $0
    Deferred
    $14,045
    Nontaxable benefits
    $25,330
    Filer's total
    $166,139

  • RICHARD G BRAUN JR

    CHIEF OPERATING OFFICER (THRU 5/22)

    Total calculated
    $318,415
    From this org
    $287,440
    From related orgs
    $0
    Other
    $30,975
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $108,979
    Bonus
    $0
    Other
    $178,461
    Deferred
    $11,493
    Nontaxable benefits
    $19,482
    Filer's total
    $318,415

  • LAURIE DUNN

    CNO (AS OF 7/22)

    Total calculated
    $77,310
    From this org
    $70,232
    From related orgs
    $0
    Other
    $7,078
    Hours/week
    40 + 1 related

  • WILLIAM F MILLS

    VP - MEDICAL AFFAIRS (THRU 1/22)

    Total calculated
    $166,182
    From this org
    $139,233
    From related orgs
    $0
    Other
    $26,949
    Hours/week
    23.5 + 15 related

    Schedule J breakdown matched by us

    Base
    $56,996
    Bonus
    $0
    Other
    $82,237
    Deferred
    $13,010
    Nontaxable benefits
    $13,939
    Filer's total
    $166,182

  • HENRI P LAMOTHE

    VP - MEDICAL AFFAIRS (AS OF 5/22)

    Total calculated
    $167,629
    From this org
    $154,349
    From related orgs
    $0
    Other
    $13,280
    Hours/week
    23.5 + 15 related

    Schedule J breakdown matched by us

    Base
    $154,349
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $13,280
    Filer's total
    $167,629

  • MELISSA SULLIVAN

    VP - CLINICAL & SUPPORT (THRU 1/22)

    Total calculated
    $24,808
    From this org
    $14,142
    From related orgs
    $0
    Other
    $10,666
    Hours/week
    40 + 1 related

  • DAVID MONROE

    CHIEF ADMIN OFFICER (AS OF 6/22)

    Total calculated
    $192,030
    From this org
    $151,435
    From related orgs
    $0
    Other
    $40,595
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $151,435
    Bonus
    $0
    Other
    $0
    Deferred
    $5,356
    Nontaxable benefits
    $35,239
    Filer's total
    $192,030

  • MOHANED AL-HUMADI

    PHYSICIAN

    Total calculated
    $1,499,385
    From this org
    $1,394,558
    From related orgs
    $0
    Other
    $104,827
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,394,558
    Bonus
    $0
    Other
    $0
    Deferred
    $17,019
    Nontaxable benefits
    $87,808
    Filer's total
    $1,499,385

  • AUBREY ASHIE

    PHYSICIAN

    Total calculated
    $713,516
    From this org
    $632,896
    From related orgs
    $0
    Other
    $80,620
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $632,896
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $80,620
    Filer's total
    $713,516

  • STEVEN PANCIO

    PHYSICIAN

    Total calculated
    $626,700
    From this org
    $554,547
    From related orgs
    $0
    Other
    $72,153
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $554,547
    Bonus
    $0
    Other
    $0
    Deferred
    $1,046
    Nontaxable benefits
    $71,107
    Filer's total
    $626,700

  • SHANCHIYA RAVINDRADAS

    PHYSICIAN

    Total calculated
    $534,581
    From this org
    $477,674
    From related orgs
    $0
    Other
    $56,907
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $477,674
    Bonus
    $0
    Other
    $0
    Deferred
    $12,921
    Nontaxable benefits
    $43,986
    Filer's total
    $534,581

  • GARY CARL

    PHYSICIAN

    Total calculated
    $600,688
    From this org
    $498,177
    From related orgs
    $0
    Other
    $102,511
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $498,177
    Bonus
    $0
    Other
    $0
    Deferred
    $18,469
    Nontaxable benefits
    $84,042
    Filer's total
    $600,688

  • JEFFREY S ZEWE

    FORMER PRESIDENT & CEO

    Total calculated
    $204,824
    From this org
    $184,025
    From related orgs
    $0
    Other
    $20,799
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $184,025
    Deferred
    $9,017
    Nontaxable benefits
    $11,782
    Filer's total
    $204,824

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment

Answered no

  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 4A
THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS. THESE AMOUNTS ARE REPORTED IN SCHEDULE J, PART II, COLUMN (III). - RICHARD G. BRAUN, JR. - $178,461 - WILLIAM F. MILLS - $82,237 - JEFFREY ZEWE - $184,025

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
14 November 2023
IRS schema version
2022v5.0
Source object
202313199349302316

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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