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Nonprofiteer
← CANTON-POTSDAM MEDICAL PRACTICE PLLC

Form 990 for tax year 2023

Filed by CANTON-POTSDAM MEDICAL PRACTICE PLLC.

Totals

Total revenue
$848,336
Total expenses
$2,083,555
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$2,030,962
Management and general expenses
$52,593
Fundraising expenses
$0
Program service expenses (Part III)
$2,030,962

Program services were 97.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • ROBERT T ROGERS II MD

    MEDICAL DIRECTOR

    Total calculated
    $272,754
    From this org
    $0
    From related orgs
    $270,405
    Other
    $2,349
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $2,271 related
    Bonus
    $0 + $268,134 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $2,349 related
    Filer's total
    $0 + $272,754 related

  • RICHARD DAVIS PHD

    CEO

    Total calculated
    $3,137,090
    From this org
    $0
    From related orgs
    $3,082,209
    Other
    $54,881
    Hours/week
    0 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,672,483 related
    Bonus
    $0 + $1,409,726 related
    Other
    $0
    Deferred
    $0 + $46,168 related
    Nontaxable benefits
    $0 + $8,713 related
    Filer's total
    $0 + $3,137,090 related

  • THOMAS CRILLY

    CFO

    Total calculated
    $1,579,020
    From this org
    $0
    From related orgs
    $1,424,419
    Other
    $154,601
    Hours/week
    0 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $696,555 related
    Bonus
    $0 + $726,450 related
    Other
    $0 + $1,414 related
    Deferred
    $0 + $145,610 related
    Nontaxable benefits
    $0 + $8,991 related
    Filer's total
    $0 + $1,579,020 related

  • HUGH THOMAS

    CAO

    Total calculated
    $1,739,491
    From this org
    $0
    From related orgs
    $1,730,390
    Other
    $9,101
    Hours/week
    0 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $467,323 related
    Bonus
    $0 + $474,557 related
    Other
    $0 + $788,510 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $9,101 related
    Filer's total
    $0 + $1,739,491 related

  • CHRISTIAN CASINI

    ASSISTANT SECRETARY

    Total calculated
    $371,721
    From this org
    $0
    From related orgs
    $337,568
    Other
    $34,153
    Hours/week
    0 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $321,343 related
    Bonus
    $0 + $16,225 related
    Other
    $0
    Deferred
    $0 + $30,027 related
    Nontaxable benefits
    $0 + $4,126 related
    Filer's total
    $0 + $371,721 related

  • JENNIFER ESLINGER

    COO

    Total calculated
    $1,305,382
    From this org
    $0
    From related orgs
    $1,294,014
    Other
    $11,368
    Hours/week
    0 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $748,219 related
    Bonus
    $0 + $545,795 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $11,368 related
    Filer's total
    $0 + $1,305,382 related

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

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 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 3
COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS IS ESTABLISHED USING THE FOLLOWING: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACTS - COMPENSATION SURVEYS AND STUDIES - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE ON AN ANNUAL BASIS, THE ORGANIZATION USES AN INDEPENDENT COMPENSATION CONSULTANT TO REVIEW THE SALARIES FOR ALL EXECUTIVES TO ENSURE SUCH SALARIES ARE CONSISTENT WITH MARKET SALARIES PAID TO SIMILARLY SITUATED EXECUTIVES. IN ADDITION, A COMPENSATION COMMITTEE REVIEWS THIS INFORMATION ANNUALLY AND IT IS THEN APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD. FINALLY, EXECUTIVES RECEIVE A WRITTEN LETTER OUTLINING THE SPECIFICS OF THE COMPENSATION AGREEMENT AND THEIR EXPECTED PERFORMANCE.
PART I, LINES 4A-B
SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS PROVIDE BENEFITS TO CERTAIN KEY EXECUTIVE EMPLOYEES OF ROCHESTER REGIONAL HEALTH. THE ORGANIZATION MAINTAINS A SECTION 457(F) PLAN WHICH WOULD BE CONSIDERED A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. THERE WERE NO DISTRIBUTIONS FROM THE PLAN IN 2023.
OTHER ADDITIONAL INFORMATION:
CANTON-POTSDAM MEDICAL PRACTICE DOES NOT HAVE ANY EMPLOYEES ON ITS PAYROLL AND ALL "EMPLOYEES" ARE CONTRACTED THROUGH CANTON-POTSDAM HOSPITAL, RELATED TAX EXEMPT ORGANIZATION. AS SUCH, THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF CANTON-POTSDAM HOSPITAL SEEKS INPUT OF A CONSULTING FIRM WITH NATIONAL EXPERIENCE TO REVIEW COMPENSATION PACKAGES OFFERED TO TOP MANAGEMENT AND THE REGULATORY COMPLIANCE ISSUES OF NOT-FOR-PROFITS. UPON THE FINDINGS OF THE CONSULTANT AND DELIVERATIONS OF THE COMPENSATION COMMITTEE, THE COMMITTEE WILL THEN MAKE RECOMENDATION TO THE FULL BOARD. THE FULL BOARD WILL THEN VOTE ON THE TOP OFFICIAL'S COMPENSATION PACKAGE.
PART II, COLUMN C:
RETIREMENT AND OTHER DEFERRED COMPENSATION - THIS COLUMN IS REFLECTIVE OF THE ACTUARIAL CHANGE IN DEFINED BENEFIT PENSION PLAN AND POST-RETIREMENT BENEFITS FOR THE TAX YEAR.

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
2023
Filed
12 November 2024
IRS schema version
2023v5.1
Source object
202403199349302195

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