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Nonprofiteer
← CLIFTON SPRINGS SANITARIUM CO

Form 990 for tax year 2022

Filed by CLIFTON SPRINGS SANITARIUM CO.

Totals

Total revenue
$116,577,623
Total expenses
$113,153,419
Contributions and grants received
$3,843,290
Grants paid
$0
Program services expenses (Part IX)
$102,199,235
Management and general expenses
$10,954,184
Fundraising expenses
$0
Program service expenses (Part III)
$102,199,235

Program services were 90.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • HOLLY ADAMS

    CHAIR OF THE BOARD

    Total calculated
    $0
    Hours/week
    1

  • KERRY ADAMS

    VICE CHAIR/TREASURER

    Total calculated
    $0
    Hours/week
    1

  • ROBERT WOODHOUSE

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • SIDNEY SOBEL MD

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • RICHARD DAVIS PHD

    CEO

    Total calculated
    $1,305,227
    From this org
    $47,055
    From related orgs
    $1,246,959
    Other
    $11,213
    Hours/week
    2 + 53 related

    Schedule J breakdown matched by us

    Base
    $37,964 + $1,006,050 related
    Bonus
    $9,091 + $240,909 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $408 + $10,805 related
    Filer's total
    $47,463 + $1,257,764 related

  • NICHOLAS DAY MD

    DIRECTOR / PHYSICIAN

    Total calculated
    $470,817
    From this org
    $465,379
    From related orgs
    $0
    Other
    $5,438
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $450,835
    Bonus
    $14,544
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $5,438
    Filer's total
    $470,817

  • STEPHEN IGNACZAK MD

    DIRECTOR

    Total calculated
    $327,297
    From this org
    $315,324
    From related orgs
    $0
    Other
    $11,973
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $299,124
    Bonus
    $16,200
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $11,973
    Filer's total
    $327,297

  • LISA MATTOON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • KAYVAN MIRHADI MD MSO

    DIRECTOR

    Total calculated
    $478,613
    From this org
    $461,171
    From related orgs
    $0
    Other
    $17,442
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $295,595
    Bonus
    $165,576
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $17,442
    Filer's total
    $478,613

  • SALLY MUELLER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • DINA S STUCK

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • WILLIAM YOUNG

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JAMES CULLINAN DO

    MEDICAL STAFF PRESIDENT

    Total calculated
    $363,979
    From this org
    $449,703
    From related orgs
    $0
    Other
    -$85,724
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $245,641
    Bonus
    $204,062
    Other
    $0
    Deferred
    -$100,107
    Nontaxable benefits
    $14,383
    Filer's total
    $363,979

  • THOMAS CRILLY

    CFO

    Total calculated
    $1,101,091
    From this org
    $48,473
    From related orgs
    $1,284,536
    Other
    -$231,918
    Hours/week
    2 + 53 related

    Schedule J breakdown matched by us

    Base
    $22,986 + $609,134 related
    Bonus
    $23,652 + $626,781 related
    Other
    $1,835 + $48,621 related
    Deferred
    -$8,895 + -$235,715 related
    Nontaxable benefits
    $462 + $12,230 related
    Filer's total
    $40,040 + $1,061,051 related

  • HUGH THOMAS

    CAO

    Total calculated
    $1,269,539
    From this org
    $53,237
    From related orgs
    $1,410,786
    Other
    -$194,484
    Hours/week
    2 + 53 related

    Schedule J breakdown matched by us

    Base
    $32,577 + $863,300 related
    Bonus
    $20,660 + $547,486 related
    Other
    $0
    Deferred
    -$7,528 + -$199,489 related
    Nontaxable benefits
    $456 + $12,077 related
    Filer's total
    $46,165 + $1,223,374 related

  • DUSTIN RICCIO MD

    PRESIDENT, EASTERN REGION

    Total calculated
    $381,217
    From this org
    $225,287
    From related orgs
    $270,344
    Other
    -$114,414
    Hours/week
    25 + 30 related

    Schedule J breakdown matched by us

    Base
    $146,544 + $175,852 related
    Bonus
    $78,743 + $94,492 related
    Other
    $0
    Deferred
    -$56,765 + -$68,118 related
    Nontaxable benefits
    $4,759 + $5,710 related
    Filer's total
    $173,281 + $207,936 related

  • JAMES MEAD

    PHYSICIAN

    Total calculated
    $447,609
    From this org
    $543,886
    From related orgs
    $0
    Other
    -$96,277
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $471,724
    Bonus
    $72,162
    Other
    $0
    Deferred
    -$102,715
    Nontaxable benefits
    $6,438
    Filer's total
    $447,609

  • AZFAR AHMED

    PHYSICIAN

    Total calculated
    $707,752
    From this org
    $698,069
    From related orgs
    $0
    Other
    $9,683
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $361,052
    Bonus
    $337,017
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $9,683
    Filer's total
    $707,752

  • DANA HANSEN

    PHYSICIAN

    Total calculated
    $414,611
    From this org
    $413,927
    From related orgs
    $0
    Other
    $684
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $412,727
    Bonus
    $1,200
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $684
    Filer's total
    $414,611

  • DEBBIE DINSMORE

    SENIOR CLINICAL EVALUATOR

    Total calculated
    $135,191
    From this org
    $131,307
    From related orgs
    $0
    Other
    $3,884
    Hours/week
    40

  • CAROL BLOSS

    RN III

    Total calculated
    $139,537
    From this org
    $114,746
    From related orgs
    $24,263
    Other
    $528
    Hours/week
    40

  • ERIC BIEBER

    FORMER CEO

    Total calculated
    $47,654
    From this org
    $1,722
    From related orgs
    $45,638
    Other
    $294
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $1,722 + $45,638 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $11 + $283 related
    Filer's total
    $1,733 + $45,921 related

  • DANIEL PETER SHAND

    FORMER MEDICAL STAFF PRESIDENT

    Total calculated
    $321,559
    From this org
    $0
    From related orgs
    $448,101
    Other
    -$126,542
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $228,170 related
    Bonus
    $0 + $219,931 related
    Other
    $0
    Deferred
    $0 + -$137,144 related
    Nontaxable benefits
    $0 + $10,602 related
    Filer's total
    $0 + $321,559 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

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 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, LINE 4B
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. DURING 2022 THE CFO OF ROCHESTER REGIONAL HEALTH RECEIVED A DISTRIBUTION TOTALING $49,054.
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
2022
Filed
10 November 2023
IRS schema version
2022v5.0
Source object
202343179349306159

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

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