Form 990 for tax year 2023
Filed by SAMARITAN KEEP NURSING HOME INC.
Totals
- Total revenue
- $24,635,237
- Total expenses
- $24,311,490
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $23,923,164
- Investment income
- $22,334
- Other revenue
- $689,739
- Total assets, end of year
- $9,431,699
- Total liabilities, end of year
- $6,751,811
- Net assets or fund balances, end of year
- $2,679,888
- Program services expenses (Part IX)
- $22,805,631
- Management and general expenses
- $1,505,859
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $22,805,631
Program services were 93.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
THOMAS CARMAN
PRESIDENT & CEO
- Total calculated
- $1,102,663
- From this org
- $0
- From related orgs
- $1,043,591
- Other
- $59,072
- Hours/week
- 1 + 43.5 related
Schedule J breakdown matched by us
- Base
- $0 + $735,218 related
- Bonus
- $0 + $306,133 related
- Other
- $0 + $2,240 related
- Deferred
- $0 + $11,200 related
- Nontaxable benefits
- $0 + $47,872 related
- Filer's total
- $0 + $1,102,663 related
-
MAXINE BRIGGS
CFO/TREASURER
- Total calculated
- $607,571
- From this org
- $0
- From related orgs
- $559,897
- Other
- $47,674
- Hours/week
- 1 + 42.5 related
Schedule J breakdown matched by us
- Base
- $0 + $494,062 related
- Bonus
- $0 + $43,335 related
- Other
- $0 + $22,500 related
- Deferred
- $0 + $17,300 related
- Nontaxable benefits
- $0 + $30,374 related
- Filer's total
- $0 + $607,571 related
-
JORDAN JONES
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1 + 0.5 related
-
SAMUEL PURINGTON
IMMEDIATE PAST CHAIR
- Total calculated
- $0
- Hours/week
- 1 + 2.5 related
-
TRACY VALENTINE
SECRETARY
- Total calculated
- $0
- Hours/week
- 1 + 0.5 related
-
MARY WARDWELL-DONAHUE
CHAIR
- Total calculated
- $0
- Hours/week
- 1 + 3.5 related
-
DENISE YOUNG
SMC BOARD CHAIR EX OFFICIO
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
KEVIN KIEFF
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 0.5 related
-
KI LACLAIR
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 0.5 related
-
MELANIE PARKER-GEURTSEN
SMC BOARD CHAIR EX OFFICIO
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
MELISSA SCHMITT
AUXILIARY REPRESENTATIVE/E
- Total calculated
- $0
- Hours/week
- 1 + 0.5 related
-
ADDISON VARS III
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 0.5 related
-
JOAN TREADWELL-WOODS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 0.5 related
-
FRANCEE CALARCO
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 0.5 related
-
PETER L WALTON
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 0.5 related
-
BARRY ORMSBY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 0.5 related
-
LINDA O'CONNOR
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 0.5 related
-
MARTIN YENAWINE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 0.5 related
-
CARL MCLAUGHLIN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 0.5 related
-
PATRICK CALLI
SKH ADMINISTRATOR
- Total calculated
- $292,607
- From this org
- $45,527
- From related orgs
- $233,470
- Other
- $13,610
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $43,364 + $200,751 related
- Bonus
- $0 + $22,701 related
- Other
- $2,163 + $10,018 related
- Deferred
- $1,213 + $12,187 related
- Nontaxable benefits
- $41 + $169 related
- Filer's total
- $46,781 + $245,826 related
-
KERRI PELLAM
EDUCATOR/IP/ADON
- Total calculated
- $140,390
- From this org
- $108,478
- From related orgs
- $0
- Other
- $31,912
- Hours/week
- 40
-
AMY COLLINS
LPN
- Total calculated
- $232,053
- From this org
- $206,457
- From related orgs
- $0
- Other
- $25,596
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $195,007
- Bonus
- $11,450
- Other
- $0
- Deferred
- $4,129
- Nontaxable benefits
- $21,467
- Filer's total
- $232,053
-
LORRAINE KINNEER
LPN
- Total calculated
- $139,810
- From this org
- $113,304
- From related orgs
- $0
- Other
- $26,506
- Hours/week
- 40
-
PENNY WEDEL
LPN
- Total calculated
- $136,673
- From this org
- $113,585
- From related orgs
- $0
- Other
- $23,088
- Hours/week
- 40
-
KRISTY BOVEE
SKH FLOAT NURSE
- Total calculated
- $232,289
- From this org
- $204,102
- From related orgs
- $0
- Other
- $28,187
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $196,202
- Bonus
- $7,900
- Other
- $0
- Deferred
- $6,716
- Nontaxable benefits
- $21,471
- Filer's total
- $232,289
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, and on a Form 990-PF Part VIII's — 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
- 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 1A
- PART 1, LINE 4B: THE FOLLOWING INDIVIDUALS RECEIVED CONTRIBUTIONS TO AN IRC 457 (B) PLAN DURING 2023: MAXINE BRIGGS- $22,500 PATRICK CALLI- $12,182
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.
-
501 (C) (3) · HOSPITAL · NY
-
THE SAMARITAN MEDICAL CENTER FDN OF NORTHERN NEW YORK INC
501 (C) (3) · PROVIDES FUND FOR SAMARITAN MEDICAL CENTER AND AFFLIATES · NY
Directly controlled by SAMARITAN MEDICAL CENTER
-
EDWARD J NOBLE HOSPITAL- SAMARITAN
501 (C) (3) · HOSPITAL · NY
Directly controlled by SAMARITAN MEDICAL CENTER
-
501 (C) (3) · SENIOR CITIZEN COMMUNITY · NY
Directly controlled by SAMARITAN MEDICAL CENTER
-
501 (C) (3) · PHYSICIAN MEDICAL PRACTICE · NY
Directly controlled by SAMARITAN MEDICAL CENTER
-
501 (C) (3) · CERTIFIED HOME HEALTH AGENCY · NY
Directly controlled by SAMARITAN MEDICAL CENTER
-
CLIFTON-FINE HEALTH CARE CORPORATION
501 (C) (3) · HOSPITAL · NY
Directly controlled by SAMARITAN MEDICAL CENTER
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 12 November 2024
- IRS schema version
- 2023v5.1
- Source object
- 202423189349311382
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