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Nonprofiteer
← COOPER UNIVERSITY HEALTH CAPE REGIONAL INC

Form 990 for tax year 2023

Filed by COOPER UNIVERSITY HEALTH CAPE REGIONAL INC.

Totals

Total revenue
$161,827
Total expenses
$11,968
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$0
Management and general expenses
$11,968
Fundraising expenses
$0
Program service expenses (Part III)
$0

Program services were 0.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • JOANNE CARROCINO FACHE

    TRUSTEE - PRESIDENT/CEO CRMC

    Total calculated
    $861,896
    From this org
    $0
    From related orgs
    $760,196
    Other
    $101,700
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $712,495 related
    Bonus
    $0
    Other
    $0 + $47,701 related
    Deferred
    $0 + $79,743 related
    Nontaxable benefits
    $0 + $21,957 related
    Filer's total
    $0 + $861,896 related

  • SAMIR SHAIKH MD

    TRUSTEE

    Total calculated
    $612,235
    From this org
    $0
    From related orgs
    $542,189
    Other
    $70,046
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $337,714 related
    Bonus
    $0 + $204,106 related
    Other
    $0 + $369 related
    Deferred
    $0 + $9,900 related
    Nontaxable benefits
    $0 + $60,146 related
    Filer's total
    $0 + $612,235 related

  • Tooba Fayyaz DO

    Trustee- VP Medical Staff

    Total calculated
    $508,533
    From this org
    $0
    From related orgs
    $479,797
    Other
    $28,736
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $319,392 related
    Bonus
    $0 + $129,723 related
    Other
    $0 + $30,682 related
    Deferred
    $0 + $9,900 related
    Nontaxable benefits
    $0 + $18,836 related
    Filer's total
    $0 + $508,533 related

  • RICHARD A MICHNER MD

    TRUSTEE

    Total calculated
    $8,242
    From this org
    $0
    From related orgs
    $8,242
    Other
    $0
    Hours/week
    1

  • GARRY GILBERT

    CHAIRMAN - TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • ROBERT A FINEBERG ESQ

    VICE CHAIRMAN - TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • HENRY S BRZYSKI

    SECRETARY/TREASURER - TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • RALPH AUTUORE

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • ELLEN KRAVET BURKE

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • THOMAS F DIERKES DO

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • MARY ANN FRANCISCO RN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • HERBERT L HORNSBY JR

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • PASTOR WILLIE JOHNSON JR

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • SUZANNA WALTERS

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • WILLIAM WENZEL JR

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • BILL YOH

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • BARBARA ST CLAIR

    TRUSTEE (decd 1/2023)

    Total calculated
    $0
    Hours/week
    1

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 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 6b · Pay contingent on a related organization's net earnings

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
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

SCHEDULE J, PART I; QUESTION 4B
THE DEFERRED COMPENSATION AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH IS SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, SHE MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN HER 2023 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: JOANNE CARROCINO, FACHE, $49,481.
SCHEDULE J, PART I; QUESTION 6B
THE DEFERRED COMPENSATION AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN C MAY INCLUDE ADDITIONAL CONTRIBUTIONS MADE BY CAPE REGIONAL MEDICAL CENTER ("CRMC"); A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, TO EMPLOYEES THAT PARTICIPATE IN THE CRMC INTERNAL REVENUE CODE SECTION 403(B) DEFINED CONTRIBUTION RETIREMENT PLAN. ACCORDING TO ARTICLE 35 OF CRMC'S COLLECTIVE BARGAINING AGREEMENT, IF CRMC'S AUDITED INCOME FROM OPERATIONS AS REPORTED IN ITS AUDITED FINANCIAL STATEMENTS EXCEEDS CERTAIN THRESHOLDS OUTLINED IN THE COLLECTIVE BARGAINING AGREEMENT, CRMC WILL CONTRIBUTE ADDITIONAL FUNDS INTO EACH PARTICIPATING MEMBER'S INTERNAL REVENUE CODE SECTION 403(B) DEFINED CONTRIBUTION RETIREMENT PLAN ACCOUNT.
SCHEDULE J, PART I; QUESTION 7
CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2023 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2023 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.

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
15 May 2024
IRS schema version
2023v5.1
Source object
202413199349305546

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