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Nonprofiteer
← WINSLOW MEMORIAL HOSPITAL INC

Form 990 for tax year 2022

Filed by WINSLOW MEMORIAL HOSPITAL INC.

Totals

Total revenue
$40,637,304
Total expenses
$43,625,718
Contributions and grants received
$128,120
Grants paid
$5,000
Program service revenue
$40,454,131
Investment income
$25,563
Other revenue
$29,490
Total assets, end of year
$46,386,356
Total liabilities, end of year
$19,271,171
Net assets or fund balances, end of year
$27,115,185
Program services expenses (Part IX)
$36,018,524
Management and general expenses
$7,607,194
Fundraising expenses
$0
Program service expenses (Part III)
$36,018,524

Program services were 82.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • THOMAS GREENWOOD MD

    DIRECTOR, CHIEF OF STAFF

    Total calculated
    $287,172
    From this org
    $241,001
    From related orgs
    $0
    Other
    $46,171
    Hours/week
    40 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $240,001
    Bonus
    $1,000
    Other
    $0
    Deferred
    $11,129
    Nontaxable benefits
    $35,567
    Filer's total
    $287,697

  • JR DESPAIN

    CHAIRPERSON

    Total calculated
    $0
    Hours/week
    5 + 0.5 related

  • FRANK ARMAO MD

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    1 + 0.5 related

  • RHONDA GREER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 0.5 related

  • CHRIS BAVASI

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 0.5 related

  • ROBERT SALABYE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 0.5 related

  • ROBERTA CANO

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 0.5 related

  • DARRIN FRY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 0.5 related

  • ELIZABETH MCKEY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 0.5 related

  • GREG HACKLER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 0.5 related

  • ALLYSEN KELLY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 0.5 related

  • SAGE WHITE MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 0.5 related

  • KATHLEEN SMITH

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 0.5 related

  • JOHN J DEMPSEY

    CEO

    Total calculated
    $393,848
    From this org
    $369,224
    From related orgs
    $0
    Other
    $24,624
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $331,574
    Bonus
    $37,650
    Other
    $0
    Deferred
    $13,379
    Nontaxable benefits
    $11,767
    Filer's total
    $394,370

  • LONA KING

    CFO FROM 09/2022

    Total calculated
    $65,354
    From this org
    $62,677
    From related orgs
    $0
    Other
    $2,677
    Hours/week
    40

  • JANICE FREET

    CFO; RETIRED 12/2022

    Total calculated
    $305,087
    From this org
    $282,620
    From related orgs
    $0
    Other
    $22,467
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $241,620
    Bonus
    $41,000
    Other
    $0
    Deferred
    $12,284
    Nontaxable benefits
    $10,704
    Filer's total
    $305,608

  • BRIAN BUCINA MD

    SURGEON

    Total calculated
    $471,885
    From this org
    $426,136
    From related orgs
    $0
    Other
    $45,749
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $423,926
    Bonus
    $1,000
    Other
    $1,210
    Deferred
    $11,775
    Nontaxable benefits
    $34,499
    Filer's total
    $472,410

  • RANDALL REID MD

    GENERAL MEDICINE

    Total calculated
    $342,187
    From this org
    $293,837
    From related orgs
    $0
    Other
    $48,350
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $290,967
    Bonus
    $1,000
    Other
    $1,870
    Deferred
    $13,484
    Nontaxable benefits
    $35,390
    Filer's total
    $342,711

  • REBECCA HEWARD

    INFORMATIC NURSE

    Total calculated
    $168,880
    From this org
    $162,447
    From related orgs
    $0
    Other
    $6,433
    Hours/week
    36

    Schedule J breakdown matched by us

    Base
    $156,377
    Bonus
    $6,000
    Other
    $70
    Deferred
    $6,433
    Nontaxable benefits
    $373
    Filer's total
    $169,253

  • PAMELA RULAND

    RN

    Total calculated
    $213,013
    From this org
    $194,730
    From related orgs
    $0
    Other
    $18,283
    Hours/week
    36

    Schedule J breakdown matched by us

    Base
    $188,730
    Bonus
    $6,000
    Other
    $0
    Deferred
    $8,569
    Nontaxable benefits
    $10,066
    Filer's total
    $213,365

  • JAMES PAGE

    GENERAL MEDICINE

    Total calculated
    $247,921
    From this org
    $208,727
    From related orgs
    $0
    Other
    $39,194
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $207,727
    Bonus
    $1,000
    Other
    $0
    Deferred
    $4,155
    Nontaxable benefits
    $35,523
    Filer's total
    $248,405

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 · Form 990 of other organizations
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 4B
LCMC ENTERED INTO AN AGREEMENT WITH JOHN DEMPSEY TO PAY HIM A RETENTION BONUS WHICH VESTED ON 7/31/2020. THE FULL RETENTION BONUS WILL BE PAID OVER AN EIGHT-YEAR PERIOD. THIS DEFERRED COMPENSATION BENEFIT BECAME EFFECTIVE JANUARY 1, 2019. MONTHLY PAYMENTS BEGAN ON JULY 1, 2020. JOHN DEMPSEY WAS PAID $37,650 IN DEFERRED COMPENSATION IN CALENDAR YEAR 2022.
PART I, LINE 7
BONUSES WERE PROVIDED BASED ON COMPLETION OF TASKS DETERMINED AS PART OF EACH INDIVIDUALS PERFORMANCE PLANS.

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 June 2024
IRS schema version
2022v5.0
Source object
202421699349300627

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