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Nonprofiteer
← NORTH PARK NURSING HOME INC

Form 990 for tax year 2022

Filed by NORTH PARK NURSING HOME INC.

Totals

Total revenue
$13,488,961
Total expenses
$16,117,292
Contributions and grants received
$5,000
Grants paid
$0
Program services expenses (Part IX)
$14,595,969
Management and general expenses
$1,521,323
Fundraising expenses
$0
Program service expenses (Part III)
$14,595,969

Program services were 90.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • CHARLES H HANK STUART

    CHAIR OF THE BOARD

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • MARILYN DOLLINGER

    TREASURER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • DANIEL MEYERS

    SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • RICHARD DAVIS PHD

    CEO

    Total calculated
    $1,305,227
    From this org
    $23,527
    From related orgs
    $1,270,487
    Other
    $11,213
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $18,982 + $1,025,032 related
    Bonus
    $4,545 + $245,455 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $204 + $11,009 related
    Filer's total
    $23,731 + $1,281,496 related

  • RALPH DESTEPHANO

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • ERIKA GREEN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • DR RICHARD MACHEMER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • MANUEL MATOS MD

    DIRECTOR

    Total calculated
    $317,776
    From this org
    $0
    From related orgs
    $519,169
    Other
    -$201,393
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $250,969 related
    Bonus
    $0 + $268,200 related
    Other
    $0
    Deferred
    $0 + -$212,766 related
    Nontaxable benefits
    $0 + $11,373 related
    Filer's total
    $0 + $317,776 related

  • JAMES NORMAN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • ELIZABETH PATTON PHD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • THOMAS CRILLY

    CFO

    Total calculated
    $1,101,090
    From this org
    $24,236
    From related orgs
    $1,308,772
    Other
    -$231,918
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $11,493 + $620,627 related
    Bonus
    $11,826 + $638,607 related
    Other
    $917 + $49,538 related
    Deferred
    -$4,447 + -$240,163 related
    Nontaxable benefits
    $231 + $12,461 related
    Filer's total
    $20,020 + $1,081,070 related

  • HUGH THOMAS

    CAO

    Total calculated
    $1,269,539
    From this org
    $26,619
    From related orgs
    $1,437,405
    Other
    -$194,485
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $16,289 + $879,589 related
    Bonus
    $10,330 + $557,816 related
    Other
    $0
    Deferred
    -$3,764 + -$203,253 related
    Nontaxable benefits
    $228 + $12,304 related
    Filer's total
    $23,083 + $1,246,456 related

  • ALLEN HART

    OFF SHIFT DIRECTOR

    Total calculated
    $108,894
    From this org
    $114,657
    From related orgs
    $0
    Other
    -$5,763
    Hours/week
    40

  • DENIS VINNIK

    VP, OPERATIONS - LONG TERM CARE

    Total calculated
    $199,861
    From this org
    $176,791
    From related orgs
    $0
    Other
    $23,070
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $144,234
    Bonus
    $32,557
    Other
    $0
    Deferred
    $13,687
    Nontaxable benefits
    $9,383
    Filer's total
    $199,861

  • GRACE DENGLER

    ASSOCIATE CHIEF NURSING OFFICER- LONG TERM CARE

    Total calculated
    $137,015
    From this org
    $156,386
    From related orgs
    $0
    Other
    -$19,371
    Hours/week
    40

  • SARAH BATEMAN

    ADMINISTRATOR, NHA

    Total calculated
    $126,575
    From this org
    $136,656
    From related orgs
    $0
    Other
    -$10,081
    Hours/week
    40

  • SEVINC INCE

    DIRECTOR, NURSING - LONG TERM CARE

    Total calculated
    -$36,021
    From this org
    $139,812
    From related orgs
    $0
    Other
    -$175,833
    Hours/week
    40

  • ERIC BIEBER

    FORMER CEO

    Total calculated
    $47,653
    From this org
    $861
    From related orgs
    $46,499
    Other
    $293
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $861 + $46,499 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $5 + $288 related
    Filer's total
    $866 + $46,787 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
9 November 2023
IRS schema version
2022v5.0
Source object
202313179349305896

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

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