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Nonprofiteer
← ROME MEMORIAL HOSPITAL INC

Form 990 for tax year 2023

Filed by ROME MEMORIAL HOSPITAL INC.

Totals

Total revenue
$115,095,740
Total expenses
$118,945,240
Contributions and grants received
$14,042,074
Grants paid
$0
Program services expenses (Part IX)
$98,781,244
Management and general expenses
$20,163,996
Fundraising expenses
$0
Program service expenses (Part III)
$98,781,244

Program services were 83.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • ANKUR DESAI MD

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    2
  • JOHN RESTIVO

    VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    2
  • LYNN REESE

    ASST. VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    2
  • DARLENE BURNS

    SECRETARY

    Total calculated
    $0
    Hours/week
    2
  • KRISTIN GRUNDER

    ASST. SECRETARY

    Total calculated
    $0
    Hours/week
    2
  • RYAN O'SHAUGHNESSY

    TREASURER

    Total calculated
    $0
    Hours/week
    2
  • DAVID NOLAN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2
  • JULIE GROW DENTON

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2
  • DONALD HANSON

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2
  • LORI KAPLAN FELICE

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2
  • KRISTIN MUCITELLI-HEATH

    ST. JOSEPH'S HEALTH LIAISO

    Total calculated
    $0
    Hours/week
    2
  • MARYBETH LYONS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2
  • JAMES SPROCK

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2
  • ELEANOR PICENTE

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2
  • JESSICA YOUNG

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2
  • DEWEY ROWLANDS

    CFO

    Total calculated
    $307,546
    From this org
    $245,655
    From related orgs
    $24,296
    Other
    $37,595
    Hours/week
    50 + 5 related

    Schedule J breakdown matched by us

    Base
    $245,655 + $24,296 related
    Bonus
    $0
    Other
    $0
    Deferred
    $30,000
    Nontaxable benefits
    $6,911 + $684 related
    Filer's total
    $282,566 + $24,980 related
  • ANNEMARIE CZYZ

    CEO

    Total calculated
    $0
    Hours/week
    45 + 10 related
  • MARK WILLIAMS

    SURGEON

    Total calculated
    $429,342
    From this org
    $396,923
    From related orgs
    $0
    Other
    $32,419
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $395,673
    Bonus
    $1,250
    Other
    $0
    Deferred
    $30,000
    Nontaxable benefits
    $2,419
    Filer's total
    $429,342
  • SAMUEL MOLICA

    SURGEON

    Total calculated
    $402,557
    From this org
    $370,331
    From related orgs
    $0
    Other
    $32,226
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $370,331
    Bonus
    $0
    Other
    $0
    Deferred
    $22,500
    Nontaxable benefits
    $9,726
    Filer's total
    $402,557
  • VIVIENNE TAYLOR

    PHYSICIAN

    Total calculated
    $294,078
    From this org
    $267,154
    From related orgs
    $0
    Other
    $26,924
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $267,154
    Bonus
    $0
    Other
    $0
    Deferred
    $17,365
    Nontaxable benefits
    $9,559
    Filer's total
    $294,078
  • MAHMOUD AHMED

    NURSE PRACTITIONER

    Total calculated
    $243,908
    From this org
    $236,367
    From related orgs
    $0
    Other
    $7,541
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $236,367
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $7,541
    Filer's total
    $243,908
  • LWIN WIN

    PHYSICIAN

    Total calculated
    $289,787
    From this org
    $281,144
    From related orgs
    $0
    Other
    $8,643
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $279,410
    Bonus
    $1,734
    Other
    $0
    Deferred
    $8,188
    Nontaxable benefits
    $455
    Filer's total
    $289,787

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

  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 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

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
1 November 2024
IRS schema version
2023v5.1
Source object
202403139349304060

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