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Nonprofiteer
← BRADFORD REGIONAL MEDICAL SERVICES

Form 990 for tax year 2022

Filed by BRADFORD REGIONAL MEDICAL SERVICES.

Totals

Total revenue
$3,728,358
Total expenses
$5,762,191
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$4,581,224
Management and general expenses
$1,180,967
Fundraising expenses
$0
Program service expenses (Part III)
$4,581,224

Program services were 79.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • JEFF BELT

    BOARD CHAIRMAN

    Total calculated
    $0
    Hours/week
    1 + 5.5 related

  • SHABIR BHAYANI MD

    DIRECTOR

    Total calculated
    $63,975
    From this org
    $63,975
    From related orgs
    $0
    Other
    $0
    Hours/week
    40 + 5.5 related

  • MARC BOUTILLETTE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 5.5 related

  • DANIEL DEROSE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 5.5 related

  • LISELLE ESPOSITO

    DIRECTOR (AS OF 06/2022)

    Total calculated
    $0
    Hours/week
    1 + 5.5 related

  • DAVID FERGUSON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 5.5 related

  • LISA FIORENTINO PHDRN

    BOARD SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 5.5 related

  • MUHAMMED JAVED MD

    BOARD VICE CHAIRMAN

    Total calculated
    $147,167
    From this org
    $0
    From related orgs
    $147,167
    Other
    $0
    Hours/week
    1 + 5.5 related

  • JULIE MARASCO

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 5.5 related

  • ZAFAR MIRZA MD

    DIRECTOR AND PHYSICIAN

    Total calculated
    $1,926,246
    From this org
    $0
    From related orgs
    $1,926,246
    Other
    $0
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,926,246 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $1,926,246 related

  • DOUGLAS PISANO PHD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 5.5 related

  • ANIL PRADHAN MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 5.5 related

  • DAVID PRINCE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 5.5 related

  • PAUL RIDLEY

    BOARD TREASURER

    Total calculated
    $0
    Hours/week
    1 + 5.5 related

  • GILBERT WITTE MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 5.5 related

  • MELISSA SCHOLL OSF

    DIRECTOR (THRU 04/2022)

    Total calculated
    $0
    Hours/week
    1 + 5.5 related

  • JEANNINE SCHOENECKER

    SECRETARY (THRU 04/2022)

    Total calculated
    $0
    Hours/week
    1 + 5.5 related

  • MARY LAROWE

    INTERIM PRES AND CEO (THRU 04/2022)

    Total calculated
    $0
    Hours/week
    1 + 40 related

  • LUIS GONZALEZ MD

    MEDICAL STAFF PRES (AS OF 01/2022)

    Total calculated
    $883,403
    From this org
    $763,809
    From related orgs
    $0
    Other
    $119,594
    Hours/week
    40 + 5.5 related

    Schedule J breakdown matched by us

    Base
    $763,809
    Bonus
    $0
    Other
    $0
    Deferred
    $20,500
    Nontaxable benefits
    $99,094
    Filer's total
    $883,403

  • RICHARD G BRAUN JR

    CHIEF OPERATING OFFICER (UNTIL 5/22)

    Total calculated
    $318,415
    From this org
    $0
    From related orgs
    $287,440
    Other
    $30,975
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $108,979 related
    Bonus
    $0
    Other
    $0 + $178,461 related
    Deferred
    $0 + $11,493 related
    Nontaxable benefits
    $0 + $19,482 related
    Filer's total
    $0 + $318,415 related

  • JILL OWENS

    PRESIDENT & CEO

    Total calculated
    $331,216
    From this org
    $0
    From related orgs
    $327,987
    Other
    $3,229
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $324,773 related
    Bonus
    $0
    Other
    $0 + $3,214 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $3,229 related
    Filer's total
    $0 + $331,216 related

  • DAVID MONROE

    CHIEF ADMIN OFFICER (AS OF 6/22)

    Total calculated
    $192,030
    From this org
    $0
    From related orgs
    $151,435
    Other
    $40,595
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $151,435 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $5,356 related
    Nontaxable benefits
    $0 + $35,239 related
    Filer's total
    $0 + $192,030 related

  • P HENRI LAMOTHE

    VP - MEDICAL AFFAIRS (AS OF 5/22)

    Total calculated
    $167,629
    From this org
    $0
    From related orgs
    $154,349
    Other
    $13,280
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $154,349 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $13,280 related
    Filer's total
    $0 + $167,629 related

  • WILLIAM F MILLS

    VP - MEDICAL AFFAIRS (UNTIL 1/22)

    Total calculated
    $166,182
    From this org
    $0
    From related orgs
    $139,233
    Other
    $26,949
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $56,996 related
    Bonus
    $0
    Other
    $0 + $82,237 related
    Deferred
    $0 + $13,010 related
    Nontaxable benefits
    $0 + $13,939 related
    Filer's total
    $0 + $166,182 related

  • GAIL A BAGAZZOLI

    VP - QUALITY & CNO (UNTIL 8/22)

    Total calculated
    $166,139
    From this org
    $0
    From related orgs
    $126,764
    Other
    $39,375
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $126,764 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $14,045 related
    Nontaxable benefits
    $0 + $25,330 related
    Filer's total
    $0 + $166,139 related

  • LAURIE DUNN

    CNO (AS OF 7/22)

    Total calculated
    $77,310
    From this org
    $0
    From related orgs
    $70,232
    Other
    $7,078
    Hours/week
    1 + 40 related

  • MELISSA SULLIVAN

    VP - CLINICAL & SUPPORT (UNTIL 1/22)

    Total calculated
    $24,808
    From this org
    $0
    From related orgs
    $14,142
    Other
    $10,666
    Hours/week
    1 + 40 related

  • PAUL B KIRSCH

    PHYSICIAN

    Total calculated
    $299,318
    From this org
    $250,000
    From related orgs
    $0
    Other
    $49,318
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $250,000
    Bonus
    $0
    Other
    $0
    Deferred
    $13,000
    Nontaxable benefits
    $36,318
    Filer's total
    $299,318

  • DANIELLE P GREGOIRE

    PHYSICIAN ASSISTANT

    Total calculated
    $157,998
    From this org
    $134,808
    From related orgs
    $0
    Other
    $23,190
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $134,808
    Bonus
    $0
    Other
    $0
    Deferred
    $2,600
    Nontaxable benefits
    $20,590
    Filer's total
    $157,998

  • STEPHANIE L MARTUCCIO

    NURSE PRACTITIONER

    Total calculated
    $134,520
    From this org
    $126,992
    From related orgs
    $0
    Other
    $7,528
    Hours/week
    40

  • JEFFREY S ZEWE

    FORMER PRESIDENT & CEO

    Total calculated
    $204,824
    From this org
    $0
    From related orgs
    $184,025
    Other
    $20,799
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $184,025 related
    Deferred
    $0 + $9,017 related
    Nontaxable benefits
    $0 + $11,782 related
    Filer's total
    $0 + $204,824 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

  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment

Answered no

  • 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

The filer's explanations (Part III)

PART I, LINE 4A
THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS. THESE AMOUNTS ARE REPORTED IN SCHEDULE J, PART II, COLUMN (III). - RICHARD G. BRAUN, JR. - $178,461 - WILLIAM F. MILLS - $82,237 - JEFFREY ZEWE - $184,025

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 November 2023
IRS schema version
2022v5.0
Source object
202343199349301849

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

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