Totals
- Total revenue
- $95,576
- Total expenses
- $143,106
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $0
- Investment income
- $95,576
- Other revenue
- $0
- Total assets, end of year
- $1,051,473
- Total liabilities, end of year
- $517,967
- Net assets or fund balances, end of year
- $533,506
- Program services expenses (Part IX)
- $116,589
- Management and general expenses
- $26,517
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $116,589
Program services were 81.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
3 · Investment income
total $95,576 · excluded $95,576
Functional expenses
Part IX, the statement of functional expenses.
-
11c · Fees: accounting
total $20,521 · program services $20,521
-
24a · Other expenses: RESERVE RMG
total $95,576 · program services $95,576
-
24b · Other expenses: PURCHASED SERVICES
total $26,517 · management and general $26,517
-
24c · Other expenses: BANK FEES
total $492 · program services $492
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $945 · end of year $1,473
-
15 · Other assets
beginning of year $1,050,000 · end of year $1,050,000
-
17 · Accounts payable and accrued expenses
beginning of year $16,000 · end of year $26,341
-
25 · Other liabilities
beginning of year $453,909 · end of year $491,626
-
27 · Net assets without donor restrictions
beginning of year $581,036 · end of year $533,506
Mission and programs · 2024
Mission
SUPPORT CHARITABLE EFFORTS OF ROME MEMORIAL HOSPITAL
Activities or mission (Part I)
SUPPORT CHARITABLE EFFORTS WITH ROME MEMORIAL HOSPITAL
-
PROMOTE AND PROVIDE HEALTHCARE SERVICES TO THE ROME COMMUNITY
Expenses $116,589 · Revenue $95,576
As filed on the 2024 return.
Listed in Part VII
-
Dr John Restivo MDDR JOHN RESTIVO MD
CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
Darlene BurnsDARLENE BURNS
SECRETARY
- Total calculated
- $0
- Hours/week
- 1
-
Kristin GrunderKRISTIN GRUNDER
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
Annemarie CzyzANNEMARIE CZYZ
CEO
- Total calculated
- $201,188
- From this org
- $0
- From related orgs
- $188,660
- Other
- $12,528
- Hours/week
- 10 + 45 related
Schedule J breakdown matched by us
- Base
- $0 + $188,660 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0 + $8,420 related
- Nontaxable benefits
- $0 + $4,108 related
- Filer's total
- $0 + $201,188 related
-
Lori Kaplan FeliceLORI KAPLAN FELICE
ASST. SECRETARY
- Total calculated
- $0
- Hours/week
- 1
-
Nicole ChubbuckNICOLE CHUBBUCK
TREASURER
- Total calculated
- $0
- Hours/week
- 1
-
Nathan SmithNATHAN SMITH
AVP FINANCE
- Total calculated
- $157,162
- From this org
- $0
- From related orgs
- $144,067
- Other
- $13,095
- Hours/week
- 5 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $144,067 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0 + $11,086 related
- Nontaxable benefits
- $0 + $2,009 related
- Filer's total
- $0 + $157,162 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, 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
None.
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.
-
501(C)(3) · HOSPITAL · NY
-
501(C)(3) · SUPPORT HOSPITAL ACTIVITIES · NY
Directly controlled by GRA
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
RMH SERVICES
C · HOLDING COMPANY · NY · 100% owned · share of income $1,772,160 · share of assets $2,326,207
Directly controlled by GRA
-
ROME MEDICAL PRACTICE PC
C · MEDICAL SERVICES · NY · 100% owned · share of income $1,885,860 · share of assets $772,951
Directly controlled by GRA
Provenance
- Return type
- form_990
- Tax year
- 2024
- Filed
- 30 October 2025
- IRS schema version
- 2024v5.2
- Source object
- 202523049349302467
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