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Nonprofiteer
← NICHOLAS H NOYES MEMORIAL HOSPITAL

Form 990 for tax year 2022

Filed by NICHOLAS H NOYES MEMORIAL HOSPITAL.

Totals

Total revenue
$79,954,788
Total expenses
$82,104,471
Contributions and grants received
$4,183,604
Grants paid
$0
Program services expenses (Part IX)
$65,617,436
Management and general expenses
$16,346,604
Fundraising expenses
$140,431
Program service expenses (Part III)
$65,617,436

Program services were 79.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • J CHAD TEETERS MD

    PRESIDENT/CHIEF EXECUTIVE

    Total calculated
    $646,800
    From this org
    $0
    From related orgs
    $584,126
    Other
    $62,674
    Hours/week
    52 + 3 related

    Schedule J breakdown matched by us

    Base
    $0 + $584,126 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $28,787 related
    Nontaxable benefits
    $0 + $33,887 related
    Filer's total
    $0 + $646,800 related

  • RICHARD RIZZIERI

    CHAIRPERSON

    Total calculated
    $0
    Hours/week
    10 + 10 related

  • MATT COLE

    FIRST VICE CHAIRPERSON

    Total calculated
    $0
    Hours/week
    2 + 2 related

  • LINDSAY QUINTILONE

    SECOND VICE CHAIRPERSON

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • DOMENICK MARTELLO

    FORMER CHAIRPERSON

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • BARBARA FRAZER

    TREASURER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • MARILYN M MOORE

    SECRETARY

    Total calculated
    $0
    Hours/week
    5 + 5 related

  • JOAN FLENDER MD

    COMMUNITY DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • STEVEN GOLDSTEIN

    UR DIRECTOR

    Total calculated
    $3,516,221
    From this org
    $0
    From related orgs
    $3,306,548
    Other
    $209,673
    Hours/week
    2 + 71 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,509,252 related
    Bonus
    $0
    Other
    $0 + $1,797,296 related
    Deferred
    $0 + $188,712 related
    Nontaxable benefits
    $0 + $20,961 related
    Filer's total
    $0 + $3,516,221 related

  • STEVE HARRISON

    COMMUNITY DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • ROBERT MCCANN MD

    UR DIRECTOR

    Total calculated
    $558,213
    From this org
    $0
    From related orgs
    $498,470
    Other
    $59,743
    Hours/week
    2 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $494,955 related
    Bonus
    $0
    Other
    $0 + $3,515 related
    Deferred
    $0 + $36,333 related
    Nontaxable benefits
    $0 + $23,410 related
    Filer's total
    $0 + $558,213 related

  • JOHN QUINLAN

    COMMUNITY DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • AHSEN SHEIKH MD

    PRESIDENT, MEDICAL STAFF

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • BERNARD SWEENEY MD

    COMMUNITY DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • MARK TAUBMAN MD

    UR DIRECTOR

    Total calculated
    $1,960,405
    From this org
    $0
    From related orgs
    $1,783,432
    Other
    $176,973
    Hours/week
    2 + 75 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,744,544 related
    Bonus
    $0
    Other
    $0 + $38,888 related
    Deferred
    $0 + $156,577 related
    Nontaxable benefits
    $0 + $20,396 related
    Filer's total
    $0 + $1,960,405 related

  • GEOFFREY WITTIG MD

    PRESIDENT-ELECT, MEDICAL S

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • JAMES CULBERTSON

    COMMUNITY DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • MARK PRUNOSKE

    CHIEF FINANCIAL OFFICER

    Total calculated
    $518,789
    From this org
    $0
    From related orgs
    $438,547
    Other
    $80,242
    Hours/week
    33 + 22 related

    Schedule J breakdown matched by us

    Base
    $0 + $317,212 related
    Bonus
    $0 + $69,455 related
    Other
    $0 + $51,880 related
    Deferred
    $0 + $52,884 related
    Nontaxable benefits
    $0 + $27,358 related
    Filer's total
    $0 + $518,789 related

  • DOUGLAS MAYHLE MD

    MEDICAL DIRECTOR

    Total calculated
    $472,873
    From this org
    $443,683
    From related orgs
    $0
    Other
    $29,190
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $413,682
    Bonus
    $0
    Other
    $30,001
    Deferred
    $6,000
    Nontaxable benefits
    $23,190
    Filer's total
    $472,873

  • ROBERT CAPECCI MD

    ORTHOPEDIST

    Total calculated
    $641,823
    From this org
    $609,092
    From related orgs
    $0
    Other
    $32,731
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $606,888
    Bonus
    $8
    Other
    $2,196
    Deferred
    $5,725
    Nontaxable benefits
    $27,006
    Filer's total
    $641,823

  • BRIAN FORESMAN MD

    GENERAL SURGEON

    Total calculated
    $601,425
    From this org
    $568,359
    From related orgs
    $0
    Other
    $33,066
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $567,897
    Bonus
    $13
    Other
    $449
    Deferred
    $6,000
    Nontaxable benefits
    $27,066
    Filer's total
    $601,425

  • KEVIN O'KEEFE MD

    ORTHOPEDIST

    Total calculated
    $697,713
    From this org
    $664,647
    From related orgs
    $0
    Other
    $33,066
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $655,094
    Bonus
    $9,358
    Other
    $195
    Deferred
    $6,000
    Nontaxable benefits
    $27,066
    Filer's total
    $697,713

  • JAIME MOLINA-MARTINEZ MD

    HOSPITALIST

    Total calculated
    $428,744
    From this org
    $398,346
    From related orgs
    $0
    Other
    $30,398
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $398,053
    Bonus
    $0
    Other
    $293
    Deferred
    $6,000
    Nontaxable benefits
    $24,398
    Filer's total
    $428,744

  • ALBERTO VELASCO MD

    ANESTHESIOLOGIST

    Total calculated
    $387,485
    From this org
    $358,286
    From related orgs
    $0
    Other
    $29,199
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $356,919
    Bonus
    $13
    Other
    $1,354
    Deferred
    $6,000
    Nontaxable benefits
    $23,199
    Filer's total
    $387,485

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
  • 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 4B
THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED EMPLOYER PAID AMOUNTS THAT ARE INCLUDED IN DEFERRED COMPENSATION: STEVEN GOLDSTEIN - SERP PLAN - $159,400 ROBERT MCCANN, M.D. - SERP PLAN - $12,800 MARK TAUBMAN, M.D. - SERP PLAN - $127,265 MARK PRUNOSKE - 457(F) PLAN - $31,534 THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED EMPLOYER PAID AMOUNTS THAT ARE INCLUDED IN OTHER REPORTABLE COMPENSATION: STEVEN GOLDSTEIN - 457(F) PLAN - $1,701,400 MARK PRUNOSKE - 457(F) PLAN - $36,846 THESE AMOUNTS REPRESENT EMPLOYEE DEFERRALS OF COMPENSATION, PLUS INVESTMENT EARNINGS, OVER SEVERAL YEARS THAT VESTED AND WERE PAID PURSUANT TO THE REQUIREMENTS OF THE PLAN. THE EMPLOYEE DEFERRALS WERE REPORTED AS DEFERRED COMPENSATION IN SCHEDULE J, PART II, COLUMN C IN PRIOR YEARS AND ARE ALSO REFLECTED IN SCHEDULE J, PART II, COLUMN F.

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
10 May 2024
IRS schema version
2022v5.0
Source object
202431349349305783

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

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