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Nonprofiteer
← ROME MEMORIAL HOSPITAL INC

Form 990 for tax year 2022

Filed by ROME MEMORIAL HOSPITAL INC.

Totals

Total revenue
$111,459,733
Total expenses
$114,123,888
Contributions and grants received
$12,383,867
Grants paid
$0
Program service revenue
$95,719,031
Investment income
$112,249
Other revenue
$3,244,586
Total assets, end of year
$75,315,807
Total liabilities, end of year
$35,331,951
Net assets or fund balances, end of year
$39,983,856
Program services expenses (Part IX)
$93,359,205
Management and general expenses
$20,764,683
Fundraising expenses
$0
Program service expenses (Part III)
$93,359,205

Program services were 81.8% 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

  • LYNN REESE

    VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    2

  • DARLENE BURNS

    SECRETARY

    Total calculated
    $0
    Hours/week
    2

  • JULIE GROW-DENTON

    TREASURER

    Total calculated
    $0
    Hours/week
    2

  • DAVID NOLAN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • DONALD HANSON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • JOHN RESTIVO MD

    ASST. VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    2

  • KRISTIN GRUNDER

    ASST. SECRETARY

    Total calculated
    $0
    Hours/week
    2

  • LORI KAPLAN FELICE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • RYAN O'SHAUGNESSY

    ASST. TREASURER

    Total calculated
    $0
    Hours/week
    2

  • KRISTIN MUCITELLI-HEATH

    ST. JOSEPH'S HEALTH LIAISO

    Total calculated
    $0
    Hours/week
    2

  • ELEANOR PICENTE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • MARYBETH LYONS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • JESSICA YOUNG

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • JAMES SPROCK

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • DEWEY ROWLANDS

    CFO

    Total calculated
    $292,037
    From this org
    $223,992
    From related orgs
    $33,470
    Other
    $34,575
    Hours/week
    48 + 7 related

    Schedule J breakdown matched by us

    Base
    $223,992 + $33,470 related
    Bonus
    $0
    Other
    $0
    Deferred
    $27,000
    Nontaxable benefits
    $6,590 + $985 related
    Filer's total
    $257,582 + $34,455 related

  • ANNEMARIE CZYZ

    CEO

    Total calculated
    $0
    Hours/week
    45 + 10 related

  • ROBIN BIANCO

    REGISTERED NURSE

    Total calculated
    $180,702
    From this org
    $180,410
    From related orgs
    $0
    Other
    $292
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $179,160
    Bonus
    $1,250
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $292
    Filer's total
    $180,702

  • RYAN THOMPSON

    COO

    Total calculated
    $188,519
    From this org
    $143,282
    From related orgs
    $35,821
    Other
    $9,416
    Hours/week
    44 + 11 related

    Schedule J breakdown matched by us

    Base
    $143,282 + $35,821 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $7,533 + $1,883 related
    Filer's total
    $150,815 + $37,704 related

  • MARK ROWAN

    SIO

    Total calculated
    $207,878
    From this org
    $173,747
    From related orgs
    $0
    Other
    $34,131
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $173,747
    Bonus
    $0
    Other
    $0
    Deferred
    $26,692
    Nontaxable benefits
    $7,439
    Filer's total
    $207,878

  • SCOTT BURNS

    CQO

    Total calculated
    $179,159
    From this org
    $169,758
    From related orgs
    $0
    Other
    $9,401
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $168,024
    Bonus
    $1,734
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $9,401
    Filer's total
    $179,159

  • DAVID O'CONNOR

    NURSE PRACTITIONER

    Total calculated
    $152,017
    From this org
    $149,998
    From related orgs
    $0
    Other
    $2,019
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $149,998
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $2,019
    Filer's total
    $152,017

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

  • 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.

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.

Provenance

Return type
form_990
Tax year
2022
Filed
27 September 2023
IRS schema version
2022v5.0
Source object
202332859349301908

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