Form 990 for tax year 2022
Filed by THE SAMARITAN MEDICAL CENTER FOUNDATION OF NORTHERN NEW YORK IN.
Totals
- Total revenue
- $692,434
- Total expenses
- $461,570
- Contributions and grants received
- $392,122
- Grants paid
- $322,204
- Program service revenue
- $0
- Investment income
- $304,338
- Other revenue
- -$4,026
- Total assets, end of year
- $17,117,151
- Total liabilities, end of year
- $253,310
- Net assets or fund balances, end of year
- $16,863,841
- Program services expenses (Part IX)
- $443,015
- Management and general expenses
- $18,555
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $443,015
Program services were 96.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
KIMBERLY LACLAIR
CHAIR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
DANA KEEFER
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
NANCY MARTEL
SECRETARY
- Total calculated
- $0
- Hours/week
- 1
-
JOHN WHEELER
TREASURER
- Total calculated
- $0
- Hours/week
- 1
-
THOMAS H CARMAN
PRESIDENT & CEO OF SMC
- Total calculated
- $938,040
- From this org
- $0
- From related orgs
- $880,166
- Other
- $57,874
- Hours/week
- 0.5 + 43 related
Schedule J breakdown matched by us
- Base
- $0 + $699,733 related
- Bonus
- $0 + $174,933 related
- Other
- $0 + $5,500 related
- Deferred
- $0 + $11,200 related
- Nontaxable benefits
- $0 + $46,674 related
- Filer's total
- $0 + $938,040 related
-
DAVID ADSIT
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
FRANKLIN D CEAN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
MARY WARDWELL-DONAHUE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2.5 related
-
MAUREEN K LUNDY-WAY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
MAJA LUNDBORG-GRAY MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
CATHERINE B QUENCER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
IRENE CARMAN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
M ANDREW SHORT
TRUSTEE/COO OF SMC
- Total calculated
- $424,162
- From this org
- $0
- From related orgs
- $390,172
- Other
- $33,990
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $371,592 related
- Bonus
- $0
- Other
- $0 + $18,580 related
- Deferred
- $0 + $6,100 related
- Nontaxable benefits
- $0 + $27,890 related
- Filer's total
- $0 + $424,162 related
-
PATRICIA I TAGUE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
JOAN TREADWELL-WOODS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2.5 related
-
DAVID VANEENENAAM MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
SAMANTHA ROBBINS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2.5 related
-
LISA WEBER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
MELANIE PARKER-GEURTSEN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
MICHAEL YONKOVIG
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
BRIAN FRASER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
PETER PIKE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
JOHN POGGI
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
ALEC JOHNSON
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
STEVEN PIERCE
IMMEDIATE PAST CHAIR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
CORRY LAWLER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
MAXINE BRIGGS
CFO/TREASURER
- Total calculated
- $499,877
- From this org
- $0
- From related orgs
- $453,847
- Other
- $46,030
- Hours/week
- 1 + 44 related
Schedule J breakdown matched by us
- Base
- $0 + $433,347 related
- Bonus
- $0
- Other
- $0 + $20,500 related
- Deferred
- $0 + $17,300 related
- Nontaxable benefits
- $0 + $28,730 related
- Filer's total
- $0 + $499,877 related
-
ELIZABETH FIPPS
VP FOUNDATION AND COMMUNIT
- Total calculated
- $247,928
- From this org
- $242,357
- From related orgs
- $0
- Other
- $5,571
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $230,820
- Bonus
- $0
- Other
- $11,537
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $242,357
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
- 3 · Compensation committee
- 3 · Independent compensation consultant
- 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 RECEIVED CONTRIBUTIONS TO AN IRC 457(B) PLAN DURING 2022: MAXINE BRIGGS- $20,500 ELIZABETH FIPPS- $11,537 MICHAEL SHORT - $18,580
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
-
$322,204
CAPITAL EXPENDITURES
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) · SKILLED NURSING FACILITY · NY
Directly controlled by SAMARITAN MEDICAL CENTER
-
EDWARD J NOBLE HOSPITAL- SAMARITAN
501 (C)(3) · HOSPITAL · NY
Directly controlled by SAMARITAN MEDICAL CENTER
-
501 (C)(3) · SENIOR CITIZEN COMMUNITY · NY
Directly controlled by SAMARITAN MEDICAL CENTER
-
501 (C)(3) · PHYSICIAN MEDICAL PRACTICE · NY
Directly controlled by SAMARITAN MEDICAL CENTER
-
501 (C) (3) · CERTIFIED HOME HEALTH AGENCY · NY
Directly controlled by SAMARITAN MEDICAL CENTER
-
CLIFTON-FINE HEALTH CARE CORPORATION
501 (C) (3) · HOSPITAL · NY
Directly controlled by SAMARITAN MEDICAL CENTER
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 13 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202343189349311259
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