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Nonprofiteer
← CLIFTON SPRINGS HOSPITAL & CLINIC FOUNDATION INC

Form 990 for tax year 2023

Filed by CLIFTON SPRINGS HOSPITAL & CLINIC FOUNDATION INC.

Totals

Total revenue
$1,244,634
Total expenses
$1,344,284
Contributions and grants received
$787,463
Grants paid
$884,042
Program services expenses (Part IX)
$886,553
Management and general expenses
$192,973
Fundraising expenses
$264,758
Program service expenses (Part III)
$886,553

Program services were 65.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • ROBERT WOODHOUSE

    CHAIR OF THE BOARD

    Total calculated
    $0
    Hours/week
    1

  • LEWIS ZULICK MD

    TREASURER

    Total calculated
    $188,390
    From this org
    $0
    From related orgs
    $158,361
    Other
    $30,029
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $138,185 related
    Bonus
    $0 + $20,176 related
    Other
    $0
    Deferred
    $0 + $20,501 related
    Nontaxable benefits
    $0 + $9,528 related
    Filer's total
    $0 + $188,390 related

  • RICHARD DAVIS PHD

    CEO

    Total calculated
    $3,137,090
    From this org
    $0
    From related orgs
    $3,082,209
    Other
    $54,881
    Hours/week
    0 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,672,483 related
    Bonus
    $0 + $1,409,726 related
    Other
    $0
    Deferred
    $0 + $46,168 related
    Nontaxable benefits
    $0 + $8,713 related
    Filer's total
    $0 + $3,137,090 related

  • AZFAR AHMED MD

    DIRECTOR

    Total calculated
    $731,907
    From this org
    $0
    From related orgs
    $722,603
    Other
    $9,304
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $381,824 related
    Bonus
    $0 + $340,779 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $9,304 related
    Filer's total
    $0 + $731,907 related

  • KEVIN CHRISTIANO

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • SLAVE JANKULOSKI

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • MARY LUE MUELLER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • DOUG TRIPLETT

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • BILL YOUNG

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • HOLLY ADAMS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • SHELBY VANDERBROOK

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • THOMAS CRILLY

    CFO

    Total calculated
    $1,579,020
    From this org
    $0
    From related orgs
    $1,424,419
    Other
    $154,601
    Hours/week
    0 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $696,555 related
    Bonus
    $0 + $726,450 related
    Other
    $0 + $1,414 related
    Deferred
    $0 + $145,610 related
    Nontaxable benefits
    $0 + $8,991 related
    Filer's total
    $0 + $1,579,020 related

  • HUGH THOMAS

    CAO

    Total calculated
    $1,739,491
    From this org
    $0
    From related orgs
    $1,730,390
    Other
    $9,101
    Hours/week
    0 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $467,323 related
    Bonus
    $0 + $474,557 related
    Other
    $0 + $788,510 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $9,101 related
    Filer's total
    $0 + $1,739,491 related

  • JENNIFER ESLINGER

    COO

    Total calculated
    $1,305,382
    From this org
    $0
    From related orgs
    $1,294,014
    Other
    $11,368
    Hours/week
    0 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $748,219 related
    Bonus
    $0 + $545,795 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $11,368 related
    Filer's total
    $0 + $1,305,382 related

  • DUSTIN RICCIO

    PRESIDENT, EASTERN REGION

    Total calculated
    $528,617
    From this org
    $0
    From related orgs
    $483,715
    Other
    $44,902
    Hours/week
    0 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $358,521 related
    Bonus
    $0 + $125,194 related
    Other
    $0
    Deferred
    $0 + $35,246 related
    Nontaxable benefits
    $0 + $9,656 related
    Filer's total
    $0 + $528,617 related

  • KELLY MCCORMICK-SULLIVAN

    PRESIDENT, FOUNDATIONS

    Total calculated
    $325,520
    From this org
    $0
    From related orgs
    $314,344
    Other
    $11,176
    Hours/week
    0 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $106,627 related
    Bonus
    $0 + $70,616 related
    Other
    $0 + $137,101 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $11,176 related
    Filer's total
    $0 + $325,520 related

  • KELLY GAGAN

    PRESIDENT, FOUNDATIONS

    Total calculated
    $229,900
    From this org
    $0
    From related orgs
    $229,849
    Other
    $51
    Hours/week
    0 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $229,849 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $51 related
    Filer's total
    $0 + $229,900 related

  • DANIEL IRELAND

    PRESIDENT, FINGER LAKES RURAL HOSPTIALS

    Total calculated
    $445,111
    From this org
    $0
    From related orgs
    $440,870
    Other
    $4,241
    Hours/week
    0 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $346,161 related
    Bonus
    $0 + $94,709 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $4,241 related
    Filer's total
    $0 + $445,111 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

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 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 3
COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS IS ESTABLISHED USING THE FOLLOWING: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACTS - COMPENSATION SURVEYS AND STUDIES - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE ON AN ANNUAL BASIS, THE ORGANIZATION USES AN INDEPENDENT COMPENSATION CONSULTANT TO REVIEW THE SALARIES FOR ALL EXECUTIVES TO ENSURE SUCH SALARIES ARE CONSISTENT WITH MARKET SALARIES PAID TO SIMILARLY SITUATED EXECUTIVES. IN ADDITION, A COMPENSATION COMMITTEE REVIEWS THIS INFORMATION ANNUALLY AND IT IS THEN APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD. FINALLY, EXECUTIVES RECEIVE A WRITTEN LETTER OUTLINING THE SPECIFICS OF THE COMPENSATION AGREEMENT AND THEIR EXPECTED PERFORMANCE.
PART I, LINES 4A-B
SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS PROVIDE BENEFITS TO CERTAIN KEY EXECUTIVE EMPLOYEES OF ROCHESTER REGIONAL HEALTH. THE ORGANIZATION MAINTAINS A SECTION 457(F) PLAN WHICH WOULD BE CONSIDERED A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. THERE WERE NO DISTRIBUTIONS FROM THE PLAN IN 2023.
PART II, COLUMN C:
RETIREMENT AND OTHER DEFERRED COMPENSATION - THIS COLUMN IS REFLECTIVE OF THE ACTUARIAL CHANGE IN DEFINED BENEFIT PENSION PLAN AND POST-RETIREMENT BENEFITS FOR THE TAX YEAR.

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

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
2023
Filed
9 November 2024
IRS schema version
2023v5.1
Source object
202423199349303722

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

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