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Nonprofiteer
← MEMORIAL HOSPITAL

Form 990 for tax year 2022

Filed by MEMORIAL HOSPITAL.

Totals

Total revenue
$2,230,882
Total expenses
$2,971,784
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$2,674,606
Management and general expenses
$297,178
Fundraising expenses
$0
Program service expenses (Part III)
$2,674,606

Program services were 90.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • JAMES E FANALE MD

    DIR-PRES/CEO/CNE(TERM 12/1/22)

    Total calculated
    $2,227,535
    From this org
    $0
    From related orgs
    $2,193,741
    Other
    $33,794
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $1,158,814 related
    Bonus
    $0 + $750,000 related
    Other
    $0 + $284,927 related
    Deferred
    $0 + $14,400 related
    Nontaxable benefits
    $0 + $19,394 related
    Filer's total
    $0 + $2,227,535 related

  • F JOSEPH IANNONI

    EVP/CFO/CNE (TERM 1/31/23)

    Total calculated
    $1,238,749
    From this org
    $0
    From related orgs
    $1,190,400
    Other
    $48,349
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $626,669 related
    Bonus
    $0 + $462,000 related
    Other
    $0 + $101,731 related
    Deferred
    $0 + $14,400 related
    Nontaxable benefits
    $0 + $33,949 related
    Filer's total
    $0 + $1,238,749 related

  • KEVIN BAILL MD

    DIRECTOR - MED DIR OP SVCS/BH

    Total calculated
    $573,037
    From this org
    $0
    From related orgs
    $525,964
    Other
    $47,073
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $410,152 related
    Bonus
    $0 + $82,000 related
    Other
    $0 + $33,812 related
    Deferred
    $0 + $16,100 related
    Nontaxable benefits
    $0 + $30,973 related
    Filer's total
    $0 + $573,037 related

  • ANA TUYA FULTON MD

    DIR-CHIEF POP HLTH OFF/CNE

    Total calculated
    $460,247
    From this org
    $0
    From related orgs
    $436,821
    Other
    $23,426
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $433,937 related
    Bonus
    $0
    Other
    $0 + $2,884 related
    Deferred
    $0 + $20,200 related
    Nontaxable benefits
    $0 + $3,226 related
    Filer's total
    $0 + $460,247 related

  • ASHLEY M TAYLOR ESQ

    ASST. SEC./GEN. COUNSEL/CNE

    Total calculated
    $405,008
    From this org
    $0
    From related orgs
    $389,648
    Other
    $15,360
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $312,804 related
    Bonus
    $0 + $75,000 related
    Other
    $0 + $1,844 related
    Deferred
    $0 + $14,400 related
    Nontaxable benefits
    $0 + $960 related
    Filer's total
    $0 + $405,008 related

  • JAMES M BURKE

    VP, FINANCE MED/SURG HOSP

    Total calculated
    $314,989
    From this org
    $0
    From related orgs
    $295,289
    Other
    $19,700
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $222,774 related
    Bonus
    $0 + $50,000 related
    Other
    $0 + $22,515 related
    Deferred
    $0 + $18,406 related
    Nontaxable benefits
    $0 + $1,294 related
    Filer's total
    $0 + $314,989 related

  • MICHAEL E WAGNER MD

    DIR-PRES/CEO/CNE(EFF 12/1/22)

    Total calculated
    $81,655
    From this org
    $0
    From related orgs
    $79,999
    Other
    $1,656
    Hours/week
    55

  • CHARLES R REPPUCCI ESQ

    CHAIRMAN - DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • GARY E FURTADO

    CHAIR ELECT - DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • PATRICK J MURRAY JR

    1ST VICE CHAIR - DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JUDITH REMONDI

    2ND VICE CHAIR - DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JAMES A BOTVIN

    SECRETARY - DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • R STEPHEN MANTY

    TREASURER - DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • SHARON CONARD-WELLS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • CAROLYN MASTERS PHD RN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JOSEPH J MCGAIR ESQ

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • PETER PHILIPS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • MARIBETH Q WILLIAMSON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • TODD A CONKLIN

    EVP/CFO/CNE (EFF 2/13/23)

    Total calculated
    $0
    Hours/week
    55

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 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART VII AND SCHEDULE J
IN ACCORDANCE WITH INTERNAL REVENUE SERVICE FORM 990 RULES, REGULATIONS AND INSTRUCTIONS, THE COMPENSATION REPORTED IN CORE FORM, PART VII AND SCHEDULE J, PART II OF THIS FORM 990 IS DERIVED FROM 2022 FORMS W-2 AND FORMS 1099 (IF APPLICABLE).
SCHEDULE J, PART I; QUESTION 4a
THE FOLLOWING INDIVIDUAL INCLUDED IN SCHEDULE J, PART II RECEIVED SEVERANCE DURING CALENDAR YEAR 2022 WHICH WAS INCLUDED IN HIS 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JAMES E. FANALE, M.D, $96,539.
SCHEDULE J, PART I; QUESTION 4B
THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES VESTED BENEFITS IN A INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN THE INDIVIDUAL'S 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JAMES E. FANALE, M.D., $125,501 AND F. JOSEPH IANNONI, $66,000.
SCHEDULE J, PART I; QUESTION 6A & 6B
THE EXECUTIVE COMPENSATION PACKAGE FOR VARIOUS INDIVIDUALS REPORTED ON THIS FORM 990 CONSISTS OF BOTH A FIXED SALARY AND ADDITIONAL AT-RISK COMPENSATION THAT IS BASED ON SEVERAL QUALITATIVE AND QUANTITATIVE COMPONENTS. THE AT-RISK COMPENSATION IS COMPRISED OF BOTH SHORT-TERM AND LONG-TERM FACTORS AS FOLLOWS. THE SHORT-TERM INCENTIVE PROGRAM PROVIDES AN OPPORTUNITY FOR PROGRAM PARTICIPANTS TO EARN AN INCENTIVE AWARD BASED ON THE ACHIEVEMENT OF CRITICAL STRETCH GOALS THAT RECOGNIZE PERFORMANCE ABOVE EXPECTATIONS. THESE GOALS ARE MEASURED FOR EACH FISCAL PERIOD IN THE FOLLOWING CRITICAL AREAS: QUALITY, FINANCIAL AND PATIENT SATISFACTION. THE LONG-TERM INCENTIVE PROGRAM PROVIDES AN OPPORTUNITY FOR PROGRAM PARTICIPANTS TO EARN AN INCENTIVE AWARD BASED ON THE ACCOMPLISHMENT OF CRITICAL MULTI-YEAR SYSTEM PERFORMANCE OBJECTIVES. AWARDS ARE EARNED BY MEASURING SYSTEM PERFORMANCE OVER THREE-YEAR OVERLAPPING PERFORMANCE PERIODS AND ARE MEASURED IN REFERENCE TO GOALS IN THE FOLLOWING CRITICAL AREAS: NET INCOME FROM OPERATIONS, MARKET SHARE, PATIENT SATISFACTION AND STRATEGIC OBJECTIVE.
SCHEDULE J, PART I; QUESTION 7
CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2022 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.

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
13 August 2024
IRS schema version
2022v5.0
Source object
202402279349303820

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

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