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Nonprofiteer
← BAYSTATE FRANKLIN MEDICAL CENTER

Form 990 for tax year 2023

Filed by BAYSTATE FRANKLIN MEDICAL CENTER.

Totals

Total revenue
$141,071,143
Total expenses
$133,187,382
Contributions and grants received
$1,733,797
Grants paid
$12,407
Program service revenue
$123,749,254
Investment income
$2,271,681
Other revenue
$13,316,411
Total assets, end of year
$89,670,921
Total liabilities, end of year
$32,735,711
Net assets or fund balances, end of year
$56,935,210
Program services expenses (Part IX)
$123,064,239
Management and general expenses
$10,123,143
Fundraising expenses
$0
Program service expenses (Part III)
$123,064,239

Program services were 92.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $525,293

  • 1e · Government grants (contributions)

    $1,208,504

  • 2a · Program service revenue: NET PATIENT REVENUE

    total $122,196,598 · related or exempt $122,196,598

  • 2b · Program service revenue: MCD WAIVER SAFETY NET

    total $1,455,821 · related or exempt $1,455,821

  • 2c · Program service revenue: RELATED ORG RENTAL INC

    total $96,835 · related or exempt $96,835

  • 3 · Investment income

    total $702,832 · excluded $702,832

  • 6a · Gross rents

    real property $177,417

  • 6b · Less rental expenses

    real property $191,337

  • 6c · Rental income or loss

    real property -$13,920

  • 6d · Net rental income or loss

    total -$13,920 · excluded -$13,920

  • 7a · Gross sales of assets other than inventory

    securities $1,770,329

  • 7b · Less cost or other basis and sales expenses

    securities $201,480

  • 7c · Gain or loss

    securities $1,568,849

  • 7d · Net gain or loss

    total $1,568,849 · excluded $1,568,849

  • 11a · Other revenue: PHARMACY SERVICES

    total $7,211,744 · related or exempt $7,211,744

  • 11b · Other revenue: INTERCOMPANY SERVICES

    total $589,809 · related or exempt $589,809

  • 11c · Other revenue: CAFETERIA INCOME

    total $480,407 · excluded $480,407

  • 11d · All other revenue

    total $5,048,371 · related or exempt $5,048,371

  • 11e · Other revenue, total

    $13,330,331

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $2,407 · program services $2,407

  • 2 · Grants to domestic individuals

    total $10,000 · program services $10,000

  • 7 · Other salaries and wages

    total $42,748,867 · program services $41,128,622 · management and general $1,620,245

  • 8 · Pension plan contributions

    total $1,311,850 · program services $1,259,376 · management and general $52,474

  • 9 · Other employee benefits

    total $6,147,137 · program services $5,901,252 · management and general $245,885

  • 10 · Payroll taxes

    total $3,162,772 · program services $3,036,261 · management and general $126,511

  • 11a · Fees: management

    total $6,085,337 · program services $995,524 · management and general $5,089,813

  • 11b · Fees: legal

    total $7,905 · management and general $7,905

  • 11c · Fees: accounting

    total $43,857 · management and general $43,857

  • 11d · Fees: lobbying

    total $19,666 · management and general $19,666

  • 11g · Fees: other

    total $3,615,463 · program services $3,615,463

  • 12 · Advertising and promotion

    total $13 · program services $13

  • 13 · Office expenses

    total $36,682,291 · program services $33,830,709 · management and general $2,851,582

  • 14 · Information technology

    total $8,058,332 · program services $8,058,332

  • 16 · Occupancy

    total $2,309,840 · program services $2,309,840

  • 17 · Travel

    total $67,670 · program services $67,303 · management and general $367

  • 19 · Conferences, conventions and meetings

    total $145,102 · program services $134,638 · management and general $10,464

  • 20 · Interest

    total $572,166 · program services $572,166

  • 22 · Depreciation, depletion and amortization

    total $4,641,110 · program services $4,641,110

  • 23 · Insurance

    total $405,715 · program services $405,715

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $16,271,576 · program services $16,226,633 · management and general $44,943

  • 24b · Other expenses: EQUIPMENT RENTAL

    total $873,252 · program services $863,821 · management and general $9,431

  • 24c · Other expenses: RECRUITMENT EXPENSES

    total $5,054 · program services $5,054

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $1,693,297 · end of year $5,129,912

  • 4 · Accounts receivable

    beginning of year $15,874,343 · end of year $16,399,547

  • 8 · Inventories for sale or use

    beginning of year $2,248,882 · end of year $2,273,594

  • 9 · Prepaid expenses and deferred charges

    beginning of year $324,009 · end of year $231,867

  • 10a · Land, buildings and equipment: cost or other basis

    $169,593,536

  • 10b · Land, buildings and equipment: accumulated depreciation

    $124,148,682

  • 10c · Land, buildings and equipment, net

    beginning of year $46,949,054 · end of year $45,444,854

  • 12 · Investments: other securities

    beginning of year $374,522 · end of year $390,810

  • 15 · Other assets

    beginning of year $17,044,769 · end of year $19,800,337

  • 17 · Accounts payable and accrued expenses

    beginning of year $12,404,770 · end of year $12,323,516

  • 19 · Deferred revenue

    beginning of year $87,907 · end of year $167,627

  • 20 · Tax-exempt bond liabilities

    beginning of year $18,704,525 · end of year $17,299,841

  • 25 · Other liabilities

    beginning of year $9,184,550 · end of year $2,944,727

  • 27 · Net assets without donor restrictions

    beginning of year $27,565,269 · end of year $37,678,706

  • 28 · Net assets with donor restrictions

    beginning of year $16,561,855 · end of year $19,256,504

Mission and programs · 2023

Mission

THE MISSION OF THE ORGANIZATION IS TO IMPROVE THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES EVERY DAY, WITH QUALITY AND COMPASSION.

  • INPATIENT HEALTHCARE SERVICES - PROVIDING INPATIENT COMMUNITY-BASED MEDICINE AND TERTIARY CARE TO THE SURROUNDING REGION. SERVICES ARE AVAILABLE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. DURING FY24, BAYSTATE FRANKLIN MEDICAL CENTER PROVIDED 20,538 PATIENT DAYS OF INPATIENT SERVICES, WITH 4,988 DISCHARGES.

    Expenses $47,113,008 · Revenue $46,302,929

  • OUTPATIENT HEALTHCARE SERVICES - PROVIDING OUTPATIENT CLINICAL SERVICES TO THE SURROUNDING REGION. SERVICES ARE AVAILABLE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. DURING FY24, BAYSTATE FRANKLIN MEDICAL CENTER HAD 92,499 OUTPATIENT VISITS.

    Expenses $47,345,383 · Grants $12,407 · Revenue $53,901,680

  • EMERGENCY DEPARTMENT SERVICES - PROVIDING EMERGENCY DEPARTMENT SERVICES TO THE SURROUNDING REGION. SERVICES ARE AVAILABLE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. DURING FY24, BAYSTATE FRANKLIN MEDICAL CENTER HAD 26 473 EMERGENCY DEPARTMENT VISITS.

    Expenses $11,706,303 · Revenue $17,410,107

  • OTHER PROGRAM SERVICES - PROVIDING PHARMACY SERVICES TO THE SURROUNDING REGION. SERVICES AVAILABLE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY.

    Expenses $16,899,545 · Revenue $18,984,462

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • MARK A KEROACK MD

    TRUSTEE (THRU 6/3/24)/PRESIDENT & CEO - BH

    Total calculated
    $2,758,272
    From this org
    $0
    From related orgs
    $2,714,007
    Other
    $44,265
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,487,185 related
    Bonus
    $0 + $683,230 related
    Other
    $0 + $543,592 related
    Deferred
    $0 + $24,750 related
    Nontaxable benefits
    $0 + $19,515 related
    Filer's total
    $0 + $2,758,272 related

  • NICOLAS JABBOUR MD

    TRUSTEE (AS OF 1/1/24)/CHAIR DEPT. OF SURGERY

    Total calculated
    $1,083,422
    From this org
    $0
    From related orgs
    $1,026,932
    Other
    $56,490
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $772,014 related
    Bonus
    $0 + $185,418 related
    Other
    $0 + $69,500 related
    Deferred
    $0 + $21,450 related
    Nontaxable benefits
    $0 + $35,040 related
    Filer's total
    $0 + $1,083,422 related

  • KEVIN P MORIARTY MD

    TRUSTEE (THRU 12/31/23)/CHIEF PED SURGERY

    Total calculated
    $827,296
    From this org
    $772,803
    From related orgs
    $0
    Other
    $54,493
    Hours/week
    5 + 45 related

    Schedule J breakdown matched by us

    Base
    $584,263
    Bonus
    $127,644
    Other
    $60,896
    Deferred
    $28,050
    Nontaxable benefits
    $26,443
    Filer's total
    $827,296

  • THAMPI AMPADI MD

    TRUSTEE /SURGEON COMM PRAC

    Total calculated
    $467,537
    From this org
    $413,422
    From related orgs
    $0
    Other
    $54,115
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $371,093
    Bonus
    $30,714
    Other
    $11,615
    Deferred
    $24,750
    Nontaxable benefits
    $29,365
    Filer's total
    $467,537

  • AKINYELE K LOVELACE DO

    TRUSTEE/PER DIEM INTERNIST

    Total calculated
    $107,217
    From this org
    $102,600
    From related orgs
    $0
    Other
    $4,617
    Hours/week
    1 + 49 related

  • SARA ROURKE MD

    TRUSTEE/PER DIEM URGENT CARE PHYSICIAN

    Total calculated
    $32,969
    From this org
    $31,250
    From related orgs
    $0
    Other
    $1,719
    Hours/week
    1 + 49 related

  • COLLEEN W HOLMES

    VICE CHAIR/TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 7 related

  • HARRIET A DEVERRY

    CHAIR/TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 7 related

  • PETER D BANKO

    TRUSTEE (AS OF 6/4/24)/PRESIDENT & CEO - BH

    Total calculated
    $0
    Hours/week
    1 + 49 related

  • ANTONIO E DOS SANTOS

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • CLAUDIA R COPLEIN DO

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • DENISE R JORDAN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • ELIZABETH CARDONA

    TRUSTEE (THRU 12/31/23)

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • IRENE RODRIGUEZ-MARTIN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • JAMES R PHANEUF

    TRUSTEE (THRU 12/31/23)

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • JULIE QUINK

    TRUSTEE (AS OF 1/1/24)

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • LINDA THOMPSON

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • MADELINE LANDRAU

    TRUSTEE (AS OF 1/1/24)

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • MARIA P GONCALVES

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 6 related

  • MARK A O'CONNELL

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • PAUL C PICKNELLY

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • PAUL R MURPHY

    TRUSTEE (THRU 12/31/23)

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • RICHARD BOSSIE

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • ROBERT J BACON

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • RUTH H CONSTANTINE

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • WILLIAM R WEBBER

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • RAYMOND MCCARTHY

    TRUSTEE/SVP, CFO & TREASURER BH

    Total calculated
    $1,211,162
    From this org
    $0
    From related orgs
    $1,181,243
    Other
    $29,919
    Hours/week
    5 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $709,330 related
    Bonus
    $0 + $234,559 related
    Other
    $0 + $237,354 related
    Deferred
    $0 + $28,050 related
    Nontaxable benefits
    $0 + $1,869 related
    Filer's total
    $0 + $1,211,162 related

  • RONALD P BRYANT

    TRUSTEE/PRESIDENT, BH COMM HOSPITALS

    Total calculated
    $739,549
    From this org
    $0
    From related orgs
    $690,386
    Other
    $49,163
    Hours/week
    16 + 34 related

    Schedule J breakdown matched by us

    Base
    $0 + $491,814 related
    Bonus
    $0 + $119,799 related
    Other
    $0 + $78,773 related
    Deferred
    $0 + $24,750 related
    Nontaxable benefits
    $0 + $24,413 related
    Filer's total
    $0 + $739,549 related

  • KRISTIN R DELANEY

    CLERK/DIR CORP GOVERNANCE

    Total calculated
    $217,312
    From this org
    $0
    From related orgs
    $176,880
    Other
    $40,432
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $158,929 related
    Bonus
    $0 + $15,361 related
    Other
    $0 + $2,590 related
    Deferred
    $0 + $11,919 related
    Nontaxable benefits
    $0 + $28,513 related
    Filer's total
    $0 + $217,312 related

  • NANCY REMILLARD

    ASST. CLERK OF THE CORP

    Total calculated
    $76,724
    From this org
    $0
    From related orgs
    $63,112
    Other
    $13,612
    Hours/week
    1 + 49 related

  • DEBORAH A PROVOST

    VP CAO CNO BFMC/CRO BH

    Total calculated
    $386,361
    From this org
    $0
    From related orgs
    $337,666
    Other
    $48,695
    Hours/week
    25 + 25 related

    Schedule J breakdown matched by us

    Base
    $0 + $255,603 related
    Bonus
    $0 + $52,192 related
    Other
    $0 + $29,871 related
    Deferred
    $0 + $24,642 related
    Nontaxable benefits
    $0 + $24,053 related
    Filer's total
    $0 + $386,361 related

  • JANICE MAYFORTH

    CFO - REGIONAL COMMUNITY HOSPITALS

    Total calculated
    $280,699
    From this org
    $0
    From related orgs
    $238,656
    Other
    $42,043
    Hours/week
    15 + 35 related

    Schedule J breakdown matched by us

    Base
    $0 + $174,022 related
    Bonus
    $0 + $28,242 related
    Other
    $0 + $36,392 related
    Deferred
    $0 + $15,524 related
    Nontaxable benefits
    $0 + $26,519 related
    Filer's total
    $0 + $280,699 related

  • OLGA TARAN

    REGISTERED NURSE

    Total calculated
    $276,089
    From this org
    $242,429
    From related orgs
    $0
    Other
    $33,660
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $240,675
    Bonus
    $0
    Other
    $1,754
    Deferred
    $12,373
    Nontaxable benefits
    $21,287
    Filer's total
    $276,089

  • LORENE ZAMMUTO

    DIR BEHAV. HEALTH- RN (THRU 7/25/24)

    Total calculated
    $270,903
    From this org
    $234,289
    From related orgs
    $0
    Other
    $36,614
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $180,710
    Bonus
    $34,759
    Other
    $18,820
    Deferred
    $9,475
    Nontaxable benefits
    $27,139
    Filer's total
    $270,903

  • JENNI L LANOUE

    DIR PATIENT CARE SVCS

    Total calculated
    $226,143
    From this org
    $187,961
    From related orgs
    $0
    Other
    $38,182
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $170,985
    Bonus
    $16,556
    Other
    $420
    Deferred
    $12,408
    Nontaxable benefits
    $25,774
    Filer's total
    $226,143

  • JILL E POWELL-ARTUS

    MANAGER, NURSING

    Total calculated
    $194,791
    From this org
    $156,815
    From related orgs
    $0
    Other
    $37,976
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $141,472
    Bonus
    $7,881
    Other
    $7,462
    Deferred
    $10,990
    Nontaxable benefits
    $26,986
    Filer's total
    $194,791

  • KYMBERLI MITCHELL

    RN CASE MANAGER

    Total calculated
    $193,772
    From this org
    $183,807
    From related orgs
    $0
    Other
    $9,965
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $180,521
    Bonus
    $500
    Other
    $2,786
    Deferred
    $9,183
    Nontaxable benefits
    $782
    Filer's total
    $193,772

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

  • 1a · Housing allowance or residence for personal use
  • 1b · Written policy on the line-1a expenses
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 2 · Substantiation required before reimbursing expenses
  • 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 1A
HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE - ONE KEY EMPLOYEE WAS PROVIDED WITH REIMBURSEMENT FOR HOUSING EXPENSES REQUIRING A TAX GROSS UP. THIS WAS TREATED AS TAXABLE COMPENSATION AS APPROPRIATE IN ACCORDANCE WITH BAYSTATE'S WRITTEN POLICIES WHICH REQUIRE COMPLIANCE WITH THE IRS'S ACCOUNTABLE PLAN.
PART I, LINE 3:
THE HUMAN RESOURCES COMMITTEE OF BAYSTATE HEALTH, INC. (THE PARENT ORGANIZATION OF THE HEALTH CARE SYSTEM TO WHICH THE FILING ORGANIZATION BELONGS) HAS BEEN APPOINTED THROUGH BOARD RESOLUTION AS THE HUMAN RESOURCES COMMITTEE OF THE FILING ORGANIZATION. THIS COMMITTEE CONSISTS ENTIRELY OF INDIVIDUALS SERVING ON THE BOARD OF THE FILING ORGANIZATION. THE INDIVIDUALS RESPONSIBLE FOR DELIBERATING THE COMPENSATION ARRANGEMENT FOR THE PRESIDENT WOULD BE THOSE INDIVIDUALS WHO DO NOT HAVE A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AND WOULD BE CONSIDERED INDEPENDENT FOR COMPENSATION DELIBERATION PURPOSES. THE COMPENSATION OF THE PRESIDENT IS ESTABLISHED BASED ON INFORMATION PROVIDED BY INDEPENDENT THIRD PARTY CONSULTANTS FOR REASONABLENESS AND APPROPRIATE COMPARABILITY DATA. THE COMPENSATION IS THEN ESTABLISHED, REVIEWED AND APPROVED BY THE DULY AUTHORIZED HUMAN RESOURCES COMMITTEE OF BAYSTATE HEALTH, INC. AND ALL SUCH DELIBERATIONS AND DECISIONS ARE DOCUMENTED CONTEMPORANEOUSLY.
PART I, LINE 4B:
THAMPI K. AMPADI, MD - SUPPLEMENTAL RETIREMENT OF $6,007 IS INCLUDED IN COLUMN B. THIS AMOUNT WAS EARNED AND PAID IN 2023. SUPPLEMENTAL RETIREMENT OF $4,950 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2023. RONALD P. BRYANT - SUPPLEMENTAL RETIREMENT OF $35,566 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $26,341 EARNED AND PAID IN 2023 AND $4,275 THAT WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORMS 990 AND THAT IS CURRENTLY REPORTED AS TAXABLE INCOME. THE AMOUNT IS LISTED IN COLUMN F IN ACCORDANCE WITH REPORTING REQUIREMENTS. SUPPLEMENTAL RETIREMENT OF $4,950 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2023. MARK A. KEROACK, MD - SUPPLEMENTAL RETIREMENT OF $431,905 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $427,630 EARNED AND PAID IN 2023 AND $4,275 THAT WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORMS 990 AND THAT IS CURRENTLY REPORTED AS TAXABLE INCOME. THE AMOUNT IS LISTED IN COLUMN F IN ACCORDANCE WITH REPORTING REQUIREMENTS. SUPPLEMENTAL RETIREMENT OF $4,950 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2023. RAYMOND MCCARTHY - SUPPLEMENTAL RETIREMENT OF $190,955 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $186,680 EARNED AND PAID IN 2023 AND $4,275 THAT WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORMS 990 AND THAT IS CURRENTLY REPORTED AS TAXABLE INCOME. THE AMOUNT IS LISTED IN COLUMN F IN ACCORDANCE WITH REPORTING REQUIREMENTS. SUPPLEMENTAL RETIREMENT OF $4,950 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2023. KEVIN P. MORIARTY, MD - SUPPLEMENTAL RETIREMENT OF $29,104 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $24,829 EARNED AND PAID IN 2023 AND $4,275 THAT WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORMS 990 AND THAT IS CURRENTLY REPORTED AS TAXABLE INCOME. THE AMOUNT IS LISTED IN COLUMN F IN ACCORDANCE WITH REPORTING REQUIREMENTS. SUPPLEMENTAL RETIREMENT OF $4,950 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2023. DEBORAH A. PROVOST - SUPPLEMENTAL RETIREMENT OF $4,274 IS INCLUDED IN COLUMN B. THIS AMOUNT WAS EARNED AND PAID IN 2023. SUPPLEMENTAL RETIREMENT OF $4,349 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2023.

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 partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2023
Filed
30 July 2025
IRS schema version
2023v6.0
Source object
202512239349300041

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