2024-11-08T15:16:41-06:00 2023-12-31 161226221 FUSTCHARLES LLP 220 S WARREN STREET SYRACUSE NY 13202 990 2023-01-01 161492003 ROME MEMORIAL PROPERTIES INC ROME 3153387024 1500 NORTH JAMES ST ROME NY 13440 NATHAN SMITH AVP FINANCE 3153387024 2024-11-02 1 1 PATRICK CAPELLA P01359200 3154463600 2024-11-02 2023 2024-10-15 13:58:12Z ANNEMARIE CZYZ 1500 NORTH JAMES STREET ROME NY 13440 167287 0 X N/A X 1995 NY TO PROMOTE AND SUPPORT THE CHARITABLE PURPOSES OF ROME MEMORIAL HOSPITAL 7 7 0 7 0 0 0 0 0 0 0 0 167287 167287 167287 167287 0 0 0 0 0 0 0 0 0 99916 92333 99916 92333 67371 74954 1638771 1712985 4701 3961 1634070 1709024 TO PROMOTE AND SUPPORT THE CHARITABLE PURPOSES OF ROME MEMORIAL HOSPITAL 0 0 76444 167287 ROME MEMORIAL PROPERTIES PROMOTES AND PROVIDES HEALTHCARE SERVICES TO THE ROME AREA COMMUNITY. 76444 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 1 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 NY X NATHAN SMITH -ROME MEMORIAL HOSPITAL 3153387024 1500 NORTH JAMES STREET ROME NY 13440 X X DARLENE BURNS SECRETARY 1.00 X X 0 0 0 LYNN G REESE ASSISTANT VP 1.00 X X 0 0 0 JOHN RESTIVO VICE PRESIDENT 1.00 X X 0 0 0 JULIE GROW DENTON TREASURER 1.00 X X 0 0 0 KRISTIN GRUNDER ASST. SECRETARY 1.00 X X 0 0 0 ANKUR DESAI PRESIDENT 1.00 X X 0 0 0 RYAN O'SHAUGHNESSY ASST. TREASURER 1.00 X X 0 0 0 ANNEMARIE CZYZ CEO 1.00 54.00 X 0 0 0 NATHAN SMITH VP FINANCE 1.00 54.00 X 0 0 0 0 0 0 0 0 0 0 0 167287 0 167287 167287 167287 167287 167287 0 0 4827 4827 2329 2329 UTILITIES 57077 57077 MAINTENANCE 17038 17038 PURCHASED SERVICES 9498 9498 MISC. EXPENSE 1564 1564 92333 76444 15889 0 54647 165857 1192046 1175913 18462 16133 1565662 1530995 1638771 1712985 4701 3961 4701 3961 X 1634070 1709024 1634070 1709024 1638771 1712985 74954 0 X X 0 1 X 1 0 X X 1 ROME MEMORIAL HOSPITAL 161471634 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1192046 1175913 16133 16133 DUE FROM ROME MEMORIAL HOSPITAL 1530995 1530995 X PART X, LINE 2: INCOME TAXES: GRAI,THE HOSPITAL AND PROPERTIES ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C(3)OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. GRAI,THE HOSPITAL AND PROPERTIES ARE SUBJECT TO FEDERAL INCOME TAXES ON UNRELATED BUSINESS INCOME UNDER SECTION 511 OF THE INTERNAL REVENUE CODE. RMH SERVICES,INC.,ROME MEDICAL GROUP,P.C., AND ROME MEDICAL PRACTICE, P.C. ARE FOR-PROFIT ENTITIES SUBJECT TO FEDERAL AND STATE INCOME TAXES. AS OF DECEMBER 31, 2023 AND 2022, THE SYSTEM DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2020 THROUGH 2023. THE SYSTEM DOES NOT ANTICIPATE THAT THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATED CONTROL OVER MANAGEMENT DUTIES CUSTOMARILY PREFORMED BY OR UNDER DIRECT SUPERVISION OF OFFICERS, DIRECTORS, TRUSTEES, OR KEY EMPLOYEES TO ANNEMARIE CZYZ AS CEO. FORM 990, PART VI, SECTION A, LINE 6 GRA IS THE SOLE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B IN SEPTEMBER OF 2024 A MEETING WILL BE HELD PRIOR TO FILIING THE RETURN TO REVIEW THE 2023 990. FORM 990, PART VI, SECTION B, LINE 12C CONSISTENT WITH ROME HOSPITAL'S GIFTS, GRATUITIES AMD CONFLICT OF INTEREST POLICY, THE COMPLIANCE MANAGER OF RMH HAS A CONFLICT OF INTEREST DISCLOSURE FORM COMPLETED ON AN ANNUAL BASIS BY ALL OFFICERS, DIRECTORS AND MANAGEMENT PERSONNEL. THE CEO COLLECTS AND REVIEWS THE BOARD OF TRUSTEES INTEREST DISCLOSURE FORMS ON AN ANNUAL BASIS. THE INFORMATION GATHERED ON THE DISCLOSURE IS REVIEWED AND ANY CONFLICTS ARE COMMUNICATED TO CEO/PRESIDENT AND BOARD OF TRUSTEES TO ENSURE ALL HOSPITAL TRANSACTIONS ARE COMPLETED FREE FROM OUTSIDE INFLUENCE. POTENTIAL CONFLICTS THAT MAY ARISE THROUGHOUT THE YEAR ARE BROUGHT TO THE ATTENTION OF THE COMPLIANCE MANAGER AND CEO/PRESIDENT FOR REVIEW. FORM 990, PART VI, SECTION C, LINE 18 THESE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART VII: IN 990 PART VII, ANNEMARIE CZYZ IS LISTED AS AN OFFICER AND ASSUMED THE DUTIES OF CEO. THERE IS NO COMPENSATION LISTED AS THE INDIVIDUAL WAS HIRED THROUGH A SERVICE AGREEMENT WITH SJH (COMPENSATION THROUGH THE AGREEMENT TO ANNEMARIE CZYZ WAS $508,230). ANNEMARIE CZYZ IS NOT CONSIDERED A COMMON LAW EMPLOYEE. FORM 990 XII LINE 2C THE ORGANIZATION HAS NOT CHANGED EITHER IT'S OVERSIGHT PROCESS OR SELECTION DURING THE TAX YEAR. GREATER ROME AFFILIATES 1500 NORTH JAMES STREET ROME NY 13440 161508597 PARENT CORPORATION NY 501 (C) (3) LINE 12C, III-FI N/A 1 ROME MEMORIAL HOSPITAL 1500 NORTH JAMES STREET ROME NY 13440 161471634 HOSPITAL NY 501 (C) (3) LINE 3 GRA 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0