2025-11-07T13:16:45-06:00 2024-12-31 161226221 FUSTCHARLES LLP 220 S WARREN STREET SYRACUSE NY 13202 990 2024-01-01 161364515 ROME MEMORIAL HOSPITAL FOUNDATION INC ROME 3153387181 107 EAST CHESTNUT STREET SUITE 100 ROME NY 13440 NICHOLAS MAYHEW TREASURER 3153387669 2025-11-06 1 1 DESIREE M BENNETT P01263666 3154463600 2025-11-06 2024 2025-03-06 01:10:19Z ROME HEALTH FOUNDATION INC NICHOLAS MAYHEW 107 EAST CHESTNUT STREET SUITE 100 ROME NY 13440 2503803 0 X ROMEHEALTH.ORG/FOUNDATION X 1991 NY TO BE A VEHICLE TO RECEIVE AND ADMINISTER GIFTS AND BEQUESTS TO ROME MEMORIAL HOSPITAL INC. 15 15 2 54 0 0 6723796 1885673 0 0 152967 317691 -78042 50229 6798721 2253593 828839 4801204 0 0 218010 218946 441868 139694 256373 69538 96736 1558255 5256580 5240466 -3002987 13493838 10209726 358494 76597 13135344 10133129 X ROME HEALTH FOUNDATION PROVIDES VITAL PHILANTHROPIC SUPPORT TO ROME HEALTH. THE FOUNDATION IS A SEPARATE 501 (C) (3) AND AN INTEGRAL PARTNER IN THE HEALTH SYSTEM'S MISSION TO PROVIDE QUALITY HEALTHCARE WITH COMPASSION.THE FOUNDATION ACCEPTS GIFTS ON BEHALF OF ROME HEALTH AND WORKS TO FUND BOTH PRESENT AND FUTURE EQUIPMENT AND PROGRAM NEEDS. CONTRIBUTIONS OF ANY AMOUNT ARE GRATEFULLY ACCEPTED AND MAY BE UNRESTRICTED GIFTS OR DESIGNATED FOR A SPECIFIC HOSPITAL UNIT OR PROGRAM. CONTRIBUTIONS TO THE FOUNDATION ARE TAX DEDUCTIBLE ACCORDING TO IRS GUIDELINES. 0 0 4801204 4801204 THE ORGANIZATION IS A NON-PROFIT CORPORATION ORGANIZED TO PROVIDE FUNDS FOR THE IMPROVEMENT OF PATIENT CARE AT ROME MEMORIAL HOSPITAL. 4801204 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 2 1 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X CHESTER W DIBARI III 3153387669 107 EAST CHESTNUT STREET SUITE 100 ROME NY 13440 NATE SMITH BOARD MEMBER 1.00 X 0 0 0 LAUREN FELICE BOARD MEMBER 1.00 X 0 0 0 BRIANNA KUBIK BOARD MEMBER 1.00 X 0 0 0 LAUREN GIUSTRA MD BOARD MEMBER 1.00 X 0 0 0 KELLY DOMIZIO BOARD MEMBER 1.00 X 0 0 0 ANNEMARIE CZYZ BOARD MEMBER 1.00 X 0 0 0 ANN POHL VICE TREASURER 1.00 X X 0 0 0 NICHOLAS MAYHEW TREASURER 1.00 X X 0 0 0 SONYA EZELL SECRETARY 1.00 X X 0 0 0 KRISTIN GRUNDER PRESIDENT 1.00 X X 0 0 0 SHAWN WEIMAN 1ST VICE PRESIDENT 1.00 X X 0 0 0 JENNIFER SCANLON MOGEL BOARD MEMBER 1.00 X 0 0 0 SARAH ENGELBERT RUSHTON BOARD MEMBER 1.00 X 0 0 0 MEGAN POPOVICH BOARD MEMBER 1.00 X 0 0 0 MELANIE KEKIS BOARD MEMBER 1.00 X 0 0 0 CHESTER W DIBARI III EXECUTIVE DIRECTOR 40.00 X 126886 0 4123 126886 0 4123 1 0 0 0 0 140650 1745023 1885673 317905 317905 118904 119118 -214 -214 -214 181321 140650 131092 50229 50229 2253593 0 0 367920 4801204 4801204 131009 65505 65504 55297 27648 27649 32640 16320 16320 38141 38141 139694 139694 17219 17219 4856 4856 17952 17952 2499 2499 2343 2343 40 40 19 19 3234 3234 FUNDRAISING EXPENSE 7206 7206 DUES, BOOKS, SUBSCRIPTI 2937 2937 OTHER EXPENSE 290 290 5256580 4801204 199003 256373 374672 456310 302133 156439 4636439 3983069 10250 10000 29242 29242 19 0 40764 0 8129561 5603908 13493838 10209726 115080 51711 243414 24886 358494 76597 X 328580 546152 12806764 9586977 13135344 10133129 13493838 10209726 -3002987 772 0 X X 0 1 X 1 0 X 268010 2862689 4613737 6723796 1885673 16353905 268010 2862689 4613737 6723796 1885673 16353905 16353905 5193 2019 23060 152967 317905 501144 16855049 0.97030 0.98670 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12806764 1720155 955 4940898 9586976 7430163 6486637 53705 1163741 12806764 3627721 4326514 524072 7430163 1542601 2143704 18233 76817 3627721 1622035 79434 1542601 0.00260 0.99740 0 0 29242 29242 0 0 ASSETS LIMITED AS TO USE 5603908 5603908 DUE TO ROME MEMORIAL HOSPITAL SHORT TERM 24886 24886 X 2385457 772 131092 131864 2253593 0 2253593 5387672 131092 131092 5256580 0 5256580 PART V, LINE 4: ENDOWMENT FUNDS USED FOR INTERNAL EQUITY FOR THE FOUNDATION AND TO SUPPORT HOSPITAL AND GRA PART X, LINE 2: PART X - LIABILITY UNDER FIN 48 FOOTNOTE THE FOUNDATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. THE FOUNDATION IS SUBJECT TO FEDERAL INCOME TAXES ON UNRELATED BUSINESS INCOME UNDER SECTION 511 OF THE INTERNAL REVENUE CODE. THE STANDARDS FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ESTABLISH A RECOGNITION THRESHOLD AND MEASUREMENT FOR INCOME TAX POSITIONS RECOGNIZED IN THE FOUNDATION'S FINANCIAL STATEMENTS. THESE STANDARDS HAD NO IMPACT ON THE ACCOMPANYING FINANCIAL STATEMENTS. AS OF DECEMBER 31, 2024 AND 2023, THE FOUNDATION 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 2021 THROUGH 2024. THE FOUNDATION DOES NOT ANTICIPATE THAT THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 131,092. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 131,092. X 1 COMMUNITY COUNSELLING SERVICE CO LLC 527 MADISON AVENUE - 5TH FLOOR NEW YORK NY 10022 FEASIBILITY STUDY & CAMPAIGN DESIGN 0 0 114492 -114492 114492 -114492 NY GALA 152825 88650 64175 66403 50 4368 5491 GOLF CLASSIC 115915 27000 88915 9164 28389 5058 1 53231 25000 28231 500 752 6029 600 4288 321971 140650 181321 500 9916 94792 6079 4968 14837 131092 50229 1 ROME MEMORIAL HOSPITAL 1500 NORTH JAMES ST ROME NY 13440 161471634 501(C)(3) 4801204 0 MISC DONATIONS FOR DESIGNATED FUNDS, COMMUNITY EVENTS PART 1 LINE 2 THE FOUNDATION BOARD OF DIRECTORS MEETS MONTHLY TO REVIEW AND ASSUME RESPONSIBILITY FOR MONITORING THE USE OF FUNDS FORM 990, PART VI, SECTION B, LINE 11B THE COMPLETED 990 WILL BE PRESENTED TO THE BOARD BY THE CFO FOR REVIEW AT THE NOVEMBER 2025 BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C THE FOUNDATION HAS A CORPORATE COMPLIANCE PROGRAM IN PLACE. FORM 990, PART VI, SECTION B, LINE 15 USE OF IROQOUIS DATA, ASSOCIATION FOR HEALTHCARE PHILANTHROPY SALARY DATA, AND THE ROME HOSPITAL HUMAN RESOURCES DEPARTMENT ARE UTILIZED TO DETERMINE COMPENSATION FOR THE FOUNDATIONS EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 18 AVAILABLE UPON REQUEST FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST FORM 990 PART XII FINANCIAL STATEMENTS AND REPORTING LINE 2C THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITIES FOR OVERSIGHT OF THE AUDIT. THE ORGANIZATION HAS NOT CHANGED EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.