Executive Director / CEO
This analysis benchmarks the total compensation of Thomas Rametta, Executive Director / CEO ($15,158) against every comparable organization that fit the selection criteria — 32 in total — drawn systematically from IRS Form 990 filings, not a hand-picked subset.
Compensation sits at approximately the 9th percentile of comparable organizationsbelow the typical range for comparable organizations
Benchmarked executive: Thomas Rametta — reported title “PRESIDENT”, a direct title match to the Executive Director / CEO role.
Each figure is Form 990 Part VII columns D + F (reportable pay plus other compensation and benefits; column F may include amounts from related organizations), normalized to CO cost of living (BEA RPP, 2023) and to its filing year (CPI-U); the reported amount is on each linked 990.
| Organization | State | Revenue | Matched title | Comp (reported) | Comp (adjusted) | FY |
|---|---|---|---|---|---|---|
| Lancaster County Medical Society | NE | $430,515 | Executive Di | $95,115 | $106,689 | 2024 |
| King County Nurses Association Inc | WA | $439,942 | Executive Director | $117,589 | $106,963 | 2025 |
| Bayside Historical Society | NY | $423,928 | Executive Director | $8,316 | $7,837 | 2024 |
| Medical Staff Of West Hills | CA | $422,601 | Cme Prgrm Crdnt | $18,000 | $16,210 | 2024 |
| Midwinter Conference Of Immunologists | UT | $405,401 | Registrar | $25,000 | $26,684 | 2024 |
| Open Notebook Inc | WI | $462,870 | President | $121,750 | $136,521 | 2023 |
| Fresno-madera Medical Society | CA | $463,015 | Executive Dir. | $144,602 | $134,065 | 2023 |
| Pediatric Acute Lung Injury And Sepsis Investigators Network | NC | $469,556 | Executive Director | $36,667 | $39,512 | 2024 |
| Santa Barbara Dermatology Foundation Inc | KY | $471,765 | President | $83,000 | $92,997 | 2024 |
| The Medical Staff Of St John Hospital | MI | $386,042 | President | $42,000 | $45,210 | 2024 |
| Academia De Directores Medicos De Puerto Rico | PR | $486,146 | Program Director | $55,620 | $57,263 | 2023 |
| Foundation For Physician Advancement | MS | $375,823 | Executive Director | $82,500 | $98,655 | 2023 |
| Syrian American Medical Society | DC | $501,862 | Executive Director | $5,414 | $4,955 | 2024 |
| Arkansas Community Health Worker Associa | AR | $359,300 | Executive Dir. | $100,947 | $118,336 | 2024 |
| Dallas Methodist Physicians Network | TX | $517,533 | President | $62,380 | $65,075 | 2024 |
| Palomar Medical Center Medical Staff | CA | $524,489 | Chief Of Staff | $99,000 | $91,786 | 2023 |
| Medical Staff Of Hollywood | CA | $337,111 | President | $30,000 | $27,016 | 2024 |
| Direct Primary Care Alliance | ME | $527,676 | Executive Director | $71,224 | $74,378 | 2024 |
| Hillsborough County Medical Assn Inc | FL | $529,329 | Executive Director/ceo | $140,684 | $141,900 | 2023 |
| Va - Chw Association | VA | $327,707 | Exe Directer | $129,676 | $127,211 | 2025 |
| Nalanda Institute For Contemplative Science | NY | $324,440 | Chairperson | $9,590 | $8,805 | 2025 |
| Somali Medical Association Of America | MN | $311,236 | Executive Director | $32,436 | $33,425 | 2024 |
| Hca Florida Kendall Medical Staff Inc | FL | $303,200 | President | $30,000 | $29,391 | 2024 |
| Hardin Medical & Dental Staff Inc | KY | $299,947 | Chief Direct | $25,000 | $32,424 | 2021 |
| American Association Of Nurse | IL | $584,540 | Ceo | $399,967 | $410,077 | 2024 |
Comp (reported) is the figure on each organization's Form 990 (columns D + F); Comp (adjusted) normalizes it to CO cost of living and 2024 dollars. Click any organization to verify the figure on ProPublica.
Comparable organizations were drawn from electronically filed IRS Form 990 returns and matched on sector (NTEE code), budget (a size-adaptive revenue band that tightens as the organization grows), and geography (same-state first, broadening only when too few peers qualify); every organization within the band forms the peer set. To compare fairly across regions and years, peer compensation is normalized to CO cost of living (BEA Regional Price Parities, 2023) and to the subject's filing year (CPI-U). The figure benchmarked is Form 990 Part VII, Section A, columns D + F — reportable pay plus other compensation, benefits, and deferred amounts (column F may include amounts from related organizations) — with the chief executive matched by role. Related-organization amounts (column E) and institutional trustees are excluded. Full methodology: peerbasis.org/methodology.
Sensitivity — the subject's percentile under alternative compensation definitions:
| Basis | Subject percentile |
|---|---|
| Total compensation (D + F), cost-of-living + inflation adjusted — the PeerBasis default | 9th |
| Total compensation (D + F), as reported (no adjustments) | 9th |
| Reportable pay only (column D), adjusted | 0th |
| All sources (D + E + F), adjusted | 100th |
If the percentile moves materially across these definitions, the result is sensitive to methodology choices, and the board should weigh which basis best fits its facts.
Compensation paid by a tax-exempt organization is presumed reasonable — shifting the burden to the IRS — when three requirements are met. This report supplies the comparability data for the second. The board should record the following in its minutes concurrently with its decision:
Draft board minutes — executive compensation
Sources: IRS Form 990 e-file data (apps.irs.gov); IRS Business Master File (NTEE classification). Every figure traces to an original public filing — click any organization above to verify it on ProPublica. PeerBasis is a service of Prismind Analytics; its methodology is published, was commissioned for independent adversarial review, and discloses its own limitations. This report is comparability data to support a board's good-faith determination under IRC 4958; it is not legal or tax advice. Generated by PeerBasis on June 9, 2026.