Civic Intelligence

Chambersburg Hospital

EIN 23-0465970 • 501(c)3 • York, PA

Profile

The chambersburg hospital is a regional non-profit health care organization committed to the improvement of the health and well-being of the people in southcentral pennsylvania.

PO Box 2767York, PA 17405-2767

www.wellspan.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

46th percentile

0.26x

Higher debt load relative to assets than 46% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Liabilities / Revenue

32nd percentile

0.28x

Higher debt load relative to revenue than 32% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Net Margin

62nd percentile

8.6%

Higher net margin than 62% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Top Officer Pay

90th percentile

$3,123,984

Higher top officer pay than 90% of similar nonprofits.

Top officer pay equals 0.6% of source-year revenue.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Asset Growth

70th percentile

10%

Faster asset growth than 70% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2023 to 2024

Revenue Growth

58th percentile

11%

Faster revenue growth than 58% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2023 to 2024

Assets

Up

$561,450,038

Up $52,825,476 (+10%) from 2023

Liabilities

Down

$143,713,532

Down $53,236,093 (-27%) from 2023

Net Assets

Up

$417,736,506

Up $106,061,569 (+34%) from 2023

Revenue

Up

$520,023,472

Up $52,669,395 (+11%) from 2023

Expenses

Up

$475,288,066

Up $39,607,630 (+9.1%) from 2023

Net Income

Up

$44,735,406

Up $13,061,765 (+41%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$600M$400M$200M$0Assets 2010: $284,858,966Liabilities 2010: $124,507,865Net Assets 2010: $160,351,1012010Assets 2011: $433,623,569Liabilities 2011: $231,040,705Net Assets 2011: $202,582,8642011Assets 2012: $444,750,411Liabilities 2012: $291,294,782Net Assets 2012: $153,455,6292012Assets 2013: $458,263,420Liabilities 2013: $250,437,151Net Assets 2013: $207,826,2692013Assets 2014: $486,579,440Liabilities 2014: $249,031,228Net Assets 2014: $237,548,2122014Assets 2015: $496,347,291Liabilities 2015: $259,566,234Net Assets 2015: $236,781,0572015Assets 2016: $497,598,929Liabilities 2016: $304,732,353Net Assets 2016: $192,866,5762016Assets 2017: $513,333,407Liabilities 2017: $246,915,813Net Assets 2017: $266,417,5942017Assets 2018: $504,783,786Liabilities 2018: $215,445,267Net Assets 2018: $289,338,5192018Assets 2019: $488,841,565Liabilities 2019: $230,940,319Net Assets 2019: $257,901,2462019Assets 2020: $480,015,379Liabilities 2020: $285,787,639Net Assets 2020: $194,227,7402020Assets 2021: $562,981,898Liabilities 2021: $246,506,351Net Assets 2021: $316,475,5472021Assets 2022: $490,281,910Liabilities 2022: $193,737,619Net Assets 2022: $296,544,2912022Assets 2023: $508,624,562Liabilities 2023: $196,949,625Net Assets 2023: $311,674,9372023Assets 2024: $561,450,038Liabilities 2024: $143,713,532Net Assets 2024: $417,736,5062024

Highlighted filing

2024

Assets$561,450,038
Liabilities$143,713,532
Net Assets$417,736,506

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$600M$400M$200M$0-$200MExpenses 2010: $230,083,1192010Expenses 2011: $239,581,9432011Expenses 2012: $250,756,1282012Expenses 2013: $237,454,0352013Revenue 2014: $294,755,370Expenses 2014: $242,755,970Net Income 2014: $51,999,4002014Revenue 2015: $307,423,324Expenses 2015: $254,889,350Net Income 2015: $52,533,9742015Revenue 2016: $321,916,563Expenses 2016: $280,557,855Net Income 2016: $41,358,7082016Revenue 2017: $367,801,007Expenses 2017: $301,548,398Net Income 2017: $66,252,6092017Revenue 2018: $358,170,352Expenses 2018: $308,445,581Net Income 2018: $49,724,7712018Revenue 2019: $393,244,257Expenses 2019: $331,947,504Net Income 2019: $61,296,7532019Revenue 2020: $336,742,076Expenses 2020: $350,197,961Net Income 2020: -$13,455,8852020Revenue 2021: $415,525,053Expenses 2021: $384,407,451Net Income 2021: $31,117,6022021Revenue 2022: $484,636,466Expenses 2022: $427,106,425Net Income 2022: $57,530,0412022Revenue 2023: $467,354,077Expenses 2023: $435,680,436Net Income 2023: $31,673,6412023Revenue 2024: $520,023,472Expenses 2024: $475,288,066Net Income 2024: $44,735,4062024

Highlighted filing

2024

Revenue$520,023,472
Expenses$475,288,066
Net Income$44,735,406

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$561$144$418$520$475$44.7
2023Detailed filing. Detailed filing data is available for this year.$509$197$312$467$436$31.7
2022Detailed filing. Detailed filing data is available for this year.$490$194$297$485$427$57.5
2021Detailed filing. Detailed filing data is available for this year.$563$247$316$416$384$31.1
2020Detailed filing. Detailed filing data is available for this year.$480$286$194$337$350$13.5
2019Detailed filing. Detailed filing data is available for this year.$489$231$258$393$332$61.3
2018Detailed filing. Detailed filing data is available for this year.$505$215$289$358$308$49.7
2017Detailed filing. Detailed filing data is available for this year.$513$247$266$368$302$66.3
2016Detailed filing. Detailed filing data is available for this year.$498$305$193$322$281$41.4
2015Detailed filing. Detailed filing data is available for this year.$496$260$237$307$255$52.5
2014Detailed filing. Detailed filing data is available for this year.$487$249$238$295$243$52.0
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$458$250$208$237
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$445$291$153$251
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$434$231$203$240
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$285$125$160$230
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 8, 2025
Return Version
2023v6.0
Gross Receipts
$630,653,307
Mission and Program Overview

Mission

The chambersburg hospital is a regional non-profit health care organization committed to the improvement of the health and well-being of the people in southcentral pennsylvania.

To improve the health and well-being of the people in southcentral pennsylvania.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$277,854,380$253,964,671▼ $23,889,709
Land, Buildings, and Equipment, Net$105,311,608$100,927,973▼ $4,383,635
Investments Program Related$14,331,408$84,197,991▲ $69,866,583
Accounts Receivable$52,658,320$54,572,740▲ $1,914,420
Investments Other Securities$36,219,154$35,323,563▼ $895,591
Savings and Temporary Cash Investments$10,897,931$18,476,831▲ $7,578,900
Other Notes and Loans Receivable, Net$6,462,538$6,404,935▼ $57,603
Inventories for Sale or Use$3,901,551$3,541,503▼ $360,048
Prepaid Expenses and Deferred Charges$913,039$349,324▼ $563,715
Pledges and Grants Receivable-$124,623-
Intangible Assets$68,983$52,212▼ $16,771
Cash and Non-Interest-Bearing Accounts$5,650$5,500▼ $150
Total Assets$508,624,562$561,450,038▲ $52,825,476
Other Assets Total$0$3,508,172▲ $3,508,172
Liabilities
Tax Exempt Bond Liabilities$115,493,641$102,710,109▼ $12,783,532
Accounts Payable and Accrued Expenses$39,090,261$35,804,020▼ $3,286,241
Deferred Revenue$2,652,453$2,512,086▼ $140,367
Other Liabilities$39,166,576$1,624,487▼ $37,542,089
Mortgage Notes Payable Secured by Investment Property$546,694$1,062,830▲ $516,136
Total Liabilities$196,949,625$143,713,532▼ $53,236,093
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$309,698,365$343,108,459▲ $33,410,094
Net Assets With Donor Restrictions$1,976,572$74,628,047▲ $72,651,475
Total Net Assets Fund Balance$311,674,937$417,736,506▲ $106,061,569
Total Liabilities and Net Assets / Fund Balance$508,624,562$561,450,038▲ $52,825,476

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$73,009,387$129,140,288$202,149,675
Equipment$17,087,128$55,303,032$72,390,160
Leasehold Improvements$1,462,338$6,609,018$8,071,356
Land$6,841,101-$6,841,101
Other Land Buildings$2,528,019-$2,528,019
Investment Program Related Org$11,859,679--
Other Securities$6,315,210--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2023$1,976,572$73,287,936-$636,461$74,628,047
2022$1,189,088$886,161-$98,677$1,976,572
2021$540,438$711,220-$62,570$1,189,088
2020$211,362$331,064-$1,988$540,438
2019$3,255,758$385,810▼ $30,306$3,399,900$211,362
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Niki HinckleSVP - West RegionFT$444,399$305,367$749,766
Gautam WadhwaVP Med. Affairs, Chief Med. OfficerPT$385,129$215,480$600,609
John MassimillaVP & President - ChambersburgFT$346,569$226,951$573,520
Elyse FislerChief Nursing OfficerFT$214,603$147,454$362,057
Tanya RudolphAssistant Manager - PharmacyFT$175,632$90,838$266,470
Ginger EverhartSr. Director Clinical OperationsFT$183,638$82,550$266,188
Mohammed-awal BukariPharmacistFT$228,965$31,514$260,479
Ximena DickmannPharmacistFT$204,518$46,800$251,318
Nikola KounevPharmacistPT$214,887$30,370$245,257
Nicholas SignorellaPharmacistFT$214,549$27,922$242,471
Jane HydeFormer Sr VP - Western Region-$76,857$101,404$178,261

Board Members and Trustees

NameTitle
Cheryl PlummerChair
Roxanna Gapstur Phd RnPresident & CEO - Wellspan Health
Denis OniealVice Chair
David Doud DoDirector
David LovettDirector
Ed Schuurman PaDirector
Edward Mackle MdDirector
Horace Martin MdDirector
Julianne CraigDirector
Julie RamseyDirector
Monica Meta CamposDirector
Patricia Green-rodgersDirector
Stephen HoloviakDirector
William HappelDirector
Edie JardineDIRECTOR (UNTIL DEC. '23)
Sherri StahlSVP, DIRECTOR (UNTIL DEC. '23)
Laura BuczkowskiExecutive VP & CFO - Wellspan Health
Faraaz YousufFormer Executive VP & COO
Amy NelsonSecretary/sr VP & General Counsel
Michael SeimSr VP & Chief Quality Officer

Highest Paid Contractors

ContractorServicesLocationCompensation
Healthtrust Workforce SolutionStaffing Services6565 N MACARTHUR BLVD STE 325, Irving, TX 75039$26,809,807
Cumberland Valley Er AssocMedical112 N 7TH ST, Chambersburg, PA 17201$11,928,330
Ums Franklin County UrsMobile Medical Services1700 WEST PARK DRIVE, Westborough, MA 01581$1,689,459
Cumberland Valley MobileMobile MriPO BOX T 323 MAIN STREET, Conyngham, PA 18219$1,429,354
Quest DiagnosticsLab ServicesPO BOX 912512, Pasadena, CA 91110$1,169,291
Revenue and Support

Revenue Composition

Contributions and Grants
$2,490,116
Program Service Revenue
$496,172,457
Investment Income
$19,870,427
Other Revenue
$1,490,472
All Other Contributions
$24,465
Change in Net Assets
$44,735,406

Audited Revenue Reconciliation

Revenue per Audited Statements
$520,678,551
Revenue Not Reported on Financial Statements
$-655,079
Revenue Not Reported on Form 990
$31,960,946
Other Revenue Adjustments
$-655,079
Total Revenue per Audited Statements
$552,639,497
Total Revenue per Form 990
$520,023,472
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$299,595,650
Salaries, Compensation, and Employee Benefits$173,458,520
Grants and Similar Amounts Paid$2,233,896
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$119,133,851$8,748,489-$127,882,340
Fees for Services Other$104,824,118$439,568-$105,263,686
Fees for Services Management-$64,706,166-$64,706,166
Other Employee Benefits$24,148,538$7,732,135-$31,880,673
Depreciation Depletion$11,152,967--$11,152,967
Payroll Taxes$8,923,242$714,877-$9,638,119
Occupancy$5,163,904$383,495-$5,547,399
Interest$5,017,015--$5,017,015
Other Expenses$4,038,674$123,699-$4,162,373
Insurance$3,682,126--$3,682,126
Current Officers, Directors, Trustees, and Key Employees-$2,343,304-$2,343,304
Grants to Domestic Orgs$2,233,896--$2,233,896
Pension Plan Contributions$1,688,583$25,501-$1,714,084
Office Expenses$758,711$40,875-$799,586
Fees for Service Investment Mgmnt Fees-$704,213-$704,213
Information Technology$437,010$12,488-$449,498
All Other Expenses$220,767$90,013-$310,780
Fees for Services Legal-$255,500-$255,500
Travel$73,000$33,191-$106,191
Advertising$82,027$2,019-$84,046
Conferences and Meetings$68,156$2,382-$70,538
Fees for Services Accounting-$69,857-$69,857
Fees for Services Lobbying-$18,571-$18,571
Total Functional Expenses$388,841,723$86,446,343$0$475,288,066

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$475,288,066
Total Expenses per Audited Statements$446,577,928
Expenses per Audited Statements$445,922,849
Expenses Not Reported on Financial Statements$29,365,217
Other Expense Adjustments$29,365,217
Expenses Not Reported on Form 990$655,079
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Keystone HealthChambersburg, PA501(c)(3)General Support$1,500,000
Borough of ChambersburgChambersburg, PA501(c)(3)General Support$145,000
Penn State UniversityUniversity Park, PALocal GovernmentGeneral Support$142,448
Wellspan Medical GroupYork, PA501(c)(3)General Support$139,679
First Start Partnership for Children and FamiliesChambersburg, PA501(c)(3)General Support$97,500
Network MinistriesChambersburg, PA501(c)(3)General Support$62,250
South Central Community ActionGettysburg, PA501(c)(3)General Support$42,439
Wabec FoundationWaynesboro, PA501(c)(3)General Support$32,197
Boys & Girls Club of ChambersburgShippensburg, PA501(c)(3)General Support$14,083
Shippensburg UniversityShippensburg, PA501(c)(3)General Support$12,000
LEAH'S LEGACYGreencastle, PA501(c)(3)General Support$10,000
Messiah CollegeMechanicsburg, PA501(c)(3)General Support$6,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Derivative Valuation$1,624,487

Bond Issues

BondIssuerIssuedIssue PricePurpose
AGeneral Authority of Southcentral Pennsylvania2019-04-03$114,109,210REFUND BONDS & EXPANSION
BGeneral Authority of Southcentral Pennsylvania2023-12-14$253,213REFUND 2014 BONDS

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$114,109,210$7,376,496$10,584,124$762,210
B$253,213$251,306$1,461$1,907

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

Wellspan summit health, a not-for-profit corporation, is the sole member of the hospital. Wellspan health, a not-for-profit corporation, is the sole member of wellspan summit health.

Form 990, Part VI, Section A, Line 7A

The primary purpose of the governance committee, as assigned by the wellspan health board of directors, is to develop and support the culture of high-functioning governance within the wellspan system, including through policies, nominations, competencies of directors, education, and self-evaluations. The governance committee shall consist of not less than five (5) nor more than seven (7) members. Neither the chair of the wellspan health board of directors nor persons who are not members of the wellspan health board of directors, may be appointed to the committee. Each governance committee member shall be nominated by the governance committee, and appointed by the wellspan health board of directors, for a term of one (1) year. Reappointment of a governance committee member for more than one (1) term is not automatic or presumed and shall be based on an individual performance evaluation of the governance committee member (as performed or overseen by the governance committee).

Form 990, Part VI, Section A, Line 7B

The following responsibilities are set forth as a guide for fulfilling the governance committee's purposes in such manner as the committee determines is appropriate: 1. Oversee the process of selecting and nominating directors and officers for each of the governing boards within the wellspan system, including ensuring that director nominees meet the qualifications required by the relevant board composition and competency grid and characteristics, bylaws, and board-approved policies and guidelines, as applicable, and establish other criteria that are desirable for directors; 2. Identify, evaluate and screen director candidates for each of the governing boards within the wellspan system (including incumbent directors for potential re-nomination), and nominate qualified individuals to the wellspan health board of directors for: (a) appointment or reappointment to regular terms, or (b) appointment to fill the remaining term of any governing board vacancies; 3. Review annually the size, composition and leadership of each of the governing boards within the wellspan system, including the wellspan health board of directors as a whole, its committees, and any advisory bodies, make a determination of whether the board, its committees and any advisory bodies reflect the appropriate balance of independence, sound judgment, business specialization, technical skills, diversity, fundraising and development ability, geographic and demographic representation, and other desired qualities, and recommend any appropriate changes to the wellspan health board of directors; 4. Coordinate and oversee a periodic self-evaluation of the role and performance of each of the governing boards within the wellspan system, including the wellspan health board of directors, its committees, and any advisory bodies, and each of their directors and officers; 5. Develop and recommend for approval by the wellspan health board of directors, review the effectiveness of, and recommend modifications as appropriate to, the organization's committee structure and organizational documents, including the articles of incorporation, bylaws, board-approved policies and guidelines, and committee charters; 6. The governance committee shall undertake the responsibility for board education and board retreat planning. In addition, the governance committee shall coordinate with management to develop and implement an effective orientation program for new directors, including assignment of experienced directors as appropriate mentors of new directors. 7. Review emerging corporate governance issues and best governance practices and make appropriate recommendations to the wellspan health board of directors; 8. Conduct a periodic self-evaluation of the performance of the committee, including its effectiveness and compliance with this charter, and recommend to the wellspan health board of directors modifications as appropriate; 9. The governance committee shall maintain minutes of governance committee meetings and records of its activities and shall report promptly to the wellspan health board of directors any action taken by the governance committee, any recommendations of the governance committee, and any other matters the governance committee deems appropriate or the wellspan health board of directors requests. 10. The governance committee shall undertake such other responsibilities as the wellspan health board of directors may delegate or assign to the governance committee from time to time. The governance committee shall be responsible to, and subject to the direction and control of, the wellspan health board of directors. The wellspan health board of directors shall be solely responsible for delineating the responsibilities of the governance committee. The governance committee shall perform only such functions and duties as shall from time to time be specifically delegated to the governance committee by the wellspan health board of directors. The governance committee does not have dele

Form 990, Part VI, Section B, Line 11B

Management provides an electronic copy of the form 990 to each voting member of the organization's governing body, prior to its filing with the irs. The organization's finance management team provides a presentation to the audit committee on the organization's 990 return.

Form 990, Part VI, Section B, Line 12C

Officers, directors, and key employees are required to complete a wellspan health "conflict of interest disclosure statement" questionnaire annually. The internal audit department of wellspan health administers the questionnaires. There shall be full disclosure by a director having a business or personal interest or relationship which may be in conflict with the interests of the corporation. After such disclosure, the director shall abide by the determination of the board of directors as to whether a conflict exists, the extent to which, if at all, the director will be permitted to be present during the board of directors' discussion of the matter in which the director may be interested, and whether the director will be permitted to participate in such discussion and cast a vote in such matter. Additionally, all board members, employees, students, and volunteers of wellspan health and its related organizations must complete a "code of conduct" form to acknowledge that he or she understands that we all have an obligation to act in ways that will merit the trust, confidence, and respect of the community we serve, other health care providers, and all of those with whom we interact.

Form 990, Part VI, Section B, Line 15B

The primary purpose of wellspan health compensation committee, as assigned by the wellspan health board of directors, is to review compensation packages offered and/or paid to senior system executives and practicing physicians employed within the system. The compensation committee shall monitor and evaluate the performance of the president and ceo of wellspan health and shall, at least annually, coordinate the in-person performance review of the president and ceo by the wellspan health board of directors. The compensation committee shall consist of 5-10 members of the wellspan health board of directors, including the chair and the vice chair. Each compensation committee member shall be nominated by the governance committee, and appointed by the wellspan health board of directors, for a term of one (1) year. Reappointment of a compensation committee member for more than one (1) term is not automatic or presumed and shall be based on an individual performance evaluation of the compensation committee member (as performed or overseen by the governance committee). The compensation committee shall be responsible to, and subject to the direction and control of, the wellspan health board of directors. The wellspan health board of directors shall be solely responsible for delineating the responsibilities of the compensation committee. The compensation committee shall perform only such functions and duties as shall from time to time be specifically delegated to the compensation committee by the wellspan health board of directors. The compensation committee does not have delegated authority, and therefore any actions and recommendations of the committee must be approved by the wellspan health board of directors before they are final and binding. In discharging its role, the compensation committee is empowered to inquire into any matter it considers appropriate to carry out its responsibilities, with access to all books, records, facilities, and personnel of the wellspan system. The following responsibilities are set forth as a guide for fulfilling the compensation committee's purposes in such manner as the committee determines is appropriate: 1. Set, periodically review and ensure compliance with the executive compensation philosophy for wellspan, in an effort to attract and retain high quality executives, while considering compensation offered to those in comparable positions in similar employment markets as well as the system's needs and financial resources. 2. Recommend approval of executive compensation program elements (incentives, supplemental benefits, etc.). 3. In conjunction with the wellspan health board of directors, evaluate performance and establish compensation for the president & ceo of wellspan health. 4. Evaluate executive team performance and establish awards. 5. Recommend approval of senior executive base salary ranges. 6. Align executive compensation with executive talent management and succession. 7. Oversee employed physician compensation program. 8. The compensation committee shall maintain minutes of compensation committee meetings and records of its activities, and shall report promptly to the wellspan health board of directors any action taken by the compensation committee, any recommendations of the compensation committee, and any other matters the compensation committee deems appropriate to the wellspan health board of directors requests. 9. The compensation committee shall undertake such other responsibilities as the wellspan health board of directors may delegate or assign to the compensation committee from time to time. The compensation committee also utilizes the services of sullivancotter, an independent, third-party health care compensation consultant, to align and structure workforce compensation and benefit strategies that support enterprise-wide transformation and business performance.

Form 990, Part VI, Section C, Line 19

Governing documents, policies, and financial statements are available upon request.

Filing and Contact Details

Filer

Filer Name
Chambersburg Hospital
EIN
23-0465970
Phone
7178513055
Address
PO BOX 2767, YORK, PA 17405-2767

Signing Officer

Name
Laura Buczkowski
Title
Executive VP & CFO
Phone
7178513055
Signed
2025-05-08
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Roxanna Gapstur
Formed
1904
Legal Domicile
Pa
Voting Board Members
19
Independent Board Members
10
Employees
2,614
Volunteers
159

Preparer

Firm
Wellspan Health
Address
3350 WHITEFORD ROAD, YORK, PA 17402
Preparer
David Rizzuto
Phone
7178513055
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Outside services: program service expenses 5,686,080. Management and general expenses 128,169. Fundraising expenses 0. Total expenses 5,814,249. Professional fees: program service expenses 16,162,658. Management and general expenses 303,121. Fundraising expenses 0. Total expenses 16,465,779. Specialist contract: program service expenses 71,115,964. Management and general expenses 0. Fundraising expenses 0. Total expenses 71,115,964. Temporary professional staff: program service expenses 11,859,416. Management and general expenses 8,278. Fundraising expenses 0. Total expenses 11,867,694.

FORM 990, PART XI, LINE 9:

Change in fv derivative 3,609,676. Gain on pension plan 6,359,700. Transfer to affiliates -37,000,000. Loss on debt refinancing -1,246. Change in foundation assets 72,338,312.

Financial Statement Notes

PART V, LINE 4:

The funds were used to improve the health and welfare of the residents of franklin county in pennsylvania.

PART X, LINE 2:

The company and most of its subsidiaries (including certain joint venture entities) are exempt from federal income taxes under section 501(c)(3) of the internal revenue code of 1986, as amended. Their related income is exempt from federal income tax under section 501(a). Some of the subsidiaries are taxable entities, and some of the income of the tax-exempt entities is subject to taxation as unrelated business taxable income. The company and its subsidiaries file u.s. Federal income tax returns, and they also file in various state and foreign jurisdictions. The company accounts for uncertain tax positions in accordance with asc topic 740, income taxes. The company accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The company has determined that no significant unrecognized tax benefits or liabilities exist as of june 30, 2024 and 2023. Accounting for uncertainty in income taxes, asc topic 740-10 prescribes a comprehensive model for how an organization should measure, recognize, present and disclose in its financial statements uncertain tax positions that an organization has taken or expects to take on a tax return. The company is subject to routine audits by taxing jurisdictions. There are no current audits in progress. As of june 30, 2023, the company has no uncertain tax positions. For years before 2021, the company is no longer subject to examinations from major taxing jurisdictions. A subsidiary of the company is classified as a reciprocal risk retention group (rrrg) formed under the federal liability risk retention act of 1986. Rrrg qualifies as an insurance company for federal income tax purposes. Rrrg is domiciled in vermont (vt) and operates within the states of pennsylvania (pa) and maryland (md). Vt, pa, and md do not impose a corporate income tax on insurance companies.

PART XI, LINE 2D - OTHER ADJUSTMENTS:

Management fees -247,982. Grants -2,233,896. Change in fv derivative 3,609,676. Loss on debt refinance -1,246. Bad debt -26,349,997. Gain on pension plan 6,359,700. Transfer to affiliates -37,000,000. Expenses netted with revenue on financials -829,129. Investment management fees -704,213. Revenue netted with expenses on financials 1,000,000. Change in foundation assets 72,338,312.

PART XI, LINE 4B - OTHER ADJUSTMENTS:

RENTAL EXPENSE -655,079.

PART XII, LINE 2D - OTHER ADJUSTMENTS:

RENTAL EXPENSE 655,079.

PART XII, LINE 4B - OTHER ADJUSTMENTS:

Grants 2,233,896. Management fees 247,982. Bad debt 26,349,997. Expenses netted with revenue on financials 829,129. Investment management fees 704,213. Revenue netted with expenses on financials -1,000,000.

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IRS990/Form990PartVIISectionAGrp/TitleTxt0PRESIDENT & CEO - WELLSPAN HEALTH
IRS990/Form990PartVIISectionAGrp/TitleTxt1DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt2VP & PRESIDENT - CHAMBERSBURG
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt8VICE CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR (UNTIL DEC. '23)
IRS990/Form990PartVIISectionAGrp/TitleTxt11DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt12SR VP & CHIEF QUALITY OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt13SVP, DIRECTOR (UNTIL DEC. '23)
IRS990/Form990PartVIISectionAGrp/TitleTxt14DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt15EXECUTIVE VP & CFO - WELLSPAN HEALTH
IRS990/Form990PartVIISectionAGrp/TitleTxt16DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt17SECRETARY/SR VP & GENERAL COUNSEL
IRS990/Form990PartVIISectionAGrp/TitleTxt18DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt19DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt20SVP - WEST REGION
IRS990/Form990PartVIISectionAGrp/TitleTxt21CHIEF NURSING OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt22VP MED. AFFAIRS, CHIEF MED. OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt23SR. DIRECTOR CLINICAL OPERATIONS
IRS990/Form990PartVIISectionAGrp/TitleTxt24PHARMACIST
IRS990/Form990PartVIISectionAGrp/TitleTxt25PHARMACIST
IRS990/Form990PartVIISectionAGrp/TitleTxt26PHARMACIST
IRS990/Form990PartVIISectionAGrp/TitleTxt27PHARMACIST
IRS990/Form990PartVIISectionAGrp/TitleTxt28ASSISTANT MANAGER - PHARMACY
IRS990/Form990PartVIISectionAGrp/TitleTxt29FORMER EXECUTIVE VP & COO
IRS990/Form990PartVIISectionAGrp/TitleTxt30FORMER SR VP - WESTERN REGION
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IRS990/FundraisingActivitiesInd00
IRS990/GainOrLossGrp/OtherAmt018180
IRS990/GainOrLossGrp/SecuritiesAmt015819168

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