Civic Intelligence

Chambersburg Hospital Worker'S Compensation Trust

990 • Fiscal year 2014 • EIN 25-6450683

Jul 01, 2013 to Jun 30, 2014 • Filed on Oct 13, 2014

C/O Kimberly Rzomp Vp Of Finance17201

(717) 267-3000

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

21st percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2014 filings • 501(c)4 • $1M-$5M nonprofits • Source year 2014

Liabilities / Revenue

21st percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2014 filings • 501(c)4 • $1M-$5M nonprofits • Source year 2014

Net Margin

25th percentile

-4.2%

Higher net margin than 25% of similar nonprofits.

2014 filings • 501(c)4 • $1M-$5M nonprofits • Source year 2014

Top Officer Pay

57th percentile

$0

Higher top officer pay than 57% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2014 filings • 501(c)4 • $1M-$5M nonprofits • Source year 2014

Asset Growth

26th percentile

-3.1%

Faster asset growth than 26% of similar nonprofits.

2014 filings • 501(c)4 • $1M-$5M nonprofits • Annualized from 2013 to 2014

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2014

Assets

Down

$1,313,145

Down $41,877 (-3.1%) from 2013

Net Assets

Down

$1,313,145

Down $41,877 (-3.1%) from 2013

Liabilities

Flat

$0

Flat from 2013

Revenue

$1,007,792

No earlier filing loaded for comparison.

Expenses

Down

$1,049,669

Down $490,039 (-32%) from 2013

Net Income

-$41,877

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$1.5M$1.0M$500K$0Assets 2011: $247,280Liabilities 2011: $0Net Assets 2011: $247,2802011Assets 2012: $888,662Liabilities 2012: $0Net Assets 2012: $888,6622012Assets 2013: $1,355,022Liabilities 2013: $0Net Assets 2013: $1,355,0222013Assets 2014: $1,313,145Liabilities 2014: $0Net Assets 2014: $1,313,1452014Assets 2015: $1,364,442Liabilities 2015: $0Net Assets 2015: $1,364,4422015Assets 2016: $796,956Liabilities 2016: $0Net Assets 2016: $796,9562016Assets 2017: $800,081Liabilities 2017: $0Net Assets 2017: $800,0812017Assets 2018: $407,608Liabilities 2018: $0Net Assets 2018: $407,6082018Assets 2019: $560,218Liabilities 2019: $0Net Assets 2019: $560,2182019Assets 2020: $657,953Liabilities 2020: $0Net Assets 2020: $657,9532020Assets 2021: $799,739Liabilities 2021: $0Net Assets 2021: $799,7392021Assets 2022: $809,715Liabilities 2022: $0Net Assets 2022: $809,7152022Assets 2023: $817,263Liabilities 2023: $0Net Assets 2023: $817,2632023

Highlighted filing

2014

Assets$1,313,145
Liabilities$0
Net Assets$1,313,145

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$2.0M$1.0M$0-$1.0MExpenses 2011: $1,910,8602011Expenses 2012: $1,863,9402012Expenses 2013: $1,539,7082013Revenue 2014: $1,007,792Expenses 2014: $1,049,669Net Income 2014: -$41,8772014Revenue 2015: $1,014,535Expenses 2015: $963,238Net Income 2015: $51,2972015Revenue 2016: $1,305,137Expenses 2016: $1,872,623Net Income 2016: -$567,4862016Revenue 2017: $1,506,780Expenses 2017: $1,503,655Net Income 2017: $3,1252017Revenue 2018: $509,579Expenses 2018: $902,052Net Income 2018: -$392,4732018Revenue 2019: $1,020,854Expenses 2019: $868,244Net Income 2019: $152,6102019Revenue 2020: $1,517,153Expenses 2020: $1,419,418Net Income 2020: $97,7352020Revenue 2021: $765,634Expenses 2021: $623,848Net Income 2021: $141,7862021Revenue 2022: $11,295Expenses 2022: $1,319Net Income 2022: $9,9762022Revenue 2023: $9,854Expenses 2023: $2,306Net Income 2023: $7,5482023

Highlighted filing

2014

Revenue$1,007,792
Expenses$1,049,669
Net Income-$41,877
Jump To
Filing Snapshot
Filing Period
Jul 1, 2013 to Jun 30, 2014
Signed
Oct 13, 2014
Return Version
2013v3.1
Gross Receipts
$1,007,792
Mission and Program Overview

Mission

Workers compensation benefits for employees

Workers compenation benefits for employees

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$1,212,565$1,165,352▼ $47,213
Investments Other Securities$142,457$147,793▲ $5,336
Total Assets$1,355,022$1,313,145▼ $41,877
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Unrestricted Net Assets$1,355,022$1,313,145▼ $41,877
Total Net Assets Fund Balance$1,355,022$1,313,145▼ $41,877
Total Liabilities and Net Assets / Fund Balance$1,355,022$1,313,145▼ $41,877

Asset Categories

AssetBook ValueDepreciationBasis
Other Securities$32,815--
Compensation and Service Providers

Board Members and Trustees

Revenue and Support

Revenue Composition

Contributions and Grants
$1,000,000
Program Service Revenue
$0
Investment Income
$7,297
Other Revenue
$495
Change in Net Assets
$-41,877
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$909,055
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Benefits to Members$140,614--$140,614
Fees for Services Legal-$43,878-$43,878
Other Expenses-$10,272-$10,272
All Other Expenses-$8,568-$8,568
Travel-$5,904-$5,904
Total Functional Expenses$140,614$909,055$0$1,049,669
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
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
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
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 9

Farmers & merchants trust co. 20 south main street chambersburg, pa 17201

Form 990, Page 6, Part VI, Line 11B

The form 990 for the worker's compensation trust is reviewed by the chief financial officer and then filed.

Form 990, Page 6, Part VI, Line 19

Governing documents are held by the chambersburg hospital and available upon written request.

Filing and Contact Details

Filer

EIN
25-6450683
Phone
7172673000

Signing Officer

Name
Kimberly Rzomp
Title
Vice President & CFO
Phone
7172673000
Signed
2014-10-13

Organization Details

Principal Officer
Kimberly Rzomp
Formed
1993
Legal Domicile
Pa
Voting Board Members
0
Independent Board Members
0
Employees
0

Preparer

Preparer
Gregory P Hall CPA
Phone
7172439104
Raw XML Appendix257 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
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IRS990/ActivitiesConductedPrtshpInd0false
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IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt08568
IRS990/AllOtherExpensesGrp/TotalAmt08568
IRS990/BenefitsToMembersGrp/ProgramServicesAmt0140614
IRS990/BenefitsToMembersGrp/TotalAmt0140614
IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine10KIMBERLY RZOMP
IRS990/BooksInCareOfDetail/PhoneNum07172677107
IRS990/BooksInCareOfDetail/USAddress/AddressLine10112 N SEVENTH STREET
IRS990/BooksInCareOfDetail/USAddress/City0CHAMBERSBURG
IRS990/BooksInCareOfDetail/USAddress/State0PA
IRS990/BooksInCareOfDetail/USAddress/ZIPCode017201
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IRS990/ConsolidatedAuditFinclStmtInd0false
IRS990/CreditCounselingInd0false
IRS990/CYBenefitsPaidToMembersAmt0140614
IRS990/CYContributionsGrantsAmt01000000
IRS990/CYGrantsAndSimilarPaidAmt00
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IRS990/CYOtherExpensesAmt0909055
IRS990/CYOtherRevenueAmt0495
IRS990/CYProgramServiceRevenueAmt00
IRS990/CYRevenuesLessExpensesAmt0-41877
IRS990/CYSalariesCompEmpBnftPaidAmt00
IRS990/CYTotalExpensesAmt01049669
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
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IRS990/FederalGrantAuditRequiredInd0false
IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt043878
IRS990/FeesForServicesLegalGrp/TotalAmt043878
IRS990/ForeignActivitiesInd0false
IRS990/ForeignFinancialAccountInd0false
IRS990/ForeignOfficeInd0false
IRS990/Form8282PropertyDisposedOfInd0false
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt01.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt11.00
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IRS990/Form990PartVIISectionAGrp/InstitutionalTrusteeInd1X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/PersonNm0THE CHAMBERSBURG HOSPITAL
IRS990/Form990PartVIISectionAGrp/PersonNm1FARMERS MERCHANTS TRUST CO
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/TitleTxt0EMPLOYER
IRS990/Form990PartVIISectionAGrp/TitleTxt1TRUSTEE
IRS990/Form990ProvidedToGvrnBodyInd0false
IRS990/FormationYr01993
IRS990/FormerOfcrEmployeesListedInd0false
IRS990/FSAuditedInd0false
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IRS990/GamingActivitiesInd0false
IRS990/GoverningBodyVotingMembersCnt00
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossReceiptsAmt01007792
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0false
IRS990/IndependentAuditFinclStmtInd0false
IRS990/IndependentVotingMemberCnt00
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InvestmentIncomeGrp/ExclusionAmt07297
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt07297
IRS990/InvestmentInJointVentureInd0false
IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt0142457
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt0147793
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0PA
IRS990/LoanOutstandingInd0false
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0false
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0WORKERS COMPENATION BENEFITS FOR EMPLOYEES
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/NetAssetsOrFundBalancesBOYAmt01355022
IRS990/NetAssetsOrFundBalancesEOYAmt01313145
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd0false
IRS990/OfficerMailingAddressInd0true
IRS990/OperateHospitalInd0false
IRS990/Organization501cInd0X
IRS990/OrganizationFollowsSFAS117Ind0X
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IRS990/OtherExpensesGrp/Desc1COMPROMISE & RELEASE
IRS990/OtherExpensesGrp/Desc2AGENCY FEES AND ASSESSMEN
IRS990/OtherExpensesGrp/Desc3EXPERT WITNESS FEES AND I
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt0520820
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt1190000
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt2129613
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt310272
IRS990/OtherExpensesGrp/TotalAmt0520820
IRS990/OtherExpensesGrp/TotalAmt1190000
IRS990/OtherExpensesGrp/TotalAmt2129613
IRS990/OtherExpensesGrp/TotalAmt310272
IRS990/OtherRevenueMiscGrp/Desc0MISCELLANEOUS
IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt0495
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt0495
IRS990/OtherRevenueTotalAmt0495
IRS990/PartialLiquidationInd0false
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PoliticalCampaignActyInd0false
IRS990/PrincipalOfficerNm0KIMBERLY RZOMP
IRS990/ProfessionalFundraisingInd0false
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYBenefitsPaidToMembersAmt0105255
IRS990/PYContributionsGrantsAmt02000000
IRS990/PYExcessBenefitTransInd0false
IRS990/PYInvestmentIncomeAmt06068
IRS990/PYOtherExpensesAmt01434453
IRS990/PYRevenuesLessExpensesAmt0466360
IRS990/PYTotalExpensesAmt01539708
IRS990/PYTotalRevenueAmt02006068
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReconcilationRevenueExpnssAmt0-41877
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/RelatedOrganizationsAmt01000000
IRS990/ReportInvestmentsOtherSecInd0true
IRS990/ReportLandBuildingEquipmentInd0false
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd0true
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt0114978
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt132815
IRS990ScheduleD/OtherSecuritiesGrp/Desc0MUTUAL FUNDS - BOND FUND
IRS990ScheduleD/OtherSecuritiesGrp/Desc1MUTUAL FUNDS - EQUITY
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd0C
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd1C
IRS990ScheduleD/TotalBookValueSecuritiesAmt0147793
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0FARMERS & MERCHANTS TRUST CO. 20 SOUTH MAIN STREET CHAMBERSBURG, PA 17201
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE FORM 990 FOR THE WORKER'S COMPENSATION TRUST IS REVIEWED BY THE CHIEF FINANCIAL OFFICER AND THEN FILED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2GOVERNING DOCUMENTS ARE HELD BY THE CHAMBERSBURG HOSPITAL AND AVAILABLE UPON WRITTEN REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 6, PART VI, LINE 9
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 19
IRS990/SchoolOperatingInd0false
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IRS990/TaxablePartyNotificationInd0false
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IRS990/TerminateOperationsInd0false
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IRS990/TotalLiabilitiesEOYAmt00
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IRS990/UponRequestInd0X
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IRS990/USAddress/City0CHAMBERSBURG
IRS990/USAddress/State0PA
IRS990/USAddress/ZIPCode017201
IRS990/VotingMembersGoverningBodyCnt00
IRS990/VotingMembersIndependentCnt00
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02015-11-30 17:44:51Z
ReturnHeader/BusinessOfficerGrp/PersonNm0KIMBERLY RZOMP
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0VICE PRESIDENT & CFO
ReturnHeader/BusinessOfficerGrp/PhoneNum07172673000
ReturnHeader/BusinessOfficerGrp/SignatureDt02014-10-13
ReturnHeader/Filer/BusinessName/BusinessNameLine10CHAMBERSBURG HOSPITAL WORKER'S
ReturnHeader/Filer/BusinessName/BusinessNameLine20COMPENSATION TRUST
ReturnHeader/Filer/BusinessNameControlTxt0CHAM
ReturnHeader/Filer/EIN0256450683
ReturnHeader/Filer/PhoneNum07172673000
ReturnHeader/Filer/USAddress/AddressLine10C/O KIMBERLY RZOMP VP OF FINANCE
ReturnHeader/Filer/USAddress/City0CHAMBERSBURG
ReturnHeader/Filer/USAddress/State0PA
ReturnHeader/Filer/USAddress/ZIPCode017201
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0520783935
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine10SMITH ELLIOTT KEARNS & COMPANY LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1019 BROOKWOOD AVE STE 101
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/City0CARLISLE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/State0PA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCode017015
ReturnHeader/PreparerPersonGrp/PhoneNum07172439104
ReturnHeader/PreparerPersonGrp/PreparationDt02014-10-13
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0GREGORY P HALL CPA
ReturnHeader/ReturnTs02014-10-30T16:36:29-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02013-07-01
ReturnHeader/TaxPeriodEndDt02014-06-30
ReturnHeader/TaxYr02013

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2023Detailed filing. Detailed filing data is available for this year.$0.82$0.00$0.82$0.01$0.00$0.01
2022Detailed filing. Detailed filing data is available for this year.$0.81$0.00$0.81$0.01$0.00$0.01
2021Detailed filing. Detailed filing data is available for this year.$0.80$0.00$0.80$0.77$0.62$0.14
2020Detailed filing. Detailed filing data is available for this year.$0.66$0.00$0.66$1.52$1.42$0.10
2019Detailed filing. Detailed filing data is available for this year.$0.56$0.00$0.56$1.02$0.87$0.15
2018Detailed filing. Detailed filing data is available for this year.$0.41$0.00$0.41$0.51$0.90$0.39
2017Detailed filing. Detailed filing data is available for this year.$0.80$0.00$0.80$1.51$1.50$0.00
2016Detailed filing. Detailed filing data is available for this year.$0.80$0.00$0.80$1.31$1.87$0.57
2015Detailed filing. Detailed filing data is available for this year.$1.36$0.00$1.36$1.01$0.96$0.05
2014Detailed filing. Detailed filing data is available for this year.$1.31$0.00$1.31$1.01$1.05$0.04
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.36$0.00$1.36$1.54
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.89$0.00$0.89$1.86
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.25$0.00$0.25$1.91