Civic Intelligence

Chambersburg Hospital Worker'S Compensation Trust

990 • Fiscal year 2016 • EIN 25-6450683

Jul 01, 2015 to Jun 30, 2016 • Filed on Feb 24, 2017

Organization ProfileN/A
C/O Kimberly Rzomp Vp Of FinanceChambersburg, PA 17201

(717) 267-3000

Siviq Scores

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

Liabilities / Assets

23rd percentile

0.00x

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

2016 filings • 501(c)4 • $1M-$5M nonprofits • Source year 2016

Liabilities / Revenue

23rd percentile

0.00x

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

2016 filings • 501(c)4 • $1M-$5M nonprofits • Source year 2016

Net Margin

6th percentile

-43%

Higher net margin than 6% of similar nonprofits.

2016 filings • 501(c)4 • $1M-$5M nonprofits • Source year 2016

Top Officer Pay

59th percentile

$0

Higher top officer pay than 59% of similar nonprofits.

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

2016 filings • 501(c)4 • $1M-$5M nonprofits • Source year 2016

Asset Growth

3rd percentile

-42%

Faster asset growth than 3% of similar nonprofits.

2016 filings • 501(c)4 • $1M-$5M nonprofits • Annualized from 2015 to 2016

Revenue Growth

84th percentile

29%

Faster revenue growth than 84% of similar nonprofits.

2016 filings • 501(c)4 • $1M-$5M nonprofits • Annualized from 2015 to 2016

Balance Sheet
Liabilities / Assets23rd percentile

Assets

Down

$796,956

Down $567,486 (-42%) from 2015

Net Assets

Down

$796,956

Down $567,486 (-42%) from 2015

Liabilities

Flat

$0

Flat from 2015

Revenue And Expenses
Liabilities / Revenue23rd percentileNet Margin6th percentile

Revenue

Up

$1,305,137

Up $290,602 (+29%) from 2015

Expenses

Up

$1,872,623

Up $909,385 (+94%) from 2015

Net Income

Down

-$567,486

Down $618,783 (-1206%) from 2015

Historical Trend

Balance Sheet Trend

Asset Growth3rd percentile

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

2016

Assets$796,956
Liabilities$0
Net Assets$796,956
Open 2016 Filing

Operations Trend

Revenue Growth84th percentile

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

2016

Revenue$1,305,137
Expenses$1,872,623
Net Income-$567,486
Open 2016 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2015 to Jun 30, 2016
Signed
Feb 24, 2017
Return Version
2015v3.0
Gross Receipts
$1,305,137
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$1,205,087$633,217▼ $571,870
Investments Other Securities$159,355$163,739▲ $4,384
Total Assets$1,364,442$796,956▼ $567,486
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Unrestricted Net Assets$1,364,442$796,956▼ $567,486
Total Net Assets Fund Balance$1,364,442$796,956▼ $567,486
Total Liabilities and Net Assets / Fund Balance$1,364,442$796,956▼ $567,486

Asset Categories

AssetBook ValueDepreciationBasis
Other Securities$40,025--
Compensation and Service Providers
Top Officer Pay59th percentile

Board Members and Trustees

NameTitle
Farmers Merchants Trust CoTrustee
The Chambersburg HospitalEmployer
Revenue and Support

Revenue Composition

Contributions and Grants
$1,300,000
Program Service Revenue
$0
Investment Income
$5,103
Other Revenue
$34
Change in Net Assets
$-567,486
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,523,157
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$349,466--$349,466
Other Expenses-$104,790-$104,790
Fees for Services Legal-$101,970-$101,970
All Other Expenses-$50,088-$50,088
Fees for Services Accounting-$9,227-$9,227
Travel-$862-$862
Total Functional Expenses$349,466$1,523,157$0$1,872,623
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
Yes
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

Filer Name
CHAMBERSBURG HOSPITAL WORKER'S
EIN
25-6450683
Phone
7172673000
Address
C/O KIMBERLY RZOMP VP OF FINANCE, CHAMBERSBURG, PA 17201

Signing Officer

Name
Kimberly Rzomp
Title
Vice President & CFO
Phone
7172673000
Signed
2017-02-24

Organization Details

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

Preparer

Firm
Smith Elliott Kearns & Company LLC
Address
19 BROOKWOOD AVE STE 101, CARLISLE, PA 17015
Preparer
Gregory P Hall CPA
Phone
7172439104
Raw XML Appendix260 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.

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IRS990/BooksInCareOfDetail/PhoneNum07172677107
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IRS990/CYGrantsAndSimilarPaidAmt00
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IRS990/Form990ProvidedToGvrnBodyInd0false
IRS990/FormationYr01993
IRS990/FormerOfcrEmployeesListedInd0false
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IRS990/GoverningBodyVotingMembersCnt00
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossReceiptsAmt01305137
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0false
IRS990/IndependentAuditFinclStmtInd0false
IRS990/IndependentVotingMemberCnt00
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InvestmentIncomeGrp/ExclusionAmt05103
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt05103
IRS990/InvestmentInJointVentureInd0false
IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt0159355
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt0163739
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/NetAssetsOrFundBalancesBOYAmt01364442
IRS990/NetAssetsOrFundBalancesEOYAmt0796956
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd0false
IRS990/OfficerMailingAddressInd0true
IRS990/OperateHospitalInd0false
IRS990/Organization501cInd0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherExpensesGrp/Desc0INDEMNITY
IRS990/OtherExpensesGrp/Desc1COMPROMISE & RELEASE
IRS990/OtherExpensesGrp/Desc2EXCESS INSURANCE
IRS990/OtherExpensesGrp/Desc3AGENCY FEES AND ASSESSMEN
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt0895354
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt1186842
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt2174024
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt3104790
IRS990/OtherExpensesGrp/TotalAmt0895354
IRS990/OtherExpensesGrp/TotalAmt1186842
IRS990/OtherExpensesGrp/TotalAmt2174024
IRS990/OtherExpensesGrp/TotalAmt3104790
IRS990/OtherRevenueMiscGrp/Desc0MISCELLANEOUS
IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt034
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt034
IRS990/OtherRevenueTotalAmt034
IRS990/PartialLiquidationInd0false
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PoliticalCampaignActyInd0false
IRS990/PrincipalOfficerNm0KIMBERLY RZOMP
IRS990/ProfessionalFundraisingInd0false
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYBenefitsPaidToMembersAmt077780
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IRS990/ReconcilationRevenueExpnssAmt0-567486
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IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/RelatedOrganizationsAmt01300000
IRS990/ReportInvestmentsOtherSecInd0true
IRS990/ReportLandBuildingEquipmentInd0false
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
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IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
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IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
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IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt0123714
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt140025
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IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd0C
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IRS990ScheduleD/TotalBookValueSecuritiesAmt0163739
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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
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ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/PersonNm0KIMBERLY RZOMP
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0VICE PRESIDENT & CFO
ReturnHeader/BusinessOfficerGrp/PhoneNum07172673000
ReturnHeader/BusinessOfficerGrp/SignatureDt02017-02-24
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0CHAMBERSBURG HOSPITAL WORKER'S
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0COMPENSATION TRUST
ReturnHeader/Filer/BusinessNameControlTxt0CHAM
ReturnHeader/Filer/EIN0256450683
ReturnHeader/Filer/PhoneNum07172673000
ReturnHeader/Filer/USAddress/AddressLine1Txt0C/O KIMBERLY RZOMP VP OF FINANCE
ReturnHeader/Filer/USAddress/CityNm0CHAMBERSBURG
ReturnHeader/Filer/USAddress/StateAbbreviationCd0PA
ReturnHeader/Filer/USAddress/ZIPCd017201
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0520783935
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0SMITH ELLIOTT KEARNS & COMPANY LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt019 BROOKWOOD AVE STE 101
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0CARLISLE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0PA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd017015
ReturnHeader/PreparerPersonGrp/PhoneNum07172439104
ReturnHeader/PreparerPersonGrp/PreparationDt02017-02-24
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0GREGORY P HALL CPA
ReturnHeader/ReturnTs02017-02-24T12:25:33-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02015-07-01
ReturnHeader/TaxPeriodEndDt02016-06-30
ReturnHeader/TaxYr02015

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2016 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$796,956
Liabilities
$0
Net assets
$796,956
Revenue
$1,305,137
Expenses
$1,872,623
Net income
-$567,486
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