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← CHAMBERSBURG HOSPITAL WORKER'S COMPENSATION TRUST

Form 990 for tax year 2023

Filed by CHAMBERSBURG HOSPITAL WORKER'S COMPENSATION TRUST.

Totals

Total revenue
$10,438
Total expenses
$318
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$0
Investment income
$10,438
Other revenue
$0
Total assets, end of year
$0
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$0
Program services expenses (Part IX)
$0
Management and general expenses
$318
Fundraising expenses
$0
Program service expenses (Part III)
not reported

Program services were 0.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 3 · Investment income

    total $10,438 · excluded $10,438

Functional expenses

Part IX, the statement of functional expenses.

  • 24a · Other expenses: TRUST ACCOUNT FEES

    total $318 · management and general $318

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $817,263 · end of year $0

  • 2 · Savings and temporary cash investments

    end of year $0

  • 3 · Pledges and grants receivable

    end of year $0

  • 4 · Accounts receivable

    end of year $0

  • 5 · Loans and receivables from officers and key people

    end of year $0

  • 6 · Loans and receivables from disqualified persons

    end of year $0

  • 7 · Other notes and loans receivable

    end of year $0

  • 8 · Inventories for sale or use

    end of year $0

  • 9 · Prepaid expenses and deferred charges

    end of year $0

  • 10c · Land, buildings and equipment, net

    end of year $0

  • 11 · Investments: publicly traded securities

    end of year $0

  • 12 · Investments: other securities

    end of year $0

  • 13 · Investments: program-related

    end of year $0

  • 14 · Intangible assets

    end of year $0

  • 15 · Other assets

    end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $817,263 · end of year $0

Mission and programs · 2023

Mission

WORKERS COMPENSATION BENEFITS FOR EMPLOYEES.

  • PAYMENT OF MEDICAL/INDEMNITY EXPENSES ON BEHALF OF THE EMPLOYEES OF CHAMBERSBURG HOSPITAL, WAYNESBORO HOSPITAL, SUMMIT PHYSICIAN SERVICES AND CHAMBERSBURG HEALTH SERVICES, FOR CLAIMS ELIGIBLE UNDER THE PENNSYLVANIA WORKERS' COMPENSATION ACT.

As filed on the 2023 return.

Listed in Part VII

  • Chambersburg Hospital

    EMPLOYER

    Total calculated
    $0
    Hours/week
    0

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • APPLE HILL SURGICAL CENTER PARTNERS

    SURGICAL CENTER · PA

    Directly controlled by WELLSPAN HEALTH

  • CHERRY TREE CANCER CENTER LLP

    RADIATION · PA

    Directly controlled by WELLSPAN HEALTH CARE SERVICES

  • CUMBERLAND VALLEY MOBILE SERVICES

    MOBILE HEALTH SERVICES · PA

    Directly controlled by CHAMBERSBURG HEALTH SERVICES

  • LITTLESTOWN HEALTH CARE PARTNERSHIP

    LEASE FACILITY · PA

    Directly controlled by WELLSPAN HEALTH CARE SERVICES

  • SUMMIT SURGERY CENTER LP

    PHYSICIAN SERVICES · PA

    Directly controlled by CHAMBERSBURG HEALTH SERVICES

  • SURGERY CENTER ASSOCIATES LLC

    PHYSICIAN SERVICES · PA

    Directly controlled by CHAMBERSBURG HEALTH SERVICES

  • THE REHAB CENTER

    PHYSICAL THERAPY REHABILITATION · PA

    Directly controlled by EPHRATA HOSPITAL

  • WELLSPAN SCA HOLDINGS LLC

    INVESTMENTS · MD

    Directly controlled by WELLSPAN HEALTH CARE SERVICES

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • APPLE HILL CONDOMINIUM ASSOCIATION

    C · CONDOMINIUM ASSOCIATION · PA

    Directly controlled by WELLSPAN HEALTH CARE SERVICES

  • CUMBERLAND VALLEY HEALTH NETWORK INC

    C · HEALTH NETWORK · PA

    Directly controlled by WELLSPAN SUMMIT HEALTH

  • EPHRATA HEALTH PAVILION CONDOMINIUM ASSOCIATION

    C · CONDOMINIUM ASSOCIATION · PA

    Directly controlled by EPHRATA HOSPITAL

  • EPHRATA MEDICAL OFFICE CONDOMINIUM ASSOCIATION

    C · CONDOMINIUM ASSOCIATION · PA

  • GOOD SAMARITAN PHYSICIAN HOSPITAL ORGANIZATION OF LEBANON PA

    C · HEALTH CARE SERVICES · PA

    Directly controlled by THE GOOD SAMARITAN HOSPITAL OF LEBANON PENNSYLVANIA

  • GSH REALTY INC

    C · NON-RESIDENTIAL REAL ESTATE · PA

    Directly controlled by WELLSPAN HEALTH CARE SERVICES

  • NORTHERN LANCASTER COUNTY PHYSICIAN HOSPITAL ALLIANCE

    C · COORD PHYS & HOSPITAL · PA

    Directly controlled by EPHRATA HOSPITAL

  • QUEST BEHAVIORAL HEALTH

    C · HEALTH CARE NETWORK SERVICE · PA

    Directly controlled by WELLSPAN HEALTH

  • WELLSPAN HEARING CENTER INC

    C · HEARING AID PRACTICE · PA

    Directly controlled by WELLSPAN HEALTH CARE SERVICES

  • WELLSPAN PHARMACY INC

    C · DISPENSES RX & PROVIDES IV THERAPY · PA

    Directly controlled by WELLSPAN HEALTH CARE SERVICES

  • WELLSPAN PROVIDER NETWORK

    C · COORDINATE MANAGED CARE RISK CONTRACTS · PA

    Directly controlled by WELLSPAN HEALTH

  • WELLSPAN RECIPROCAL RISK RETENTION GROUP

    C · RISK RETENTION GROUP · PA

    Directly controlled by WELLSPAN HEALTH

  • YORK HEALTH PLAN

    C · PREFERRED PROVIDER ORGANIZATION · PA

    Directly controlled by WELLSPAN HEALTH

Assets distributed on this return

Schedule N, as filed: what the organization did with its assets when it liquidated or dissolved, or disposed of more than a quarter of them, and who received them. A recipient with an EIN is usually a successor organization; filers also list expenses such as legal fees here.

Provenance

Return type
form_990
Tax year
2023
Filed
9 May 2024
IRS schema version
2023v5.0
Source object
202411309349301241

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