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Nonprofiteer
← CARBON SCHIYLKILL COMMUNITY HOSPITAL INC

Form 990 for tax year 2022

Filed by CARBON SCHIYLKILL COMMUNITY HOSPITAL INC.

Totals

Total revenue
$114,253,314
Total expenses
$117,235,432
Contributions and grants received
$5,090,467
Grants paid
$23,780
Program services expenses (Part IX)
$110,207,892
Management and general expenses
$7,027,540
Fundraising expenses
$0
Program service expenses (Part III)
$110,207,892

Program services were 94.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Wendy N Lazo

    TRUSTEE - PRESIDENT CSCH

    Total calculated
    $428,043
    From this org
    $0
    From related orgs
    $375,000
    Other
    $53,043
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $279,687 related
    Bonus
    $0 + $88,117 related
    Other
    $0 + $7,196 related
    Deferred
    $0 + $21,350 related
    Nontaxable benefits
    $0 + $31,693 related
    Filer's total
    $0 + $428,043 related

  • Mark A Kender MD

    Former Officer

    Total calculated
    $343,682
    From this org
    $0
    From related orgs
    $326,399
    Other
    $17,283
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $275,419 related
    Bonus
    $0 + $49,346 related
    Other
    $0 + $1,634 related
    Deferred
    $0 + $16,775 related
    Nontaxable benefits
    $0 + $508 related
    Filer's total
    $0 + $343,682 related

  • Kimberly B Sargent

    Former Key Employee

    Total calculated
    $185,192
    From this org
    $0
    From related orgs
    $139,653
    Other
    $45,539
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $126,370 related
    Bonus
    $0 + $13,064 related
    Other
    $0 + $219 related
    Deferred
    $0 + $10,271 related
    Nontaxable benefits
    $0 + $35,268 related
    Filer's total
    $0 + $185,192 related

  • Barbara Ann Conway

    CHAIR - TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Don Elko

    VICE CHAIRMAN - TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • John P Kweder Jr

    SECRETARY/TREASURER - TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Maureen Donovan

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • Courtney Fasnacht

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • David Humphrey MD

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • Gary Karnish

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • Robert Reinhart MD

    TRUSTEE & VP MEDICAL AFFAIRS

    Total calculated
    $0
    Hours/week
    5

  • Michael P Sabol DO

    Trustee

    Total calculated
    $0
    Hours/week
    55

  • Brian Seitz

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • Mark Sverchek

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • Michael Harleman

    Trustee (Term 4/1/23)

    Total calculated
    $0
    Hours/week
    1

  • Scott R Wolfe

    SVP Finance & CFO

    Total calculated
    $0
    Hours/week
    55

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 — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

CORE FORM, PART VII AND SCHEDULE J
TAXABLE COMPENSATION REPORTED HEREIN IS DERIVED FROM 2022 FORMS W-2.
SCHEDULE J, PART I; QUESTION 3
COMPENSATION REVIEW ------------------- EXECUTIVE COMPENSATION FOR THE HEALTH NETWORK CONSISTS OF FIXED SALARY, AT-RISK COMPENSATION AND OTHER DEFERRED COMPENSATION ARRANGEMENTS. TOTAL COMPENSATION FOR NETWORK EXECUTIVES IS APPROVED ANNUALLY BY THE NETWORK'S BOARD OF TRUSTEES. THE RECOMMENDED COMPENSATION IS ESTABLISHED THROUGH A MULTI-FACETED APPROACH INCLUDING USE OF AN INDEPENDENT CONSULTANT ENGAGED ON AN ONGOING BASIS BY THE BOARD OF TRUSTEES AND WHO WORKS DIRECTLY WITH THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD. ALSO INCLUDED IS THE REVIEW OF FORMS 990 AND COMPENSATION SURVEYS OF OTHER COMPARABLE HEALTHCARE ORGANIZATIONS. BONUS/INCENTIVE --------------- THE AT-RISK COMPENSATION IS APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD AND IS BASED ON SEVERAL QUALITATIVE AND QUANTITATIVE COMPONENTS, INCLUDING JOINT COMMISSION, PENNSYLVANIA DEPARTMENT OF HEALTH AND PENNSYLVANIA TRAUMA SYSTEMS FOUNDATION ACCREDITATIONS, EVIDENCE-BASED HOSPITAL PROCESS OF CARE MEASURES, OUTCOME MEASURES, SUCH AS PATIENT SATISFACTION, MORTALITY RATE, AND LENGTH OF STAY; EFFICIENCY MEASURES AS DEMONSTRATED BY COST-PER-ADJUSTED DISCHARGE AND NET INCOME. OTHER REPORTABLE COMPENSATION ----------------------------- OTHER BENEFITS INCLUDE DEFERRED COMPENSATION BENEFITS THAT HAD ACCUMULATED OVER YEARS OF SERVICE AND WAS REPORTED AND DISTRIBUTED IN ACCORDANCE WITH VESTING REQUIREMENTS AND INTERNAL REVENUE SERVICE RULES AND REGULATIONS. DEFERRED COMPENSATION --------------------- DEFERRED COMPENSATION REPRESENTS RETIREMENT BENEFITS EARNED DURING THE REPORTING PERIOD, NOT RECOGNIZED AS COMPENSATION ON THE EMPLOYEE'S 2022 FORM W-2. NONTAXABLE BENEFITS ------------------- NONTAXABLE BENEFITS REPRESENTS HEALTH AND WELFARE BENEFITS RECEIVED DURING THE REPORTING PERIOD, NOT RECOGNIZED AS COMPENSATION ON THE EMPLOYEE'S 2022 FORM W-2. COMPENSATION REPORTED ON PRIOR 990 ---------------------------------- TOTAL COMPENSATION REPORTED ON PRIOR FORMS 990 REPRESENTS RECOGNITION OF DEFERRED COMPENSATION BENEFITS THAT HAD ACCUMULATED OVER YEARS OF SERVICE AND WAS REPORTED AND DISTRIBUTED IN ACCORDANCE WITH VESTING REQUIREMENTS AND INTERNAL REVENUE SERVICE RULES AND REGULATIONS. THESE AMOUNTS WERE PREVIOUSLY REPORTED IN SCHEDULE J, COLUMN C - RETIREMENT AND OTHER DEFERRED COMPENSATION.
SCHEDULE J, PART I; QUESTIONS 6A AND 6B
THE EXECUTIVE COMPENSATION PACKAGE FOR THE HEALTH NETWORK CONSISTS OF BOTH A FIXED SALARY AND ADDITIONAL AT-RISK COMPENSATION THAT IS BASED ON SEVERAL QUALITATIVE AND QUANTITATIVE COMPONENTS. THE COMPONENTS OF THE AT-RISK COMPENSATION PLAN INCLUDES JCAHO, DEPARTMENT OF HEALTH AND TRAUMA CENTER ACCREDITATIONS, EVIDENCE BASED HOSPITAL PROCESS OF CARE MEASURES, OUTCOME MEASURES SUCH AS PATIENT SATISFACTION, MORTALITY RATE, LENGTH OF STAY, EFFICIENCY MEASURES AS DEMONSTRATED BY COST PER ADJUSTED DISCHARGE AND FINALLY NET INCOME.
SCHEDULE J, PART I; QUESTION 7
CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED AT-RISK COMPENSATION DURING CALENDAR YEAR 2022 WHICH WAS INCLUDED IN SCHEDULE J, PART II, COLUMN B(II) HEREIN AND IN THE INDIVIDUAL'S 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants 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.

Provenance

Return type
form_990
Tax year
2022
Filed
15 May 2024
IRS schema version
2022v5.0
Source object
202401289349302715

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