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Nonprofiteer
← PENN STATE HEALTH HAMPDEN MEDICAL CENTER

Form 990 for tax year 2022

Filed by PENN STATE HEALTH HAMPDEN MEDICAL CENTER.

Totals

Total revenue
$110,478,228
Total expenses
$137,588,524
Contributions and grants received
$303,885
Grants paid
$0
Program services expenses (Part IX)
$105,795,480
Management and general expenses
$31,793,044
Fundraising expenses
$0
Program service expenses (Part III)
$105,795,480

Program services were 76.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • THOMAS STOESSEL

    DIRECTOR/PSH EVP

    Total calculated
    $1,180,877
    From this org
    $0
    From related orgs
    $1,119,232
    Other
    $61,645
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $604,667 related
    Bonus
    $0 + $311,731 related
    Other
    $0 + $202,834 related
    Deferred
    $0 + $38,400 related
    Nontaxable benefits
    $0 + $23,245 related
    Filer's total
    $0 + $1,180,877 related
  • DEBORAH ADDO

    DIRECTOR / CHAIR / PSH COO

    Total calculated
    $969,615
    From this org
    $0
    From related orgs
    $920,763
    Other
    $48,852
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $788,301 related
    Bonus
    $0 + $88,462 related
    Other
    $0 + $44,000 related
    Deferred
    $0 + $39,593 related
    Nontaxable benefits
    $0 + $9,259 related
    Filer's total
    $0 + $969,615 related
  • JUDITH HLAFCSAK

    DIRECTOR/PSH CHIEF OF STAFF

    Total calculated
    $641,828
    From this org
    $0
    From related orgs
    $570,939
    Other
    $70,889
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $379,734 related
    Bonus
    $0 + $40,000 related
    Other
    $0 + $151,205 related
    Deferred
    $0 + $61,630 related
    Nontaxable benefits
    $0 + $9,259 related
    Filer's total
    $0 + $641,828 related
  • DONALD MCKENNA

    DIRECTOR / PRESIDENT

    Total calculated
    $626,292
    From this org
    $521,848
    From related orgs
    $0
    Other
    $104,444
    Hours/week
    47 + 3 related

    Schedule J breakdown matched by us

    Base
    $465,481
    Bonus
    $50,000
    Other
    $6,367
    Deferred
    $80,836
    Nontaxable benefits
    $23,608
    Filer's total
    $626,292
  • SISTER JOANN MARIE AUMAND SCC

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • JAMES R HOEHN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • JESSICA MEYERS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • DR ROBERT DEL ROSARIO

    DIRECTOR (EX OFFICIO) (AS OF 1/2023)

    Total calculated
    $0
    Hours/week
    1
  • RICHARD E JORDAN II

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • SHANNON MOWERY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • WILSON JACKSON

    DIRECTOR (EX OFFICIO) (THRU 12/2022)

    Total calculated
    $0
    Hours/week
    1
  • GREG GUNN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • KYLE C SNYDER MHA

    REGIONAL COO

    Total calculated
    $497,794
    From this org
    $0
    From related orgs
    $425,029
    Other
    $72,765
    Hours/week
    24.5 + 25.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $367,347 related
    Bonus
    $0 + $40,000 related
    Other
    $0 + $17,682 related
    Deferred
    $0 + $49,342 related
    Nontaxable benefits
    $0 + $23,423 related
    Filer's total
    $0 + $497,794 related
  • RANDY B MORRIS

    TREASURER (AS OF 7/22)

    Total calculated
    $400,356
    From this org
    $0
    From related orgs
    $344,594
    Other
    $55,762
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $302,233 related
    Bonus
    $0 + $25,000 related
    Other
    $0 + $17,361 related
    Deferred
    $0 + $38,400 related
    Nontaxable benefits
    $0 + $17,362 related
    Filer's total
    $0 + $400,356 related
  • NICOLE LEHMAN

    INTERIM SEC. (PSU EMP)

    Total calculated
    $373,998
    From this org
    $0
    From related orgs
    $276,742
    Other
    $97,256
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $261,742 related
    Bonus
    $0 + $15,000 related
    Other
    $0
    Deferred
    $0 + $70,490 related
    Nontaxable benefits
    $0 + $26,766 related
    Filer's total
    $0 + $373,998 related
  • ROSS DARROW

    VICE PRESIDENT, TREASURER

    Total calculated
    $363,497
    From this org
    $0
    From related orgs
    $301,878
    Other
    $61,619
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $262,516 related
    Bonus
    $0 + $25,000 related
    Other
    $0 + $14,362 related
    Deferred
    $0 + $38,400 related
    Nontaxable benefits
    $0 + $23,219 related
    Filer's total
    $0 + $363,497 related
  • KATHLEEN MILLER

    ASSOC. SECRETARY

    Total calculated
    $110,473
    From this org
    $0
    From related orgs
    $99,552
    Other
    $10,921
    Hours/week
    1 + 39 related
  • LESLYN WILLIAMSON

    REGIONAL CHIEF NURSING OFFICER

    Total calculated
    $216,835
    From this org
    $199,326
    From related orgs
    $0
    Other
    $17,509
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $147,669
    Bonus
    $50,000
    Other
    $1,657
    Deferred
    $8,178
    Nontaxable benefits
    $9,331
    Filer's total
    $216,835
  • JAMES LEAMING

    VP OF MEDICAL AFFAIRS

    Total calculated
    $516,999
    From this org
    $469,474
    From related orgs
    $0
    Other
    $47,525
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $427,169
    Bonus
    $27,700
    Other
    $14,605
    Deferred
    $38,400
    Nontaxable benefits
    $9,125
    Filer's total
    $516,999
  • KRISTA WILLIAMSON

    DIRECTOR OF INPATIENT SERVICES

    Total calculated
    $217,369
    From this org
    $173,545
    From related orgs
    $0
    Other
    $43,824
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $146,639
    Bonus
    $17,750
    Other
    $9,156
    Deferred
    $20,401
    Nontaxable benefits
    $23,423
    Filer's total
    $217,369
  • NICOLE GAUTSCH

    DIR OF NURSING, EMERGENCY SERVICES

    Total calculated
    $180,952
    From this org
    $162,108
    From related orgs
    $0
    Other
    $18,844
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $140,607
    Bonus
    $17,250
    Other
    $4,251
    Deferred
    $17,655
    Nontaxable benefits
    $1,189
    Filer's total
    $180,952
  • ALEXANDRA HARRISON

    DIRECTOR OF NURSING

    Total calculated
    $180,599
    From this org
    $158,593
    From related orgs
    $0
    Other
    $22,006
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $100,847
    Bonus
    $28,312
    Other
    $29,434
    Deferred
    $13,943
    Nontaxable benefits
    $8,063
    Filer's total
    $180,599
  • AILEEN DELICANA

    REGISTERED NURSE

    Total calculated
    $169,786
    From this org
    $152,367
    From related orgs
    $0
    Other
    $17,419
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $119,331
    Bonus
    $32,386
    Other
    $650
    Deferred
    $12,976
    Nontaxable benefits
    $4,443
    Filer's total
    $169,786
  • STEPHEN MASSINI

    FORMER OFF. (THRU 6/22)/PSH CEO

    Total calculated
    $1,661,502
    From this org
    $0
    From related orgs
    $1,599,857
    Other
    $61,645
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,319,391 related
    Bonus
    $0 + $75,000 related
    Other
    $0 + $205,466 related
    Deferred
    $0 + $38,400 related
    Nontaxable benefits
    $0 + $23,245 related
    Filer's total
    $0 + $1,661,502 related
  • PAULA TINCH

    FORMER OFF. / PSH CFO & EVP

    Total calculated
    $928,345
    From this org
    $0
    From related orgs
    $808,482
    Other
    $119,863
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $740,070 related
    Bonus
    $0 + $64,231 related
    Other
    $0 + $4,181 related
    Deferred
    $0 + $102,173 related
    Nontaxable benefits
    $0 + $17,690 related
    Filer's total
    $0 + $928,345 related
  • ANNEMARIE BOYAN

    FMR SEC/PSH GC (PSU EMP) (THRU 2/22)

    Total calculated
    $154,783
    From this org
    $0
    From related orgs
    $142,089
    Other
    $12,694
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $142,089 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $7,383 related
    Nontaxable benefits
    $0 + $5,311 related
    Filer's total
    $0 + $154,783 related

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

  • 4b · Supplemental nonqualified retirement plan
  • 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
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
ARRANGEMENT USED TO ESTABLISH THE CEO'S COMPENSATION: COMPENSATION FOR THE CEO (PRESIDENT) IS ESTABLISHED AND PAID BY A RELATED ORGANIZATION. THAT ORGANIZATION USED THE FOLLOWING TO ESTABLISH THE CEO'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) COMPENSATION SURVEY OR STUDY; (4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINE 4B
DURING THE CALENDAR YEAR ENDING WITHIN THIS FISCAL YEAR ENDED JUNE 30, 2023, A FORMER DIRECTOR AND DIRECTOR PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE BELOW LISTED INDIVIDUAL VESTED IN THE PLAN IN A PRIOR YEAR; THEREFORE, CURRENT YEAR CONTRIBUTIONS ARE TAXABLE AND REPORTED ON SCHEDULE J, PART II, COLUMN B(III), OTHER REPORTABLE COMPENSATION. - STEPHEN MASSINI - $165,523 - THOMAS STOESSEL - $155,778 DURING THE CALENDAR YEAR ENDING WITHIN THIS FISCAL YEAR ENDED JUNE 30, 2023, A FORMER OFFICER, DIRECTORS AND OFFICERS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE BELOW LISTED INDIVIDUALS' CONTRIBUTIONS HAVE NOT YET VESTED; UNVESTED CONTRIBUTIONS ARE REPORTED ON SCHEDULE J, PART II, COLUMN C, RETIREMENT AND OTHER DEFERRED COMPENSATION. - PAULA TINCH - $63,773 - DONALD MCKENNA - $42,436 - JUDITH HLAFCSAK - $23,230 - KYLE SNYDER - $10,942 - DEBORAH ADDO - $1,193
PART I, LINE 7
BONUSES, PAID BY EITHER THE FILING ORGANIZATION OR A RELATED ORGANIZATION THAT EMPLOYS THE INDIVIDUALS, ARE BASED ON A NUMBER OF VARIABLES INCLUDING BUT NOT LIMITED TO INDIVIDUAL GOAL ACHIEVEMENTS AS WELL AS ORGANIZATION OPERATION ACHIEVEMENTS. THE FINAL DETERMINATION OF THE BONUS AMOUNT IS DETERMINED AND APPROVED BY THE APPLICABLE BOARD AS PART OF THE OVERALL COMPENSATION REVIEW OF THE OFFICERS, KEY EMPLOYEES AND HIGHEST COMPENSATED.

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

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.

Provenance

Return type
form_990
Tax year
2022
Filed
10 May 2024
IRS schema version
2022v5.0
Source object
202441319349305264

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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