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Nonprofiteer
← CHAMBERSBURG HOSPITAL

Form 990 for tax year 2024

Filed by CHAMBERSBURG HOSPITAL.

Totals

Total revenue
$563,328,048
Total expenses
$500,789,787
Contributions and grants received
$1,645,321
Grants paid
$4,456,881
Program service revenue
$542,475,471
Investment income
$17,507,640
Other revenue
$1,699,616
Total assets, end of year
$616,565,256
Total liabilities, end of year
$141,317,670
Net assets or fund balances, end of year
$475,247,586
Program services expenses (Part IX)
$410,593,989
Management and general expenses
$90,195,798
Fundraising expenses
$0
Program service expenses (Part III)
$410,593,989

Program services were 82.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • ROXANNA GAPSTUR PHD RN

    PRESIDENT & CEO - WELLSPAN HEALTH

    Total calculated
    $3,176,598
    From this org
    $0
    From related orgs
    $3,124,465
    Other
    $52,133
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,739,595 related
    Bonus
    $0 + $1,112,453 related
    Other
    $0 + $272,417 related
    Deferred
    $0 + $11,203 related
    Nontaxable benefits
    $0 + $40,930 related
    Filer's total
    $0 + $3,176,598 related

  • JULIANNE CRAIG

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • JOHN MASSIMILLA

    VP & PRESIDENT - CHAMBERSBURG

    Total calculated
    $503,531
    From this org
    $441,076
    From related orgs
    $0
    Other
    $62,455
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $357,061
    Bonus
    $77,948
    Other
    $6,067
    Deferred
    $30,953
    Nontaxable benefits
    $31,502
    Filer's total
    $503,531

  • HORACE MARTIN MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • JULIE RAMSEY

    DIRECTOR (UNTIL DEC. '24)

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • STEPHEN HOLOVIAK

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 6 related

  • MONICA META CAMPOS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • CHERYL PLUMMER

    CHAIR

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • DENIS ONIEAL

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • DAVID DOUD DO

    DIRECTOR

    Total calculated
    $488,510
    From this org
    $0
    From related orgs
    $434,783
    Other
    $53,727
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $412,090 related
    Bonus
    $0 + $4,154 related
    Other
    $0 + $18,539 related
    Deferred
    $0 + $20,210 related
    Nontaxable benefits
    $0 + $33,517 related
    Filer's total
    $0 + $488,510 related

  • EDWARD MACKLE MD

    DIRECTOR

    Total calculated
    $786,605
    From this org
    $0
    From related orgs
    $710,755
    Other
    $75,850
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $690,544 related
    Bonus
    $0 + $7,367 related
    Other
    $0 + $12,844 related
    Deferred
    $0 + $40,868 related
    Nontaxable benefits
    $0 + $34,982 related
    Filer's total
    $0 + $786,605 related

  • MICHAEL SEIM

    SR VP & CHIEF QUALITY OFFICER

    Total calculated
    $1,042,098
    From this org
    $0
    From related orgs
    $987,854
    Other
    $54,244
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $711,414 related
    Bonus
    $0 + $254,210 related
    Other
    $0 + $22,230 related
    Deferred
    $0 + $18,200 related
    Nontaxable benefits
    $0 + $36,044 related
    Filer's total
    $0 + $1,042,098 related

  • PATRICIA GREEN-RODGERS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • LAURA BUCZKOWSKI

    EXECUTIVE VP & CFO - WELLSPAN HEALTH

    Total calculated
    $1,408,553
    From this org
    $0
    From related orgs
    $1,355,384
    Other
    $53,169
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $949,313 related
    Bonus
    $0 + $402,918 related
    Other
    $0 + $3,153 related
    Deferred
    $0 + $16,601 related
    Nontaxable benefits
    $0 + $36,568 related
    Filer's total
    $0 + $1,408,553 related

  • DAVID LOVETT

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • AMY NELSON

    SECRETARY/SR VP & GENERAL COUNSEL

    Total calculated
    $947,745
    From this org
    $0
    From related orgs
    $873,620
    Other
    $74,125
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $641,147 related
    Bonus
    $0 + $229,320 related
    Other
    $0 + $3,153 related
    Deferred
    $0 + $40,330 related
    Nontaxable benefits
    $0 + $33,795 related
    Filer's total
    $0 + $947,745 related

  • WILLIAM HAPPEL

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • ED SCHUURMAN PA

    DIRECTOR

    Total calculated
    $308,623
    From this org
    $0
    From related orgs
    $261,888
    Other
    $46,735
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $194,821 related
    Bonus
    $0 + $923 related
    Other
    $0 + $66,144 related
    Deferred
    $0 + $15,194 related
    Nontaxable benefits
    $0 + $31,541 related
    Filer's total
    $0 + $308,623 related

  • NIKI HINCKLE

    SVP - WEST REGION

    Total calculated
    $789,675
    From this org
    $738,708
    From related orgs
    $0
    Other
    $50,967
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $552,214
    Bonus
    $185,395
    Other
    $1,099
    Deferred
    $19,523
    Nontaxable benefits
    $31,444
    Filer's total
    $789,675

  • ELYSE FISLER

    CHIEF NURSING OFFICER

    Total calculated
    $332,504
    From this org
    $275,691
    From related orgs
    $0
    Other
    $56,813
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $225,240
    Bonus
    $49,352
    Other
    $1,099
    Deferred
    $25,053
    Nontaxable benefits
    $31,760
    Filer's total
    $332,504

  • GAUTAM WADHWA

    VP MED AFFAIRS, CHIEF MED OFFICER

    Total calculated
    $583,590
    From this org
    $535,390
    From related orgs
    $0
    Other
    $48,200
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $442,903
    Bonus
    $92,009
    Other
    $478
    Deferred
    $19,961
    Nontaxable benefits
    $28,239
    Filer's total
    $583,590

  • GINGER EVERHART

    SR. DIRECTOR CLINICAL OPERATIONS

    Total calculated
    $257,932
    From this org
    $209,474
    From related orgs
    $0
    Other
    $48,458
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $191,427
    Bonus
    $13,702
    Other
    $4,345
    Deferred
    $18,818
    Nontaxable benefits
    $29,640
    Filer's total
    $257,932

  • MOHAMMED-AWAL BUKARI

    PHARMACIST

    Total calculated
    $266,630
    From this org
    $248,809
    From related orgs
    $0
    Other
    $17,821
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $248,626
    Bonus
    $0
    Other
    $183
    Deferred
    $896
    Nontaxable benefits
    $16,925
    Filer's total
    $266,630

  • NIKOLA KOUNEV

    PHARMACIST

    Total calculated
    $243,373
    From this org
    $223,954
    From related orgs
    $0
    Other
    $19,419
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $223,745
    Bonus
    $0
    Other
    $209
    Deferred
    $0
    Nontaxable benefits
    $19,419
    Filer's total
    $243,373

  • NICHOLAS SIGNORELLA

    PHARMACIST

    Total calculated
    $233,833
    From this org
    $215,108
    From related orgs
    $0
    Other
    $18,725
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $214,937
    Bonus
    $0
    Other
    $171
    Deferred
    $231
    Nontaxable benefits
    $18,494
    Filer's total
    $233,833

  • XIMENA DICKMANN

    PHARMACIST

    Total calculated
    $312,040
    From this org
    $279,019
    From related orgs
    $0
    Other
    $33,021
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $278,307
    Bonus
    $0
    Other
    $712
    Deferred
    $0
    Nontaxable benefits
    $33,021
    Filer's total
    $312,040

  • MELISSA GROSS

    MANAGER - PHARMACY SERVICES

    Total calculated
    $255,663
    From this org
    $213,275
    From related orgs
    $0
    Other
    $42,388
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $198,286
    Bonus
    $14,181
    Other
    $808
    Deferred
    $10,641
    Nontaxable benefits
    $31,747
    Filer's total
    $255,663

  • FARAAZ YOUSUF

    FORMER EXECUTIVE VP & COO

    Total calculated
    $1,093,939
    From this org
    $0
    From related orgs
    $1,056,585
    Other
    $37,354
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $120,553 related
    Bonus
    $0
    Other
    $0 + $936,032 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $37,354 related
    Filer's total
    $0 + $1,093,939 related

  • JANE HYDE

    FORMER SVP - WEST REGION

    Total calculated
    $293,205
    From this org
    $0
    From related orgs
    $280,849
    Other
    $12,356
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $1,033 related
    Bonus
    $0
    Other
    $0 + $279,816 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $12,356 related
    Filer's total
    $0 + $293,205 related

  • SHERRI STAHL

    FORMER SVP - WEST REGION

    Total calculated
    $240,416
    From this org
    $0
    From related orgs
    $225,726
    Other
    $14,690
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $131,418 related
    Bonus
    $0
    Other
    $0 + $94,308 related
    Deferred
    $0 + $929 related
    Nontaxable benefits
    $0 + $13,761 related
    Filer's total
    $0 + $240,416 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, and on a Form 990-PF Part VIII's — 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

  • 1a · Discretionary spending account
  • 1a · Health or social club dues or initiation fees
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 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
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 4A:
DURING CALENDAR YEAR 2024, THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT: JANE HYDE, FORMER SR VICE PRESIDENT - $227,832 SHERRI STAHL, FORMER SR VICE PRESIDENT - $15,511 FARAAZ YOUSUF, FORMER EXECUTIVE VP & COO - $928,846
PART I, LINE 4B:
THE WELLSPAN HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WAS ADOPTED AND MADE EFFECTIVE ON DECEMBER 19TH, 2008. THE OBJECTIVE OF THE EXECUTIVE BENEFITS PROGRAM IS TO PROVIDE AN EXECUTIVE BENEFITS PROGRAM THAT IS COMPETITIVE WITH NATIONAL NORMS IN THE HEALTHCARE INDUSTRY FOR SIMILARLY SIZED ORGANIZATIONS ENABLING WELLSPAN HEALTH TO RECRUIT AND RETAIN TOP EXECUTIVE TALENT. TIER I EXECUTIVES ARE ELIGIBLE TO PARTICIPATE IN THE PLAN. A DESCRIPTION OF THE TARGETED BENEFIT OF THE PLAN IS AS FOLLOWS: 1) PROVIDE AN EMPLOYER SPONSORED RETIREMENT BENEFIT THAT REPLACES 60% OF AVERAGE PRE-RETIREMENT (5 YEARS) BASE COMPENSATION THROUGH A COMBINED APPROACH UTILIZING WELLSPAN'S RETIREMENT PLAN, 50% OF SOCIAL SECURITY, SPLIT-DOLLAR LIFE INSURANCE BENEFIT, AND SUPPLEMENTAL EXECUTIVE RETIREMENT BENEFIT. 2) PROVIDES A MINIMUM BENEFIT AFTER 10 YEARS OF SERVICE. 3) PROVIDES THE FULL TARGETED BENEFIT AFTER 25 YEARS OF SERVICE. 4) BENEFIT IS VESTED WHEN ELIGIBLE EXECUTIVE REACHES AGE 65. THE BENEFIT IS ALSO VESTED UPON DEATH, DISABILITY, JOB ELIMINATION AND "TERMINATION FOR GOOD REASON". 5) CREDITED SERVICE GRANTED ON A 1:2 BASIS FOR PREVIOUS SERVICE IN AN ELIGIBLE TIER II POSITION. 6) TARGETED BENEFIT IS TO BE CALCULATED USING A 15 YEAR CERTAIN PAYOUT. 7) PAYOUT WILL BE IN A LUMP SUM. 8) PAYOUT WILL BE TAXABLE WHEN VESTED. DURING THE CALENDAR YEAR 2024, THERE WERE NO DISTRIBUTIONS FROM THE SERP. THE WELLSPAN HEALTH DEFINED CONTRIBUTION DEFERRED COMPENSATION PLAN WAS ADOPTED AND MADE EFFECTIVE AS OF JULY 1, 2017. THIS PLAN WILL REPLACE THE SERP. AS PART OF THE TRANSITION, EACH PARTICIPANT IN THE SERP WAS GIVEN A ONE-TIME CHOICE TO BE GRANDFATHERED IN THE SERP OR TRANSFER TO THE NEW WELLSPAN HEALTH DEFINED CONTRIBUTION DEFERRED COMPENSATION PLAN. THE OBJECTIVE OF THE WELLSPAN HEALTH DEFINED CONTRIBUTION DEFERRED COMPENSATION PLAN IS TO ATTRACT AND RETAIN EXECUTIVE AND UPPER-LEVEL MANAGEMENT EMPLOYEES OF OUTSTANDING ABILITY. TIERS I, II, III AND A SELECT GROUP OF TIER IV EMPLOYEES ARE ELIGIBLE TO PARTICIPATE IN THE PLAN. A DESCRIPTION OF THE TARGETED BENEFIT OF THE PLAN IS AS FOLLOWS: 1)PROVIDE AN UNFUNDED DEFERRED COMPENSATION BENEFIT TO A SELECT GROUP OF MANAGEMENT AND HIGHLY COMPENSATED EMPLOYEES. 2)PLAN ACCOUNT CONTRIBUTIONS ARE CREDITED EACH YEAR TO A SUBACCOUNT, BASED UPON VARIOUS TIER LEVELS; TIER I, 22%, TIER II, 17%, TIER III, 12%, AND TIER IV, 8%. 3)PARTICIPANT ACCOUNTS ARE CREDITED INTEREST EACH YEAR BY APPLICATION OF THE 30-YEAR U.S. TREASURY RATE ON JUNE 30 OF THE PLAN YEAR THEN ENDING, PLUS ONE PERCENT (1%). 4)PARTICIPANT VESTING OCCURS ON THE EARLIER OF: A)JUNE 30TH OF THE FOURTH PLAN YEAR: 25% PER YEAR B)PARTICIPANT REACHES AGE 65. C)UPON DEATH, DISABILITY, JOB ELIMINATION AND "TERMINATION FOR GOOD REASON". 5)NON-ELECTIVE EMPLOYER CONTRIBUTIONS ARE ALSO PERMITTED. 6)PLAN DISTRIBUTIONS TO BE ADMINISTERED PER THE PLAN DOCUMENT. DURING THE CALENDAR YEAR 2024, THE FOLLOWING INDIVIDUALS RECEIVED DISTRIBUTIONS FROM THE DEFERRED COMPENSATION PLAN: ROXANNA GAPSTUR - $269,264 MICHAEL SEIM - $20,176 ADDITIONALLY, ANY VESTED PORTION OF CONTRIBUTIONS MADE TO THE PLAN WHICH ARE NO LONGER SUBJECT TO THE RISK OF FORFEITURE, ARE REFLECTED IN SCHEDULE J, PART II, COLUMN B(III).

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

The 10 largest by cash amount. The API serves every itemized grant.

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.

Related corporations and trusts

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

Provenance

Return type
form_990
Tax year
2024
Filed
8 May 2026
IRS schema version
2024v5.5
Source object
202601289349300030

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

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