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Nonprofiteer
← ST VINCENT WILLIAMSPORT HOSPITAL INC

Form 990 for tax year 2022

Filed by ST VINCENT WILLIAMSPORT HOSPITAL INC.

Totals

Total revenue
$24,496,543
Total expenses
$24,182,330
Contributions and grants received
$323,190
Grants paid
$1,000
Program services expenses (Part IX)
$18,706,296
Management and general expenses
$5,476,034
Fundraising expenses
$0
Program service expenses (Part III)
$18,706,296

Program services were 77.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • DALE GRUBB

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • MARK C MCDERMIT

    CHAIR

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • RYAN PENROD

    SECRETARY/CHAIR

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • ANN VARNER

    DIRECTOR

    Total calculated
    $601,172
    From this org
    $0
    From related orgs
    $562,091
    Other
    $39,081
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $322,833 related
    Bonus
    $0 + $198,000 related
    Other
    $0 + $41,258 related
    Deferred
    $0 + $16,775 related
    Nontaxable benefits
    $0 + $22,306 related
    Filer's total
    $0 + $601,172 related

  • BRIAN A EDWARDS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • CARLYLE FLOYD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • CYNTHIA D ADAMS RN

    DIRECTOR

    Total calculated
    $778,305
    From this org
    $0
    From related orgs
    $735,767
    Other
    $42,538
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $494,231 related
    Bonus
    $0 + $151,088 related
    Other
    $0 + $90,448 related
    Deferred
    $0 + $16,775 related
    Nontaxable benefits
    $0 + $25,763 related
    Filer's total
    $0 + $778,305 related

  • DANA M MUNTZ

    EX-OFFICIO

    Total calculated
    $329,526
    From this org
    $0
    From related orgs
    $285,506
    Other
    $44,020
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $235,207 related
    Bonus
    $0 + $49,498 related
    Other
    $0 + $801 related
    Deferred
    $0 + $16,340 related
    Nontaxable benefits
    $0 + $27,680 related
    Filer's total
    $0 + $329,526 related

  • GEORGIANA CUNNINGHAM REYNAL

    DIRECTOR

    Total calculated
    $273,401
    From this org
    $0
    From related orgs
    $232,567
    Other
    $40,834
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $173,918 related
    Bonus
    $0 + $57,256 related
    Other
    $0 + $1,393 related
    Deferred
    $0 + $14,516 related
    Nontaxable benefits
    $0 + $26,318 related
    Filer's total
    $0 + $273,401 related

  • MICHAEL T EMMONS DO

    DIRECTOR

    Total calculated
    $650,651
    From this org
    $0
    From related orgs
    $612,238
    Other
    $38,413
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $441,112 related
    Bonus
    $0 + $127,500 related
    Other
    $0 + $43,626 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $20,113 related
    Filer's total
    $0 + $650,651 related

  • SHALIN SHAH

    DIRECTOR

    Total calculated
    $702,877
    From this org
    $0
    From related orgs
    $679,347
    Other
    $23,530
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $441,159 related
    Bonus
    $0 + $180,965 related
    Other
    $0 + $57,223 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $8,280 related
    Filer's total
    $0 + $702,877 related

  • STEVE BAKER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • TERRENCE G METZGER

    DIRECTOR (END 4/2023)

    Total calculated
    $1,146,301
    From this org
    $0
    From related orgs
    $1,096,953
    Other
    $49,348
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $528,354 related
    Bonus
    $0 + $481,500 related
    Other
    $0 + $87,099 related
    Deferred
    $0 + $16,775 related
    Nontaxable benefits
    $0 + $32,573 related
    Filer's total
    $0 + $1,146,301 related

  • CHRISTOPHER FORREST HONS

    VP, FINANCE

    Total calculated
    $323,303
    From this org
    $0
    From related orgs
    $290,933
    Other
    $32,370
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $226,390 related
    Bonus
    $0 + $63,838 related
    Other
    $0 + $705 related
    Deferred
    $0 + $11,920 related
    Nontaxable benefits
    $0 + $20,450 related
    Filer's total
    $0 + $323,303 related

  • MELANIE JANE CRAIGIN

    ADMINISTRATOR

    Total calculated
    $257,952
    From this org
    $232,894
    From related orgs
    $0
    Other
    $25,058
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $204,890
    Bonus
    $22,365
    Other
    $5,639
    Deferred
    $14,591
    Nontaxable benefits
    $10,467
    Filer's total
    $257,952

  • DIANE ZARAGOZA MD

    PHYSICIAN

    Total calculated
    $422,576
    From this org
    $376,249
    From related orgs
    $0
    Other
    $46,327
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $376,249
    Bonus
    $0
    Other
    $0
    Deferred
    $18,159
    Nontaxable benefits
    $28,168
    Filer's total
    $422,576

  • JATINDER N KAUSHAL MD

    PHYSICIAN

    Total calculated
    $271,323
    From this org
    $256,275
    From related orgs
    $0
    Other
    $15,048
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $251,331
    Bonus
    $0
    Other
    $4,944
    Deferred
    $12,500
    Nontaxable benefits
    $2,548
    Filer's total
    $271,323

  • RAJESHKUMAR R AKBARI MD

    PHYSICIAN

    Total calculated
    $273,107
    From this org
    $241,563
    From related orgs
    $0
    Other
    $31,544
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $229,601
    Bonus
    $0
    Other
    $11,962
    Deferred
    $12,000
    Nontaxable benefits
    $19,544
    Filer's total
    $273,107

  • STACI GROSS RN

    REGISTERED NURSE

    Total calculated
    $221,758
    From this org
    $216,349
    From related orgs
    $0
    Other
    $5,409
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $216,349
    Bonus
    $0
    Other
    $0
    Deferred
    $5,409
    Nontaxable benefits
    $0
    Filer's total
    $221,758

  • TAHIR HAFEEZ MD

    PHYSICIAN

    Total calculated
    $428,516
    From this org
    $381,583
    From related orgs
    $0
    Other
    $46,933
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $381,583
    Bonus
    $0
    Other
    $0
    Deferred
    $19,825
    Nontaxable benefits
    $27,108
    Filer's total
    $428,516

  • BECKY L JACOBSON

    FORMER OFFICER (END 9/2021)

    Total calculated
    $386,352
    From this org
    $0
    From related orgs
    $347,366
    Other
    $38,986
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $264,945 related
    Bonus
    $0 + $80,325 related
    Other
    $0 + $2,096 related
    Deferred
    $0 + $18,973 related
    Nontaxable benefits
    $0 + $20,013 related
    Filer's total
    $0 + $386,352 related

  • BETHANY LYNN MORROW

    FORMER OFFICER (END 1/2019)

    Total calculated
    $417,516
    From this org
    $0
    From related orgs
    $383,023
    Other
    $34,493
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $293,657 related
    Bonus
    $0 + $88,358 related
    Other
    $0 + $1,008 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $16,193 related
    Filer's total
    $0 + $417,516 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

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

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
A RELATED ORGANIZATION OF THE FILING ORGANIZATION, USES ONE OR MORE OF THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PLEASE REFER TO THE FORM 990, PART VI, LINE 15A DISCLOSURE IN SCHEDULE O FOR ADDITIONAL DETAILS ON HOW COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
ELIGIBLE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NO INDIVIDUALS RECEIVED CURRENT YEAR DISTRIBUTIONS.

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
11 May 2024
IRS schema version
2022v5.0
Source object
202441319349305189

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

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