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← CHAMBERSBURG HOSPITAL WORKER'S COMPENSATION TRUST

Form 990 for tax year 2022

Filed by CHAMBERSBURG HOSPITAL WORKER'S COMPENSATION TRUST.

Totals

Total revenue
$9,854
Total expenses
$2,306
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$0
Investment income
$9,854
Other revenue
$0
Total assets, end of year
$817,263
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$817,263
Program services expenses (Part IX)
$0
Management and general expenses
$2,306
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 $27,311 · excluded $27,311

  • 7a · Gross sales of assets other than inventory

    securities $302,543

  • 7b · Less cost or other basis and sales expenses

    securities $320,000

  • 7c · Gain or loss

    securities -$17,457

  • 7d · Net gain or loss

    total -$17,457 · excluded -$17,457

Functional expenses

Part IX, the statement of functional expenses.

  • 24a · Other expenses: TRUST ACCOUNT FEES

    total $2,306 · management and general $2,306

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $489,715 · end of year $817,263

  • 12 · Investments: other securities

    beginning of year $320,000 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $809,715 · end of year $817,263

Mission and programs · 2022

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 2022 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.

Related corporations and trusts

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

Provenance

Return type
form_990
Tax year
2022
Filed
9 May 2024
IRS schema version
2022v5.0
Source object
202441309349301239

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