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Nonprofiteer
← ST VINCENT WILLIAMSPORT HOSPITAL INC

Form 990 for tax year 2023

Filed by ST VINCENT WILLIAMSPORT HOSPITAL INC.

Totals

Total revenue
$29,960,637
Total expenses
$24,948,872
Contributions and grants received
$112,567
Grants paid
$0
Program service revenue
$29,678,616
Investment income
$196
Other revenue
$169,258
Total assets, end of year
$11,922,538
Total liabilities, end of year
$10,022,644
Net assets or fund balances, end of year
$1,899,894
Program services expenses (Part IX)
$19,465,241
Management and general expenses
$5,483,631
Fundraising expenses
$0
Program service expenses (Part III)
$19,465,241

Program services were 78.0% 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

  • RYAN PENROD

    CHAIR

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • ANN VARNER

    DIRECTOR (END 9/2023)

    Total calculated
    $662,925
    From this org
    $0
    From related orgs
    $622,139
    Other
    $40,786
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $320,989 related
    Bonus
    $0 + $239,349 related
    Other
    $0 + $61,801 related
    Deferred
    $0 + $18,150 related
    Nontaxable benefits
    $0 + $22,636 related
    Filer's total
    $0 + $662,925 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
    $783,581
    From this org
    $0
    From related orgs
    $735,243
    Other
    $48,338
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $490,130 related
    Bonus
    $0 + $151,088 related
    Other
    $0 + $94,025 related
    Deferred
    $0 + $18,150 related
    Nontaxable benefits
    $0 + $30,188 related
    Filer's total
    $0 + $783,581 related

  • DANA M MUNTZ

    EX-OFFICIO

    Total calculated
    $332,237
    From this org
    $0
    From related orgs
    $285,502
    Other
    $46,735
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $235,203 related
    Bonus
    $0 + $49,498 related
    Other
    $0 + $801 related
    Deferred
    $0 + $16,336 related
    Nontaxable benefits
    $0 + $30,399 related
    Filer's total
    $0 + $332,237 related

  • GEORGIANA CUNNINGHAM REYNAL

    DIRECTOR (END 9/2023)

    Total calculated
    $288,937
    From this org
    $0
    From related orgs
    $254,053
    Other
    $34,884
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $163,691 related
    Bonus
    $0 + $58,974 related
    Other
    $0 + $31,388 related
    Deferred
    $0 + $7,009 related
    Nontaxable benefits
    $0 + $27,875 related
    Filer's total
    $0 + $288,937 related

  • MICHAEL T EMMONS DO

    DIRECTOR

    Total calculated
    $730,524
    From this org
    $0
    From related orgs
    $686,164
    Other
    $44,360
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $482,318 related
    Bonus
    $0 + $149,490 related
    Other
    $0 + $54,356 related
    Deferred
    $0 + $19,800 related
    Nontaxable benefits
    $0 + $24,560 related
    Filer's total
    $0 + $730,524 related

  • SHALIN SHAH

    DIRECTOR (END 9/2023)

    Total calculated
    $885,362
    From this org
    $0
    From related orgs
    $858,951
    Other
    $26,411
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $499,000 related
    Bonus
    $0 + $287,055 related
    Other
    $0 + $72,896 related
    Deferred
    $0 + $16,500 related
    Nontaxable benefits
    $0 + $9,911 related
    Filer's total
    $0 + $885,362 related

  • STEVE BAKER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • CHRISTOPHER FORREST HONS

    VP, FINANCE

    Total calculated
    $374,837
    From this org
    $0
    From related orgs
    $341,398
    Other
    $33,439
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $258,079 related
    Bonus
    $0 + $81,000 related
    Other
    $0 + $2,319 related
    Deferred
    $0 + $13,466 related
    Nontaxable benefits
    $0 + $19,973 related
    Filer's total
    $0 + $374,837 related

  • MELANIE JANE CRAIGIN

    ADMINISTRATOR

    Total calculated
    $279,978
    From this org
    $252,798
    From related orgs
    $0
    Other
    $27,180
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $205,159
    Bonus
    $42,000
    Other
    $5,639
    Deferred
    $15,278
    Nontaxable benefits
    $11,902
    Filer's total
    $279,978

  • DIANE ZARAGOZA MD

    PHYSICIAN

    Total calculated
    $391,182
    From this org
    $344,724
    From related orgs
    $0
    Other
    $46,458
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $342,741
    Bonus
    $0
    Other
    $1,983
    Deferred
    $18,909
    Nontaxable benefits
    $27,549
    Filer's total
    $391,182

  • ELISABETH FRUITS RN

    RN, MANAGER

    Total calculated
    $203,548
    From this org
    $179,239
    From related orgs
    $0
    Other
    $24,309
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $163,817
    Bonus
    $500
    Other
    $14,922
    Deferred
    $9,298
    Nontaxable benefits
    $15,011
    Filer's total
    $203,548

  • JATINDER N KAUSHAL MD

    PHYSICIAN

    Total calculated
    $261,538
    From this org
    $246,880
    From related orgs
    $0
    Other
    $14,658
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $240,654
    Bonus
    $0
    Other
    $6,226
    Deferred
    $12,036
    Nontaxable benefits
    $2,622
    Filer's total
    $261,538

  • RAJESHKUMAR R AKBARI MD

    PHYSICIAN

    Total calculated
    $285,424
    From this org
    $252,395
    From related orgs
    $0
    Other
    $33,029
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $250,564
    Bonus
    $0
    Other
    $1,831
    Deferred
    $13,961
    Nontaxable benefits
    $19,068
    Filer's total
    $285,424

  • TAHIR HAFEEZ MD

    PHYSICIAN

    Total calculated
    $431,083
    From this org
    $380,242
    From related orgs
    $0
    Other
    $50,841
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $378,050
    Bonus
    $0
    Other
    $2,192
    Deferred
    $21,450
    Nontaxable benefits
    $29,391
    Filer's total
    $431,083

  • BECKY L JACOBSON

    FORMER OFFICER (END 9/2021)

    Total calculated
    $399,163
    From this org
    $0
    From related orgs
    $358,121
    Other
    $41,042
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $271,633 related
    Bonus
    $0 + $82,735 related
    Other
    $0 + $3,753 related
    Deferred
    $0 + $20,171 related
    Nontaxable benefits
    $0 + $20,871 related
    Filer's total
    $0 + $399,163 related

  • BETHANY LYNN MORROW

    FORMER OFFICER (END 1/2019)

    Total calculated
    $431,210
    From this org
    $0
    From related orgs
    $393,814
    Other
    $37,396
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $300,038 related
    Bonus
    $0 + $91,008 related
    Other
    $0 + $2,768 related
    Deferred
    $0 + $19,800 related
    Nontaxable benefits
    $0 + $17,596 related
    Filer's total
    $0 + $431,210 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

  • 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)

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 4a Severance or change-of-control payment
THE FOLLOWING INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS FROM THE ORGANIZATION OR A RELATED ORGANIZATION DURING THE CALENDAR YEAR 2023: Georgiana Cunningham Reynal - $25,404
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.

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
2023
Filed
13 May 2025
IRS schema version
2023v6.0
Source object
202521339349302472

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