Pennsylvania › Health care and social assistance › 1,000 to 4,999 participants
Form 5500 statement · plan year 1 Jan 2024 to 31 Dec 2024
Chambersburg Hospital Bargaining 403(b) Plan
Sponsored by Wellspan Health, York, PA
Form 5500 information is as filed by the plan administrator with the Department of Labor and may be amended. Figures reflect the plan year shown, not current balances. Form 5500 contains no individual account balances. Look up the original filing at EFAST2.
Wellspan Health of York, Pennsylvania sponsors Chambersburg Hospital Bargaining 403(b) Plan, a 403(b) plan. Its Form 5500 for the plan year ending 31 Dec 2024 shows 2,112 participants (1,502 active) and $83.3M in net assets.
Net assets came to $39,431 per participant, well below the $50,295 median for defined contribution plans with 1,000 to 4,999 participants and well above the $30,764 median for defined contribution plans in health care and social assistance. The figure is an average across everyone in the plan, including former employees with small balances; Form 5500 holds no individual account data.
Schedule C lists 6 service provider organisations paid $5,000 or more, with reported compensation of $433K: $205 per participant, well above the same-size median of $82.08. Administrative expenses charged to the plan were $445K. Schedule C does not capture every cost: fees netted from fund returns and fees the employer pays directly are outside it.
Across the filings on record, net assets went from $69.3M in 2021 to $83.3M in 2024 (up 20%), and participants from 1,782 to 2,112 (up 19%).
The independent accountant's opinion on the financial statements was unmodified (unqualified), from an audit whose scope was limited under ERISA section 103(a)(3)(C) to exclude investment information certified by a bank or insurer.
Compared with similar plans
| Measure | This plan | Same size | Same industry | All US DC plans |
|---|---|---|---|---|
| Net assets per participant | $39,431 | $50,295 | $30,764 | $53,102 |
| Employer contributions per active participant | — | $2,045 | $1,536 | $2,175 |
| Schedule C compensation per participant | $205 | $82.08 | $93.85 | $123 |
| Schedule C compensation, share of net assets | 0.52% | 0.17% | 0.31% | 0.26% |
| Administrative expenses per participant | $211 | $82.20 | $86.53 | $116 |
Peer columns are medians for plan year 2024 across defined contribution plans with 100 or more participants: 1,000 to 4,999 participants (10,207 plans), health care and social assistance (9,402) and all US plans (63,460). Fee medians cover plans that report an amount.
Trend by plan year
| Plan year | Participants | Net assets | Per participant | Employer contributions | Participant contributions | Schedule C compensation |
|---|---|---|---|---|---|---|
| 2024 | 2,112 | $83.3M | $39,431 | — | $5.4M | $433K |
| 2023 | 2,143 | $71.1M | $33,157 | $0 | $4.9M | $188K |
| 2022 | 1,764 | $58.9M | $33,416 | $0 | $4.7M | $138K |
| 2021 | 1,782 | $69.3M | $38,888 | — | $4.6M | $57K |
Years in which the plan filed the full Form 5500 with 100 or more participants, from 2009. Plan year is the year in which the plan year began.
Statement for the year
- Net assets, beginning of year$71,054,575
- Employer contributions—
- Participant contributions$5,357,495
- Rollovers and other contributions$936,703
- Total contributions$6,294,198
- Total income, including investment results$16,221,664
- Benefits paid$3,552,651
- Administrative expenses$444,988
- Total expenses$3,997,639
- Net income$12,224,025
- Net transfers$0
- Net assets, end of year$83,278,600
Participants
- Active participants1,502
- Retired or separated, receiving benefits49
- Retired or separated, entitled to future benefits560
- Participants with account balances1,532
- Total participants, end of year2,112
Fees and service providers
| Organisation | Services reported | Direct | Indirect |
|---|---|---|---|
| Empower Annuity Company of America | Recordkeeping fees | $202,259 | $0 |
| Empower Advisory Group, LLC | Investment management | $182,314 | $0 |
| Wellspan Health | Plan Administrator | $20,583 | $0 |
| Alokdeshpande Dba/ Smartpath | Investment advisory (participants) | $15,255 | $0 |
| Stambaugh Ness, Inc. | Accounting (including auditing) | $12,288 | $0 |
| Charles Schwab & Co., Inc. | Securities brokerage | $50 | $0 |
Schedule C, Part I line 2: providers that received $5,000 or more, with the form's own service codes. Individuals named on Schedule C (plan employees, individual trustees) are never shown and their compensation is excluded. Eligible indirect compensation disclosed by formula carries no dollar amount. See how to read Schedule C fees.
Administrative expenses on Schedule H
- Investment advisory and management fees$230,441
- Recordkeeping fees$202,259
- IQPA audit fees$12,288
- Total administrative expenses$444,988
Investment structure
Assets at year end by Schedule H category. The form shows the kind of vehicle holding the money, not the funds on the menu.
- Registered investment companies (mutual funds)$74.0M · 88.9%
- Insurance company general account$8.0M · 9.6%
- Participant loans$1.2M · 1.4%
- Other investments$109K · 0.1%
Audit and compliance answers, as filed
- Accountant's opinionUnmodified (unqualified)
- Audit scope limited under ERISA section 103(a)(3)(C)Yes
- Accounting firmStambaugh Ness, Inc.
- Participant contributions reported as transmitted lateNo
- Covered by a fidelity bondYes, $10,000,000
- Blackout period during the yearNo
These are the plan administrator's own answers on Schedule H, Part IV. A reported late transmittal is the filer's disclosure of a timing lapse, usually corrected through the Department of Labor's voluntary program; the amount is the total involved, not a loss.
Plan characteristics
2FERISA section 404(c) plan2GTotal participant-directed account plan2LCode section 403(b)(1) arrangement (annuity contracts)2MCode section 403(b)(7) accounts (custodial accounts for regulated investment company stock)2RParticipant-directed brokerage accounts provided as an investment option under the plan2TTotal or partial participant-directed account plan with a default investment account3DPre-approved pension plan
Codes entered on Form 5500 line 8a, with the labels from the official instructions. Business code 622000: Hospitals.
Other plans of Wellspan Health
| Plan | Participants | Net assets |
|---|---|---|
| Wellspan 403(b) Retirement Savings Plan | 27,878 | $2.64B |
| Chambersburg Hospital 401(a) Plan and Trust | 1,928 | $7.3M |
Similar plans in Pennsylvania
| Plan | Sponsor | Participants | Net assets | Per participant |
|---|---|---|---|---|
| Adsc Holdings, Inc. Retirement Savings Plan | Adsc Holdings, Inc. | 2,125 | $6.3M | $2,946 |
| Pension Fund for Nursing and Health Care Employees | Pension Fund for Nursing and Health Care Employees | 2,102 | $72.5M | $34,474 |
| Inspiritec, Inc. 401(k) Retirement Plan | Inspiritec, Inc. | 2,180 | $13.0M | $5,965 |
| Lehigh Valley Health Network, Inc. Erisa 403(b) Plan | Lehigh Valley Health Network, Inc. | 2,082 | $6.7M | $3,227 |
| Incentive Savings Plan for Employees of Meadville Medical Center | Meadville Medical Center | 2,293 | $168M | $73,212 |
| Ken-Crest Services 403(b) Retirement Plan | Kencrest Services, Inc. | 2,071 | $54.8M | $26,464 |
Defined contribution plans in health care and social assistance closest in size.
Questions and answers
How big is Chambersburg Hospital Bargaining 403(b) Plan?
2,112 participants at the end of the plan year ending 31 Dec 2024, of whom 1,502 were active employees, with net assets of $83,278,600. Among defined contribution plans that places it in the 1,000 to 4,999 participants band, which held 10,207 plans in plan year 2024.
What does Wellspan Health contribute per participant?
This filing has no Schedule H financial statement, so employer contributions are not reported here.
What fees does the plan pay and how do they compare?
Schedule C reports $432,749 in compensation to service provider organisations, $205 per participant or 0.52% of net assets. The same-size median among plans reporting any Schedule C compensation was $82.08 per participant. Administrative expenses on Schedule H were $444,988. Investment costs deducted inside mutual funds and other pooled vehicles are not itemised on Form 5500, so these figures are a floor rather than a full cost.
Who runs the plan?
The sponsor is Wellspan Health. Recordkeeping or administration: Empower Annuity Company of America and Wellspan Health. Investment advisory or management: Empower Advisory Group, LLC and Alokdeshpande Dba/ Smartpath. The financial statements were audited by Stambaugh Ness, Inc.. Form 5500 also names the plan administrator's signer and other individuals; this site publishes organisations only.
Was the audit opinion unqualified?
The filing reports an unmodified (unqualified) opinion from a limited-scope audit, in which the accountant did not audit investment information certified by a bank or insurance company. Unmodified (formerly "unqualified") is the standard clean opinion.
How current is this, and does it show my balance?
This is the Form 5500 for the plan year 1 Jan 2024 to 31 Dec 2024, received by the Department of Labor on 15 Oct 2025. Filings are due seven months after the plan year ends, or nine and a half with an extension, so the public record always runs a year or more behind. It contains plan-level totals only: no individual balances, contributions or names of participants exist in the data.
Provenance
Source: U.S. Department of Labor, Employee Benefits Security Administration, Form 5500 research files (Form 5500, Schedule H, Schedule C) for plan years 2009 to 2025, public domain, with filings received through 24 Aug 2026. This page shows the latest filing on record for EIN 22-2517863, plan 011, received 15 Oct 2025; an amended filing replaces it at the next build. Medians and percentiles are computed by this site; see the methodology. Report an error through corrections.