2022-05-13T11:04:27-05:00 2021-06-30 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2020-07-01 232267407 CHESTER COUNTY HOSPITAL FOUNDATION CHES 6104315000 701 E MARSHALL STREET WEST CHESTER PA 19380 JOSHUA SNYDER ASSOCIATE CFO 6104315000 2022-05-13 1 JOSHUA SNYDER 999009999 KERRI N BOGDA CPA P00760402 7177404863 X 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z JOSHUA SNYDER 701 E MARSHALL STREET WEST CHESTER PA 19380 8895835 0 X WWW.CHESTERCOUNTYHOSPITAL.ORG X 1984 PA COMMUNITY HEALTH CARE SUPPORT THROUGH THE CHESTER COUNTY HOSPITAL AND OTHER AFFILIATES. 23 20 0 443 0 0 7983385 7220985 0 0 143550 199863 -11855 -24916 8115080 7395932 6102644 5356769 0 0 1512469 1558572 0 0 1525302 584820 532762 8199933 7448103 -84853 -52171 9016953 10349003 1797004 1220100 7219949 9128903 THE MISSION OF THE FOUNDATION IS TO PROVIDE FOR AND SUPPORT THE CHESTER COUNTY HOSPITAL WHOSE PURPOSE IS THE CARE AND NURSING OF INJURED AND SICK PERSONS. 0 0 5356769 5356769 0 THE CHESTER COUNTY HOSPITAL FOUNDATION PROVIDES SUPPORT TO CHESTER COUNTY HOSPITAL. CHESTER COUNTY HOSPITAL PROVIDES QUALITY MEDICAL AND NURSING SERVICES WITHOUT DISCRIMINATION BASED UPON AGE, RACE, SEX, ETHNICITY, RELIGION, GENDER, DISABILITY, OR ABILITY TO PAY. THE HOSPITAL OFFERS FREE AND/OR SUBSIDIZED CARE (PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST), HEALTH ACTIVITIES, AND PROGRAMS TO SUPPORT THE CHESTER COUNTY AREA. 5356769 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 23 20 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 FL NJ NY PA X JOSHUA SNYDER ASSOCIATE CFO 6104315117 701 E MARSHALL STREET WEST CHESTER PA 19380 EDWARD J BREINER CHAIRMAN 2.00 X 0 0 0 MICHAEL J DUNCAN SYSTEM PRESIDENT & CEO 2.00 49.00 X X 0 961914 4054 CHARMAINE ROCHESTER CPA CFO/SV/TREASURER 2.00 49.00 X X 0 383821 6733 KEVIN R O'BRIEN ESQ SECRETARY/SVP DEVELOPMENT 2.00 49.00 X X 0 327092 6340 KEVIN HOLLERAN ESQ TRUSTEE 2.00 X X 0 0 0 CHRISTINE P BENDINELLI TRUSTEE 2.00 X 0 0 0 DENNIS A BERMAN MD TRUSTEE 2.00 X 0 0 0 FRANCIS H ABBOTT JR TRUSTEE 2.00 1.00 X X 0 0 0 EDWIN A BROWNLEY JR TRUSTEE 2.00 X 0 0 0 ANTELO DEVEREUX JR TRUSTEE 2.00 X 0 0 0 JANE A FEATHERMAN TRUSTEE 2.00 X 0 0 0 MAURY HOBERMAN MD TRUSTEE 2.00 X 0 0 0 SCOTT HUSTON TRUSTEE 2.00 X 0 0 0 KIMBERLY J BRUMBAUGH TRUSTEE 2.00 X 0 0 0 M ROY JACKSON TRUSTEE 2.00 X 0 0 0 CHRISTOPHER J KNAUER TRUSTEE 2.00 X 0 0 0 DALLAS KRAPF TRUSTEE 2.00 X 0 0 0 LISA COLLINS TRUSTEE 2.00 X 0 0 0 MARY ALICE MALONE TRUSTEE 2.00 X 0 0 0 HONORABLE PAULA FRANCISCO OTT TRUSTEE 2.00 X 0 0 0 LORI H GUSTAVE TRUSTEE 2.00 X 0 0 0 LAUREN HARRELL CPACFA TRUSTEE 2.00 X 0 0 0 BRENDA WILLIAMS MERCOMES ED D TRUSTEE 2.00 X 0 0 0 0 1672827 17127 0 0 1 0 0 39531 7181454 11719 7220985 121769 121769 1550616 1472522 78094 78094 78094 2465 39531 27381 -24916 -24916 7395932 0 0 174947 5356769 5356769 1244003 132273 1111730 314569 35284 279285 88160 88160 16124 16124 25999 25999 480 480 12119 8860 3259 74058 74058 106310 106310 2052 2052 ANNUAL APPEAL 118759 118759 EMPLOYEE EXPENSES 29073 29073 GIFT ANNUITY 17736 17736 MISCELLANEOUS 15933 10339 5594 25959 19284 6675 7448103 5356769 566032 1525302 2890636 2560040 1689279 1196606 5665 6413 4431373 6585944 9016953 10349003 206258 106056 1590746 1114044 1797004 1220100 X 5552505 7891331 1667444 1237572 7219949 9128903 9016953 10349003 -52171 1961125 0 X 0 1 X 1 0 X 6772580 6996003 8464810 7985503 7223450 37442346 6772580 6996003 8464810 7985503 7223450 37442346 9877513 27564833 85740 90388 113392 111506 121769 522795 115717 57979 9940 2465 186101 38151242 0.72250 0.74210 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: INSURANCE PROCEEDS - 2016 AMOUNT: $ 115,717. 2017 AMOUNT: $ 29,796. 2018 AMOUNT: $ 5,224. 125TH ANNIVERSARY REVENUE - 2017 AMOUNT: $ 22,598. ADMIN FEE REVENUE - 2017 AMOUNT: $ 5,585. 2018 AMOUNT: $ 4,716. NON-CHARITABLE PROCEEDS OF FUNDRAISING EVENTS - 2020 AMOUNT: $ 2,465. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO AFFILIATES 1114044 1114044 X 9358439 1961125 -25999 1935126 7423313 -27381 -27381 7395932 7449485 27381 27381 7422104 25999 25999 7448103 PART X, LINE 2: THE FOUNDATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD AT JUNE 30, 2021 AND 2020. THE FOUNDATION DOES NOT PERFORM ANY ACTIVITIES THAT WOULD BE SUBJECT TO UNRELATED BUSINESS INCOME TAX; THEREFORE, IT HAS NOT FILED FORM 990-T, EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN. PART XI, LINE 2D - OTHER ADJUSTMENTS: INVESTMENT FEES NETTED AGAINST REVENUE ON FINANCIALS -25,999. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES -27,381. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES 27,381. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT FEES NETTED AGAINST REVENUE ON FINANCIALS 25,999. WINE FESTIVAL 22505 20040 2465 27261 FORE HEALTH GOLF 19491 19491 120 41996 39531 2465 27381 27381 -24916 1 CHESTER COUNTY HOSPITAL 701 E MARSHALL STREET WEST CHESTER PA 19380 230469150 501(C)(3) 5356769 0 N/A N/A SEE PART IV 1 0 PART I, LINE 2: TRANSFER OF CONTRIBUTIONS TO AFFILIATE - MANAGEMENT OF CHESTER COUNTY HOSPITAL FOUNDATION OVERSEES THE USE OF FUNDS AT THE AFFILIATED ENTITIES. PART II, LINE 1, COLUMN (H) PURPOSE OF GRANT OR ASSISTANCE: TO PROVIDE FOR AND SUPPORT THE CHESTER COUNTY HOSPITAL WHOSE PURPOSE IS THE CARE AND NURSING OF INJURED AND SICK PERSONS. 0 1 0 0 0 0 0 0 0 MICHAEL J DUNCAN SYSTEM PRESIDENT & CEO 0 741198 0 72899 0 147817 0 0 0 4054 0 965968 0 0 CHARMAINE ROCHESTER CPA CFO/SV/TREASURER 0 312569 0 68580 0 2672 0 0 0 6733 0 390554 0 0 KEVIN R O'BRIEN ESQ SECRETARY/SVP DEVELOPMENT 0 278012 0 27772 0 21308 0 0 0 6340 0 333432 0 0 PART I, LINE 3 COMPENSATION FOR THE CEO IS DETERMINED BY A RELATED PARTY USING THE FOLLOWING METHODS: COMPENSATION COMMITTEE; WRITTEN EMPLOYMENT CONTRACT; AND APPROVAL BY THE BOARD/COMPENSATION COMMITTEE. PART I, LINE 4B THE FOLLOWING RECEIVED DISTRIBUTIONS FROM A 457F PLAN: MICHAEL DUNCAN - $142,613 KEVIN O-BRIEN - $19,500 CHARMAINE ROCHESTER - $2,192 FORM 990, PART V, LINE 2: THE SALARY AND BENEFIT EXPENSES REPORTED ON FORM 990, PART IX, AND THE EMPLOYEE INFORMATION REPORTED ON FORM 990, PART VII, ARE THE CHESTER COUNTY HOSPITAL FOUNDATION'S ("FOUNDATION") ALLOCATED PAYROLL COSTS BASED ON TIME SPENT. ALL INDIVIDUALS WORKING AT FOUNDATION ARE EMPLOYEES OF THE CHESTER COUNTY HOSPITAL ("HOSPITAL") AND ARE REPORTED ON ITS FORM W-3 UNDER EIN: 23-0469150. THE HOSPITAL IS AN AFFILIATED TAX-EXEMPT ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS WERE PROVIDED A COPY OF THE FORM 990 VIA EMAIL FOR REVIEW PRIOR TO THE SUBMISSION TO THE IRS. ANY QUESTIONS OR COMMENTS FROM THE BOARD WERE ADDRESSED BY THE TREASURER. FORM 990, PART VI, SECTION B, LINE 12C THE OFFICE OF THE PRESIDENT SENDS OUT AND MONITORS THE RETURN OF THE ANNUAL CONFLICT OF INTEREST QUESTIONNAIRES TO MEDICAL STAFF, BOARD MEMBERS, AND KEY EMPLOYEES. THE PRESIDENT REVIEWS AND MAKES THE DETERMINATION OF ANY BOARD DISCLOSURE. FORM 990, PART VI, SECTION B, LINE 15 THE FOUNDATION'S OFFICERS AND KEY EMPLOYEES ARE COMPENSATED BY A RELATED, TAX-EXEMPT ORGANIZATION. THE COMPENSATION COMMITTEE OF THE RELATED ORGANIZATION'S BOARD REVIEWS THE SALARIES OF THE OFFICERS AND USES AN INDEPENDENT CONSULTING FIRM FOR MARKET DATA AND RECOMMENDATIONS TO ENSURE COMPENSATION DOES NOT EXCEED FMV. THE PROCESS AND RESULTS ARE DOCUMENTED BY THE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE YEAR END FINANCIAL STATEMENT REVIEW HELD ON CAMPUS IS OPEN TO THE PUBLIC. INDIVIDUALS WHO WISH TO REVIEW THE GOVERNING DOCUMENTS OR CONFLICTS OF INTEREST POLICY MAY DO SO BY APPOINTMENT WITH THE EXECUTIVE OFFICE OF THE FOUNDATION. CHESTER COUNTY HOSPITAL 701 E MARSHALL STREET WEST CHESTER PA 19380 230469150 HOSPITAL PA 501(C)(3) LINE 3 CHESTER COUNTY HOSPITAL AND HEALTH SYSTEM 0 NEIGHBORHOOD HEALTH AGENCIES INC 795 E MARSHALL STREET WEST CHESTER PA 19380 232324782 SUPPORTING ORGANIZATION PA 501(C)(3) LINE 12A, I CHESTER COUNTY HOSPITAL AND HEALTH SYSTEM 0 NEIGHBORHOOD VISITING NURSE ASSOCIATION 795 E MARSHALL STREET WEST CHESTER PA 19380 231352243 HOMECARE NURSING SERVICES PA 501(C)(3) LINE 7 CHESTER COUNTY HOSPITAL AND HEALTH SYSTEM 0 NEIGHBORHOOD LEAGUE HEALTH SERVICES 795 E MARSHALL STREET WEST CHESTER PA 19380 232324787 HEALTH SCREENINGS AND OTHER HEALTH SERVICES PA 501(C)(3) LINE 10 CHESTER COUNTY HOSPITAL AND HEALTH SYSTEM 0 CHESTER COUNTY HOSPITAL AND HEALTH SYSTEM 701 E MARSHALL STREET WEST CHESTER PA 19380 264233321 MANAGEMENT SERVICES PA 501(C)(3) LINE 12A, I N/A 0 CHESTER COUNTY OBGYN ASSOCIATES INC 701 E MARSHALL STREET WEST CHESTER PA 19380 300073633 OB/GYN SERVICES PA 501(C)(3) LINE 10 CHESTER COUNTY HOSPITAL AND HEALTH SYSTEM 0 TURK'S HEAD HEALTH SERVICES INC 701 E MARSHALL STREET WEST CHESTER PA 19380 232329753 MEDICAL SERVICES PA N/A C 0 PROFESSIONAL PROVIDERS INC 701 E MARSHALL STREET WEST CHESTER PA 19380 233076589 PHYSICIAN SERVICES PA N/A C 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0