2020-04-27T08:19:35-05:00 2019-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2018-07-01 237354899 CHESPENN HEALTH SERVICES INC CHES 6104853800 1510 CHESTER PIKE NO 200 EDDYSTONE PA 19022 DANIEL CAPLAN FINANCE DIRECTOR 6104853800 2020-04-22 1 KERRI N BOGDA CPA P00760402 7177404863 148.75.192.64 2020-04-22 10:13:27 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 45D50D8E3994CEF8BF8842BFE43A81B55B26F885 2018 2020-09-22 18:59:49Z DANIEL CAPLAN 1510 CHESTER PIKE NO 200 EDDYSTONE PA 19022 12269133 0 X WWW.CHESPENN.ORG X 1972 PA TO OPERATE THREE COMPREHENSIVE HEALTH CENTERS LOCATED IN CHESTER AND DELAWARE COUNTIES. 10 10 116 10 0 0 3721480 3554740 8233321 8642475 21900 71918 0 0 11976701 12269133 0 0 0 0 6424686 6741137 0 0 0 5005307 5685970 11429993 12427107 546708 -157974 7872255 7923256 2149547 2345965 5722708 5577291 X CHESPENN HEALTH SERVICES IS A NETWORK OF NON-PROFIT, FEDERALLY QUALIFIED HEALTH CENTERS THAT PROVIDES COMPREHENSIVE PRIMARY AND PREVENTIVE HEALTH CARE AND SOCIAL SERVICES TO MEDICALLY UNDERSERVED FAMILIES AND INDIVIDUALS ON A SLIDING SCALE. CHESPENN HEALTH SERVICES STRIVES TO MEET THE UNIQUE HEALTH NEEDS IN ITS COMMUNITIES IN LINGUISTICALLY AND CULTURALLY COMPETENT WAYS. 0 0 9494605 8642475 SINCE 1973, CHESPENN HEALTH SERVICES HAS PROVIDED COMPREHENSIVE FAMILY MEDICAL AND DENTAL CARE TO THE RESIDENTS OF CHESTER, PA AND NEIGHBORING COMMUNITIES. IN 2005, CHESPENN EXPANDED THESE HEALTH CARE SERVICES TO THE COATESVILLE AREA, AND IN 2009, CHESPENN OPENED THE CENTER FOR FAMILY HEALTH IN UPPER DARBY, PA. ADDITIONAL SERVICES THAT ARE OFFERED INCLUDE HOMELESS HEALTH CARE, FAMILY PLANNING SERVICES, OB/GYN, HIV/AIDS CARE, BEHAVIORAL HEALTH AND AN IN-HOUSE PHYSICIAN DISPENSARY. CHESPENN IS PRINCIPALLY FUNDED BY GRANTS FROM THE DEPARTMENT OF HEALTH AND HUMAN SERVICES. DURING THE 2018 TAX YEAR, CHESPENN RECEIVED TOTAL GRANT REVENUE OF $2,774,931.DURING THE 2018 TAX YEAR, CHESPENN HAD TOTAL ENCOUNTERS OF 49,233, OF WHICH 46,843 WERE BILLABLE. THE BILLABLE ENCOUNTERS CONSISTED OF THE FOLLOWING IN CHESTER, PA: 6,559 PEDIATRIC ENCOUNTERS, 12,619 ADULT ENCOUNTERS, AND 5,102 DENTAL ENCOUNTERS. IN ADDITION, THERE WERE 8,996 ENCOUNTERS AT THE UPPER DARBY ENTER FOR FAMILY HEALTH AND 13,567 ENCOUNTERS IN THE COATESVILLE SERVICE AREA. NON BILLABLE ENCOUNTERS CONSISTED OF 2,390 NURSE ONLY VISITS.CHESPENN PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. THE AMOUNTS DETERMINED TO BE CHARITY CARE ARE NOT REPORTED AS REVENUES. DURING THE 2018 TAX YEAR, CHESPENN PROVIDED CHARITY CARE OF APPROXIMATELY $1,209,000 TO PATIENTS. 9494605 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 30 0 116 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X DANIEL A CAPLAN 6104853800 1510 CHESTER PIKE NO 200 EDDYSTONE PA 19022 WILLIE MAE WELLS PRESIDENT 1.00 0.00 X X 0 0 0 RAE ROEDER SECRETARY 1.00 0.00 X X 0 0 0 KAREN VESELY TREASURER 1.00 0.00 X X 0 0 0 CAROL ALLEN BOARD MEMBER 1.00 0.00 X 0 0 0 ANTHONY HALL BOARD MEMBER 1.00 0.00 X 0 0 0 DONNA LAWLER BOARD MEMBER 1.00 0.00 X 0 0 0 DAVID KEITH BOARD MEMBER 1.00 0.00 X 0 0 0 JEFFREY GREEN BOARD MEMBER 1.00 0.00 X 0 0 0 GWEN SMITH BOARD MEMBER 1.00 0.00 X 0 0 0 DINA CAPALONGO BOARD MEMBER 1.00 0.00 X 0 0 0 MICHAEL G LUCAS PRESIDENT/CEO 40.00 0.00 X 219592 0 44374 DANIEL A CAPLAN CHIEF FINANCIAL OFFICER 40.00 0.00 X 126296 0 18691 KEVIN MCCABE MD PHYSICIAN 40.00 0.00 X 183021 0 10685 RAQUIBUL ISLAM MD PHYSICIAN 40.00 0.00 X 160679 0 24706 BRUCE AUDEN MD PHYSICIAN 40.00 0.00 X 164110 0 18468 CYNTHIA LACAPRA MD PHYSICIAN 40.00 0.00 X 155137 0 14347 NANCY KOSHETAR DENTIST 35.00 0.00 X 140205 0 13969 1149040 0 145240 14 0 1 0 PROSPECT HEALTH ACCESS NETWORK ONE MEDICAL CENTER BLVD UPLAND PA 19013 CONTRACTED PHYSICIAN SERVICES 1031128 COORDINATED CARE NETWORK 300 PENN CENTER BLVD PITTSBURGH PA 15235 CONTRACTED PHARMACY SERVICES 458744 CALL 4 HEALTH 2855 S CONGRESS AVENUE DELRAY BEACH FL 33445 CALL CENTER SERVICE 275810 VIRTUAL OFFICEWARE 2000 CLIFF MINE RD PARK W 2 STE 51 PITTSBURGH PA 15275 INFORMATION TECHNOLOGY AND SERVICES 159686 THE PROTOCALL GROUP 1 MALL DRIVE 105 CHERRY HILL NJ 08002 TEMPORARY STAFFING AGENCY 135753 7 59176 2774931 720633 3554740 NET PATIENT SERVICE REVENUE 621400 8642475 8642475 8642475 71918 71918 12269133 8642475 0 71918 X 430729 430729 5234527 4195641 1038886 186723 155405 31318 449037 375119 73918 440121 328871 111250 8176 8176 63921 13244 50677 2263913 2013612 250301 2735 500 2235 496947 351871 145076 442461 615 441846 836001 681491 154510 77465 20759 56706 29673 29673 198364 195889 2475 41357 23462 17895 PATIENT CARE 943109 938250 4859 PROVISION FOR DOUBTFUL 150019 150019 DUES AND SUBSCRIPTIONS 56474 3781 52693 EQUIPMENT RENTAL 46075 36129 9946 29280 9947 19333 12427107 9494605 2932502 0 288961 340407 5270657 5589185 157611 163835 647838 506882 9152 10559 58447 71163 4993725 3752500 1439589 1241225 7872255 7923256 1200862 1515518 83333 83333 500000 494458 365352 252656 2149547 2345965 X 5722708 5577291 5722708 5577291 7872255 7923256 -157974 12557 0 X 0 1 X 1 0 X 3859067 4095923 3990080 3721480 3554740 19221290 7443999 7644227 7234651 8233321 8642475 39198673 11303066 11740150 11224731 11954801 12197215 58419963 0 0 0 58419963 1877 2443 6672 21900 71918 104810 1877 2443 6672 21900 71918 104810 11304943 11742593 11231403 11976701 12269133 58524773 0.99820 0.99940 0.00180 0.00060 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 100838 100838 3153067 2036611 1116456 349794 343983 5811 1341554 1323434 18120 48472 48472 0 1241225 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 252656 252656 X 12281690 12557 12557 12269133 0 12269133 12427107 0 12427107 0 12427107 PART X, LINE 2: THE CORPORATION 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 IN 2019 AND 2018. X X X 0 0 0 0 0 0 0 1 0 MICHAEL G LUCAS PRESIDENT/CEO 219592 0 0 0 0 0 36182 0 8192 0 263966 0 0 0 KEVIN MCCABE MD PHYSICIAN 179441 0 3580 0 0 0 9151 0 1534 0 193706 0 0 0 RAQUIBUL ISLAM MD PHYSICIAN 157337 0 3342 0 0 0 8524 0 16182 0 185385 0 0 0 BRUCE AUDEN MD PHYSICIAN 160847 0 3263 0 0 0 8508 0 9960 0 182578 0 0 0 CYNTHIA LACAPRA MD PHYSICIAN 152043 0 3094 0 0 0 7892 0 6455 0 169484 0 0 0 NANCY KOSHETAR DENTIST 137399 0 2806 0 0 0 7174 0 6795 0 154174 0 0 0 PART I, LINE 7 THE BOARD OF DIRECTORS APPROVES AN ANNUAL STRATEGIC PLAN FOR THE ORGANIZATION. THE BONUS IS BASED ON THE ACHIEVEMENT OF THE INDIVIDUAL CORPORATE GOALS IN THE STRATEGIC PLAN. FORM 990, PART VI, SECTION A, LINE 1 KEY FINANCIAL DECISIONS AND REPORTS ARE APPROVED BY THE FINANCE COMMITTEE AND THEN PRESENTED TO THE BOARD OF DIRECTORS FOR APPROVAL. MEMBERS OF THE FINANCE COMMITTEE ARE ALSO MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE DRAFT OF THE 990 IS REVIEWED BY THE PRESIDENT/CEO. THE FINAL 990 RETURN WAS REVIEWED AND APPROVED BY THE FINANCE COMMITTEE ALONG WITH THE BOARD OF DIRECTORS OF CHESPENN HEALTH SERVICES. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS MUST ANNUALLY SIGN THE CONFLICT OF INTEREST POLICY. BOARD MEMBERS ARE ALSO REQUIRED TO DISCLOSE ANY CONFLICT OF INTEREST THAT MAY ARISE DURING THE YEAR AND MUST REFRAIN FROM DISCUSSING, AS WELL AS VOTING ON, SUCH MATTERS THAT PERTAIN TO THE CONFLICT. EMPLOYEES OF THE ORGANIZATION ARE ALSO REQUIRED TO REPORT ANY POTENTIAL OR ACTUAL CONFLICT TO THE PRESIDENT/CEO. THE PRESIDENT/CEO IS RESPONSIBLE FOR MONITORING AND RESOLVING ANY CONFLICT OF INTEREST THAT MAY ARISE WITHIN THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 15 TO DETERMINE THE SALARY OF THE PRESIDENT/CEO, CHESPENN HEALTH SERVICES RELIES ON SURVEY INFORMATION FROM TWO SOURCES. THE FIRST SOURCE IS AN ANNUAL SURVEY CONDUCTED BY THE HOSPITAL AND THE HEALTHCARE COMPENSATION SERVICE FOR THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS WHICH CATEGORIZES ALL COMMUNITY HEALTH CENTERS BY SERVICE LEVEL, GEOGRAPHY AND, BUDGET. THE SECOND SOURCE IS THE IRS FORM 990 IN WHICH A COMPENSATION SURVEY OF REGIONAL COMMUNITY HEALTH CENTERS IS CONDUCTED. BOTH SOURCES OF INFORMATION ARE USED BY CHESPENN HEALTH SERVICES' BOARD OF DIRECTORS TO DETERMINE THE COMPENSATION LEVEL. THIS COMPENSATION REVIEW IS CONDUCTED ON AN ANNUAL BASIS TO ASSURE THAT COMPENSATION IS IN LINE WITH FAIR MARKET VALUE, AND THE PROCESS IS DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATIONS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PHYSICIANS, DENTAL, INTERPRETING: PROGRAM SERVICE EXPENSES 2,013,612. MANAGEMENT AND GENERAL EXPENSES 250,301. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,263,913.