2017-05-09T16:05:17-05:00 2016-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2015-07-01 232267407 CHESTER COUNTY HOSPITAL FOUNDATION CHES 6104315000 701 E MARSHALL STREET WEST CHESTER PA 19380 KENNETH E FLICKINGER SENIOR VICE PRESIDENT, FINANCE 6104315000 2017-05-09 1 JULIUS C GREEN CPA P00350393 2159720701 2015 2021-01-29 14:40:06Z KENNETH E FLICKINGER 701 E MARSHALL STREET WEST CHESTER PA 19380 5099022 0 X WWW.CCHOSP.COM X 1984 PA COMMUNITY HEALTH CARE SUPPORT THROUGH THE CHESTER COUNTY HOSPITAL AND OTHER AFFILIATES. 19 18 0 500 0 0 2476861 2445968 0 0 371333 244754 26000 46400 2874194 2737122 2934426 2758051 0 0 0 0 0 0 53896 274155 238636 3208581 2996687 -334387 -259565 4977350 4618852 66245 253846 4911105 4365006 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 2758051 2758051 0 PROVIDE SUPPORT TO THE THE CHESTER COUNTY HOSPITAL AND HEALTH SYSTEM AND AFFILIATES. THE CHESTER COUNTY HOSPITAL PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. THE HOSPITAL OFFERS FREE AND/OR SUBSIDIZED CARE, CARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE CHESTER COUNTY AREA. 2758051 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 5 0 1 0 0 0 0 0 0 1 1 0 0 0 0 X 19 18 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X KENNETH E FLICKINGER 6104315117 701 E MARSHALL STREET WEST CHESTER PA 19380 FRANCIS H ABBOTT JR CHAIRMAN 2.00 1.00 X X 0 0 0 KEVIN HOLLERAN ESQ VICE CHAIRMAN 2.00 X X 0 0 0 DR LINDA ADAMS TRUSTEE 2.00 X 0 0 0 MRS CHRISTINE BENDINELLI TRUSTEE 2.00 X 0 0 0 DENNIS BERMAN MD TRUSTEE 2.00 50.00 X 0 374109 2730 MR EDWARD BREINER TRUSTEE 2.00 X 0 0 0 MR EDWIN A BROWNLEY JR TRUSTEE 2.00 X 0 0 0 MR ANTELO DEVEREUX JR TRUSTEE 2.00 X 0 0 0 JANE FEATHERMAN TRUSTEE 2.00 X 0 0 0 MAURY HOBERMAN MD TRUSTEE 2.00 X 0 0 0 ROBERT B HORNE TRUSTEE 2.00 X 0 0 0 MR SCOTT HUSTON TRUSTEE 2.00 X 0 0 0 M ROY JACKSON TRUSTEE 2.00 X 0 0 0 DALLAS KRAPF TRUSTEE 2.00 X 0 0 0 MR CHRISTOPHER KNAUER TRUSTEE 2.00 X 0 0 0 MR KEVIN MAHONEY TRUSTEE 2.00 1.00 X 0 0 0 HONORABLE PAULA OTT TRUSTEE 2.00 X 0 0 0 MICHAEL PIA JR TRUSTEE 2.00 X 0 0 0 MRS GEORGIANNA STAPLETON TRUSTEE 2.00 X 0 0 0 MICHAEL J DUNCAN SYSTEM PRES & CEO 2.00 49.00 X 0 716329 5157 KENNETH E FLICKINGER TREASURER 2.00 49.00 X 0 466585 6618 KEVIN R O'BRIEN SECRETARY 2.00 49.00 X 0 314041 6979 0 1871064 21484 0 0 1 0 CCH AND HEALTH SYSTEM 701 E MARSHALL ST WEST CHESTER PA 19380 MANAGEMENT FEE 120108 1 41751 120600 2283617 2445968 78570 78570 2411084 2244900 166184 166184 166184 163400 120600 117000 46400 46400 2737122 0 0 291154 2758051 2758051 120108 120108 29415 29415 17166 17166 3867 3867 ANNUAL CAPITAL CAMPAIGN 44076 44076 GIFT ANNUITY 18051 18051 MISCELLANEOUS 5953 5953 2996687 2758051 184740 53896 474021 758733 829133 263169 3674196 3596950 4977350 4618852 1666 2598 64579 251248 66245 253846 X 4911105 4365006 4911105 4365006 4977350 4618852 -259565 -286534 0 X 0 1 X 1 0 X 2302821 10802860 2046747 2599861 2609368 20361657 2302821 10802860 2046747 2599861 2609368 20361657 984980 19376677 513007 321202 261764 71023 78570 1245566 10020 10020 21617243 0.89640 0.88520 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO AFFILIATES 251248 251248 X 2567588 -286534 -286534 2854122 -117000 -117000 2737122 3113687 117000 117000 2996687 0 2996687 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, 2016. THE FOUNDATION'S FEDERAL FORMS 990 FOR FISCAL YEARS ENDING PRIOR TO JUNE 30, 2012 NO LONGER REMAIN SUBJECT TO EXAMINATION BY THE IRS. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES -117,000. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 117,000. CHESTER COUNTY DAY 134000 84000 50000 27000 WINE FESTIVAL 68000 29000 39000 53000 1 82000 7600 74400 37000 284000 120600 163400 117000 117000 46400 1 CHESTER COUNTY HOSPITAL 701 E MARSHALL STREET WEST CHESTER PA 19380 230469150 501(C)(3) 2758051 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 0 0 0 0 0 0 0 0 DENNIS BERMAN MD TRUSTEE 0 323030 0 40000 0 11079 0 0 0 2730 0 376839 0 0 MICHAEL J DUNCAN SYSTEM PRES & CEO 0 615613 0 82200 0 18516 0 0 0 5157 0 721486 0 0 KENNETH E FLICKINGER TREASURER 0 341165 0 106628 0 18792 0 0 0 6618 0 473203 0 0 KEVIN R O'BRIEN SECRETARY 0 239318 0 56207 0 18516 0 0 0 6979 0 321020 0 0 PART I, LINE 3 COMPENSATION FOR THE CEO IS DETERMINED BY A RELATED PARTY USING THE FOLLOWING METHODS: COMPENSTION COMMITTEE; WRITTEN EMPLOYMENT CONTRACT; AND APPROVAL BY THE BOARD/COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION B, LINE 11 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 11A, 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 9 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 11A, 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 9 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 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0