2015-05-06T10:00:18-05:00 2014-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2013-07-01 232267407 CHESTER COUNTY HOSPITAL FOUNDATION CHES 6104315000 701 E MARSHALL STREET WEST CHESTER PA 19380 KENNETH E FLICKINGER SENIOR VICE PRESIDENT, FINANCE 6104315000 2015-05-05 1 JULIUS C GREEN CPA JD P00350393 2159720701 2013 2016-02-25 16:41:14Z KENNETH E FLICKINGER 701 E MARSHALL STREET WEST CHESTER PA 19380 13219596 0 X WWW.CCHOSP.COM X 1984 PA COMMUNITY HEALTH CARE SUPPORT THROUGH THE CHESTER COUNTY HOSPITAL AND OTHER AFFILIATES. 15 14 0 500 0 0 10802860 2322847 0 0 285740 1378236 7307 1887 11095907 3702970 2850 1823666 0 0 689004 97508 0 0 170726 707177 386387 1399031 2307561 9696876 1395409 19534837 4553977 1389244 530504 18145593 4023473 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 1823666 1823666 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. 1823666 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 1 0 1 0 0 0 1 7 0 1 0 0 0 0 0 0 1 1 0 0 0 0 X 15 14 0 0 1 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 10.00 2.00 X X 0 0 0 KEVIN HOLLERAN ESQ VICE CHAIRMAN 2.00 2.00 X X 0 0 0 DENNIS BERMAN MD TRUSTEE 2.00 50.00 X 0 644477 32584 JANE WIGGIE FEATHERMAN III TRUSTEE 2.00 X 0 0 0 ROBERT B HORNE 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 THE HONORABLE PAULA FRANCISCO OTT TRUSTEE 2.00 X 0 0 0 CHRISTINE P BENDINELLI TRUSTEE 2.00 X 0 0 0 EDWIN A BROWNLEY JR TRUSTEE 2.00 X 0 0 0 CELESTE E DEBAPTISTE MD TRUSTEE 2.00 X 0 0 0 ANTELO DEVEREUX JR TRUSTEE 2.00 X 0 0 0 MAURY HOBERMAN MD TRUSTEE 2.00 X 0 0 0 KEVIN MAHONEY TRUSTEE 2.00 X 0 0 0 GEORGIANNA STAPLETON TRUSTEE 2.00 X 0 0 0 THOMAS C SWETT EMERITUS CHAIRMAN (NONVOTING) 2.00 X 0 0 0 JOHN J CICCARONE EMERITUS TRUSTEE (NONVOTING) 2.00 X 0 0 0 WILLIAM PLUMMER III MD EMERITUS TRUSTEE (NONVOTING) 2.00 X 0 0 0 MICHAEL J DUNCAN SYSTEM PRESIDENT & CEO 2.00 48.00 X 0 911793 31005 KENNETH E FLICKINGER TREASURER 2.00 48.00 X 0 503144 31005 KEVIN R O'BRIEN SECRETARY 2.00 48.00 X 0 343850 32441 0 2403264 127035 0 0 1 0 CCH AND HEALTH SYSTEM 701 E MARSHALL ST WEST CHESTER PA 19380 MANAGEMENT FEE 107772 1 276100 2046747 2322847 261764 261764 8734 17517 -8783 -8783 -8783 10486973 9370501 1116472 1116472 1116472 139278 276100 128608 10670 10670 3702970 0 0 1380123 1823666 1823666 80555 80555 16953 16953 170592 170592 2615 2615 18745 18745 2257 723 1534 5564 5564 7855 7855 352 352 827 827 4375 4375 ANNUAL CAPITAL CAMPAIGN 142286 40 142246 GIFT ANNUITY 17498 17498 LICENSES 10997 10997 REPAIRS & MAINTENANCE 850 723 127 1574 350 1224 2307561 1823666 313169 170726 288496 292107 4473249 0 327380 0 0 0 950506 0 13495206 4261870 19534837 4553977 9600 9755 263709 0 1115935 520749 1389244 530504 X 7755012 4023473 10390581 0 18145593 4023473 19534837 4553977 X 1395409 -347942 -15169587 X 0 1 X 1 0 X 2941676 3558391 2302821 10802860 2046747 21652495 2941676 3558391 2302821 10802860 2046747 21652495 940604 20711891 556386 626317 513007 321202 261764 2278676 16023 -121185 10020 -95142 23836029 0.86890 0.90160 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO AFFILIATES 520749 520749 X 3372545 -347942 -347942 3720487 -17517 -17517 3702970 17494665 15187104 15187104 2307561 0 2307561 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, 2014. THE FOUNDATION'S FEDERAL FORMS 990 FOR FISCAL YEARS ENDING PRIOR TO JUNE 30, 2011 NO LONGER REMAIN SUBJECT TO EXAMINATION BY THE IRS. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -17,517. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 17,517. TRANSFER TO CHESTER COUNTY HOSPITAL DUE TO AFFILIATION AGREEMENT 15,169,587. CHESTER COUNTY DAY 129000 99330 29670 19000 WINE FESTIVAL 157000 107000 50000 50000 1 129378 69770 59608 59608 415378 276100 139278 128608 128608 10670 1 CHESTER COUNTY HOSPITAL 701 E MARSHALL STREET WEST CHESTER PA 19380 230469150 501(C)(3) 1823666 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 606792 0 37685 0 0 0 17500 0 15084 0 677061 0 0 MICHAEL J DUNCAN SYSTEM PRESIDENT & CEO 0 590455 0 321338 0 0 0 17500 0 13505 0 942798 0 0 KENNETH E FLICKINGER TREASURER 0 328304 0 174840 0 0 0 17500 0 13505 0 534149 0 0 KEVIN R O'BRIEN SECRETARY 0 232504 0 111346 0 0 0 17500 0 14941 0 376291 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. CASH AND CASH EQUIVALENTS 2013-09-30 6144298 BOOK VALUE 230469150 CHESTER COUNTY HOSPITAL 701 E MARSHALL STREET WEST CHESTER PA 19380 501(C)(3) PREPAID EXPENSES AND OTHER CURRENT ASSETS 2013-09-30 327380 BOOK VALUE 230469150 CHESTER COUNTY HOSPITAL 701 E MARSHALL STREET WEST CHESTER PA 19380 501(C)(3) INVESTMENTS 2013-09-30 4679000 BOOK VALUE 230469150 CHESTER COUNTY HOSPITAL 701 E MARSHALL STREET WEST CHESTER PA 19380 501(C)(3) PLEDGES RECEIVABLE, NET 2013-09-30 4323249 BOOK VALUE 230469150 CHESTER COUNTY HOSPITAL 701 E MARSHALL STREET WEST CHESTER PA 19380 501(C)(3) PROPERTY AND EQUIPMENT 2013-09-30 946131 BOOK VALUE 230469150 CHESTER COUNTY HOSPITAL 701 E MARSHALL STREET WEST CHESTER PA 19380 501(C)(3) DUE TO AFFILIATES AND OTHER LIABILITIES 2013-09-30 -1250471 BOOK VALUE 230469150 CHESTER COUNTY HOSPITAL 701 E MARSHALL STREET WEST CHESTER PA 19380 501(C)(3) 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 4 THE FOUNDATION'S ARTICLES OF INCORPORATION AND BY-LAWS WERE AMENDED TO REFLECT THE AFFILIATION AGREEMENT BETWEEN THE CHESTER COUNTY HOSPITAL AND HEALTH SYSTEM ("TCCHHS") (RELATED ORGANIZATION) AND THE UNIVERSITY OF PENNSYLVANIA. THE BYLAWS WERE AMENDED TO CHANGE THE COMPOSITION OF THE BOARD TO "A SUFFICIENT NUMBER OF TRUSTEES TO SATISFY THE MINIMUM REQUIREMENTS OF THE NCL AND NOT TO EXCEED THIRTY." "AT ALL TIMES, ONE OF THE TRUSTEES SHALL BE A MEMBER OF THE BOARD OF DIRECTORS OF TCCHHS HAVING BEEN APPOINTED BY THE UNIVERSITY OF PENNSYLVANIA ACTING THROUGH THE EXECUTIVE COMMITTEE OF THE PENN MEDICINE BOARD." ALSO THE BYLAWS NOW STATE - "NOTWITHSTANDING ANYTHING HEREIN TO THE CONTRARY, THE APPROVAL OF THE PENN TRUSTEE WILL BE REQUIRED FOR ANY AMENDMENT TO THESE BYLAWS THAT WOULD (I) ALTER IN ANY WAY THE RIGHTS OF THE PENN TRUSTEE OR THE UNIVERSITY; OR (II) MODIFY THE OBLIGATION OF THE CORPORATION SET FORTH IN ARTICLE VI, SECTIONS 6.1 (FUNDRAISING ACTIVITIES) AND 6.2 (CONTRIBUTION TO TCCHHS OR A TCCHHS AFFILIATE)." 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. 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. FORM 990, PART XI, LINE 9: TRANSFER TO CHESTER COUNTY HOSPITAL DUE TO AFFILIATION AGREEMENT -15,169,587. FORM 990, PART V, LINE 2A ALL INDIVIDUALS WORKING AT CHESTER COUNTY HOSPITAL FOUNDATION ARE EMPLOYEES OF CHESTER COUNTY HOSPITAL AND ARE REPORTED ON ITS FORM 941 UNDER EIN: 23-0469150. THE SALARY AND BENEFIT EXPENSES REPORTED ON FORM 990, PART IX ARE THE FOUNDATION'S ALLOCATED PAYROLL COSTS BASED ON TIME SPENT. CHESTER COUNTY HOSPITAL IS AN AFFILIATED TAX-EXEMPT ORGANIZATION. 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