2013-05-14T13:29:53-05:00 2012-06-30 232932984 PARENTEBEARD LLC 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2011-07-01 232267407 CHESTER COUNTY HOSPITAL FOUNDATION CHES 6104315000 701 E MARSHALL STREET WEST CHESTER PA 19380 KENNETH E FLICKINGER 6104315000 2013-05-13 1 JULIUS GREEN CPA P00350393 2159720701 2011 2016-02-25 16:41:14Z KENNETH E FLICKINGER 701 E MARSHALL STREET WEST CHESTER PA 19380 4409951 0 X WWW.CCHOSP.COM X 1984 PA COMMUNITY HEALTH CARE SUPPORT THROUGH THE CHESTER COUNTY HOSPITAL AND OTHER AFFILIATES. 8 7 7 0 0 0 3437206 2032821 0 0 626317 513007 6008 10020 4069531 2555848 1496625 528750 0 0 732570 773331 0 0 1053434 805989 718995 3035184 2021076 1034347 534772 12625423 8790890 1337278 1439256 11288145 7351634 X THE MISSION OF THE FOUNDATION IS TO PROVIDE FOR AND SUPPORT THE CHESTER COUNTY HOSPITAL AND OTHER ORGANIZATIONS WHOSE PURPOSE IS THE CARE AND NURSING OF INJURED AND SICK PERSONS. 0 0 528750 528750 PROVIDE SUPPORT TO THE CHESTER COUNTY HOSPITAL AND OTHER AFFILIATE ORGANIZATIONS OF THE CHESTER COUNTY HOSPITAL AND HEALTH SYSTEM. PROVIDES SUPPORT TO COMMUNITY ORGANIZATIONS BY WAY OF GRANTS / ALLOCATIONS. PROVIDED SUPPORT TO CHESTER COUNTY OB/GYN ASSOCIATES (AFFILIATE). THIS PHYSICIAN ORGANIZATION OFFERS OBSTETRICS AND GYNECOLOGY SERVICES TO THE COMMUNITY. THEY ACTIVELY PARTICIPATE IN THE CHESTER COUNTY HOSPITAL PRE-NATAL CLINIC FOR UN-INSURED AND UNDER-INSURED PATIENTS. PROVIDED SUPPORT TO PROFESSIONAL PROVIDERS, INC. (AFFILIATE). THIS MULTI-PHYSICIAN PRACTICE ORGANIZATION SUPPORTS THE CARDIOVASCULAR PROGRAM OF THE CHESTER COUNTY HOSPITAL AND ALSO PROVIDES CARE TO THE COMMUNITY. 528750 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 7 0 1 7 0 0 0 0 0 0 0 0 0 X 8 7 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 X ROBERT B HORNE 10.00 X X 0 0 0 KEVIN HOLLERAN 10.00 X X 0 0 0 M ROY JACKSON 2.00 X 0 0 0 MARY WARDEN 2.00 X 0 0 0 WIGGIE FEATHERMAN 2.00 X 0 0 0 DENNIS A BERMAN 5.00 X 0 623292 15541 PAULA FRANCISCO OTT 2.00 X 0 0 0 DALLAS KRAPF 2.00 X 0 0 0 KENNETH E FLICKINGER 5.00 X 0 425529 26667 MICHAEL J DUNCAN 7.50 X 0 463235 26667 KEVIN O'BRIEN 25.00 X 0 283245 27759 SUSAN KELLY 50.00 X 0 105667 14136 0 1900968 110770 0 0 1 0 CHESTER COUNTY HOSPITAL 701 E MARSHALL ST WEST CHESTER PA 19380 SALARIES AND BENEFITS OF ALLOCATED STAFF 2419234 CCH AND HEALTH SYSTEM 701 E MARSHALL ST WEST CHESTER PA 19380 MANAGEMENT FEE 291934 REINOS 90 GREAT VALLEY PARKWAY MALVERN PA 19355 DESIGN, PRINT AND MAIL SERVICE 140256 3 2032821 2032821 343780 343780 55632 45683 9949 9949 9949 1977647 1808420 169227 169227 169227 MISCELLANEOUS INCOME 900099 71 71 71 2555848 0 0 523027 528750 528750 639651 63964 575687 133680 13368 120312 291934 145967 145967 1855 1855 25232 25232 47752 47752 32683 3268 29415 22936 2294 20642 6567 656 5911 14509 1451 13058 8271 8271 27857 27857 ANNUAL APPEAL 113565 113565 PUBLICATIONS 28826 28826 REPAIRS & MAINTENANCE 22379 22379 GIFT ANNUITY EXPENSE 18329 18329 56300 56249 51 2021076 528750 438892 1053434 1268732 256383 668324 368324 1227 1116 392000 356000 263444 302894 1661619 683256 1006221 978363 9025475 6527810 12625423 8790890 3987 69 270165 266938 500000 563126 1172249 1337278 1439256 X 7337675 6832617 3950470 519017 11288145 7351634 12625423 8790890 X 534772 -4471283 X X 0 1 1 X 0 X 10261801 4273700 2941676 3558391 2302821 23338389 10261801 4273700 2941676 3558391 2302821 23338389 23338389 657823 407898 556386 626317 513007 2761431 154238 276165 16023 -121185 10020 335261 26435081 0.88290 0.90490 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 750808 750808 910811 683256 227555 978363 DUE TO AFFILIATES 1172249 1172249 2555848 2021076 534772 -205825 -4265458 -4471283 -3936511 2395706 -205825 -205825 2601531 -45683 -45683 2555848 6332217 4311141 4311141 2021076 0 2021076 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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 HAS DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2012 AND 2011. THE FOUNDATION'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN SUPPLIES AND EXPENSES. FEDERAL RETURNS FOR FISCAL YEARS AFTER 2008 REMAIN SUBJECT TO EXAMINATION BY THE IRS. PART XI, LINE 8 - OTHER ADJUSTMENTS: INTERCOMPANY TRANSFERS -4,265,458. PART XII, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -45,683. PART XIII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 45,683. INTERCOMPANY TRANSFERS 4,265,458. 1 CHESTER COUNTY OBGYN ASSOCIATES INC 600 E MARSHALL STREET WEST CHESTER PA 19380 300073633 501(C)(3) 523000 EQUITY TRANSFER PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE ORGANIZATION ONLY PROVIDES GRANTS AND ASSISTANCE TO ITS RELATED AFFILIATES. X X X 0 0 0 0 0 0 0 0 0 DENNIS A BERMAN 0 623292 0 0 0 0 0 4900 0 10641 0 638833 0 0 KENNETH E FLICKINGER 0 425529 0 0 0 0 0 16500 0 10167 0 452196 0 0 MICHAEL J DUNCAN 0 463235 0 0 0 0 0 16500 0 10167 0 489902 0 0 KEVIN O'BRIEN 0 283245 0 0 0 0 0 16500 0 11259 0 311004 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE DETAILED REPORTING OF THE FORM 990 IS COMPLETED BY THE VICE PRESIDENT OF FINANCE AND THE TAX PREPARER. THE DRAFT IS REVIEWED BY THE CEO AND CFO BEFORE SUBMISSION. THE BOARD OF DIRECTORS ARE PROVIDED A COPY OF THE FORM 990 PRIOR TO THE SUBMISSION TO THE IRS. 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 OFFICIERS 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 VII, SECTION A, COLUMN B THE FOLLOWING OFFICERS, DIRECTORS AND KEY EMPLOYEES SPEND TIME ON RELATED ENTITIES: KENNETH FLICKINGER - TREASURER- 45 HOURS MICHAEL DUNCAN - PRESIDENT- 42.50 KEVIN O'BRIEN - SVP DEVELOPMENT OFFICER- 25 HOURS DALLAS KRAPF - TRUSTEE- 2 HOURS DENNIS BERMAN, M.D. - TRUSTEE- 50 HOURS CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -205,825. INTERCOMPANY TRANSFERS -4,265,458. TOTAL TO FORM 990, PART XI, LINE 5: -4,471,283. AUDITED FINANCIAL STATEMENTS FORM 990, PART XI, LINE 2 THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AUDITED BY AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTANT ON A CONSOLIDATED BASIS. AUDIT COMMITTEE FORM 990, PART XI, LINE 2C THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF ITS CONSOLIDATED AUDITED FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTANT. NUMBER OF EMPLOYEES REPORTED ON FORM W-3 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 PROFESSIONAL PROVIDERS INC 701 E MARSHALL STREET WEST CHESTER PA 19380 233076589 PHYSICIAN SERVICES PA N/A C 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 CHESTER COUNTY HOSPITAL A 37632 FMV PROFESSIONAL PROVIDERS INC A 18000 FMV CHESTER COUNTY OBGYN ASSOCIATES INC Q -523000 CASH CHESTER COUNTY HOSPITAL N -2419234 COST CHESTER COUNTY HOSPITAL AND HEALTH SYSTEM O -291934 COST