CHESPENN HEALTH SERVICES: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: CHESPENN HEALTH SERVICES (EIN 23-7354899)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-04-11
IRS object ID: 201141019349300724
Schema version: 2009v1.7
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-04-11T18:42:19-05:00	Timestamp
Tax Period End Date	2010-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ParenteBeard LLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	46 Public Square Suite 400	AddressLine1
City	WilkesBarre	City
State	PA	State
ZIP Code	18701	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	237354899	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CHESPENN HEALTH SERVICES INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	CHES	NameControl
Phone	6104853800	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2600 WEST 9TH STREET 2 NORTH	AddressLine1
City	CHESTER	City
State	PA	State
ZIP Code	19013	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Michael G Lucas	Name
Title	President/CEO	Title
Phone	6104853800	Phone
Date Signed	2011-03-31	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Julius Green CPA	Name
Phone	5708200100	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	MICHAEL G LUCAS	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	2600 WEST 9TH STREET 2 NORTH	AddressLine1
City	CHESTER	City
State	PA	State
ZIP Code	19013	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	8677262	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	WWW.CHESPENN.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1973	YearFormation
State Legal Domicile	PA	StateLegalDomicile
Activity Or Mission Description	OPERATES FOUR COMPREHENSIVE HEALTH CENTERS LOCATED IN CHESTER AND DELAWARE COUNTIES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	17	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	17	NbrIndependentVotingMembers
Total Nbr Employees	104	TotalNbrEmployees
Total Nbr Volunteers	0	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2247223	ContributionsGrantsPriorYear
Contributions Grants Current Year	2856071	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	5303293	ProgramServiceRevenuePriorYear
Program Service Revenue CY	5798455	ProgramServiceRevenueCY
Investment Income Prior Year	18067	InvestmentIncomePriorYear
Investment Income Current Year	22736	InvestmentIncomeCurrentYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	7568583	TotalRevenuePriorYear
Total Revenue Current Year	8677262	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	4235885	SalariesEtcPriorYear
Salaries Etc Current Year	4717145	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	8917	TotalFundrsngExpCurrentYear
Other Expense Prior Year	2767604	OtherExpensePriorYear
Other Expenses Current Year	3242467	OtherExpensesCurrentYear
Total Expenses Prior Year	7003489	TotalExpensesPriorYear
Total Expenses Current Year	7959612	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	565094	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	717650	RevenuesLessExpensesCY
Total Assets BOY	4462017	TotalAssetsBOY
Total Assets EOY	5087449	TotalAssetsEOY
Total Liabilities BOY	773400	TotalLiabilitiesBOY
Total Liabilities EOY	681182	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	3688617	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	4406267	NetAssetsOrFundBalancesEOY
Mission Description	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 FEE SCALE. CHESPENN HEALTH SERVICES STRIVES TO MEET THE UNIQUE HEALTH NEEDS IN ITS COMMUNITIES IN LINGUISTICALLY AND CULTURALLY COMPETENT WAYS.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	6646023	Expense
Revenue	5798455	Revenue
Description	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 and an In-House PHYSICIAN DISPENSARY.	Description
Total Program Service Expense	6646023	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Balance Sheet Amounts Reported	1	BalanceSheetAmountsReported
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	20	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	104	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Nbr Voting Governing Body Members	17	NbrVotingGoverningBodyMembers
Number Independent Voting Members	17	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	1	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	0	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	0	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	PA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Daniel A Caplan	NamePerson
Telephone Number	6104853800	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2600 West 9th Street 2 North	AddressLine1
City	Chester	City
State	PA	State
ZIP Code	19013	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
WILLIE MAE WELLS
PRESIDENT	1.00	X	X	0	0	0
MITCHELL A KAMINSKI MD
VICE PRESIDENT	1.00	X	X	0	0	0
RAE ROEDER
SECRETARY	1.00	X	X	0	0	0
JOAN RICHARDS
TREASURER	1.00	X	X	0	0	0
SHANA M HIGGS
BOARD MEMBER	1.00	X		0	0	0
NEYDARY ZAMBRANO
BOARD MEMBER	1.00	X		0	0	0
REGINA HORTON
BOARD MEMBER	1.00	X		0	0	0
KAREN LOCKE
BOARD MEMBER	1.00	X		0	0	0
ANTHONY HALL
BOARD MEMBER	1.00	X		0	0	0
DONNA LAWLER
BOARD MEMBER	1.00	X		0	0	0
CAROL ALLEN
BOARD MEMBER	1.00	X		0	0	0
ELAINE GREENE-UPTON
BOARD MEMBER	1.00	X		0	0	0
ERNESTINE DENNIS
BOARD MEMBER	1.00	X		0	0	0
C DALE DICKERSON
BOARD MEMBER	1.00	X		0	0	0
JEFFREY GREEN
BOARD MEMBER	1.00	X		0	0	0
GWEN SMITH
BOARD MEMBER	1.00	X		0	0	0
LAVADA DRIGGINS
BOARD MEMBER	1.00	X		0	0	0
MICHAEL G LUCAS
President/CEO	40.00		X	178110	0	22544
REKHA YAGNIK MD
MEDICAL DIRECTOR	40.00			196139	0	15874	X
SALUD TIRO MD
PHYSICIAN	40.00			138046	0	13118	X
MARINA SIGIDIN MD
PHYSICIAN	40.00			145914	0	16524	X
RAQUIBUL ISLAM MD
PHYSICIAN	40.00			133430	0	15534	X
SARWAT JAHAN MD
PHYSICIAN	40.00			129820	0	12247	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	921459	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	95841	TotalOtherCompensation
Number Individuals GT100 K	6	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Coordinated Care Network
300 Penn Center Blvd	Pittsburgh	PA	15235	Contracted Pharmacy Services	685090
Health Access Network
One Medical Center Blvd	Upland	PA	19013	Contracted Physician Services	232305
Crozer-Keystone Health System
100 West Sproul Rd Pavilion II	Management Financial	PA	19064	Management & Financial Services Agreemen	181986
McKesson Medical
PO Box 933027	Atlanta	GA	31193	Medical Equipment & Suplies	121449

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	4	NumberOfContractorsGT100K
Federated Campaigns	81818	FederatedCampaigns
Government Grants	2141754	GovernmentGrants
All Other Contributions	632499	AllOtherContributions
Total Contributions	2856071	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	Net Patient Service Re	Description
Business Code	621400	BusinessCode
Total Revenue Column	5798455	TotalRevenueColumn
Related Or Exempt Function Income	5798455	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	5798455	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	22736	TotalRevenueColumn
Exclusion	$22,736	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	8677262	TotalRevenueColumn
Related Or Exempt Function Income	5798455	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$22,736	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	200654	Total
Management And General	200654	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	3706938	Total
Program Services	3344583	ProgramServices
Management And General	355134	ManagementAndGeneral
Fundraising	7221	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	151140	Total
Program Services	133568	ProgramServices
Management And General	17194	ManagementAndGeneral
Fundraising	378	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	364548	Total
Program Services	311728	ProgramServices
Management And General	51957	ManagementAndGeneral
Fundraising	863	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	293865	Total
Program Services	259816	ProgramServices
Management And General	33594	ManagementAndGeneral
Fundraising	455	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	181986	Total
Management And General	181986	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	6541	Total
Management And General	6541	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	41490	Total
Management And General	41490	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	399989	Total
Program Services	339615	ProgramServices
Management And General	60374	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	3842	Total
Management And General	3842	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	357877	Total
Program Services	289532	ProgramServices
Management And General	68345	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	180862	Total
Program Services	62074	ProgramServices
Management And General	118788	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	705902	Total
Program Services	627160	ProgramServices
Management And General	78742	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	41048	Total
Program Services	26319	ProgramServices
Management And General	14729	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	1173	Total
Management And General	1173	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	256969	Total
Program Services	243273	ProgramServices
Management And General	13696	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	12080	Total
Program Services	7313	ProgramServices
Management And General	4767	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PATIENT CARE	834598	828681	5917
PROVISION FOR DOUBTFUL	155377	155377
DUES AND SUBSCRIPTIONS	40209	5708	34501
MISCELLANEOUS	11951	9410	2541
SERVICE CHARGES	8748	1061	7687

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1825	Total
Program Services	805	ProgramServices
Management And General	1020	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	7959612	Total
Program Services	6646023	ProgramServices
Management And General	1304672	ManagementAndGeneral
Fundraising	8917	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	45128	BOY
EOY	60190	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1438087	BOY
EOY	1809306	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	137322	BOY
EOY	179471	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	211580	BOY
EOY	195385	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	43993	BOY
EOY	32490	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	64612	BOY
EOY	70915	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	4439735	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1995639	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	2320431	BOY
EOY	2444096	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	200864	BOY
EOY	295596	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	4462017	BOY
EOY	5087449	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	689744	BOY
EOY	664932	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	20000	BOY
EOY	16250	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	63656	BOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	773400	BOY
EOY	681182	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3688617	BOY
EOY	4406267	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	3688617	BOY
EOY	4406267	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	4462017	BOY
EOY	5087449	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1976050	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1979522	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2167512	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2247223	CurrentTaxYearMinus1Year
Current Tax Year	2856071	CurrentTaxYear
Total	11226378	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1976050	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1979522	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2167512	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2247223	CurrentTaxYearMinus1Year
Current Tax Year	2856071	CurrentTaxYear
Total	11226378	Total

Field	Value	IRS element (for citing)
Public Support Total170	11226378	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	15853	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	33851	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	23262	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	18067	CurrentTaxYearMinus1Year
Current Tax Year	22736	CurrentTaxYear
Total	113769	Total

Field	Value	IRS element (for citing)
Total Support	11340147	TotalSupport
Gross Receipts From Admissions Etc	22107333	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.99000	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.99070	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	100838	OtherCostOrOtherBasis
Book Value	100838	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2663637	OtherCostOrOtherBasis
Depreciation	831211	Depreciation
Book Value	1832426	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	344194	OtherCostOrOtherBasis
Depreciation	29434	Depreciation
Book Value	314760	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1265245	OtherCostOrOtherBasis
Depreciation	1105968	Depreciation
Book Value	159277	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	65821	OtherCostOrOtherBasis
Depreciation	29026	Depreciation
Book Value	36795	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	2444096	TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescription	Book ValueBookValue
SECURITY DEPOSITS	7525
Estimated third-party payor settlements	288071

Field	Value	IRS element (for citing)
Total Book Value Other Assets	295596	TotalBookValueOtherAssets
Total Revenue	8677262	TotalRevenue
Total Expenses	7959612	TotalExpenses
Excess Or Deficit For Year	717650	ExcessOrDeficitForYear
Total Adjustments	0	TotalAdjustments
Excess Or Deficit Per FS	717650	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	8677262	TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	8677262	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	8677262	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	7959612	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	7959612	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	7959612	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	Part X:	Identifier
Return Reference	Description of Uncertain Tax Positions Under FIN 48:	ReturnReference
Explanation	The Corporation is a not-for-profit entity as described in Section 501(c) (3) of the Internal Revenue Code and is exempt from federal income taxes on its exempt income under Section 501(a) of the Internal Revenue Code. The Corporation is also exempt from state and local income taxes under similar statutes. Accordingly, no provision for income taxes has been recorded in the accompanying financial statements. 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 UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2010.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MICHAEL G LUCAS
157260	0	20850	0	0	0	10742	0	11802	0	200654	0	0	0
REKHA YAGNIK MD
193958	0	2181	0	0	0	9807	0	6067	0	212013	0	0	0
SALUD TIRO MD
136484	0	1562	0	0	0	6902	0	6216	0	151164	0	0	0
MARINA SIGIDIN MD
144305	0	1609	0	0	0	7296	0	9228	0	162438	0	0	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifier	ExplanationExplanation
Form 990, Part VI, Section A, line 3	CROZER KEYSTONE HEALTH SYSTEM PROVIDES FISCAL, LEGAL, AND HEALTH SERVICES VIA THE MANAGEMENT CONSULTING AND ADMINISTRATIVE AGREEMENT.
Form 990, Part VI, Section B, line 11	THE FINAL 990 RETURN WAS PRESENTED 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 15a	To determine the salary of the CEO, ChesPenn Health Services relies on survey information from two sources. The first source is an annual survey conducted by The Hospital and 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 market compensation.
Form 990, Part VI, Section C, line 19	The organization's governing documents, conflict of interest policy, and financial statements are available to the public upon request.
FORM 990, PART XI, LINE 2C:	THE ORGANIZATION HAS AN AUDIT COMMITTEE THAT IS RESPONSIBLE FOR OVERSIGHT DURING THE AUDIT As well as for the SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.
Form 990, Part VI, Section B, Line 13:	The Organization is currently developing a whistleblower policy which is expected to be approved by the Board in fiscal year 2011.