2017-05-12T11:06:05-05:00 2016-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST STE 1800 PHILADELPHIA PA 19103 990 2015-07-01 264233321 CHESTER COUNTY HOSPITAL & HEALTH SYSTEM % KENNETH E FLICKINGER CHES 6104315000 701 E MARSHALL STREET WEST CHESTER PA 19380 KEITH KASPER TREASURER 6104315000 2017-05-03 true ANTONIO C RUSSO P00858539 2673303000 2015 2021-01-29 14:40:06Z MICHAEL J DUNCAN 701 E MARSHALL STREET WEST CHESTER PA 19380 1676845 false X WWW.CCHOSP.COM X 2010 PA THE PROVISION OF MANAGEMENT SERVICES TO THE CHESTER COUNTY HOSPITAL AND ITS AFFILIATES. 11 7 7 0 0 0 0 0 3289704 1670135 6710 6710 0 0 3296414 1676845 0 0 0 0 3370391 1568086 0 0 0 27889 12316 3398280 1580402 -101866 96443 787504 152520 534473 0 253031 152520 THE PROVISION OF MANAGEMENT SERVICES TO THE CHESTER COUNTY HOSPITAL AND ITS AFFILIATES. false false 1568086 0 1670135 THE PROVISION OF MANAGEMENT SERVICES TO THE CHESTER COUNTY HOSPITAL AND ITS AFFILIATES (THE "SYSTEM") IN ORDER TO ASSIST WITH THE PROVISION OF QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. 1568086 true false false false false false false false false false false false false false false true false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 0 0 7 true false false false false false false false false false false X 11 7 false false false false false false false true true false false true true true true true true true true false PA X KENNETH E FLICKINGER 6104315000 701 E MARSHALL STREET WEST CHESTER PA 19380 X WILLIAM W WYLIE JR CHAIRPERSON 2.0 2.0 X X 0 0 0 FRANCIS H ABBOTT JR EX-OFFICIO TRUSTEE 1.0 1.0 X 0 0 0 CHARLES J BARR MD TRUSTEE 1.0 1.0 X 0 0 0 DENNIS A BERMAN MD TRUSTEE 10.0 50.0 X 0 374109 2730 JAMES S DENHAM IV TRUSTEE 1.0 1.0 X 0 0 0 DEBORAH A DRISCOLL MD TRUSTEE 1.0 40.0 X 0 963515 25181 STEVE G FUKUCHI MD TRUSTEE 1.0 1.0 X 0 0 0 PATRICIA KNECHT PHD RN ANEF TRUSTEE 1.0 1.0 X 0 0 0 KEVIN B MAHONEY TRUSTEE 1.0 46.0 X 0 1316417 171033 JOHN J MOLINELLI TRUSTEE 1.0 1.0 X 0 0 0 RALPH W MULLER EX-OFFICIO TRUSTEE 1.0 50.0 X 0 2610717 11913 BERT W O'MALLEY JR MD TRUSTEE 1.0 39.0 X 0 1352913 57303 CATHY A WILSON ESQ TRUSTEE 1.0 1.0 X 0 0 0 MICHAEL J DUNCAN PRES, CEO & EX-OFFICIO TRUSTEE 1.0 50.0 X X 0 716329 5157 KEITH KASPER TREASURER 1.0 59.0 X 0 1239567 161719 KENNETH E FLICKINGER ASST TREASURER/SVP FINANCE 1.0 49.0 X 0 466585 6618 KEVIN R O'BRIEN JD MLT SECRETARY & SVP DEVELOPMENT 1.0 49.0 X 0 314041 6979 MICHAEL D BARBER COO 1.0 49.0 X 0 439325 1498 ANGELA R COLADONATO RN MSN SVP NURSING 1.0 49.0 X 0 341199 7030 RICHARD DONZE DO SVP MEDICAL AFFAIRS 1.0 49.0 X 0 501109 4107 KAREN M PINKSKY MD CHIEF MED INFO OFFICER 1.0 1.0 X 0 0 0 KATHLEEN GORMAN SVP STRATEGIC PLANNING & MKTG 1.0 49.0 X 0 141037 2534 0 10776863 463802 160 false true false ANCHOR CHESTER MOB LP 13OO N GRANT AVE SUITE 209 WILMINGTON DE 19806 RENTAL SRVCS 5221715 HSC BUILDERS CONSTRUCTION MGRS 304 NEW MILL LANE EXTON PA 19341 CONSTRUCTION SRVCS 941624 LF DRISCOLL COMPANY LLC 9 PRESIDENTIAL BLVD BALA CYNWYD PA 19004 CONSTRUCTION SRVCS 727846 MOBILE PET CT ASSOCIATES LLC 485 NORRISTOWN ROAD BLUE BELL PA 19422 MEDICAL SRVCS 386340 EMERGENCY CARE SPECIALISTS PC PO BOX 667 TOMS RIVER NJ 08754 MEDICAL SRVCS 361568 17 X 0 HOSPITAL MANAGEMENT FEES 541610 1670135 1670135 0 0 1670135 6710 0 0 6710 0 0 0 0 0 0 0 0 0 0 1676845 1670135 0 6710 0 0 0 0 0 0 1302970 1302970 26547 26547 0 0 218835 218835 19734 19734 0 0 0 0 0 0 1709 0 1709 0 0 0 0 0 0 0 0 0 0 0 0 OTHER EXPENSES 10607 10607 1580402 1568086 12316 0 557812 151520 0 0 0 0 6032 1000 223660 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 787504 152520 506363 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28110 0 534473 0 X 253031 152520 0 0 0 0 253031 152520 787504 152520 X 96443 -196954 X false true X true false X X X 2 THE CHESTER COUNTY HOSPITAL 230469150 3 true 0 0 TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA 231352685 2 true 0 0 2 0 0 true false false false false false false false false false false false false false false true false 0 0 X SCHEDULE D, PART X, LINE 2 TEXT OF FIN 48 (ASC 740) FOOTNOTE THIS ORGANIZATION IS AN AFFILIATE OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). THE FIN 48 (ASC 740) FOOTNOTE BELOW DERIVES FROM THE CONSOLIDATED JUNE 30, 2016 FINANCIAL STATEMENTS OF THE UNIVERSITY: THE UNIVERSITY REGULARLY EVALUATES ITS TAX POSITION AND DOES NOT BELIEVE IT HAS ANY UNCERTAIN TAX POSITIONS THAT REQUIRE DISCLOSURE OR ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS. false true false false false false false true false DENNIS A BERMAN MD TRUSTEE 0 323030 0 40000 0 11079 0 0 0 2730 0 376839 0 0 DEBORAH A DRISCOLL MD TRUSTEE 0 671724 0 271260 0 20531 0 23850 0 1331 0 988696 0 0 KEVIN B MAHONEY TRUSTEE 0 730115 0 358339 0 227963 0 144201 0 26832 0 1487450 0 158933 RALPH W MULLER EX-OFFICIO TRUSTEE 0 1534477 0 725154 0 351086 0 0 0 11913 0 2622630 0 0 BERT W O'MALLEY JR MD TRUSTEE 0 969771 0 381348 0 1794 0 23850 0 33453 0 1410216 0 0 MICHAEL J DUNCAN PRES, CEO & EX-OFFICIO TRUSTEE 0 615613 0 82200 0 18516 0 0 0 5157 0 721486 0 0 KEITH KASPER TREASURER 0 679002 0 332742 0 227823 0 133900 0 27819 0 1401286 0 120386 KENNETH E FLICKINGER ASST TREASURER/SVP FINANCE 0 341165 0 106628 0 18792 0 0 0 6618 0 473203 0 0 KEVIN R O'BRIEN JD MLT SECRETARY & SVP DEVELOPMENT 0 239318 0 56207 0 18516 0 0 0 6979 0 321020 0 0 MICHAEL D BARBER COO 0 329102 0 91947 0 18276 0 0 0 1498 0 440823 0 0 ANGELA R COLADONATO RN MSN SVP NURSING 0 265170 0 55649 0 20380 0 0 0 7030 0 348229 0 0 RICHARD DONZE DO SVP MEDICAL AFFAIRS 0 366507 0 115810 0 18792 0 0 0 4107 0 505216 0 0 FORM 990, SCHEDULE J, PART I, LINE 3 TOP MANAGEMENT COMPENSATION AS PROVIDED IN THE FORM 990, SCHEDULE J INSTRUCTIONS, SINCE THE ORGANIZATION RELIES ON A RELATED ORGANIZATION WHICH USES ONE OR MORE OF THE METHODS DESCRIBED IN LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION, THIS QUESTION HAS BEEN LEFT UNANSWERED. REFER TO SCHEDULE O FOR A DESCRIPTION OF THE COMPENSATION REVIEW AND APPROVAL PROCESS. ------------------------------ FORM 990, SCHEDULE J, LINE 4B SUPP NONQUALIFIED RET. PLAN PARTICIPATION CERTAIN TRUSTEES, OFFICERS AND/OR KEY EMPLOYEES OF THIS ORGANIZATION ARE COMPENSATED BY A RELATED ORGANIZATION, THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("HEALTH SYSTEM") MAINTAINS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") DESIGNED FOR SENIOR ADMINISTRATORS OF THE HEALTH SYSTEM, AS DESIGNATED BY THE BOARD OF TRUSTEES, WHO ARE ACTIVELY EMPLOYED BY THE HEALTH SYSTEM WHEN THE CONTRIBUTIONS ARE MADE. VESTING IN THE SERP OCCURS AFTER EACH THREE YEARS OF PARTICIPATION AND UPON THE OCCURRENCE OF CERTAIN EVENTS (ATTAINMENT OF AGE 65, DEATH, DISABILITY, OR INVOLUNTARY TERMINATION WITHOUT "CAUSE"). CONTRIBUTIONS FOR THOSE WHO HAVE REACHED AGE 65 WILL BE FULLY VESTED WHEN MADE. UPON REACHING A VESTING DATE, PARTICIPANTS WILL AUTOMATICALLY RECEIVE A FULL DISTRIBUTION WHICH IS TAXABLE AS EARNED INCOME. PARTICIPANTS WHO VOLUNTARILY TERMINATE BEFORE VESTING WILL FORFEIT THE BALANCE IN THEIR ACCOUNTS. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN THE UNIVERSITY/HEALTH SYSTEM SERP PLAN DURING THE YEAR: KASPER, KEITH- $120,386 MAHONEY, KEVIN- $158,933 MULLER, RALPH- $302,462 ----------------------------- FORM 990, SCHEDULE J, LINE 7 PROVISION OF NON-FIXED PAYMENTS CHESTER COUNTY HOSPITAL & HEALTH SYSTEM PROVIDES DISCRETIONARY BONUS AND/OR INCENTIVE COMPENSATION PAYMENTS TO ELIGIBLE EMPLOYEES. PAYMENTS MADE TO ANY DISQUALIFIED PERSON IS APPROVED BY THE COMPENSATION COMMITTEE THROUGH THE PROCESS DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 15. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 REVIEW PROCESS INFORMATION RELATED TO THIS ORGANIZATION'S FORM 990 FILING IS GATHERED BY FINANCE STAFF AND PROVIDED TO PRICEWATERHOUSECOOPERS LLP FOR REVIEW AND RETURN PREPARATION. THE FINAL COPY OF THE 2015 FORM 990 WAS REVIEWED BY VARIOUS SENIOR FINANCIAL MANAGEMENT OFFICIALS BEFORE IT WAS FILED WITH THE IRS. A COPY OF THE 2015 FORM 990 WAS ALSO MADE AVAILABLE TO EACH BOARD MEMBER. ------------------------------ FORM 990, PART VI, SECT. A, LINE 12C CONFLICT OF INTEREST POLICY THIS ORGANIZATION IS AN AFFILIATE OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). EACH COVERED PERSON* ANNUALLY SHALL COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE PROVIDED BY THE UNIVERSITY AND SHALL UPDATE SUCH QUESTIONNAIRE PROMPTLY AS NECESSARY TO REFLECT CHANGES DURING THE COURSE OF THE YEAR. FORMER BOARD MEMBERS WHO ARE NOT TRUSTEE EMERITI ARE ENCOURAGED BUT NOT REQUIRED TO COMPLETE THE QUESTIONNAIRE DURING THE FIVE-YEAR PERIOD FOLLOWING COMPLETION OF THEIR TERMS. COMPLETED QUESTIONNAIRES SHALL BE RETURNED TO THE OFFICE OF THE SECRETARY AND SHALL BE SUBJECT TO REVIEW BY SUCH OFFICE AND THE OFFICE OF THE GENERAL COUNSEL, AS WELL AS BY ANY OUTSIDE LEGAL COUNSEL AND/OR AUDITORS WHO MAY BE APPOINTED TO ADVISE THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES APPOINTED TO OVERSEE THIS POLICY. COMPLETED QUESTIONNAIRES ALSO SHALL BE AVAILABLE FOR INSPECTION BY ANY BOARD MEMBER. *COVERED PERSONS INCLUDE: (1) VOTING MEMBERS OF THE BOARD OF TRUSTEES (INCLUDING CHARTER TRUSTEES, TERM TRUSTEES, ALUMNI TRUSTEES, AND COMMONWEALTH TRUSTEES); (2) TRUSTEE EMERITI WHO HAVE SERVED IN THAT CAPACITY FOR FIVE YEARS OR LESS; (3) OTHER FORMER VOTING TRUSTEES FOR A PERIOD OF FIVE YEARS FROM THE END OF THEIR TERM AS SUCH; (4) OFFICERS AS DEFINED IN THE STATUTES; (5) MEMBERS OF THE INVESTMENT BOARD; AND (5) KEY EMPLOYEES. EACH COVERED PERSON (EXCEPT FORMER BOARD MEMBERS WHO ARE NOT TRUSTEE EMERITI) SHALL BE REQUIRED TO ACKNOWLEDGE, NOT LESS THAN ANNUALLY, THAT HE OR SHE HAS READ AND IS IN COMPLIANCE WITH THIS POLICY. ------------------------------ FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION PROCESS THIS ORGANIZATION IS AN AFFILIATE OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). COMPENSATION ARRANGEMENTS INVOLVING ANY OF OUR OFFICERS AND/OR KEY EMPLOYEES ARE ESTABLISHED BY THE UNIVERSITY PURSUANT TO A PROCESS THAT SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR SECTION 4958 EXCESS BENEFIT TRANSACTION TAX PURPOSES (WHICH REQUIRES A REVIEW OF COMPENSATION DETERMINATIONS BY DISINTERESTED PERSONS, USE OF APPROPRIATE COMPARABILITY DATA, AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS). ------------------------------ FORM 990, PART VI, SECTION C DCOUMENTS AVAILABILITY TO PUBLIC OUR FORMS 990, GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. -------------------------- FORM 990, PART XI, LINE 9 RECONCILIATION OF NET ASSETS TRANSFER TO AFFILIATE $(196,954) -------------------------- ABRAMSON INSTITUTE 1086 PENLLYN BLUE BELL PIKE BLUE BELL PA 19422 232929823 MED RESEARCH PA 501(c)(3) 4 NA false CARL V S PATTERSON 19 UN OF PA C/O PNC BANK 620 LIBERTY AVE 10FL PITTSBURGH PA 15222 236415355 SUPPORT TRUST PA 4947(A)(1) N/A NA false CLINICAL CARE ASSOCIATES OF UPHS 250 KING OF PRUSSIA RD 4TH FL RADNOR PA 19087 232729852 HEALTHCARE PA 501(c)(3) 9 TRUSTEES false FRANKLIN SPECIALTY PHYSICIANS 3451 WALNUT STREET PHILADELPHIA PA 19104 232992715 SUPPORT ORG PA 501(c)(3) 11, II PA HOSPITAL false LANCASTER GENERAL HEALTH 555 NORTH DUKE STREET LANCASTER PA 17604 232250941 SUPPORT ORG PA 501(C)(3) 11, II TRUSTEES false LANCASTER GENERAL HEALTH COLUMBIA CENTER 306 NORTH 7TH STREET COLUMBIA PA 17512 230485650 FACILITY MGMT PA 501(C)(3) 3 LG HOSPITAL false LANCASTER GENERAL HEALTH FOUNDATION 555 NORTH DUKE STREET LANCASTER PA 17604 205767147 FUNDRAISING PA 501(C)(3) 11, I NA false LANCASTER GENERAL HEALTH HOLDINGS 555 NORTH DUKE STREET LANCASTER PA 17604 204943109 HEALTHCARE PA 501(C)(3) 3 LG HEALTH false LANCASTER GENERAL HOSPITAL 555 NORTH DUKE STREET LANCASTER PA 17604 231365353 HEALTHCARE PA 501(C)(3) 3 LG HEALTH false LANCASTER GENERAL MEDICAL GROUP 1030 NEW HOLLAND AVENUE LANCASTER PA 17601 232777286 HEALTHCARE PA 501(C)(3) 3 LG HEALTH false MORRIS EST LYDIA T DECD TW 1525 W WT HARRIS BLVD CHARLOTTE NC 28262 236210940 SUPPORT TRUST PA 501(C)(3) 11, III-FI NA false NEIGHBORHOOD HEALTH AGENCIES INC 795 E MARSHALL STREET WEST CHESTER PA 19380 232324782 NURSING PA 501(C)(3) 11, I CCH&HS true NEIGHBORHOOD LEAGUE HEALTH SERVICES 795 E MARSHALL STREET WEST CHESTER PA 19380 232324787 HEALTH SRVCS PA 501(C)(3) 9 CCH&HS true NEIGHBORHOOD VISITING NURSE ASSOCIATION 795 E MARSHALL STREET WEST CHESTER PA 19380 231352243 NURSING PA 501(C)(3) 7 CCH&HS true OAP INC 3451 WALNUT STREET ROOM 329 PHILADELPHIA PA 19104 231986931 SUPPORT ORG PA 501(c)(3) 11, I TRUSTEES false PENN CENTER FOR REHAB AND CARE 3609 CHESTNUT STREET PHILADELPHIA PA 19104 232422635 HEALTHCARE PA 501(c)(3) 3 PMC false PENN CLUB OF NEW YORK INC 30 WEST 44TH STREET NEW YORK NY 10036 232726687 CLUB NY 501(c)(7) N/A NA false PENN PRAXIS INC 210 SOUTH 34TH STREET PHILADELPHIA PA 19104 752974931 SUPPORT ORG PA 501(c)(3) 11, I TRUSTEES false PENN PRESS INC 3905 SPRUCE STREET PHILADELPHIA PA 19107 231876142 PUBLISHING PA 501(c)(3) 11, I TRUSTEES false PENNSYLVANIA COLLEGE OF HEALTH SCIENCES 850 GREENFIELD ROAD LANCASTER PA 17601 061645496 HEALTH EDU PA 501(C)(3) 2 LG HOSPITAL false PENNSYLVANIA HOSPITAL OF UPHS 800 SPRUCE STREET PHILADELPHIA PA 19107 311538725 HEALTHCARE PA 501(C)(3) 3 TRUSTEES false PGH DEVELOPMENT CORP 426 CURIE BLVD PHILADELPHIA PA 19104 232351015 SUPPORT ORG PA 501(c)(3) 11, I NA false PHOENIXVILLE HOSPITAL OF UPHS 3001 MARKET STREET 3RD FLOOR PHILADELPHIA PA 19104 232901089 SUPPORT ORG PA 501(c)(3) 3 TRUSTEES false PRESBYTERIAN ANESTHESIOLOGY FOUNDATION 51 NORTH 39TH STREET PHILADELPHIA PA 19104 232561573 SUPPORT ORG PA 501(c)(3) 11, I PMC false PRESBYTERIAN MEDICAL CENTER OF UPHS 51 NORTH 39TH STREET PHILADELPHIA PA 19104 232810852 HEALTHCARE PA 501(c)(3) 3 TRUSTEES false PRESBYTERIAN MULTI-SPECIALTY GROUP 51 NORTH 39TH STREET PHILADELPHIA PA 19104 232723154 HEALTHCARE PA 501(c)(3) 9 PMC false PRESBYTERIAN PERSONAL CARE RESIDENCE 51 NORTH 39TH STREET PHILADELPHIA PA 19104 232294713 HEALTHCARE PA 501(c)(3) 11, I PMC false SS HUEBNER FOUNDATION FOR INSURANCE EDUC 3000 STEINBERG HALL PHILADELPHIA PA 19104 236297325 EDU SUPPORT PA 501(c)(3) 11, I NA false THE ASC TRUST OF THE UNIV OF PA 1500 MARKET ST STE 3500E PHILADELPHIA PA 19102 810550464 BUS. 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