TY 2010 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) HL PERRY PEPPER PRESIDENT & CEO	26.50	X	X		0	579,401	26,542
(2) KENNETH FLICKINGER TREASURER	26.50	X	X		0	303,067	26,992
(3) WILLIAM W WYLIE CHAIRMAN	10.00	X	X		0	0	0
(4) JAMES S DENHAM DIRECTOR	2.00	X			0	0	0
(5) ALFRED GOLLATZ ESQ DIRECTOR	5.00	X			0	0	0
(6) CAROL WARE GATES DIRECTOR	2.00	X			0	0	0
(7) CELESTE E DEBAPTISTE MD DIRECTOR	2.00	X			0	0	0
(8) PATRICIA KNECHT DIRECTOR	2.00	X			0	0	0
(9) GABRIEL RUGGEIRO DO DIRECTOR	2.00	X			0	0	0
(10) RICHARD D DONZE SVP, MEDICAL AFFAIRS	37.50		X		0	324,752	26,992
(11) MICHAEL D BARBER SVP, CHIEF OPERATING OFFIC	40.00		X		0	266,041	26,992
(12) JEAN M CAULFIELD SVP, PROFESSIONAL SERVICES	28.50		X		0	234,631	21,230
(13) KEVIN O'BRIEN SVP, DEVELOPMENT OFFICER	25.00		X		0	212,747	27,069
(14) ANGELA R COLADONATO SVP, EXECUTIVE NURSING OFF	40.00		X		0	201,821	28,069
(15) PAUL F HUBERTY SVP, STRATEGIC PLANNING OF	40.00		X		0	202,986	28,069
(16) MICHAEL J DUNCAN PRESIDENT & CEO EFFECTIVE 5-1-2011	40.00		X		0	95,000	4,500
(17) JAMES HEALD PATHOLOGIST	50.00			X	328,680	0	12,406

(A) Name and business address	(B) Description of services	(C) Compensation
CHESTER COUNTY HOSPITAL AND HEALTH SYSTE 701 E MARSHALL ST WEST CHESTER,PA19380	SENIOR MANAGEMENT SERVICES	2,253,420
WEST CHESTER AMBULATORY SERVICE 708 E MARSHALL ST WEST CHESTER,PA19380	INHOUSE PHYSICIAN CLINICAL SERVICES	1,675,000
WEST CHESTER ANESTHESIA ASSOCIATION 708 E MARSHALL ST WEST CHESTER,PA19380	CLINICAL PHYSICIAN/CRNA SERVICES	960,000
ALOYSIUS BUTLER & CLARK PO BOX 672 WILMINGTON,DE19899	MARKETING AND ADVERTISING	625,781
PROFESSIONAL PROVIDERS INC 701 E MARSHALL ST WEST CHESTER,PA19380	PHYSICIAN & NON-PHYSICIAN SERVICES	619,150
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization 35

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21	6,179,855	6,179,855
2	Grants and other assistance to individuals in the U.S. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	95,103,724	91,299,575	3,756,597	47,552
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....	647,094	621,210	25,560	324
9	Other employee benefits .......	12,330,803	11,837,571	487,067	6,165
10	Payroll taxes ...........	7,015,731	6,735,102	277,121	3,508
11	Fees for services (non-employees):
a	Management ......	1,381,699		1,381,699
b	Legal .........	222,323		222,323
c	Accounting ...........	77,660		77,660
d	Lobbying ...........
e	Professional fundraising. See Part IV, line 17..
f	Investment management fees ......	6,025		6,025
g	Other ..........	28,620,193	27,475,385	1,144,808
12	Advertising and promotion ....	1,138,101	1,092,577	45,524
13	Office expenses .......	53,211,288	52,390,409	820,879
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	8,064,816	7,742,223	322,593
17	Travel ............	178,811	171,659	7,152
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	398	382	16
20	Interest ...........	2,562,530	2,460,029	102,501
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	9,509,696	9,129,308	380,388
23	Insurance ..............	2,241,752	2,152,082	89,670
24	Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a	BAD DEBTS	12,159,073	12,159,073
b	REPAIRS & MAINTENANCE	1,106,494	1,062,234	44,260
c	DUES AND SUBSCRIPTIONS	473,933	454,976	18,957
d	AWARDS & SOCIAL EXPENSE	36,790	35,317	1,473
e	LIBRARY EXPENSE	9,353	8,979	374
f	All other expenses
25	Total functional expenses. Add lines 1 through 24f	242,278,142	233,007,946	9,212,647	57,549
26	Joint costs. Check here if following SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........		1
2	Savings and temporary cash investments .......	5,048,165	2	10,387,882
3	Pledges and grants receivable, net .........		3
4	Accounts receivable, net .........	27,612,867	4	27,052,731
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........		5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........		6
7	Notes and loans receivable, net .............	1,000,000	7
8	Inventories for sale or use ..............	3,220,397	8	3,916,995
9	Prepaid expenses and deferred charges ............	720,532	9	1,337,854
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	182,749,181
b	Less: accumulated depreciation. .....	10b	116,647,517	64,159,041	10c	66,101,664
11	Investments—publicly traded securities ..........	16,165,653	11	25,562,875
12	Investments—other securities. See Part IV, line 11 ......	1,784,803	12	1,342,564
13	Investments—program-related. See Part IV, line 11 ..		13
14	Intangible assets .........		14
15	Other assets. See Part IV, line 11 ...........	30,479,784	15	18,041,535
16	Total assets. Add lines 1 through 15 (must equal line 34)...	150,191,242	16	153,744,100
	17	Accounts payable and accrued expenses .	14,368,817	17	17,431,538
18	Grants payable ..........		18
19	Deferred revenue ..........	138,908	19	136,888
20	Tax-exempt bond liabilities ..........	40,505,000	20	38,405,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..	126,589	23	109,159
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities. Complete Part X of Schedule D.....	6,617,378	25	7,268,744
26	Total liabilities. Add lines 17 through 25.....	61,756,692	26	63,351,329
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	59,606,094	27	72,348,042
28	Temporarily restricted net assets .....	16,893,397	28	4,611,680
29	Permanently restricted net assets .....	11,935,059	29	13,433,049
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	88,434,550	33	90,392,771
34	Total liabilities and net assets/fund balances .....	150,191,242	34	153,744,100

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

CHESTER COUNTY HOSPITAL

Employer identification number

23-0469150

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2010

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2010. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2009. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2010

Name of organization

CHESTER COUNTY HOSPITAL

Employer identification number

23-0469150

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ, that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, aggregate contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not aggregate to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization CHESTER COUNTY HOSPITAL
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part I
Part I	Contributors (see Instructions)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization CHESTER COUNTY HOSPITAL
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part II
Part II	Noncash Property (see Instructions)
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Page 1 of 1 of Part III

Name of organization
CHESTER COUNTY HOSPITAL

Employer identification number

23-0469150

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

CHESTER COUNTY HOSPITAL

Employer identification number

23-0469150

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or pleasure) Preservation of an historically importantly land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06 ........	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2010

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back
1a	Beginning of year balance ....	586,577	585,552	641,716
b	Contributions ........
c	Investment earnings or losses ...	3,242	1,025	-56,164
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......	589,819	586,577	585,552

Provide the estimated percentage of the year end balance held as:

Board designated or quasi-endowment: SchDMd Bullet

Permanent endowment: SchDMd Bullet

100.000 %

Term endowment: SchDMd Bullet

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

Yes

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

InvestmentsLand, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of investment		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	459,937		459,937
b	Buildings ................	25,236,548	20,743,504	4,493,044
c	Leasehold improvements ............	9,076,885	2,959,702	6,117,183
d	Equipment ................	139,707,549	90,089,625	49,617,924
e	Other .................	8,268,262	2,854,686	5,413,576
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........				66,101,664

Schedule D (Form 990) 2010

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) DUE FROM AFFILIATES				676,201
(2) DEFERRED FINANCING COSTS, NET				570,376
(3) INTEREST IN NET ASSETS OF CHESTER COUNTY HOSPITAL FOUNDATION, INC.				3,950,470
(4) BENEFICIAL INTEREST IN PERPETUAL TRUSTS				12,843,230
(5) OTHER ASSETS				1,258




Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........				18,041,535

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Amount
Federal Income Taxes
OBLIGATIONS UNDER CAPITAL LEASE		1,696,478
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS		2,055,367
ACCRUED MALPRACTICE AND WORKERS' COMPENSATION COSTS		2,887,590
OTHER LIABILITIES		47,861
CCHOS ACQUISITION NOTE PAYABLE		300,000
DUE TO AFFILIATE		281,448



Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)		7,268,744
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2010

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1	242,408,315
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2	242,278,142
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3	130,173
4	Net unrealized gains (losses) on investments ..........................	4	330,058
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV) .................................	8	1,497,990
9	Total adjustments (net). Add lines 4 - 8 .............................	9	1,828,048
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10	1,958,221

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......			1	244,306,221
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a	330,058
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV): ............	2d	1,497,990
e	Add lines 2a through 2d .....................			2e	1,828,048
3	Subtract line 2e from line 1.....................			3	242,478,173
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV): ...........	4b	-69,858
c	Add lines 4a and 4b.......................			4c	-69,858
5	Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ......			5	242,408,315

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............			1	242,348,000
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV): ............	2d	69,858
e	Add lines 2a through 2d......................			2e	69,858
3	Subtract line 2e from line 1.....................			3	242,278,142
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV): ............	4b
c	Add lines 4a and 4b.......................			4c	0
5	Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ......			5	242,278,142

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	GENERAL HOSPITAL OPERATIONS
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X:	THE HOSPITAL 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 2011. THE HOSPITAL'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN SUPPLIES AND EXPENSES.
PART XI, LINE 8 - OTHER ADJUSTMENTS:		VALUATION LOSS, BENEFICIAL INTEREST IN PERPETUAL TRUSTS 1,494,748. VALUATION GAIN, INVESTMENTS 3,242.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		VALUATION LOSS, BENEFICIAL INTEREST IN PERPETUAL TRUSTS 1,494,748. VALUATION LOSS, INVESTMENTS 3,242.
PART XII, LINE 4B - OTHER ADJUSTMENTS:		RENTAL EXPENSES -49,511. FUNDRAISING EXPENSES -20,347.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:		RENTAL EXPENSES 49,511. FUNDRAISING EXPENSES 20,347.

Schedule D (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,
or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
right arrow

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization
CHESTER COUNTY HOSPITAL

Employer identification number

23-0469150

Part I

Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and e-mail solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

Yes

If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.

(i) Name and address of individual or entity (fundraiser)	(ii) Activity	(iii) Did fundraiser have custody or control of contributions?		(iv) Gross receipts from activity	(v) Amount paid to (or retained by) fundraiser listed in col. (i)	(vi) Amount paid to (or retained by) organization
	(ii) Activity	Yes	No	(iv) Gross receipts from activity		(vi) Amount paid to (or retained by) organization
Total .................

List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2010

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.

		(a) Event #1 CHESTER COUNTY DAY (event type)	(d) Total Events (Add col. (a) through col. (c))
1	Gross receipts . . .	145,191	145,191
2	Less: Charitable contributions . . .	124,936	124,936
3	Gross income (line 1 minus line 2) . . .	20,255	20,255
4	Cash prizes . . .
5	Non-cash prizes . .
6	Rent/facility costs . .
7	Food and beverages . .
8	Entertainment . . .
9	Other direct expenses .	20,347	20,347
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........		20,347
11	Net income summary. Combine lines 3 and 10 in column (d)............		-92

Part III

Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

(a) Bingo

(b) Pull tabs/Instant
bingo/progressive bingo

(c) Other gaming

(d) Total gaming (Add col. (a) through col. (c))

Gross revenue . . . .

Cash prizes . . . .

Non-cash prizes . . .

Rent/facility costs . . .

Other direct expenses . .

Volunteer labor . . .

	Yes
	No

	Yes
	No

	Yes
	No

Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow

Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow

Enter the state(s) in which the organization operates gaming activities:

Is the organization licensed to operate gaming activities in each of these states? ............

YesNo

If "No," Explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....

YesNo

If "Yes," Explain:

Does the organization operate gaming activities with nonmembers? .................

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? ...........................

YesNo

Schedule G (Form 990 or 990-EZ) 2010

Page 3

Indicate the percentage of gaming activity operated in:

The organization's facility ......................

13a

An outside facility ........................

13b

Provide the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? ......................................

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? ............................

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)

Identifier	ReturnReference	Explanation

Schedule G (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

CHESTER COUNTY HOSPITAL

Employer identification number

23-0469150

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Does the organization have a charity care policy? If "No," skip to question 6a...........

Yes

If "Yes," is it a written policy? .......................

Yes

If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.

Applied uniformly to all hospitals Applied uniformly to most hospitals Generally tailored to individual hospitals

Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.

Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low

income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If

"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....

Yes

200% 250% 300% 350% 400% Other

If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Does the organization's policy provide free or discounted care to the "medically indigent"? ......

Yes

Does the organization budget amounts for free or discounted care provided under its charity care policy? ...

Yes

If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............

Does the organization prepare an annual community benefit report?.............

Yes

If "Yes," does the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Charity Care and Certain Other Community Benefits at Cost

	(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(e) Net community benefit expense	(f) Percent of total expense
a Charity care at cost (from Worksheets 1 and 2) ..			956,642	956,642	0.390 %
b Unreimbursed Medicaid (from Worksheet 3, column a) .		14,937	3,845,381	3,845,381	1.590 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....
dTotal Charity Care and Means-Tested Government Programs .....		14,937	4,802,023	4,802,023	1.980 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	375	14,996	504,813	504,813	0.210 %
f Health professions education (from Worksheet 5) ..
g Subsidized health services (from Worksheet 6) ..
h Research (from Worksheet 7)
i Cash and in-kind contributions to community groups (from Worksheet 8) ..
jTotal Other Benefits ...	375	14,996	504,813	504,813	0.210 %
kTotal. Add lines 7d and 7j. ..	375	29,933	5,306,836	5,306,836	2.190 %

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010

Schedule H (Form 990) 2010

Page 2

Part II

Community Building Activities Complete this table if the organization conducted any community building activities.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense (at cost).....

4,025,464

Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..

2,012,732

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

57,821,907

Enter Medicare allowable costs of care relating to payments on line 5.....

69,922,536

Subtract line 6 from line 5. This is the surplus or (shortfall)........

-12,100,629

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Does the organization have a written debt collection policy? ...............

Yes

If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......

Yes

Part IV

Management Companies and Joint Ventures

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership%	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2010

Page 3

Part VFacility Information

Section A. Hospital Facilities (list in order of size, measured by total revenue per facility, from largest to smallest) How many hospital facilities did the organization operate during the tax year?1 Name and address		Other (Describe)
1	CHESTER COUNTY HOSPITAL 701 EAST MARSHALL STREET WEST CHESTER,PA19380	X	X	X

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:SECTION OPTIONAL - NOT COMPLETED

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8		No
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9		No
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10		No
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11		No
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12		No
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13		No
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14		No
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16		No
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18	Yes
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20		No
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21		No
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 7

Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, measured by total revenue per facility, from largest to smallest) How many non-hospital facilities did the organization operate during the tax year?
Name and address		Type of Facility (Describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2010

Page 8

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2	Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
	PART I, LINE 6B	A COMMUNITY BENEFITS REPORT WAS COMPILED AND PUBLISHED FOR THE FISCAL YEAR 2010. THE REPORT HAS BEEN MADE AVAILABLE TO THE PUBLIC.
		PART II: THE DIRECTION FOR DEVELOPING EDUCATION AND OUTREACH PROGRAMS OR FOR LAUNCHING COMMUNITY INITIATIVES TO ADDRESS SIGNIFICANT HEALTH ISSUES IN COLLABORATION WITH OUR COMMUNITY PARTNERS COMES LARGELY FROM THE HEALTHY PEOPLE REPORT (HEALTHY PEOPLE 2020 WAS RECENTLY RELEASED FOR THIS DECADE). THIS PROVIDES SCIENCE-BASED 10-YEAR OBJECTIVES FOR IMPROVING THE HEALTH OF ALL AMERICANS. FOR THREE DECADES, HEALTHY PEOPLE HAS ESTABLISHED BENCHMARKS AND MONITORED PROGRESS OVER TIME TO ENCOURAGE COLLABORATION, TO GUIDE INDIVIDUALS TOWARDS INFORMED HEALTH DECISIONS AND TO MEASURE THE IMPACT OF PREVENTION ACTIVITIES.-HEALTH SCREENINGS "HEART TRACKS" CARDIOVASCULAR RISK ASSESSMENT; STROKE; SKIN CANCER; ORAL CANCER; BREAST CANCER/MAMMOGRAM AND BLOOD PRESSURE-HEALTH PROMOTIONS - PHYSICIAN LECTURES; SPEAKERS BUREAU; COLLABORATIVE PROGRAMS WITH COMMUNITY GROUPS; WELLNESS PRESENTATIONS-HEALTHY LIFESTYLE PROGRAMS - HEALTHY STEPS TO A HEALTHY WEIGHT; WEIGHT MATTERS; WHY WEIGHT? (POSTPARTUM WEIGHT MANAGEMENT PROGRAM); STOP SMOKING NOW! ; REVERSING PRE-DIABETES; SUPERMARKET TOURS; NUTRITION COUNSELING-CHILDBIRTH EDUCATION - PREPARATION FOR CHILDBIRTH; REFRESHER CLASS; BREASTFEEDING; NEWBORN CARE CLASS; MATERNITY TOUR; SIBLING CLASS-DIABETES SELF-MANAGEMENT TRAINING - BASIC AND INTENSIVE DIABETES SELF-MANAGEMENT GROUP CLASSES; ONE-ON-ONE PROGRAMS FOR DIABETES SELF-MANAGEMENT; MEDICAL NUTRITION THERAPY STATISTICS - # OF # DIRECT # INDIRECTPROGRAM TYPE PROGRAMS CONTACTS (B) CONTACTS(A) COMMUNITY OUTREACH EDUCATION 171 2,678 5,327COMMUNITY OUTREACH SCREENINGS 67 1,487 0 SUPPORT GROUPS 3 600 0 CHILDBIRTH EDUCATION 86 1,758 0DIABETES AND NUTRITION EDUCATION 48 3,146 0OUTPATIENT CLINIC 0 5,809 0TOTAL IMPACT 375 15,478 5,327(A) - BY ACTUAL AUDIENCE COUNT(B) - ESTIMATED INTERACTIONS AT LARGE COMMUNITY EVENTS/FAIRSPROGRAM COMMUNICATIONS - TO SPREAD THE WORD ABOUT UPCOMING EVENTS, THE HOSPITAL USES THE FOLLOWING COMMUNICATION TOOLS: -WELLNESS CALENDAR DIRECTLY MAILED TO THE COMMUNITY AND PUBLISHED IN THE LOCAL NEWSPAPER-SYNAPSE MAGAZINE EVENTS LISTING-WEBSITE SECTION DEDICATED TO PROGRAMS & SUPPORT -SOCIAL NETWORKING, I.E. FACEBOOK, TWITTER-EMAIL CAMPAIGNS-DIRECT MAIL-NEWSPAPER ADVERTISEMENTS-HAND-DISTRIBUTED FLYERSLOCATIONS - REALIZING THAT THERE ARE GROUPS OF INDIVIDUALS WITHIN OUR COMMUNITY FOR WHO TRAVEL MAY BE IMPRACTICAL OR IMPOSSIBLE, THE HOSPITAL MAKES EVERY EFFORT TO BRING PROGRAMS OUT INTO THE COMMUNITY AND OFFER THEM CLOSER TO THEIR HOMES. THIS MIGHT INCLUDE PROGRAMS CONDUCTED AT SENIOR LIVING FACILITIES, SENIOR CENTERS, CHURCHES OR SCHOOLS. FOR SPECIFIC COMMUNITIES IN NEED, THE HOSPITAL FREQUENTLY TEAMS UP WITH ITS PARTNERS ALREADY WORKING IN THESE AREAS. FEE PHILOSOPHY - TO FULFILL ITS MISSION TO IMPROVE THE HEALTH OF THE COMMUNITY, THE HOSPITAL STRIVES TO REMOVE COST AS A BARRIER TO EDUCATION. THE MAJORITY OF PROGRAMS ARE OFFERED AT NO OR MINIMAL CHARGE. OTHERS, SUCH AS DIABETES MANAGEMENT AND WEIGHT CONTROL CLASSES, OFTEN CAN BE BILLED TO OR REIMBURSED BY INSURANCE.
		PART III, LINE 4: ACCOUNTS RECEIVABLE ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTABLE BASED ON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. THE ALLOWANCE FOR DOUBTFUL COLLECTIONS IS ESTIMATED BASED UPON A PERIODIC REVIEW OF THE A/R AGING, PAYOR CLASSIFICATIONS AND APPLICATION OF HISTORICAL WRITE-OFF PERCENTAGES.IN ORDER TO DETERMINE THE BAD DEBT EXPENSE REPORTED ON PART III, THE ORGANIZATION USED A RATIO OF COST TO CHARGES.
		PART III, LINE 8: THE HOSPITAL IS A LOW COST PROVIDER COMPARED TO OTHER HOSPITALS IN THE DELAWARE VALLEY (SOURCE PHC4). PARTICIPATION IN THE MEDICARE PROGRAM IS NOT OPTIONAL FOR THE HOSPITAL. WE ARE RELIEVING THE GOVERNMENT OF THE NEED TO AT LEAST COVER OUR COST AND THEREFORE SHOULD BE INCLUDED AS CHARITY.THE SIEMENS COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE AMOUNT REPORTED AS MEDICARE ALLOWABLE COSTS OF CARE.
		PART III, LINE 9B: IF THE PATIENTS ARE KNOWN TO QUALIFY OR MANAGEMENT SPECULATES THEY MIGHT QUALIFY, HOWEVER THOSE PATIENTS REFUSE TO PROVIDE DOCUMENTATION AND TO COMPLETE THE FINANCIAL ASSISTANCE FORMS, THEY ARE CLASSIFIED AS BAD DEBTS.
		PART VI, LINE 2: THE CHESTER COUNTY HOSPITAL'S PLANNING DEPARTMENT MAINTAINS AN INVENTORY OF RESOURCES THAT IT UTILIZES TO ASSESS THE HEALTH AND MEDICAL NEEDS OF THE SURROUNDING COMMUNITY. THESE RESOURCES INCLUDE:-UTILIZATION PATTERNS OF THE CHESTER COUNTY HOSPITAL MEDICAL, SURGICAL, PHYSICIAN AND ANCILLARY SERVICE SITES THROUGHOUT OUR SERVICE AREA COMMUNITY;-DEMOGRAPHIC PROFILES INCLUDING AGE, SEX, RACE, FINANCIAL AND EDUCATION STATUS;-STATE AND COUNTY HEALTH PROFILES;-INPATIENT AND OUTPATIENT HOSPITAL AND SURGICAL CENTER UTILIZATION PATTERNS THROUGHOUT THE COUNTY AND SOUTHEASTERN PENNSYLVANIA;-SERVICE-AREA PROVIDER INFORMATION INCLUDING OTHER HOSPITALS, OUTPATIENT AND ANCILLARY SERVICE SITES (I.E. LAB, X-RAY, PHYSICAL THERAPY), AS WELL AS PHYSICIAN PRACTICE LOCATIONS.THESE INFORMATION RESOURCES ARE REVIEWED REGULARLY TO IDENTIFY AREAS OF CHANGE OR GROWTH IN HEALTHCARE UTILIZATION PATTERNS. FORECASTING TOOLS ARE USED TO PROJECT AND QUANTIFY FUTURE DEMANDS ON HEALTHCARE SERVICES BASED ON POPULATION GROWTH AND HISTORIC UTILIZATION TRENDS.THE HOSPITAL'S PLANNING DEPARTMENT WORKS WITH CLINICAL AND PROGRAM LEADERS TO DEVELOP STRATEGIES FOR PROGRAM DEVELOPMENT BASED ON THESE COMMUNITY NEEDS ASSESSMENTS.
		PART VI, LINE 3: THE CHESTER COUNTY HOSPITAL PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF THE CHESTER COUNTY HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES AND FURTHER THAT OUR MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. THEREFORE, IN KEEPING WITH THIS HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, IT PROVIDES:-FREE CARE AND/OR SUBSIDIZED CARE;-CARE AT OR BELOW COSTS TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS;-HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY WILL BE CONSIDERED WHERE THE NEED AND/OR AN INDIVIDUAL'S INABILITY TO PAY CO-EXIST. THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDERSERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES.EMERGENCY CARE IS PROVIDED 24-HOURS-A-DAY AND IS ACCESSIBLE TO ALL REGARDLESS OF A PERSON'S ABILITY TO PAY.THE CHESTER COUNTY HOSPITAL CARED FOR MORE THAN 16,664 INPATIENTS AND PROVIDED MORE THAN 444,000 INSTANCES OF OUTPATIENT SERVICES DURING THE FISCAL YEAR. OUTPATIENT SERVICES INCLUDE: PRE-NATAL CLINIC VISITS; LAB REGISTRATIONS; RADIOLOGY TESTS; PHYSICAL THERAPY TREATMENTS; EMERGENCY ROOM VISITS; AND OTHER ANCILLARY SERVICES. ALSO, 1,465 OBSERVATION PATIENTS WERE SERVED.THE CHESTER COUNTY HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. TO THE EXTENT REIMBURSEMENT IS BELOW COST, THE CHESTER COUNTY HOSPITAL RECOGNIZES THESE AMOUNTS AS CHARITY CARE IN MEETING ITS MISSION TO THE ENTIRE COMMUNITY. DURING THE YEAR ENDING JUNE 30, 2011, COSTS TO PROVIDE THESE SERVICES EXCEEDED REIMBURSEMENT BY APPROXIMATELY $14,892,000.CHARITY CARE IS ALSO PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES WHICH THE CHESTER COUNTY HOSPITAL BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED. THESE INCLUDE: -COMMUNITY HEALTH ACTIVITIES AND PROGRAMS WITH A COST OF $505,000 REACHING MANY MEMBERS OF THE COMMUNITY.-COST TO PROVIDE FREE CARE OF $4,559,000 (INCLUSIVE OF BAD DEBTS).
		PART VI, LINE 6: WITH THE GOAL OF PROVIDING THE MOST EFFICIENT AND COORDINATED NETWORK OF CARE POSSIBLE FOR ITS PATIENTS, MEETING THEIR NEEDS HAS LED THE HOSPITAL TO REACH OUT TO ITS SURROUNDING COMMUNITY AND CEMENT MANY VALUABLE AND LASTING PARTNERSHIPS AND COLLABORATIONS. IN SOME CASES, THESE RELATIONSHIPS ARE RELATIONSHIPS TO COORDINATE PATIENT CARE. IN OTHERS, IT IS THE OPPORTUNITY TO BRING MEANINGFUL HEALTH EDUCATION TO A WIDER AUDIENCE.-CHESTER COUNTY HEALTH DEPARTMENT-COMMUNITY VOLUNTEERS IN MEDICINE-LA COMUNIDAD HISPANA/PROJECT SALUD-CHESPENN HEALTH SERVICES-MATERNAL CHILD HEALTH CONSORTIUM-SPANISH HEALTH MINISTRY-THE ST. AGNES SPANISH MINISTRY-CATHOLIC SOCIAL SERVICES-WIC (WOMEN, INFANTS AND CHILDREN)-CHESTER COUNTY PRISON-YOUNG PARENTS PROGRAM-ACAC FITNESS AND WELLNESS CENTER-YMCA OF THE BRANDYWINE VALLEY-WEST CHESTER UNIVERSITY-UNITED WAY OF CHESTER COUNTYMEDICAL SERVICES - AN ARRAY OF INPATIENT AND OUTPATIENT MEDICAL/SURGICAL SERVICES ARE OFFERED BY THE CHESTER COUNTY HOSPITAL, INCLUDING INTERVENTIONAL CARDIOVASCULAR SERVICES, OPEN HEART SURGERY, ONCOLOGY, RADIATION ONCOLOGY AND COMPREHENSIVE MATERNAL/INFANT HEALTH SERVICES. THE HEALTH SYSTEM ALSO OFFERS HOME HEALTH AND HOSPICE CARE; SKILLED NURSING CARE; OCCUPATIONAL AND EMPLOYEE HEALTHCARE; PROFESSIONAL AND TECHNICAL EDUCATION; OUTPATIENT LABORATORY; RADIOLOGY AND PHYSICAL THERAPY SERVICES; PRENATAL CARE AND GYNECOLOGICAL CARE CENTERS FOR THE UNDERSERVED; AND CARDIOPULMONARY REHABILITATION.SPECIALIZED CARE - AMBULATORY CARE CENTERATRIAL FIBRILLATION CENTERTHE CANCER PROGRAMCARDIOPULMONARY REHAB CENTERTHE CARDIOVASCULAR CENTER AND UNITCHOP NEWBORN AND PEDIATRIC CARE NETWORKEMERGENCY DEPARTMENTLABOR AND DELIVERY UNITLABORATORYMATERNITY UNIT AND WELL-BABY NURSERYNEONATAL INTENSIVE CARE UNIT (NICU)NEURODIAGNOSTIC LABOB/GYN CLINIC SERVICESOCCUPATIONAL HEALTH CENTERTHE ORTHOPEDIC CENTERPEDIATRICS UNIT (INPATIENT)PHYSICAL REHABILITATION & SPORTS MEDICINERADIOLOGY OUTPATIENT SERVICESWOMEN'S IMAGING CENTERWOMEN'S SPECIALTY CENTERWOUND CARE CENTERMEDICAL SERVICE FEATURE - HEALTHY BABIES, HAPPY FAMILIES: EACH YEAR, HUNDREDS OF PREGNANT WOMEN MAKE THE JOURNEY TO THE PRENATAL CENTER AT THE CHESTER COUNTY HOSPITAL FOR THEIR CARE. THE OPPORTUNITY TO HAVE ONE-ON-ONE MEDICAL FOLLOW-THROUGH DURING THEIR PREGNANCIES MAKES A BIG DIFFERENCE IN THE HEALTH OF THEIR BABIES, MAKING THE OB/GYN CLINIC SERVICES TEAM NOT JUST IMPORTANT TO THEIR FAMILIES BUT IN MANY PATIENT'S EYES - PART OF THE FAMILY OR "SOMOS FAMILIA."FACTS:-IT IS THE ONLY HOSPITAL-BASED PRENATAL CARE OPTION IN CHESTER COUNTY FOR UNINSURED WOMEN.-IT HAS BEEN PROVIDING OBSTETRIC AND GYNECOLOGICAL CARE FOR MORE THAN 30 YEARS.-IT OFFERS EDUCATION ON BREASTFEEDING, SMOKING CESSATION, CAR SEAT SAFETY AND MORE.-PATIENTS OF THE PRENATAL CENTER RECEIVE CARE BY BOARD-CERTIFIED, PRIVATE, ATTENDING OBSTETRICIANS ON STAFF AT THE HOSPITAL, A DEDICATED NURSING TEAM MOST OF WHOM ARE BILINGUAL, A SOCIAL WORKER, AND, IF THE BABY SHOULD NEED IT, THE HOSPITAL'S LEVEL III NEONATAL INTENSIVE CARE UNIT (NICU).-PATIENTS SHOWING SIGNS OF HAVING OTHER MEDICAL NEEDS ARE REFERRED TO ONE OF THE HOSPITAL'S SPECIALISTS. -FOR CLINIC PATIENTS WHO DO NOT QUALIFY FOR HEALTH INSURANCE, THE HOSPITAL OFFERS A SIGNIFICANTLY REDUCED, FLAT-RATE FEE THAT COVERS THE PRENATAL CARE THROUGH THEIR SIX-WEEK POSTPARTUM VISIT. THE RATE HASN'T CHANGED IN ABOUT 30 YEARS, THE RESULT OF THE HOSPITAL'S COMMITMENT TO PROVIDE AFFORDABLE CARE. -THE HOSPITAL SUPPLEMENTS THE DIFFERENCE BETWEEN THE COST TO THE PATIENT AND THE ACTUAL COST OF CARE. SEVERAL FOUNDATIONS AND COMMUNITY MEMBERS PROVIDE SUPPORT TO THE HOSPITAL'S EFFORT TO HELP UNINSURED FAMILIES.STATISTICS:-ABOUT 95% OF THE EXPECTANT MOTHERS WHO COME TO THE CLINIC DO NOT HAVE HEALTH INSURANCE AT THE TIME OF THEIR FIRST VISIT. THE PRENATAL CENTER TEAM IS ABLE TO GET MOST OF THEM ONTO MEDICAL ASSISTANCE BY THE TIME THEY DELIVER. -STATISTICS SHOW THAT THE PRENATAL CENTER'S PERCENTAGE OF LOW-BIRTH WEIGHT OUTCOMES IS WELL WITHIN THE HEALTHY PEOPLE 2010 GUIDELINES.
		PART VI, LINE 7: MAKING LIVES BETTER EVERY DAY - OVERVIEW: THE CHESTER COUNTY HOSPITAL IS AN ORGANIZATION DEDICATED TO THE HEALTH AND WELLBEING OF THE PEOPLE IN CHESTER COUNTY AND SURROUNDING AREAS. THE SYSTEM -WITH A GOAL OF MAKING LIVES BETTER EVERY DAY- INCLUDES A 220-BED COMPLEX IN WEST CHESTER AND SATELLITE LOCATIONS IN EXTON, LIONVILLE, WEST GOSHEN, NEW GARDEN, JENNERSVILLE AND KENNETT SQUARE. CHARTERED IN 1892 AS A 10-BED DISPENSARY, THE HOSPITAL IS THE ONLY NONPROFIT, INDEPENDENT COMMUNITY HOSPITAL IN CHESTER COUNTY. TRUE TO ITS COMMITMENT TO PROVIDING WAYS FOR PEOPLE TO MAINTAIN HEALTHY LIVES, THE CHESTER COUNTY HOSPITAL OFFERS A BROAD SCOPE OF HIGH QUALITY HEALTH EDUCATION PROGRAMS TO THE COMMUNITY. A WIDE VARIETY OF WELLNESS PROGRAMS AND SERVICES THAT ADDRESS SPECIFIC LIFE CYCLE NEEDS AND CHRONIC HEALTH CONDITIONS ARE REGULARLY AVAILABLE. SUPPORT GROUPS OFFER INDIVIDUALS WITH SPECIFIC HEALTH CONDITIONS THE OPPORTUNITY TO SHARE THEIR EXPERIENCES WITH OTHERS AND LEARN FROM AN EXPERIENCED PROFESSIONAL ABOUT HOW TO MANAGE AND COPE WITH HEALTH PROBLEMS. PHYSICIAN LECTURES GIVE PEOPLE THE OPPORTUNITY TO MEET THE EXTENSIVE MEDICAL STAFF - 550 PHYSICIANS STRONG - AND LEARN ABOUT IMPORTANT HEALTH CONCERNS.VISION STATEMENT - TO BE RECOGNIZED AS THE LEADING PROVIDER OF CARE IN THE REGION AND A NATIONAL MODEL FOR QUALITY, SERVICE EXCELLENCE, AND FISCAL STEWARDSHIP.MISSION STATEMENT - TO PROVIDE EACH PATIENT AND THEIR FAMILY WITH AN OUTSTANDING EXPERIENCE, IMPROVE THE HEALTH OF OUR COMMUNITY, AND ATTRACT, RETAIN, AND EDUCATE THE BEST AND BRIGHTEST HEALTHCARE PROFESSIONALS.
REPORTS FILED WITH STATES	PART VI, LINE 7	PA

Schedule H (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
CHESTER COUNTY HOSPITAL

Employer identification number
23-0469150

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) PROFESSIONAL PROVIDERS INC701 E MARSHALL STREET WEST CHESTER,PA19380	23-3076589	501(C)(3)	2,440,387	EQUITY TRANSFER
(2) CHESTER COUNTY OBGYN ASSOCIATES INC600 E MARSHALL STREET WEST CHESTER,PA19380	30-0073633	501(C)(3)	900,216	EQUITY TRANSFER
(3) CHESTER COUNTY HOSPITAL FOUNDATION701 E MARSHALL STREET WEST CHESTER,PA19380	23-2267407	501(C)(3)	2,839,252	EQUITY TRANSFER

Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image

Enter total number of other organizations ................................ . Bullet Image

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2010

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance

Part IV

Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.

Identifier	Return Reference	Explanation
PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	PART I, LINE 2:	SCHEDULE I, PART I, LINE 2: THE HOSPITAL DOES NOT ROUTINELY PROVIDE GRANTS TO ORGANIZATIONS OTHER THAN ITS AFFILIATES.

Schedule I (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

CHESTER COUNTY HOSPITAL

Employer identification number

23-0469150

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Yes

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2010

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported in prior Form 990 or Form 990-EZ
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
(1) HL PERRY PEPPER	(i) (ii)	0 579,401	0 0	0 0	0 16,500	0 10,042	0 605,943	0 0
(2) KENNETH FLICKINGER	(i) (ii)	0 303,067	0 0	0 0	0 16,500	0 10,492	0 330,059	0 0
(3) RICHARD D DONZE	(i) (ii)	0 324,752	0 0	0 0	0 16,500	0 10,492	0 351,744	0 0
(4) MICHAEL D BARBER	(i) (ii)	0 266,041	0 0	0 0	0 16,500	0 10,492	0 293,033	0 0
(5) JEAN M CAULFIELD	(i) (ii)	0 234,631	0 0	0 0	0 16,500	0 4,730	0 255,861	0 0
(6) KEVIN O'BRIEN	(i) (ii)	0 212,747	0 0	0 0	0 16,500	0 10,569	0 239,816	0 0
(7) ANGELA R COLADONATO	(i) (ii)	0 201,821	0 0	0 0	0 16,500	0 11,569	0 229,890	0 0
(8) PAUL F HUBERTY	(i) (ii)	0 202,986	0 0	0 0	0 16,500	0 11,569	0 231,055	0 0
(9) JAMES HEALD	(i) (ii)	328,680 0	0 0	0 0	0 0	12,406 0	341,086 0	0 0
(10) SCOTT SAUL	(i) (ii)	328,680 0	0 0	0 0	0 0	12,406 0	341,086 0	0 0
(11) LIZA FERRIZZI	(i) (ii)	268,007 0	0 0	0 0	0 0	11,803 0	279,810 0	0 0
(12) MEHMET GORAL	(i) (ii)	268,163 0	0 0	0 0	0 0	382 0	268,545 0	0 0
(13) DENNIS BERMAN	(i) (ii)	217,892 0	0 0	0 0	5,500 0	12,406 0	235,798 0	0 0

Schedule J (Form 990) 2010

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
	PART I, LINE 4A	JEAN CAULFIELD - SEVERANCE OF 18 MONTHS EFFECTIVE JUNE 1, 2011. SHE IS A CCH & HS EMPLOYEE. FULL SALARY AND BENEFITS FOR 18 MONTHS. THE AMOUNT OF SEVERANCE FOR THE YEAR TOTALS $54,125.
	PART I, LINE 5	THE 4 PATHOLOGISTS; JAMES HEALD, SCOTT SAUL, LIZI FERRIZZI AND MEHMED GORAL EACH RECEIVED SUPPLEMENT COMPENSATION OF $7,055 FOR SECONDARY REVIEWS AND PRIMARY REVIEWS FROM THE OUTREACH SERVICES FOR THOSE PATIENTS REFERRED TO THEM FROM OTHER HEALTHCARE PROVIDERS. THE COMPENSATION WAS BASED UPON ACTUAL NET REVENUE RECEIVED BY THE HOSPITAL. 62% OF THE TOTAL NET REVENUE WAS PAID TO THE PATHOLOGIST.

Schedule J (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

CHESTER COUNTY HOSPITAL

Employer identification number

23-0469150

Identifier	Return Reference	Explanation
NEW PROGRAM SERVICES	FORM 990, PART III, LINE 2	THE ORGANIZATION INSTITUTED A NEW CANCER PROGRAM AS OF AUGUST 2010.
FORM 990, PART VI, SECTION A, LINE 3		THE HOSPITAL IS MANAGED BY THE CHESTER COUNTY HOSPITAL AND HEALTH SYSTEM TEAM OF OFFICERS. AS PREVIOUSLY DISCLOSED, THE SYSTEM IS THE SOLE MEMBER OF THE HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 6		ARTICLE 2, SECTION 2.1 OF THE HOSPITAL'S BYLAWS INDICATES "THE SOLE MEMBER OF THE CORPORATION SHALL BE THE CHESTER COUNTY HEALTH SYSTEM" (THE "SYSTEM").
FORM 990, PART VI, SECTION A, LINE 7A		AS PREVIOUSLY INDICATED, THE SYSTEM IS THE SOLE MEMBER OF THE CORPORATION. THE SYSTEM HAS THE AUTHORITY TO "ELECT AND REMOVE MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS, INCLUDING THE FILLING OF VACANCIES".
FORM 990, PART VI, SECTION A, LINE 7B		THE FOLLOWING WAS NOTED IN ARTICLE 2, SECTION 2.2 OF THE HOSPITAL'S BYLAWS: "EXCEPT AS OTHERWISE EXPRESSLY STATED BELOW, THE MEMBER SHALL HAVE THE EXCLUSIVE AUTHORITY OVER THE MATTERS LISTED BELOW: (A) ESTABLISH AND APPROVE THE PHILOSOPHY AND MISSION OF THE MEMBER, AND EVALUATE EFFECTIVENESS OF THE CORPORATION IN FULFILLING SUCH PHILOSOPHY AND MISSION. (B) ESTABLISH AND APPROVE CHARITY CARE AND COMMUNITY BENEFIT POLICIES OF THE HOSPITAL, INCLUDING BUT NOT LIMITED TO POLICIES REGARDING BILLING AND COLLECTION PRACTICES AND PROVISION OF FREE OR DISCOUNTED SERVICES TO THE INDIGENT, UNINSURED AND UNDERINSURED. (C) INITIATE AND APPROVE AMENDMENTS TO ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION. (D) INITIATE AND APPROVE LONG-TERM BORROWING AND OTHER FORMS OF LONG-TERM INDEBTEDNESS BY OR ON BEHALF OF THE CORPORATION. (E) INITIATE AND APPROVE THE PURCHASE, SALE OR ENCUMBRANCE OF REAL PROPERTY AND THE SALE OR ENCUMBRANCE OF SUBSTANTIALLY ALL OF THE PERSONAL PROPERTY OF THE CORPORATION. (F) APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION. (G) INITIATE AND APPROVE THE HIRING OF, OR REQUIRE THE TERMINATION OF, THE PRESIDENT/CHIEF EXECUTIVE OFFICER ("CEO") OF THE CORPORATION (WHO SHALL BE EMPLOYED BY THE MEMBER). (H) DIRECT THE PREPARATION OF AND APPROVAL OF ANY MERGER, DISSOLUTION, JOINT VENTURE, AFFILIATION, CONSOLIDATION, REORGANIZATION, SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, CHANGE IN CONTROL, OR SIMILAR TRANSACTION INVOLVING THE CORPORATION. (I) SELECT THE LEGAL COUNSEL AND INDEPENDENT AUDITOR FOR THE MEMBER AND THE CORPORATION. (J) ELECT AND REMOVE MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS, INCLUDING THE FILLING OF VACANCIES. (K) APPROVE THE COMPENSATION AND BENEFITS OF ALL DISQUALIFIED PERSONS (PRIMARILY EXECUTIVES AND CERTAIN PHYSICIANS) EMPLOYED BY THE CORPORATION. (L) ESTABLISH A SYSTEM-WIDE CONFLICTS OF INTEREST POLICY, TO WHICH THE CORPORATION WILL BE SUBJECT. (M) ESTABLISH AND OVERSEE IMPLEMENTATION OF THE MEMBER'S COMPLIANCE PROGRAM, INCLUDING THE CORPORATION'S COMPLIANCE PLAN."
FORM 990, PART VI, SECTION B, LINE 11		THE DETAILED REPORTING OF THE FORM 990 IS COMPLETED BY THE VICE PRESIDENT OF FINANCE FOR THE HOSPITAL. THE FORM IS PREPARED AND REVIEWED BY PARENTEBEARD LLC. THE DRAFT IS THEN REVIEWED BY THE TREASURER AND SENIOR VICE PRESIDENT OF FINANCE ALONG WITH THE PRESIDENT OF THE HOSPITAL BEFORE SUBMISSION.
	FORM 990, PART VI, SECTION B, LINE 12C	ANNUAL QUESTIONNAIRE IS COMPLETED BY MEDICAL STAFF, BOARD MEMBERS AND KEY EMPLOYEES AND RETURNED TO THE OFFICE OF THE PRESIDENT FOR REVIEW AND DETERMINATION OF ANY BOARD DISCLOSURE.
	FORM 990, PART VI, SECTION B, LINE 15	THE COMPENSATION COMMITTEE OF THE BOARD REVIEWS THE SALARIES OF THE OFFICERS AND USES AN INDEPENDENT CONSULTING FIRM FOR MARKET DATA AND RECOMMENDATIONS.
	FORM 990, PART VI, SECTION C, LINE 19	THE FINANICAL STATEMENTS ARE ELECTRONICALLY MAILED EACH QUARTER TO BOND HOLDERS AND ANY OTHER INTERESTED PARTIES. THE YEAR END FINANCIAL STATEMENT REVIEW HELD ON CAMPUS IS OPEN TO THE PUBLIC. INDIVIDUALS WHO WISH TO REVIEW THE HOSPITAL BYLAWS MAY DO SO BY APPOINTMENT WITH THE EXECUTIVE OFFICE AT THE HOSPITAL.
	FORM 990, PART VII, SECTION A, COLUMN B	THE FOLLOWING OFFICERS, DIRECTORS AND KEY EMPLOYEES WORK APPROXIMATELY 40 HOURS PER WEEK BETWEEN CHESTER COUNTY HOSPITAL AND ALL RELATED ENTITIES: H.L. PERRY PEPPER - PRESIDENT - 50 HRS KENNETH FLICKINGER - TREASURER - 50 HRS WILLIAM WYLIE - CHAIRMAN - 10 HRS JAMES DENHAM - DIRECTOR - 2 HRS ALFRED GOLLATZ - DIRECTOR - 5 HRS CAROL WARE GATES - DIRECTOR - 2 HRS CELESTE DEBAPTISTA, MD - DIRECTOR - 2 HRS PATRICIA KNECHT - DIRECTOR - 2 HRS GABRIEL RUGGEIRO DO - DIRECTOR - 2 HRS RICHARD DONZE - SVP MEDICAL AFFAIRS - 37.5 HRS MICHAEL BARBER - SVP COO - 40 HRS JEAN CAULFIELD - SVP PROFESSIONAL SERVICES - 28.50 HRS KEVIN O'BRIEN - SVP DEVELOPMENT OFFICER - 25 HRS ANGELA COLADONATO - SVP EXECUTIVE NURSING - 40 HRS PAUL HUBERTY - SVP STRATEGIC PLANNING - 40 HRS MICHAEL DUNCAN - PRESIDENT - 40 HRS JAMES HEALD - PATHOLOGIST - 50 HRS SCOTT SAUL - PATHOLOGIST - 50 HRS LIZA FERRIZZI - PATHOLOGIST - 50 HRS MEHMET GORAL - PATHOLOGIST - 50 HRS DENNIS BERMAN - PHYSICIAN - 50 HRS
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 5:	NET UNREALIZED GAINS ON INVESTMENTS: 330,058. VALUATION LOSS, BENEFICIAL INTEREST IN PERPETUAL TRUSTS 1,494,748. VALUATION GAIN, INVESTMENTS 3,242. TOTAL TO FORM 990, PART XI, LINE 5: 1,828,048.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

CHESTER COUNTY HOSPITAL

Employer identification number

23-0469150

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets
(1) CHESTER COUNTY HEMATOLOGY-ONCOLOGY SERVICES 701 E MARSHALL STREET WEST CHESTER,PA19380	HEMATOLOGY-ONCOLOGY SERVICES	PA	442,239	469,130

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) CHESTER COUNTY HOSPITAL FOUNDATION 701 E MARSHALL STREET WEST CHESTER,PA19380 23-2267407	COMMUNITY HEALTH CARE SUPPORT	PA	501(C)(3)	7	N/A		No
(2) NEIGHBORHOOD HEALTH AGENCIES INC 795 E MARSHALL STREET WEST CHESTER,PA19380 23-2324782	SUPPORTING ORGANIZATION	PA	501(C)(3)	11 TYPE I	CHESTER COUNTY HOSPITAL AND HEALTH SYSTEM		No
(3) NEIGHBORHOOD VISITING NURSE ASSOCIATION 795 E MARSHALL STREET WEST CHESTER,PA19380 23-1352243	HOMECARE & NURSING SERVICES	PA	501(C)(3)	7	CHESTER COUNTY HOSPITAL AND HEALTH SYSTEM		No
(4) NEIGHBORHOOD LEAGUE HEALTH SERVICES 795 E MARSHALL STREET WEST CHESTER,PA19380 23-2324787	HEALTH SCREENINGS & OTHER HEALTH SERVICES	PA	501(C)(3)	9	CHESTER COUNTY HOSPITAL AND HEALTH SYSTEM		No
(5) CHESTER COUNTY HOSPITAL AND HEALTH SYSTEM 701 E MARSHALL STREET WEST CHESTER,PA19380 26-4233321	MANAGEMENT SERVICES	PA	501(C)(3)	11 TYPE I	N/A		No
(6) PROFESSIONAL PROVIDERS INC 701 E MARSHALL STREET WEST CHESTER,PA19380 23-3076589	PHYSICIAN SERVICES	PA	501(C)(3)	7	CHESTER COUNTY HOSPITAL AND HEALTH SYSTEM		No
(7) CHESTER COUNTY OBGYN ASSOCIATION 601 E MARSHALL STREET WEST CHESTER,PA19380 30-0073633	OB/GYN SERVICES	PA	501(C)(3)	7	CHESTER COUNTY HOSPITAL AND HEALTH SYSTEM		No

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2010

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)
(1) TURK'S HEAD HEALTH SERVICES INC 701 E MARSHALL STREET WEST CHESTER,PA19380 23-2329753	MEDICAL SERVICES	PA	CHESTER COUNTY HOSPITAL AND HEALTH SYSTEM	C

Schedule R (Form 990) 2010

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .

Yes

m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved
(1) CHESTER COUNTY HOSPITAL AND HEALTH SYSTEM	R	1,381,699
(1)
(2)
(3)
(4)
(5)
(6)

Schedule R (Form 990) 2010

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Are all partners section 501(c)(3) organizations?		(e) Share of end-of-year assets	(f) Disproprtionate allocations?		(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(h) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(e) Share of end-of-year assets	Yes	No	(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2010

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: DEDICATED, COMMUNITY-BASED HOSPITAL MAINTAINING HIGH QUALITY STANDARDS IN PATIENT CARE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ....	3	9
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	7
5	Total number of individuals employed in calendar year 2010 (Part V, line 2a) ...	5	2,330
6	Total number of volunteers (estimate if necessary) ....	6	365
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	1,959,484	2,078,376
9	Program service revenue (Part VIII, line 2g) .........	202,580,126	235,653,051
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	378,552	414,332
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	3,168,440	4,262,556
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	208,086,602	242,408,315
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	3,290,407	6,179,855
14	Benefits paid to or for members (Part IX, column (A), line 4) ....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	103,548,125	115,097,352
16a	Professional fundraising fees (Part IX, column (A), line 11e)....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 57,549
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	102,257,795	121,000,935
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	209,096,327	242,278,142
19	Revenue less expenses. Subtract line 18 from line 12......	-1,009,725	130,173
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	150,191,242	153,744,100
21	Total liabilities (Part X, line 26)............	61,756,692	63,351,329
22	Net assets or fund balances. Subtract line 21 from line 20 .....	88,434,550	90,392,771

Sign Here

	Signature of officer	Date

	Type or print name and title.

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (see instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.


4a	(Code: ) (Expenses $ 233,007,946 including grants of $ 6,179,855 ) (Revenue $ 235,653,051 )
	THE CHESTER COUNTY HOSPITAL PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF THE CHESTER COUNTY HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES AND FURTHER THAT OUR MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. THEREFORE, IN KEEPING WITH THIS HOSPITAL'S MISSION AND COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, THE FOLLOWING PROGRAMS ARE OFFERED:- FREE CARE AND/OR SUBSIDIZED CARE,- CARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST,- HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY WILL BE CONSIDERED WHERE THE NEED AND/OR AN INDIVIDUAL'S INABILITY TO PAY COEXISTS. THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDERSERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES.EMERGENCY CARE IS PROVIDED 24 HOURS A DAY AND IS ACCESSIBLE TO ALL REGARDLESS OF A PERSON'S ABILITY TO PAY.THE CHESTER COUNTY HOSPITAL SERVICES 16,664 INPATIENTS AND PROVIDED MORE THAN 444,000 UNITS OF OUTPATIENT SERVICES DURING THE FISCAL YEAR. UNITS OF OUTPATIENT SERVICES INCLUDE: PRE-NATAL CLINIC VISITS, LAB REGISTRATIONS, RADIOLOGY TESTS, PHYSICAL THERAPY TREATMENTS, EMERGENCY ROOM VISITS AND OTHER ANCILLARY SERVICES. ALSO OBSERVATION PATIENTS OF 1,465 WERE SERVED.THE CHESTER COUNTY HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. TO THE EXTENT REIMBURSEMENT IS BELOW COST, THE CHESTER COUNTY HOSPITAL RECOGNIZES THESE AMOUNTS AS CHARITY CARE IN MEETING IT'S MISSION TO THE ENTIRE COMMUNITY. DURING THE YEAR ENDING JUNE 30, 2011 COSTS TO PROVIDE THESE SERVICES EXCEEDED REIMBURSEMENT BY APPROXIMATELY $14,892,000.CHARITY CARE IS ALSO PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES WHICH THE CHESTER COUNTY HOSPITAL BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED. THESE INCLUDE:- COMMUNITY HEALTH ACTIVITIES & PROGRAMS REACHING MANY MEMBERS OF THE COMMUNITY WITH A COST OF $505,000.- COST TO PROVIDE FREE CARE OF $4,559,000 (INCLUSIVE OF BAD DEBTS).- DURING THE FISCAL YEAR THE COMMUNITY HAS CONTRIBUTED APPROXIMATELY 41,000 HOURS TOWARD THE COMMON PURPOSE OF SERVICING THE HEALTHCARE OF THE COMMUNITY. THE VALUE OF THIS CONTRIBUTION IS APPROXIMATELY $844,000 WHICH IS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS FOR PATIENT SERVICES.SALARIES AND BENEFITS ARE PAID TO APPROXIMATELY 1,422 FULL TIME EQUIVALENT EMPLOYEES. THESE EMPLOYEES PROVIDE QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR THE ABILTIY TO PAY. MEDICAL SUPPLIES ARE PURCHASED TO TREAT AND CARE FOR THOSE PATIENTS IN NEED OF SERVICES IN AN ACUTE CARE SETTING, OUTPATIENT CLINICAL SETTING OR EMERGENCY ROOM CARE. DEPRECIATION EXPENSE RELATES TO THE BUILDING, LAND IMPROVEMENTS, INVESTMENT IN MEDICAL TECHNOLOGY AND OTHER CAPITAL PURCHASES NEEDED TO OPERATE A GENERAL ACUTE CARE HOSPITAL.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services. (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses$ 233,007,946

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)		(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) SCOTT SAUL PATHOLOGIST	50.00	X	328,680	0	12,406
(19) LIZA FERRIZZI PATHOLOGIST	50.00	X	268,007	0	11,803
(20) MEHMET GORAL PATHOLOGIST	50.00	X	268,163	0	382
(21) DENNIS BERMAN PHYSICIAN	50.00	X	217,892	0	17,906

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	1,411,422	2,420,446	271,358

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a		30,174
b	Membership dues....1b
c	Fundraising events....1c		124,936
d	Related organizations...1d
e	Government grants (contributions)1e		109,282

f	All other contributions, gifts, grants, and similar amounts not included above1f		1,813,984
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			2,078,376
			Business Code
2a	NET PATIENT SERVICE RE		621,400	232,238,840	232,238,840
b	PHYSICIAN FEES		621,400	2,670,348	2,670,348
c	ALS PROGRAM REVENUE		621,400	743,863	743,863
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			235,653,051
3	Investment income (including dividends, interest
	and other similar amounts).....			275,626			275,626
4	Income from investment of tax-exempt bond proceeds..
5	Royalties............
		(i) Real	(ii) Personal
6a	Gross Rents	76,110
b	Less: rental expenses	49,511
c	Rental income or (loss)	26,599
d	Net rental income or (loss).......			26,599			26,599
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	157,784	162,778
b	Less: cost or other basis and sales expenses	181,856
c	Gain or (loss)	-24,072	162,778
d	Net gain or (loss)..........			138,706			138,706
8a	Gross income from fundraising events (not including $ 124,936 of contributions reported on line 1c). See Part IV, line 18 ...
	a		20,255
b	Less: direct expenses ...b		20,347
c	Net income or (loss) from fundraising events..			-92			-92
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a	PROFESSIONAL FEES INCO		900,099	2,114,452			2,114,452
b	EMPLOYEE PHARMACY PROG		446,110	1,036,761			1,036,761
c	CAFETERIA REVENUE		722,210	883,117			883,117
d	All other revenue ....			201,719			201,719
e	Total. Add lines 11a–11d ......			4,236,049
12	Total revenue. See Instructions....			242,408,315	235,653,051	0	4,676,888


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........				1
2	Savings and temporary cash investments .......			5,048,165	2	10,387,882
3	Pledges and grants receivable, net .........				3
4	Accounts receivable, net .........			27,612,867	4	27,052,731
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........				5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............			1,000,000	7
8	Inventories for sale or use ..............			3,220,397	8	3,916,995
9	Prepaid expenses and deferred charges ............			720,532	9	1,337,854
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	182,749,181
b	Less: accumulated depreciation. .....	10b	116,647,517	64,159,041	10c	66,101,664
11	Investments—publicly traded securities ..........			16,165,653	11	25,562,875
12	Investments—other securities. See Part IV, line 11 ......			1,784,803	12	1,342,564
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets .........				14
15	Other assets. See Part IV, line 11 ...........			30,479,784	15	18,041,535
16	Total assets. Add lines 1 through 15 (must equal line 34)...			150,191,242	16	153,744,100
17	Accounts payable and accrued expenses .			14,368,817	17	17,431,538
18	Grants payable ..........				18
19	Deferred revenue ..........			138,908	19	136,888
20	Tax-exempt bond liabilities ..........			40,505,000	20	38,405,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..			126,589	23	109,159
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities. Complete Part X of Schedule D.....			6,617,378	25	7,268,744
26	Total liabilities. Add lines 17 through 25.....			61,756,692	26	63,351,329
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			59,606,094	27	72,348,042
28	Temporarily restricted net assets .....			16,893,397	28	4,611,680
29	Permanently restricted net assets .....			11,935,059	29	13,433,049
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			88,434,550	33	90,392,771
34	Total liabilities and net assets/fund balances .....			150,191,242	34	153,744,100