Chester County Hospital

What it reported doing in 2024

The chester county hospital (cch) is part of the university of Pennsylvania health system (uphs). In keeping with its charitable purpose, uphs accepts patients in serious need of medical care regardless of their financial status. Uphs maintains records to identify and monitor levels of charity care provided, including the amount of payment forgone, based on established rates, for services and supplies furnished under its charity care policy. Uphs also provides care to patients who do not have health insurance or meet the criteria to qualify for its charity care policy, and certain amounts charged for such services are deemed to be uncollectible. In fy2025, chester county hospital provided $24.7 million in charity and underfunded care for medicaid families. Cch is a dedicated, community-based health care organization which enjoys integrated provider relationships that foster excellence in clinical and personal service. Cch seeks to develop and implement programs and services which enhance the health status of the community and strives to exceed the expectations of those it serves, maintain standards of the highest quality and promote a rewarding work environment. Cch 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 cch, 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 its commitment to serve all members of the community, cch provides: - 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. Cch services 17,465 inpatients and provided more than 523,000 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 2,865 were served. Cch 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, cch recognizes these amounts as charity care in meeting it's mission to the entire community. Charity care is also provided through many reduced price services and free programs offered throughout the year based upon activities and services which cch 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 $1,498,000. - cost to provide free care of $8,121,000 (excluding bad debts). - volunteers numbered approx 477, with 35,891 hours of service. Community health improvement activities reached include: - providing screenings, labs and radiology to underserved populations through partnerships with local free clinics - providing childbirth education classes - providing pastoral care services to provide spiritual support during hospital stays - maintaining call center with up to date listing of all health and social service agencies servicing chester county to provide information to individuals - providing diabetes education in high risk areas - partnering with local university to provide educational programs based on an identifie

Financial Efficiency

• Mission deployment rate: 100%; rating input score 100
• Program expense ratio: 96.3%; rating input score 96
• Fundraising efficiency: $31.63 raised per $1 spent on fundraising; rating input score 67; 67th percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
• Pay-setting controls: 0 of 6 controls in place; rating input score 0
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Missing
• Foreign activity oversight: Limited
• Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Scored; rating input score 0

Accountability

• Independent voting board: 83.3%; rating input score 83; 31st percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -6.5%; rating input score 11; 11th percentile among comparable filings
• Total-asset coverage ratio: 1.02; rating input score 40; 40th percentile among comparable filings
• Liabilities to assets ratio: 1.12; rating input score 4; 4th percentile among comparable filings
• Officer compensation ratio: 1.3%; rating input score 68; 68th percentile among comparable filings

Growth

• Program expense growth: 6.8% per year; rating input score 100; 56th percentile among comparable filings
• Revenue growth: 5.4% per year; rating input score 100; 47th percentile among comparable filings
• Asset growth: 7.8% per year; rating input score 100; 58th percentile among comparable filings