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 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
Name of the organization
CHESTNUT HEALTH SYSTEMS INC
 
Employer identification number

37-0964629
Return Reference Explanation
FORM 990, PART VI, SECTION B, LINE 11 THE AUDIT COMMITTEE WILL REVIEW THE 990 AND REPORT TO THE BOARD PRIOR TO THE FILING OF THE 990.
FORM 990, PART VI, SECTION B, LINE 12C EVERY YEAR EACH MEMBER OF THE BOARD OF DIRECTORS IS REQUIRED TO EXECUTE A "CONFLICT OF INTEREST STATEMENT AND EACH MEMBER OF THE EXECUTIVE LEADERSHIP COUNCIL IS REQUIRED TO EXECUTE AN "ANNUAL POTENTIAL CONFLICT OF INTEREST DISCLOSURE STATEMENT."
FORM 990, PART VI, SECTION B, LINE 15 THE CEO RECEIVES AN ANNUAL PERFORMANCE EVALUATION FROM THE BOARD OF DIRECTORS, ALL OF WHOM ARE UNPAID VOLUNTEERS. THE BOARD CHAIRPERSON SOLICITS INPUT INTO THE EVALUATION WITH SPECIFIC QUESTIONS AND ISSUES POSED TO BOARD MEMBERS, EXECUTIVES, OTHER KEY MANAGEMENT, AS WELL AS THE CEO. THE EVALUATION IS THEN ASSEMBLED AND WRITTEN BY THE BOARD EXECUTIVE COMMITTEE, COMPRISED OF DISINTERESTED DIRECTORS AND SUBMITTED TO THE FULL BOARD FOR REVIEW AND DISCUSSION OUTSIDE OF THE PRESENCE OF THE CEO. CEO COMPENSATION IS RESEARCHED ANNUALLY BY CORPORATE COUNSEL AND A REPORT IS SUBMITTED TO THE BOARD OF DIRECTORS. COUNSEL COMPILES OBJECTIVE SALARY SURVEYS CONTAINING COMPARATIVE DATA FROM MULTIPLE RESOURCES FOR CEO COMPENSATION FOR OTHER BEHAVIORAL HEALTHCARE ORGANIZATIONS AND NOT-PROFIT ORGANIZATIONS ON A LOCAL, STATEWIDE, AND NATIONAL BASIS AS WELL AS REVIEWS FORM 990 OF SIMILARLY SITUATED ORGANIZATIONS. THE REPORT ALSO INCLUDES A DISCUSSION OF MARKET AND ECONOMIC TRENDS IN CEO COMPENSATION. THIS COMPARABILITY DATA IS USED AND RELIED UPON BY THE BOARD. THE BOARD THEN THOROUGHLY DOCUMENTS ITS RATIONALE AND THE REASONABLENESS OF THE COMPENSATION IN A COMBINATION OF THE FOLLOWING DOCUMENTS: THE PERFORMANCE EVALUATION, COMPENSATION REPORTS, EXECUTIVE COMMITTEE MINUTES AND BOARD OF DIRECTORS MINUTES. THE COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES IS REVIEWED VIA THE STANDARD ANNUAL EMPLOYEE PERFORMANCE EVALUATION PROCESS WHICH IS WRITTEN BY THE CEO OR OTHER MEMBERS OF EXECUTIVE MANAGEMENT. PAY ADJUSTMENTS ARE DETERMINED BY PERFORMANCE, BUDGET GUIDELINES, AND INTERNAL AND MARKET FACTORS. THE DIRECTOR OF HUMAN RESOURCES REVIEWS ALL EVALUATIONS AND COMPENSATION ADJUSTMENTS FOR EMPLOYEES IN THIS CATEGORY. INTERNAL AND MARKET ANALYSIS OF THESE POSITIONS BY HUMAN RESOURCES OCCURS ON A PERIODIC BASIS OR AT THE REQUEST OF THE CEO.
FORM 990, PART VI, SECTION C, LINE 19 CERTAIN DOCUMENTS WILL BE MADE AVAILABLE FOR PUBLIC INSPECTION ACCORDING TO CHESTNUT HEALTH SYSTEMS' POLICY.
FORM 990, PART IX, LINE 11G CONSULTANTS: PROGRAM SERVICE EXPENSES 6,286,592. MANAGEMENT AND GENERAL EXPENSES 95,779. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,382,371. MOVING & RECRUITING: PROGRAM SERVICE EXPENSES 92,383. MANAGEMENT AND GENERAL EXPENSES 2,664. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 95,047.
FORM 990, PART IX, LINE 24E TRANSPORTATION: PROGRAM SERVICE EXPENSES 849,135. MANAGEMENT AND GENERAL EXPENSES 20,935. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 870,070. MISCELLANEOUS EXPENSE: PROGRAM SERVICE EXPENSES 256,427. MANAGEMENT AND GENERAL EXPENSES 9,529. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 265,956. OUTSIDE PRINTING/ARTWORK: PROGRAM SERVICE EXPENSES 86,442. MANAGEMENT AND GENERAL EXPENSES 143. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 86,585.
FORM 990, PAGE 12, PART XII, QUESTION 2C THE PROCESS FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM PRIOR YEARS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2015


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