In Re: The Ellwood City Community Health Foundation, a Pennsylvania Nonprofit Corporation ~ Appeal of: The Ellwood City Community Health Foundation

Commonwealth Court of Pennsylvania·Decided July 21, 2020·No. 1001 C.D. 2019·Published

Opinion

IN THE COMMONWEALTH COURT OF PENNSYLVANIA

In re: The Ellwood City Community : Health Foundation, a Pennsylvania : Nonprofit Corporation :

: No. 1001 C.D. 2019 : Argued: May 15, 2020 Appeal of: The Ellwood City : Community Health Foundation :

BEFORE: HONORABLE P. KEVIN BROBSON, Judge HONORABLE ANNE E. COVEY, Judge HONORABLE BONNIE BRIGANCE LEADBETTER, Senior Judge

OPINION BY JUDGE BROBSON FILED: July 21, 2020

The Ellwood City Community Health Foundation (Foundation) appeals from an order of the Court of Common Pleas of Lawrence County, Orphans’ Court Division (Orphans’ Court), dated June 24, 2019. The Orphans’ Court denied the Foundation’s Petition for Approval of the Separation of the Foundation and ECH Legacy, Inc. (ECH Legacy) and the Foundation’s Amended and Restated Articles of Incorporation and Bylaws (Petition). For the reasons set forth below, we reverse the Orphans’ Court order.

I. BACKGROUND ECH Legacy, which was formerly known as Ellwood City Hospital, is a Pennsylvania nonprofit corporation that operated a general acute care community hospital (Hospital) in Ellwood City, Pennsylvania. (Reproduced Record (R.R.) at 6a.) The Foundation, which was formerly known as Ellwood City Hospital Foundation, is a Pennsylvania nonprofit corporation that, pursuant to its current

articles of incorporation, operates exclusively for the benefit and support of ECH Legacy. (Id. at 9a-10a, 335a-43a.) In November 2012, ECH Legacy, with the approval of the Orphans’ Court, transferred its endowment funds (Endowment Funds), estimated at that time to be approximately $25,000,000, to the Foundation. (Id. at 10a-11a.) Since that time, the Foundation has served as a public charity supporting organization for ECH Legacy. (Id. at 11a, 124a.) In that role, the Foundation has been responsible for holding and managing the Endowment Funds and has used the Endowment Funds exclusively to support ECH Legacy’s operation of the Hospital. (Id. at 7a, 11a.)

On September 22, 2017, the Orphans’ Court approved an asset purchase agreement (Asset Purchase Agreement) between ECH Legacy and Americore Health, LLC and Ellwood Medical Center, LLC (collectively, Americore) for the sale and transfer of substantially all of ECH Legacy’s assets to Americore, a for-profit company. (Id. at 11a.) Pursuant to the terms and conditions of the Asset Purchase Agreement, Americore and ECH Legacy agreed that Americore would assume sponsorship of and liability for the Retirement Plan for Employees of Ellwood City Hospital (Pension Plan). (Id. at 242a-43a.) Thereafter, on October 31, 2017, ECH Legacy transferred its assets to Americore, and Americore took control of the Hospital’s operations. (Id. at 11a, 88a.) On that same date, ECH Legacy and the Foundation entered into a separation agreement (Separation Agreement), pursuant to which: (1) the Foundation agreed to provide ECH Legacy with final funding in the amount of $11,000,000 for the payment of ECH Legacy’s known debts, liabilities, and expenses and $2,000,000 for the creation of a reserve to satisfy any of ECH Legacy’s unknown liabilities; (2) ECH Legacy agreed to release and discharge the Foundation from its responsibility to support ECH Legacy

and its liability for any of ECH Legacy’s obligations or liabilities; and (3) upon the Orphans’ Court’s approval of the separation of ECH Legacy and the Foundation, the Foundation’s affiliation with ECH Legacy would terminate and the Foundation would amend its articles of incorporation and bylaws to reflect the separation of ECH Legacy and the Foundation, to expand the Foundation’s charitable purposes beyond the exclusive support of ECH Legacy, and to change the Foundation’s tax-exempt status from a public charity to a private foundation. (Id. at 11a-12a, 88a-92a, 330a-31a.)

On March 12, 2019, the Foundation filed its Petition with the Orphans’ Court, seeking, inter alia, approval of the separation of ECH Legacy and the Foundation and approval of the Foundation’s proposed amended and restated articles of incorporation and proposed amended and restated bylaws. In its Petition, the Foundation indicated that, under its new objectives, which included “to improve, foster, promote, and enhance the quality of life and health for the general public of Ellwood City, Pennsylvania, the Counties of Lawrence and Beaver, Pennsylvania, and the surrounding geographical areas,” the Foundation intended to support, inter alia, the Meals on Wheels program operating in Ellwood City. (Id. at 13a-14a.) The Foundation also indicated that the Endowment Funds, which include both restricted and unrestricted assets, had a total market value of $8,989,392. (Id. at 15a-17a, 75a, 99a-100a.) The Pennsylvania Office of the Attorney General (OAG), on behalf of the Commonwealth of Pennsylvania (Commonwealth), filed a response to the Foundation’s Petition, representing that the Commonwealth had no objection to the proposed separation of ECH Legacy and the Foundation but requesting that the Orphans’ Court enter an order requiring the Foundation to provide a complete

accounting of the Endowment Funds from November 26, 2012, to the present. (Id. at 76a-81a.)

The Orphans’ Court held an evidentiary hearing on the Foundation’s Petition on June 12, 2019. At that time, the Foundation presented the testimony of E. Williams Matthews (Matthews), the chief financial officer for ECH Legacy and the executive director for the Foundation. (Id. at 86a-87a.) As the executive director for the Foundation, Matthews is responsible for overseeing the Foundation’s day-to-day functions and financial activities. (Id. at 87a.) Matthews testified that the Foundation is seeking to amend its articles of incorporation and bylaws at this time because the Foundation no longer . . . support[s] a community individual nonprofit entity . . . . So the funds that [the Foundation] had in support of [ECH Legacy] can no longer be used to support the [Hospital] because [it is now owned by] a for-profit entity. So those funds have to be used [for] a nonprofit purpose. So in doing that, the articles of incorporation and the bylaws need to be changed to reflect that new direction of those funds.

(Id. at 95a-96a.) Matthews testified further that, following the transfer of ECH Legacy’s assets and the Hospital’s operations to Americore, the Foundation has become a private foundation because it no longer qualifies as a public charity supporting organization. (Id. at 123a-24a.) Matthews also explained that, under its new proposed purpose, the Foundation intends to fund programs that support public health, including “pregnancy programs, prevention, drug and alcohol programs, [and] environmental programs that would promote better health[y] living,” as well as programs for senior transportation, family and child abuse, and medical education for individuals who contemplate going into the medical field and remaining within the Ellwood City community. (Id. at 98a-99a.)

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In Re: The Ellwood City Community Health Foundation, a Pennsylvania Nonprofit Corporation ~ Appeal of: The Ellwood City Community Health Foundation, (Pa. Ct. App. 2020).

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