Brandywine Hospital, LLC v. County of Chester Board of Assessment Appeals & Coatesville Area S.D. ( 2023 )


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  •          IN THE COMMONWEALTH COURT OF PENNSYLVANIA
    Brandywine Hospital, LLC,               :   CASES CONSOLIDATED
    Appellant              :
    :
    v.                          :
    :
    County of Chester Board                 :
    of Assessment Appeals and               :   Nos. 1279, 1280, 1283 & 1284 C.D. 2021
    Coatesville Area School District        :   Argued: November 16, 2022
    BEFORE:     HONORABLE RENÉE COHN JUBELIRER, President Judge
    HONORABLE PATRICIA A. McCULLOUGH, Judge
    HONORABLE ANNE E. COVEY, Judge
    HONORABLE MICHAEL H. WOJCIK, Judge
    HONORABLE CHRISTINE FIZZANO CANNON, Judge
    HONORABLE ELLEN CEISLER, Judge
    HONORABLE LORI A. DUMAS, Judge
    OPINION
    BY JUDGE FIZZANO CANNON                     FILED: February 10, 2023
    PI One, LLC, now known as Brandywine Hospital, LLC (Hospital),
    appeals from a decision of the Court of Common Pleas of Chester County (trial
    court). After thorough review, we agree with the County of Chester Board of
    Assessment Appeals (Board) that Hospital has waived all issues on appeal.
    Accordingly, we dismiss the appeals.
    We dismiss as moot Hospital’s applications for relief seeking to strike
    the briefs filed by Patientrightsadvocate.org and Families USA as amici curiae in
    support of the Board.
    I. Background
    In 2017, Reading Health System, now known as Tower Health, LLC
    (Tower Health), bought several for-profit hospital facilities and related properties
    formerly owned by Community Health Systems, a for-profit entity, in Montgomery
    and Chester Counties. Trial Ct. Op. at 11-12. Tower Health, a limited liability
    company (LLC) with federal nonprofit status under 
    26 U.S.C. § 501
    (c)(3), created a
    new LLC to run each of the purchased hospital facilities as a nonprofit entity. 
    Id. at 11
    . Tower Health is the sole member of each new LLC. 
    Id.
     at 11 & 13. Hospital is
    one of the new LLCs and operates a hospital facility in Chester County. 
    Id.
     at 12-
    13.
    The Board denied Hospital’s application for a property tax exemption
    for tax years 2018 through 2021. Hospital appealed to the trial court, which held a
    de novo trial. The trial court also denied the property tax exemption, finding that
    Hospital failed to sustain its burden of proving entitlement to a tax exemption as a
    nonprofit entity.
    Hospital then appealed to this Court. In response to the trial court’s
    directive to file a concise statement of errors complained of on appeal pursuant to
    Rule 1925(b) of the Pennsylvania Rules of Appellate Procedure (1925(b)
    Statement), Pa. R.A.P. 1925(b), Hospital filed a 19-page 1925(b) Statement
    containing some 90 issues and sub-issues. In its subsequent opinion pursuant to Rule
    1925(a) of the Pennsylvania Rules of Appellate Procedure (1925(a) Opinion), the
    trial court stated that Hospital’s 1925(b) Statement failed to comply with the rule’s
    conciseness requirement and hindered the trial court in preparing its 1925(a)
    Opinion. 1925(a) Op. at 3.
    2
    In Hospital’s appeals before this Court, Patientrightsadvocate.org and
    Families USA filed a joint brief as amici curiae in support of the Board’s denial of
    the property tax exemption. Hospital has filed an application for relief seeking to
    strike the brief of the amici because it discusses matters not in the record.
    II. Issues
    Hospital raises six issues in its brief on appeal, which we combine into
    three issues. First, Hospital asserts that it had standing to apply for a real estate tax
    exemption for tax year 2018 even though, at the time the application was filed in
    2017, Hospital was not the legal owner of the property at issue. Second, Hospital
    contends that the trial court improperly considered evidence and defenses not
    presented in this case. Third, and primarily, Hospital maintains that it met all of the
    factual and legal requirements for a property tax exemption. In addition, Hospital
    argues this Court should grant Hospital’s application for relief and strike the brief
    filed by the amici because the brief improperly contained information not in the
    record before this Court.
    The Board opposes each of Hospital’s arguments. Further, the Board
    has filed an application for relief seeking dismissal of this appeal. The Board posits
    that Hospital waived all of its issues on appeal because it filed a 1925(b) Statement
    that failed to comply with the rule’s conciseness requirement.
    We have reordered our discussion of the issues for convenience and
    clarity.
    3
    III. Discussion1
    A. Standing for Tax Year 2018
    The Board argues that for tax year 2018, Hospital had no standing to
    seek a tax exemption, because Tower Health’s purchase of the affected properties
    was not complete or certain at the time it filed its applications for the tax exemptions
    in 2017. However, the asset purchase agreement was pending for several months
    before the deed transferring the properties was recorded in October 2017. See Trial
    Ct. Op. at 21 & 23-24; Reproduced Record (RR) at 999a-1000a; Hospital’s Br. at 6.
    Moreover, the purchase transaction was complete before the Board’s hearing on
    Hospital’s application for a property tax exemption. See RR at 999a-1000a (reciting
    that transaction closed on October 1, 2017) & 483a (Board decision reciting that
    Board hearing was held on October 19, 2017). Had the application for tax exempt
    status been delayed until the purchase transaction was complete and the deed
    recorded, the 2017 filing window for 2018 tax exempt status, which was May 1 to
    1
    Our appellate role in cases arising from non-jury trial verdicts is to
    determine whether the findings of the trial court are supported by
    competent evidence and whether the trial court committed error in
    any application of the law. The findings of fact of the trial judge
    must be given the same weight and effect on appeal as the verdict of
    a jury. We consider the evidence in a light most favorable to the
    verdict winner. We will reverse the trial court only if its findings of
    fact are not supported by competent evidence in the record or if its
    findings are premised on an error of law. However, [where] the
    issue . . . concerns a question of law, our scope of review is plenary.
    Newman & Co. v. City of Phila., 
    249 A.3d 1240
    , 1244 n.5 (Pa. Cmwlth. 2021) (additional citations
    and quotation marks omitted). Specifically, in tax assessment appeals, the trial court is the finder
    of fact, and all matters of credibility and evidentiary weight are within its province; such findings
    are binding on appeal if they are supported by substantial evidence of record. Lutheran Home v.
    Schuylkill Cnty. Bd. of Assessment Appeals, 
    782 A.2d 1
    , 6 (Pa. Cmwlth. 2001) (first citing Appeal
    of M.W. Kellogg Co., 
    492 A.2d 130
     (Pa. Cmwlth. 1985); and then citing St. Margaret Seneca Place
    v. Bd. of Prop. Assessment, Appeals & Rev., 
    640 A.2d 380
     (Pa. 1994)).
    4
    August 1, see RR at 464a & 467a, would have expired. Therefore, as the equitable
    owner of the property, Hospital maintains it was an aggrieved party entitled to apply
    for a tax exemption, in accordance with Section 8844(c)(1) & (2) of the Consolidated
    County Assessment Law (CCAL),2 53 Pa.C.S. § 8844(c)(1) & (2) (relating to annual
    appeal deadlines).
    The trial court opined that Hospital lacked standing to apply for a 2018
    tax exemption because neither Tower Health nor Hospital was the record owner of
    the property at issue at the time the application was filed.                    The trial court
    acknowledged that equitable ownership would be sufficient to confer standing. Trial
    Ct. Op. at 21 & 23-24. However, the trial court deemed the purchase agreement
    insufficiently certain to confer equitable ownership status. Id. at 23-24. The trial
    court pointed to the conditional and complex nature of the purchase agreement and
    the number of conditions, including a $590 million bond issue, that had to be
    satisfied for the purchase of the multiple properties involved in Tower Health’s
    purchase transaction, which included properties in both Montgomery and Chester
    Counties. Id. at 12 & 23-24. The trial court also observed that settlement for the
    transaction did not occur until October 2017, after several continuances. Id. at 24.
    However, the trial court did not cite any authority to support its
    determination that the contingent nature of the purchase transaction deprived
    Hospital of standing in 2017 to pursue a tax exemption for the 2018 tax year. See
    id. at 21 & 23-24. We are likewise unaware of any such authority.3
    2
    53 Pa.C.S. §§ 8801-8868.
    3
    Moreover, it is logical that the conditional nature of a purchase agreement should neither
    defeat equitable ownership nor impede the prospective purchaser’s ability to seek a tax exemption
    for the ensuing year. Depending on the amount at issue and the purchaser’s financial
    circumstances, the purchaser may need to know whether a tax exemption is available before
    5
    Accordingly, we agree with Hospital that it had standing to seek a tax
    exemption prospectively for tax year 2018 while Tower Health’s purchase
    transaction was pending.
    B. Waiver of Issues on Appeal
    Rule 1925(a) of the Pennsylvania Rules of Appellate Procedure
    requires a trial court, upon receipt of a notice of appeal from its decision, to provide
    a written opinion explaining the reasons for its decision. Pa. R.A.P. 1925(a). Rule
    1925(b)(4) provides, in pertinent part:
    (b) Direction to file statement of errors complained of on
    appeal; instructions to the appellant and the trial court.—
    If the judge entering the order giving rise to the notice of
    appeal (“judge”) desires clarification of the errors
    complained of on appeal, the judge may enter an order
    directing the appellant to file of record in the trial court
    and serve on the judge a concise statement of the errors
    complained of on appeal (“[1925(b)] Statement”).
    ....
    (4) Requirements; waiver.
    (i) The [1925(b)] Statement shall set forth
    only those errors that the appellant intends to
    assert.
    (ii) The [1925(b)] Statement shall concisely
    identify each error that the appellant intends
    to assert with sufficient detail to identify the
    issue to be raised for the judge . . . .
    ....
    finalizing the purchase transaction, as the purchase might not be financially feasible if the
    exemption will not be available.
    6
    (iv) The [1925(b)] Statement should not be
    redundant or provide lengthy explanations as
    to any error. Where non-redundant, non-
    frivolous issues are set forth in an
    appropriately concise manner, the number of
    errors raised will not alone be grounds for
    finding waiver.
    (v) Each error identified in the [1925(b)]
    Statement will be deemed to include every
    subsidiary issue that was raised in the trial
    court . . . .
    Pa. R.A.P. 1925(b)(4).
    Here, the trial court ordered Hospital to file a 1925(b) Statement.
    Hospital filed a 1925(b) Statement that was 19 pages long with 42 numbered issues
    and 49 sub-issues in paragraph 42, a total of 90 issues and sub-issues. Application
    to Dismiss, Ex. A. In its Rule 1925(a) opinion, the trial court posited that Hospital
    violated Rule 1925(b)’s conciseness requirement. 1925(a) Op. at 3. Notably, the
    trial court expressly declared it was hampered in issuing its 1925(a) Opinion by the
    1925(b) Statement’s lack of conciseness. Id.
    Consistent with the trial court’s Rule 1925(a) Opinion, the Board filed
    an application for relief in the form of a motion to dismiss the appeal. The Board
    argues that Hospital’s failure to comply with Rule 1925(b) waived all issues. We
    agree.
    In Eiser v. Brown & Williamson Tobacco Corp., a plurality of our
    Supreme Court opined that the number of issues in a 1925(b) statement should not,
    standing alone, result in waiver. 
    938 A.2d 417
    , 427 n.16 (Pa. 2007). The current
    Rule 1925(b)(4)(iv) reflects that principle. See Pa. R.A.P. 1925(b)(4)(iv). In
    determining whether waiver is appropriate, a court should consider whether the
    circumstances indicate a lack of good faith by the appellant. Eiser, 938 A.2d at 427
    7
    n.16.       However, lack of good faith may be inferred from the degree of
    noncompliance with Rule 1925(b), including lack of conciseness; a 1925(b)
    statement must not be “so lengthy that it does not meet the goal of narrowing down
    the issues previously raised to the few that are likely to be presented to the appellate
    court without giving the trial judge volumes to plow through.” Commonwealth v.
    Reeves, 
    907 A.2d 1
    , 2-3 (Pa. Super. 2006); see also Jones v. Jones, 
    878 A.2d 86
    , 89-
    90 (Pa. Super. 2005) (7-page statement listing 29 issues in narrative form showed
    lack of good faith effort to comply with Rule 1925(b); “such ‘voluminous’
    statements do not identify the issues that [a]ppellant actually intends to raise on
    appeal because the briefing limitations contained in [Pennsylvania Rule of Appellate
    Procedure] 2116(a)[ ] make[] the raising of so many issues impossible”); Kanter v.
    Epstein, 
    866 A.2d 394
    , 401 (Pa. Super. 2004) (stating that raising an “outrageous”
    number of issues in a 1925(b) statement “deliberately circumvent[s] the meaning
    and purpose of Rule 1925(b) and . . . effectively preclude[s] appellate review . . .”);
    Mundy v. Bureau of Admin. Adjudication (Pa. Cmwlth., No. 1984 C.D. 2012, filed
    Apr. 5, 2013)4 (first citing Eiser; then citing Jones; and then citing Reeves).
    Here, our review of Hospital’s 1925(b) Statement reveals a significant
    number of issues that are redundant and/or not concise. Issues and sub-issues are
    set forth and discussed in a level of detail more appropriate to a brief than a statement
    of issues, in violation of Rule 1925(b)(4)(iv). As a result, many issues that should
    constitute single short paragraphs are needlessly expanded, broken out into parts,
    and distributed into numerous paragraphs or subparagraphs. Hospital has also
    thereby ignored Rule 1925(b)(4)(v)’s admonition that error statements are deemed
    4
    We cite this unreported opinion as persuasive authority pursuant to Section 414(a) of this
    Court’s Internal Operating Procedures. 
    210 Pa. Code § 69.414
    (a).
    8
    to include all subsidiary issues properly raised in the trial court. Although the
    number of issues alone generally does not trigger waiver, that principle applies only
    where the stated issues are concise and not redundant. See Pa. R.A.P. 1925(b)(4)(iv).
    That is not the case here. Rather, Hospital forced the trial court to “plow through” a
    mass of issues that the trial court expressly stated was an impediment to its
    consideration of the issues and preparation of its 1925(a) Opinion.5 1925(a) Op. at
    3; see Reeves, 
    907 A.2d at 2-3
    .
    Significantly, in its docketing statement, Hospital was able to keep its
    statement of issues to two pages with nine issues. Its appellate brief ultimately raised
    only six issues, which this Court consolidated to three issues for discussion. Thus,
    there was no need or justification for a 1925(b) Statement that listed 10 times more
    issues than the docketing statement, 15 times more issues than the statement of
    questions in Hospital’s brief, and 30 times the number of actual issues discerned by
    this Court.
    This case is analogous to others where waiver has been found. See,
    e.g., King v. Riverwatch Condo. Owners Ass’n (Pa. Cmwlth., No. 881 C.D. 2014,
    filed Apr. 24, 2015), slip op. at n.6 (finding waiver where 1925(b) statement of errors
    was 18 pages long and contained 51 paragraphs) (citing Tucker v. R.M. Tours, 
    939 A.2d 343
     (Pa. Super. 2007), aff’d, 
    977 A.2d 1170
     (Pa. 2009) (finding waiver where
    1925(b) statement of errors was 16 pages long and contained 76 paragraphs plus
    5
    At oral argument, Hospital’s counsel indicated that the 1925(b) Statement was initially
    made lengthy to ensure that nothing was missed, and then was pared down later for briefing. This
    kitchen-sink approach to the 1925(b) Statement is contrary to the very purpose of Rule 1925(b),
    which is intended to narrow the issues the trial court must review and address in its 1925(a)
    Opinion. See Commonwealth v. Reeves, 
    907 A.2d 1
    , 2-3 (Pa. Super. 2006).
    9
    exhibits)). Indeed, this Court is unaware of any similarly egregious instance where
    waiver was not found.
    For these reasons, we conclude that Hospital has waived all of its issues
    on appeal for failure to comply with Rule 1925(b). Nevertheless, we address
    Hospital’s appellate issues for completeness. Even if Hospital had not waived all
    issues on appeal, we would affirm the trial court’s decision on the merits.
    C. Entitlement to Real Estate Tax Exemption
    1. General Legal Requirements for Tax Exemption
    Pursuant to article VIII, section 2(a)(v) of the Pennsylvania
    Constitution, the General Assembly may by law exempt from taxation “[i]nstitutions
    of purely public charity . . . .” PA. CONST. art. VIII, § 2(a)(v). In order to implement
    article VIII, section 2(a)(v), the General Assembly enacted the Institutions of Purely
    Public Charity Act,6 commonly known as Act 55.                     In order to qualify for an
    exemption as an institution of purely public charity, an entity must meet both the
    constitutional requirements set forth in Hospital Utilization Project v.
    Commonwealth, 
    487 A.2d 1306
     (Pa. 1985), known as the HUP test, and the statutory
    requirements of Act 55. Mesivtah Eitz Chaim of Bobov, Inc. v. Pike Cnty. Bd. of
    Assessment Appeals, 
    44 A.3d 3
    , 9 (Pa. 2012). The entity must also comply with any
    additional and not inconsistent requirements of the CCAL. See 53 Pa.C.S. § 8812(a)(3)
    & (c).
    The party seeking a tax exemption has the burden of proving its
    entitlement to the exemption. See Section 236 of the Tax Reform Code of 1971,7 72
    6
    Act of November 26, 1997, P.L. 508, No. 55, 10 P.S. §§ 371-385.
    7
    Act of March 4, 1971, P.L. 6, as amended, 72 P.S. §§ 7101-10004.
    10
    P.S. § 7236; Fayette Res., Inc. v. Fayette Cnty. Bd. of Assessment Appeals, 
    107 A.3d 839
    , 844-45 (Pa. Cmwlth. 2014).
    2. The HUP Test
    a. Legal Requirements
    In order to qualify for an exemption under any law enacted pursuant to
    article VIII, section 2, an entity must show that it is an institution of “purely public
    charity” by satisfying the five criteria of the HUP test; specifically, the entity must
    show that it:
    (a) Advances a charitable purpose;
    (b) Donates or renders gratuitously a substantial portion of
    its services;
    (c) Benefits a substantial and indefinite class of persons
    who are legitimate subjects of charity;
    (d) Relieves the government of some of its burden; and
    (e) Operates entirely free from private profit motive.
    HUP, 487 A.2d at 1317.
    An institution advances a charitable purpose “if it benefits the public
    from an educational, religious, moral, physical or social standpoint.”          City of
    Washington v. Bd. of Assessment Appeals, 
    704 A.2d 120
    , 122-23 (Pa. 1997) (citing
    HUP, 487 A.2d at 1315). An institution can advance a charitable purpose even
    where it accepts payment from those who are able to pay or from Medicare or
    Medicaid. See St. Margaret Seneca Place v. Bd. of Prop. Assessment, Appeals &
    Rev., 
    640 A.2d 380
    , 383 (Pa. 1994) (finding that accepting Medicaid payments was
    “perfectly consistent” with a nursing home’s charitable purpose). Further, an
    institution relieves the government of some of its burden where “the institution bears
    11
    a substantial burden that would otherwise fall to the government”; the institution
    need not “fully fund[] the care of some people who would otherwise be fully funded
    by the government.” 
    Id. at 384
    .
    The final criterion of the HUP test, operating “entirely free from private
    profit motive,” is a major issue in this appeal. In applying this criterion, “surplus
    revenue is not synonymous with private profit . . . .” Guthrie Clinic, Ltd. v. Sullivan
    Cnty. Bd. of Assessment Appeals, 
    898 A.2d 1194
    , 1199 n.6 (Pa. Cmwlth. 2006) (first
    citing Wilson Area Sch. Dist. v. Easton Hosp., 
    747 A.2d 877
    , 880 (Pa. 2000); and
    then citing St. Joseph Hosp. v. Berks Cnty. Bd. of Assessment Appeals, 
    709 A.2d 928
    , 938 (Pa. Cmwlth. 1998)). Instead, the analysis focuses on how such revenue is
    used, specifically:
    1) Whether the utilization of the revenue is made with the
    expectation of a reasonable return or some non-monetary
    benefit;
    2) Whether the utilization of the revenue ultimately
    supports or furthers the eleemosynary nature of the
    charitable entity; and
    3) Whether the utilization of the revenue inures, directly
    or indirectly, to any private individual related to the
    charitable entity or related organization(s).
    Wilson, 747 A.2d at 880. Under the third of these factors, in determining whether
    revenue is used in furtherance of an institution’s charitable purpose, courts consider
    the compensation of the institution’s executives to determine whether it includes a
    “private or pecuniary return.” HUP, 487 A.2d at 1312 (quoting Episcopal Acad. v.
    Philadelphia, 
    25 A. 55
    , 56 (Pa. 1892)). That analysis requires consideration of
    whether the amount of executive compensation is reasonable, and the extent, if any,
    to which it is based on the financial performance of the institution. Compare, e.g.,
    
    12 Wilson, 747
     A.2d at 881 (upholding a tax exemption where hospital executives
    received reasonable salaries and no bonuses or fringe benefits), with In re Dunwoody
    Vill., 
    52 A.3d 408
    , 423 (Pa. Cmwlth. 2012) (denying exemption where, inter alia,
    “a substantial percentage” of executive compensation was based on the institution’s
    financial or marketplace performance).
    b. Analysis
    Although the evidence described above can be construed as relating to
    all of the HUP test’s criteria, the trial court posited that Hospital “chose to address
    only whether it met the charitable purpose test” based on “the very fact that it is an
    acute care hospital with an open admission policy . . . .” Trial Ct. Op. at 28. The
    trial court concluded that the “evidence fails to speak to whether [Hospital] meets
    all the criteria set forth in the variety of tests that govern exemption from real estate
    taxation.” Id. at 29. Nonetheless, the trial court went on to acknowledge and discuss
    Hospital’s arguments under some other factors of the HUP test.
    i. Profit Motive
    As this Court has explained, “the diversion of surplus monies into other
    entities that have a profit motive is evidence of a profit motive.” Phoebe Servs., Inc.
    v. City of Allentown, 
    262 A.3d 660
    , 670 (Pa. Cmwlth. 2021), appeal denied, 
    273 A.3d 509
     (Pa. 2022). Here, the trial court found the record did not support the
    reasonableness of the management fees and bond interest charges. Thus, the trial
    court inferred a profit motive in the payment and collection of unsupported fees and
    charges.
    13
    The trial court found that Tower Health generates income solely
    through charges it imposes on various LLCs, including Hospital, in the form of
    management fees, central business office fees, and bond issue interest payment
    obligations. Trial Ct. Op. at 13. In the trial court’s view, Tower Health drew money
    from the hospitals without sufficient explanation and “at an alarming rate.” 
    Id.
    (citing RR at 692a-94a). The trial court observed that Tower Health charged
    Brandywine Hospital $2,718,800 in management fees for 2018, $7,422,480 for
    2019, and $15,587,155 for 2020. 
    Id.
     The trial court found no evidence was
    presented to support the reasonableness of these “ever-increasing” management fees.
    
    Id. at 14
    .
    The trial court found that Tower Health improperly charged exorbitant
    management fees to all of the hospital LLCs and applied hospital funds for purposes
    other than support of the specific hospital. Trial Ct. Op. at 38. Hospital did not
    scrutinize whether the management fees were reasonable for the services provided
    by Tower Health. RR at 196a (testimony by Hospital’s chief financial officer that
    he was not aware of any analysis to determine whether the services Tower Health
    provided to Hospital were commensurate with the management fees it charged); see
    also Trial Ct. Op. at 36 (observing that “[n]o one questioned” Tower Health’s
    executive salaries or why the management fees were so high). Further, the trial court
    found that “Tower Health presented no justification for taking such large sums as a
    management fee . . . .” 
    Id. at 27
    .
    The trial court also found the use of interest payments on the bonds for
    acquisition of properties other than the hospitals at issue was improper and that
    “[n]ot one penny from the bonds were [sic] applied to support and to increase the
    efficiency and facilities of each hospital.” 
    Id. at 38-39
    . The trial court explained
    14
    that the purchase transaction to acquire the various hospitals involved in Tower
    Health’s asset purchase was funded by a $590 million bond issue that served as both
    purchase funds and operating capital. Trial Ct. Op. at 12. Although the individual
    LLCs did not receive any of the bond issue proceeds directly, they are all part of an
    “obligated group,” members of which pledged their assets as collateral for the bond
    issue and pay proportional shares of the interest on the bonds. 
    Id.
    Moreover, as discussed below, the trial court observed that the federal
    excise tax charged to Tower Health because of its excessive executive compensation
    was then assessed by Tower Health against the hospital LLCs; the trial court
    concluded “the payments from each hospital to Tower [Health] clearly was [sic] not
    then applied to the hospitals’ benefit, but rather to their detriment.” 
    Id. at 39
    .8
    We find no error in the trial court’s reasoning. Therefore, we agree
    with the trial court that Hospital failed to sustain its burden of demonstrating the
    absence of a profit motive behind its management fees and bond interest payments.
    Diversion of money to employees through excessive salaries and fringe
    benefits may also evidence a private profit motive. Phoebe Servs., 262 A.3d at 670
    (first citing St. Margaret, 640 A.2d at 385; and then citing Dunwoody Vill., 
    52 A.3d at 422-23
    ).      Notably, tying executive compensation to the entity’s financial
    performance is indicative of a profit motive. See Phoebe Servs., 262 A.3d at 670
    (citing Dunwoody Vill., 
    52 A.3d at 423
    ).
    Here, the trial court pointed to substantial salary increases paid to
    Tower Health executives, purportedly connected to their work in support of the 2017
    8
    The trial court did not cite to the record for its findings, and Hospital challenges many of
    them as not supported by the record. However, the trial court’s decision is supported more by the
    evidence it found absent than the purported evidence it referenced.
    15
    multi-property purchase transaction. Trial Ct. Op. at 14. However, the trial court
    found Tower Health’s executives did nothing other than foster the purchase
    transaction, and there was no evidence that the executives’ services helped any
    individual hospital provide its services. 
    Id.
     Further, the trial court observed that
    Tower Health was subject to a federal excise tax as a nonprofit entity paying its
    executives more than $1,000,000 per year. Id. at 16. The trial court intimated that
    imposition of the excise tax, which Tower Health passed on to Hospital and the other
    new LLCs, was an indicator of unreasonably high executive salaries. See id. at 27-
    28.
    The trial court also found that Tower Health’s executive compensation
    bonus incentives were weighted 70% on financial performance and 30% on patient
    care and patient satisfaction. Trial Ct. Op. at 15. Although Hospital asserts this
    figure is without evidentiary support, a Hospital witness acknowledged at trial that
    40% of the bonus incentives, their largest single component, was based on achieving
    financial performance goals. RR at 244a; see also Hospital’s Br. at 49. The trial
    court made no finding of the percentage relationship between potential bonuses and
    base salaries. However, even accepting, arguendo, Hospital’s assertion that the
    financial performance component was 40% rather than 70% of the bonus incentive,
    we nonetheless conclude that tying 40% of incentive bonuses to financial
    performance is substantial, as discussed below.
    Further, according to the trial court, “[H]ospital’s expert witness on
    compensation . . . testified that this incentive compensation plan was specifically
    designed to impact the behavior of the employees and management team. The plan
    was to focus their attention on the incentive compensation to drive their behavior to
    make more money.” Trial Ct. Op. at 35-36. The trial court found “[i]t was very
    16
    clear from the testimony of all the witnesses that the health system was set up to be
    profitable and to reward executives at all levels when it was. Its goal went far beyond
    self-support.” Id. at 36.
    Hospital justified its compensation incentives by asserting that
    otherwise it could not attract and retain qualified executives. Trial Ct. Op. at 36; RR
    at 233a (positing that competitiveness in recruitment of executives is impacted by
    incentive compensation because such incentives “are nearly universal within health
    systems”). The trial court found insufficient support for Hospital’s assertion. Trial
    Ct. Op. at 36. Instead, the trial court rejected Hospital’s reasonableness argument
    regarding Tower Health’s executive salaries in scathing terms:
    The evidence demonstrated that [the Chief Executive
    Officer (CEO)] and the Board of Tower Health were no
    more tha[n] corporate health care raiders. No one
    questioned the executives of Tower Health for what they
    were being paid $2,500,000 per year or why they drained
    $22,000,000 per year from, for example, [the]
    Phoenixville [facility]. Within three weeks of trial, Tower
    [Health] dismissed as employees the President of [the]
    Jennersville [facility] and [] Hospital along with other
    executives and announced that [the] Jennersville [facility]
    would close. Other [h]ospitals have been sold, are for sale,
    or will just be given away as seems will be the case with
    [H]ospital. The goal as evident from the financial
    documentation offered at trial was simple and direct –
    drain the juice out of the hospitals until there was nothing
    left but a dried-out husk and then leave, close the doors, or
    sell what was left. [The] Jennersville [facility] is now
    closed, [Hospital] for sale and while this harvesting
    strategy may not have killed [the] Phoenixville [facility],
    it is left with little more than a skeleton.
    Trial Ct. Op. at 36-37.
    17
    In Dunwoody Village, this Court explained that the requirements of the
    HUP test are separate from those of Act 55. 
    52 A.3d at 422
     (explaining that “an
    entity seeking a tax exemption as an institution of purely public charity must first
    meet the constitutional requirements of the HUP test before the question of whether
    it satisfies the corresponding statutory criteria in act 55 can be addressed”) (citing
    Mesivtah Eitz Chaim).      For example, Act 55 requires an applicant for a tax
    exemption to demonstrate, in part, that employee compensation “is not based
    primarily upon the financial performance of the institution.” Dunwoody Vill., 
    52 A.3d at 421
     (quoting Section 5(c)(3) of Act 55, 10 P.S. § 375(c)(3)) (additional
    quotation marks omitted). However, the HUP test, which must be satisfied first,
    may preclude a tax exemption even though less the majority of an employee’s
    compensation is not based on the institution’s financial performance. Dunwoody
    Vill., 
    52 A.3d at 422
    .
    In Dunwoody Village, executive compensation “included incentives
    related to [the institution’s] financial or marketplace performance,” such that
    compensation was based “in part” on the institution’s annual financial performance.
    
    52 A.3d at 422-23
    . This Court observed that the chief executive officer’s maximum
    incentive bonus of 24% of salary and the chief financial officer’s was 18-19%. 
    Id. at 423
    . Thus, we observed that “a substantial percentage” of compensation was
    based on financial performance. 
    Id.
     Notably, there was no discussion in Dunwoody
    stating how much of the bonus incentive was tied to financial performance rather
    than other criteria. See 
    id.
     Nonetheless, we affirmed a lower court’s decision that
    the institutional taxpayer “failed to establish that it operate[d] entirely free from
    private profit motive.” 
    Id.
     (additional citation omitted).
    18
    Phoebe Services concerned an application for an exemption from a
    business privilege tax imposed by a city ordinance. At issue was whether the
    nonprofit taxpayer was a “business” within the meaning of the ordinance, which
    defined that term as “any activity carried on or exercised for gain or profit in the
    [c]ity.” 262 A.3d at 663. The city argued that the taxpayer operated with a profit
    motive because its executive compensation included bonuses based on financial
    performance. Id. at 666. This Court found cases analyzing the HUP test’s “private
    profit motive” criterion, including Dunwoody Village, to be instructive. Id. at 669.
    Contrary to the city’s argument, however, we found the executive compensation in
    Phoebe Services was “not directly tied to the financial status of the nonprofit.” Id.
    at 671. Thus, Phoebe Services is distinguishable from Dunwoody Village in this
    regard.
    There is no bright-line test of what constitutes a substantial percentage
    of compensation based on financial performance. In the circumstances of this case,
    however, we cannot say that basing 40% of the total incentive bonus on financial
    performance was not substantial. Therefore, we conclude that the trial court did not
    err in finding Hospital failed to prove it operated free from a profit motive.
    ii. Gratuitous Services
    The trial court also rejected Hospital’s position that it renders a
    substantial portion of its services gratuitously. The trial court pointed to Hospital’s
    own application for a sales tax exemption, in which Hospital stated it provided
    services to 167,235 people, of whom 127, only .076%, received free services, and
    19
    8,792, or 5.2%, received fee reductions.9 Trial Ct. Op. at 18; RR at 546a. Hospital
    acknowledged that only about 5% of its patients received fee reductions of at least
    10% of the cost of goods or services provided to them. RR at 546a. The trial court
    found that the percentage of uncompensated care provided by Hospital was “clearly
    not substantial.” Trial Ct. Op. at 29. The trial court further found that Hospital’s
    evidence of the amounts and percentages of uncompensated care compared to its
    total operating expenses “carrie[d] little weight” under the HUP test. Id. The trial
    court’s findings of fact were supported by competent evidence. See RR at 546a.
    Accordingly, we will not disturb them on appeal.
    Hospital also offered testimony that it satisfied the gratuitous services
    requirement for a property tax exemption because of shortfalls in reimbursement
    received for care provided to insured patients through Medicare and Medicaid.10
    Trial Ct. Op. at 18; see RR at 316a-22a. However, although a Hospital witness
    testified that Hospital had a master charge list reflecting the gross charge for each
    medical service, no such sheet was produced in evidence and no witness testified to
    those charges. Trial Ct. Op. at 18; see RR at 168a & 180a. As the trial court
    characterized the evidence, Hospital negotiates payments with “a wide variety of
    third-party payors” and then incorrectly “argues that because these negotiations
    result in the acceptance of payments that are less than what is initially requested on
    the master charge sheet, which are inflated to begin with, [Hospital] must be
    considered to have offered uncompensated care.” Trial Ct. Op. at 19.
    9
    The trial court’s calculation of .00076% and .052% mistakenly reflects the raw quotients
    as percentage figures.
    10
    The testimony given actually related specifically to Act 55 criteria, not the HUP test.
    See RR at 306a-07a & 309a. However, a gratuitous service requirement exists in both Act 55 and
    the HUP test.
    20
    Hospital correctly asserts that reimbursement shortfalls from Medicare
    and Medicaid may constitute donations of gratuitous services. See Wilson Area Sch.
    Dist., 747 A.2d at 878 (stating that “the total value of [] Hospital’s services that were
    rendered gratuitously to individuals . . . includ[es] traditional uncompensated charity
    care, Medicaid and Medicare shortfalls, and bad debt expenses”); St. Margaret
    Seneca Place, 640 A.2d at 382-83 (positing that “[o]ur prior decisions do not equate
    the acceptance of Medicaid payments as the equivalent of conducting a business for
    profit. The decision to accept Medicaid payments to help defray the cost of care for
    residents is perfectly consistent with a finding that the nursing home advances a
    charitable purpose.”); Lewistown Hosp. v. Mifflin Cnty. Bd. of Assessment Appeals,
    
    706 A.2d 1269
    , 1272 (Pa. Cmwlth. 1998) (stating that shortfalls in cost
    reimbursement by Medicare and Medicaid reflect gratuitous donation of services).
    However, the trial court rejected Hospital’s argument that reimbursement shortfalls
    for Medicare and Medicaid patients constituted gratuitous services in this case. We
    discern no error in the trial court’s determination.
    First, the trial court observed that Hospital did not consider whether
    patients with Medicare or Medicaid coverage also had supplemental insurance to
    cover shortfalls in Medicare or Medicaid reimbursements. Trial Ct. Op. at 20 & 30.
    In addition, the trial court rejected the reliance on “Trend Reports”11 by Hospital’s
    accounting expert, Robert Cepielik (Cepielik) to support his payment shortfall
    calculations; the trial court found the Trend Reports were “unreliable” and based on
    “numbers not properly audited.” Id. at 30. The trial court likewise rejected
    11
    A Trend Report is “a summary report that will give . . . gross revenues, deductions, [and]
    net revenue from the general ledger system . . . . [I]t indicates an estimation, a combination of the
    difference between gross charges and what [Hospital] got paid and an estimation on the unpaid
    claims.” RR at 293a.
    21
    Cepielik’s testimony that his opinion was based on “[generally accepted accounting
    principles (GAAP)]-like” numbers,12 positing that “[t]here is no such thing. This is
    a binary selection.       Figures relied upon either were or were not prepared in
    accordance with GAAP. These were not.”13 Id.
    Moreover, in considering whether Hospital’s gratuitous services
    relieved the government of some of its burden, the trial court observed that Medicare
    reimburses about 9% of the master charge sheet amounts, while Blue Cross pays
    only 5.73% of such amounts. Trial Ct. Op. at 32. The court found that “[a] clear
    financial reason to take more government insurance patients is the higher
    reimbursement rate.” Id. The trial court reasoned further:
    The testimony and data clearly lead to a conclusion that
    the government is assuming more of [the] obligation or
    burden to provide health care. One could conclude that in
    1985, the Supreme Court recognized in HUP that if the
    government was only paying for 11% of the population’s
    health care, a given hospital [was] relieving the government
    of 89% of its burden. In 2019, the government was now
    paying nearly one-half of the population’s health care
    costs. Rather than relieving the government of a burden,
    12
    When asked whether he followed GAAP in calculating the amount of Hospital’s
    uncompensated care, Cepielik hedged, “I followed – I think that these are GAAP calculations
    because the information that is contained in here is either a GAAP number or information that is
    an input to the GAAP number, or it contains information and is calculated based upon the starting
    point of the GAAP number.” RR at 323a. On further questioning, he stated that Hospital’s books
    and general ledger “are maintained on a GAAP basis or support GAAP basis financial statements
    . . . . So my estimate of what the revenue is a GAAP type estimate.” Id. at 325a. Cepielik also
    explained that “[a]n audit is a procedure by which a firm of independent accountants test[s] and
    reviews and examines financial records to opine if management has maintained the records of the
    organization on the basis of [GAAP] . . .” and that Hospital does not have audited financial
    statements. Id. at 328a.
    13
    We note that the specific recognition of GAAP calculations, like that of calculating
    gratuitous services as a percentage of operating expenses, is found in Act 55 rather than expressly
    required under the HUP test. See 10 P.S. § 375(f)(3). The trial court acknowledged as much in
    its discussion of GAAP in relation to the HUP test. Trial Ct. Op. at 30 n.2.
    22
    [Hospital’s] financial model in place is to increase [the]
    burden on the government and reliance on government
    insurance payments.
    Id. at 31-32 & nn.3-4 (first citing Health Care Fin. Rev., 199214; and then citing U.S.
    Census Bureau Current Population Survey, 2020 Annual & Economic Supplement).
    In addition, the trial court found that the evidence showed the costs listed on the
    master charge sheet were “meaningless” and that “the reimbursement percentage
    stated above is likely higher or is closer to actual costs of services.” Trial Ct. Op. at
    32. The trial court reasoned:
    There was no testimony as to the cost of a procedure or
    what any of the now multiple insurance plans pay for that
    procedure. That information was solely within the control
    of [] Hospital. It could have produced the agreements and
    financial arrangements, under a confidentiality agreement
    if necessary, thus allowing a proper analysis[,] but it did
    not. The conclusion left to be reached is that such
    information would not support [Hospital’s] exemption
    argument. Although uncompensated Medicare costs may
    be considered in an exemption analysis, the evidence
    offered at trial leaves the court merely to speculate as to
    the amounts of uncompensated care.
    Trial Ct. Op. at 32-33.
    The trial court similarly found Hospital failed to establish that its bad
    debt write-offs constituted gratuitous donations of care for tax exemption purposes.
    The trial court explained:
    14
    The Health Care Financing Review was a journal “released from 1979 and 2009 with
    the goal of presenting information and analyses on a broad range of health care financing and
    delivery issues to improve the understanding of the Medicare and Medicaid Programs and the U.S.
    health care system”; it is currently archived on the website of the Centers for Medicare & Medicaid
    Services. See https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-
    Reports/Archives/HCFR (last visited Jan. 18, 2023).
    23
    [A Hospital witness] testified that the bad debt write-offs
    were on accounts for patients that [H]ospital[] determined
    had the financial means to pay. To write these amounts
    off is not charity when [H]ospital[] decided not to pursue
    the collection of these accounts even though there was, in
    [H]ospital’s determination, a means to pay. The ever
    increasing []bad debt[] write-offs do not equal an increase
    in donated care, to those []who otherwise could not afford
    to pay.[]
    Trial Ct. Op. at 33 (quotation marks omitted).
    We agree with the trial court that Hospital failed to show the amount of
    gratuitous services it provided because it did not provide information concerning
    whether patients receiving free, discounted, or unreimbursed services actually had
    the ability to pay the full costs. Although inability to pay is not expressly part of the
    HUP test, it was recognized as relevant to gratuitous services in St. Margaret Seneca
    Place. See 640 A.2d at 384; accord Dunwoody Vill., 
    52 A.3d at 421
     (affirming a
    finding that the operator of a nonprofit retirement community failed to demonstrate
    that it relieved the government of part of its burden, where most of its residents could
    afford to pay the applicable fees and costs). We conclude that the trial court did not
    err in determining that gratuitous services to persons who can afford to pay do not
    satisfy any factor of the HUP test.
    3. Act 55 Factors
    a. Legal Requirements
    The requirements of Act 55 are similar but not identical to those of the
    HUP test. The statement of legislative purpose of Act 55, set forth in Section 2(b),
    provides in full:
    It is the intent of the General Assembly to eliminate
    inconsistent application of eligibility standards for
    24
    charitable tax exemptions, reduce confusion and
    confrontation among traditionally tax-exempt institutions
    and political subdivisions and ensure that charitable and
    public funds are not unnecessarily diverted from the public
    good to litigate eligibility for tax-exempt status by
    providing standards to be applied uniformly in all
    proceedings throughout this Commonwealth for
    determining eligibility for exemption from State and local
    taxation which are consistent with traditional legislative
    and judicial applications of the constitutional term
    “institutions of purely public charity.”
    Section 2(b) of Act 55, 10 P.S. § 372(b); see also WRC N. Fork Heights, Inc. v. Bd.
    of Assessment Appeals, 
    917 A.2d 893
    , 907 n.15 (Pa. Cmwlth. 2007). Consequently,
    Act 55’s requirements are specified in much greater detail than the HUP test
    provides.
    Section 5(a) of Act 55, 10 P.S. § 375(a), requires an entity seeking a tax
    exemption as an institution of purely public charity to satisfy Sections 5(b) through
    5(f). Although Section 5 is lengthy, the following provisions are most pertinent here:
    (c) PRIVATE PROFIT MOTIVE.—The institution must
    operate entirely free from private profit motive.
    Notwithstanding whether the institution’s revenues
    exceed its expenses, this criterion is satisfied if the
    institution meets all of the following:
    (1) Neither the institution’s net earnings nor
    donations which it receives inures to the benefit of
    private shareholders or other individuals . . . .
    ....
    (3) Compensation, including benefits, of any director,
    officer or employee is not based primarily upon the
    financial performance of the institution.
    ....
    (f) GOVERNMENT SERVICE.—The institution must
    relieve the government of some of its burden. This
    25
    criterion is satisfied if the institution meets any one of the
    following:
    (1) Provides a service to the public that the
    government would otherwise be obliged to fund or
    to provide directly or indirectly or to assure that a
    similar institution exists to provide the service.
    ....
    (3) Receives on a regular basis payments for services
    rendered under a government program if the
    payments are less than the full costs incurred by the
    institution, as determined by generally accepted
    accounting principles.
    ....
    10 P.S. § 375(c)(1) & (3) & (f)(1) & (3).
    b. Analysis
    For this test, the trial court opined that Hospital focused solely on the
    “community service” factor.           Trial Ct. Op. at 39-40. Reiterating the Act 55
    requirement that calculations be based on GAAP, 10 P.S. § 375(f)(3), the trial court
    rejected Cepielik’s calculations as noncompliant, as it had under the HUP test,
    because they were based on “GAAP-like” or “non-GAAP numbers.”15 Id. at 40.
    The trial court suggested Cepielik could and should simply have obtained audited
    financial statements, which are prepared in accordance with GAAP.16 Id. Therefore,
    the trial court inferred from the failure to produce or use such reports that they would
    have been unfavorable to Hospital’s position. Id.
    15
    The trial court did not separately discuss other Act 55 factors, instead referring generally
    to its HUP discussion. Trial Ct. Op. at 39-40.
    16
    Although Hospital does not have separate audited financial statements, Tower Health’s
    audited financials relate to all of the new LLCs. RR at 172a & 328a.
    26
    The trial court found Hospital failed to demonstrate that it applied
    GAAP in calculating its financial evidence. Trial Ct. Op. at 30. We discern no error
    in the trial court’s finding. Therefore, we agree with the trial court that Hospital
    failed to demonstrate compliance with Act 55’s requirements.
    4. CCAL Factors
    a. Legal Requirements
    The CCAL “is to be read in para materia with” Act 55; Act 55
    supersedes any inconsistent provision of the CCAL. 53 Pa.C.S. § 8812(c).
    Under Section 8812(a)(3)(i) and (iii) of the CCAL, any hospital that is
    “founded, endowed, and maintained by public or private charity” is exempt from
    county and local taxes so long as the following apply:
    (i) The entire revenue derived by the entity is applied to
    support the entity and to increase the efficiency and
    facilities of the entity, the repair and the necessary increase
    of grounds and buildings of the entity and for no other
    purpose.
    (ii) The property of purely public charities is necessary to
    and actually used for the principal purposes of the
    institution and not used in such a manner as to compete
    with commercial enterprise.
    53 Pa.C.S. § 8812(a)(3)(i) & (ii). The CCAL applies to all second class A through
    eighth class counties. Chester County is a third class county.
    b. Analysis
    The trial court limited its discussion of the CCAL to Section 8812(b)(1),
    which renders real property subject to taxation if “any income or revenue is derived,
    other than from the recipients of the bounty of the institution or charity.” 53 Pa.C.S.
    27
    § 8812(b)(1); Trial Ct. Op. at 41. The trial court did not separately discuss other
    CCAL factors, referring again instead generally to its HUP and Act 55 discussions.
    Trial Ct. Op. at 41.
    The trial court found that Hospital derived income other than from the
    recipients of its bounty because non-employee physicians with privileges at Hospital
    are part of for-profit medical practices and bill patients directly for their services.
    Trial Ct. Op. at 41.      Moreover, Hospital pays some independent contractor
    physicians to provide services in operating and emergency rooms; the trial court
    found that the income used to pay these physicians “was not derived from the
    recipients of [H]ospital’s services.” Id. at 41-42. The trial court concluded that
    allowing physicians from for-profit practices to have staff privileges at Hospital’s
    facility violates the CCAL.
    We question the trial court’s reasoning on this issue.              Section
    8812(b)(1) of the CCAL, cited by the trial court, renders taxable “all property from
    which any income or revenue is derived, other than from the recipients of the bounty
    of the institution or charity.” 53 Pa.C.S § 8812(b)(1). The trial court interpreted this
    provision to mean that “[H]ospital cannot use property it owns to derive[] income
    from sources other than patients.” Trial Ct. Op. at 41. However, it is unclear how
    the trial court thought Hospital received such income. Where third-party physicians
    who are members of for-profit medical practices serve patients at Hospital’s facility
    pursuant to their staff privileges, the patients pay the doctors, not Hospital, for those
    services. Id. In addition, those patients are also Hospital patients paying separately
    for Hospital’s services, so any patient payments made to the third-party doctors are
    still being paid by the recipients of Hospital’s bounty. To the extent that Hospital
    28
    purchases some physician services from a medical group owned by Tower Health,
    the trial court did not explain how that constitutes income or revenue to Hospital.
    For these reasons, we believe the trial court erred in finding that
    Hospital derived income other than from the recipients of its bounty. However,
    because we have determined that the trial court correctly found Hospital failed to
    meet the requirements of the HUP test and Act 55, any error in the trial court’s
    analysis under the CCAL was harmless.
    D. Improper Consideration of Expert Testimony
    Hospital argues that the trial court erred in considering the testimony of
    the taxing bodies’ expert witness, Bruce Loch (Loch), who did not testify in this
    case, but rather, in separate trials concerning two other LLC entities created by
    Tower Health after its purchase transaction. Hospital’s Br. at 29-31. Loch asserted
    that (1) Cepielik relied on calculations regarding gratuitous services that were not in
    accordance with GAAP, (2) 70% of the bonus incentives for Hospital’s executives
    was based on Hospital’s financial performance, and (3) granting hospital privileges
    to non-employee physicians violated CCAL requirements for tax exempt status. Id.
    at 30.    Because the trial court’s opinion, which decided the tax exemption
    applications of all three LLCs, was consistent with Loch’s assertions, Hospital infers
    that the trial court must have relied improperly on Loch’s testimony in deciding this
    case. See id. We believe this inference is largely unsupported by the record, and
    further, any error the trial court may have made was insufficient to require reversal
    of its decision.
    Although Loch did not testify at the trial of this matter, there was
    substantial cross-examination of Cepielik concerning his use of non-GAAP
    29
    calculations in forming his opinion. See discussion above at 21-22 & n.12. Thus,
    contrary to Hospital’s assertion, the issue was certainly raised at the trial of this case.
    There was competent record evidence to support the trial court’s conclusion on the
    GAAP issue without reliance on Loch’s testimony in the other cases. Indeed, the
    trial court did not mention Loch’s testimony in its GAAP discussion; rather, the trial
    court’s discussion of the GAAP issue related solely to information elicited from
    Cepielik on cross-examination. See Trial Ct. Op. at 30 & 40.
    Hospital correctly observes there was no testimony in this case that 70%
    of Hospital’s executive bonus incentives were tied to financial performance goals.
    See Trial Ct. Op. at 35 (citing Loch’s testimony as the source of the 70% figure).
    However, as stated above, a Hospital witness acknowledged at trial that 40% of the
    bonus incentives, their largest single component, was based on achieving financial
    performance goals. RR at 244a; see also Hospital’s Br. at 49. Although Hospital
    contends that the 70% figure was improperly derived from testimony in other cases,
    it does not specifically assert that basing 40% rather than 70% of a bonus incentive
    on financial performance goals would render the bonus incentives compliant with
    the HUP test or Act 55. Instead, Hospital posits that the proper calculation is the
    percentage of an executive’s overall compensation package that is tied to financial
    performance and argues that percentage is not substantial. See Hospital’s Br. at 15-
    17 & 49-50. The trial court obviously did not accept Hospital’s argument. Further,
    Hospital argued that it did not rely substantially on financial performance in
    awarding executive bonuses because it had in place a “circuit breaker” that allowed
    it to suspend executive bonuses under certain conditions, and that circuit breaker
    actually resulted in no executive bonuses during most of the tax years at issue
    30
    because of the COVID-19 pandemic. Id. at 50. The trial court rejected this
    argument, explaining:
    The bonus compensation plan remained in place, whether
    paid or not. The fact that the executive compensation plan
    was suspended only further serves to emphasize that
    [H]ospital did not operate entirely free from private profit
    motive. Contrary to [H]ospital[’s] arguments, the “circuit
    breaker” demonstrates that a bad year resulted in financial
    consequences to the executives. Whereas a good year or
    a “profitable” year resulted in large payouts to selected
    people.
    Trial Ct. Op. at 37.17 We conclude that, in the context of the trial court’s overall
    reasoning, its use of the 70% figure rather than the 40% figure was harmless error.
    For these reasons, any error the trial court committed in citing evidence
    from related cases was harmless.
    E. Application to Strike Brief of Amici
    Hospital filed an application for relief asking this Court to strike the
    brief of amici Patientrightsadvocate.org and Families USA on the basis that the brief
    relied on matters that were outside the record or raised issues that were not preserved.
    This Court does not consider evidence outside the record. See Tennyson v. Zoning
    Hearing Bd. of W. Bradford Twp., 
    952 A.2d 739
     (Pa. Cmwlth. 2008) (stating that
    assertions outside of the record may not be considered on appeal). Further, we do
    17
    In addition, we note that one of Hospital’s compensation experts specifically advocated
    for executive incentives based on financial performance, asserting that lowering base salary and
    adding such incentives protects the nonprofit employer by shifting some of the risk of financial
    underperformance onto the employee. RR at 436a & 444a. This may be a sound business strategy,
    but it is directly contrary to the requirements of the HUP test and Act 55 that executive
    compensation must not be tied to the entity’s financial performance if the entity is to qualify for a
    tax exemption as a nonprofit organization.
    31
    not consider any legal arguments not preserved by the parties and amici may not
    assert such arguments. See Stilp v. Commonwealth, 
    905 A.2d 918
    , 928 n.14 (Pa.
    2006) (noting that amici must take the issues as raised by the parties and cannot
    inject new issues that the parties have not preserved). Therefore, we have not
    considered any extra-record information contained in the brief filed by the amici.
    Accordingly, we dismiss Hospital’s application for relief as moot.
    IV. Conclusion
    Based on the foregoing analysis, we grant the Board’s application for
    relief and dismiss Hospital’s appeal because Hospital’s noncompliance with Rule
    1925(b)(4) resulted in waiver of all issues on appeal. We dismiss as moot Hospital’s
    application to strike the brief of amici Patientrightsadvocate.org and Families USA.
    __________________________________
    CHRISTINE FIZZANO CANNON, Judge
    Judge Wallace did not participate in the decision in this case.
    32
    IN THE COMMONWEALTH COURT OF PENNSYLVANIA
    Brandywine Hospital, LLC,                :   CASES CONSOLIDATED
    Appellant               :
    :
    v.                          :
    :
    County of Chester Board                  :
    of Assessment Appeals and                :   Nos. 1279, 1280, 1283 & 1284 C.D. 2021
    Coatesville Area School District         :
    ORDER
    AND NOW, this 10th day of February, 2023, the applications for relief
    of the County of Chester Board of Assessment Appeals are GRANTED, and the
    appeals of Brandywine Hospital, LLC (Hospital) are DISMISSED.             Hospital’s
    applications to strike the briefs filed by Patientrightsadvocate.org and Families USA
    as amici curiae are DISMISSED AS MOOT.
    _________________________________
    CHRISTINE FIZZANO CANNON, Judge