2024-05-13T11:34:53-05:00 2023-06-30 PwC US Tax LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2022-07-01 232810852 PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM % GENE GOFMAN PRES 2156624868 51 NORTH 39TH STREET PHILADELPHIA PA 191042640 ROBERT J RUSSELL CEO 2156628810 2024-05-06 true ROBERT J RUSSELL 999009999 ANTONIO C RUSSO P00858539 2673303000 2024-05-02 2 2022 2023-04-26 12:10:37Z ROBERT J RUSSELL 3001 MARKET STREET STE 320 PHILADELPHIA PA 19104 1228381390 false X www.pennmedicine.org X 1995 PA PROVISION OF CHARITABLE HEALTHCARE SERVICES. 7 4 4440 39 0 0 7288461 8711110 1084540232 1196897808 4305916 909616 48102231 21862856 1144236840 1228381390 0 0 0 0 477985687 493833706 0 0 245860 617529963 682121032 1095515650 1175954738 48721190 52426652 931405283 947222243 284795533 258752421 646609750 688469822 X PROVISION OF CHARITABLE HEALTHCARE SERVICES. false false 1084600564 0 1212510294 SEE SCHEDULE O 1084600564 true true false false false true false false false true true false false true true true false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false true true true true false false true X 0 0 4440 true false false false false false false false false false false false false X 7 4 false false false false false false false true true false false true true true true true true true true false PA X GENE GOFMAN 2156628810 3001 MARKET ST SUITE 320 PHILADELPHIA PA 191042640 X KEVIN B MAHONEY EX-OFFICIO MEMBER 1.0 54.0 X 0 2872713 524230 KEITH KASPER CONTROLLER;EX-OFFICIO MEMBER 1.0 54.0 X X 0 1716989 24644 PHILLIP A OKALA EX-OFFICIO MEMBER THRU 8/31/22 1.0 54.0 X 0 1201151 229198 MICHELE M VOLPE COO UPHS; EX-OFFICIO MBR 1.0 54.0 X X 0 1067399 101405 JAMES BALLINGHOFF RNMSNMBA BOARD MEMBER; CNO 55.0 0.0 X X 413921 0 11193 ANTHONY ZUMPANO ASST. CONT/SEC. THRU 5/25/23 54.0 1.0 X X 393414 0 17880 JACK ENDE MD BOARD MEMBER 1.0 54.0 X 0 359021 45609 ROBERT J RUSSELL MPANHAFACHE ACTING CEO AS OF 9/1/22;EX-OFF 54.0 1.0 X X 358603 0 20605 S SIU MD PHYSICIAN ADVISOR 55.0 0.0 X 325250 0 20108 NISHAMINY KASBEKAR CHIEF PHARMACY OFFICER 55.0 0.0 X 314773 0 28351 LORIANN GAGLIARDI CLINICAL DIRECTOR 55.0 0.0 X 319203 0 19387 KIMBERLY A DEPPERT ASSOC. EXEC DIR. CARD SRVCS 55.0 0.0 X 313875 0 12949 GARY GINSBERG ASSISTANT HOSPITAL DIRECTOR 55.0 0.0 X 293832 0 21682 GENE GOFMAN MBA ASST CONT/SEC. AS OF 5/23/23 54.0 1.0 X X 263456 0 28442 ANNEMARIE WALTER ASST. SECRETARY THRU 9/30/22 1.0 0.0 X X 0 70363 8541 ANN CONLIN BOARD MEMBER 1.0 0.0 X 0 0 0 CLARE D'AGOSTINO ESQ BD MEMBER; CHAIR THRU 3/12/23 1.0 0.0 X X 0 0 0 JUDGE RENEE CARDWELL HUGHES BRD MBR; CHAIR AS OF 5/11/23 1.0 0.0 X X 0 0 0 REV DR WILLIAM J SHAW BOARD MEMBER 1.0 0.0 X 0 0 0 BENJAMIN C SUN MD MPP BOARD MEMBER AS OF 5/4/2023 1.0 0.0 X 0 0 0 2996327 7287636 1114224 1174 false true false WEXFORD UCSC 3737 LLC 17190 BERNARDO CENTER DR SAN DIEGO CA 92128 PROPERTY LEASE SRVS 25054763 GENERAL HEALTHCARE RESOURCES STE 240 2250 HICKORY RD PLYMOUTH MEETING PA 19462 OUTSOURCED STAFFING 5453502 HSC BUILDERS CONSTRUCTION MGRS 304 NEW MILL LN EXTON PA 19341 CONSTRUCTION SRVS 3959652 ALLIED UNIVERSAL COMPANY 1561 N TUSTIN AVE SUITE 650 SANTA ANA CA 92705 OUTSOURCED STAFFING 3060600 AXIS CONSTRUCTION MANAGEMENT STE 111 215 W CHURCH RD KING OF PRUSSIA PA 19406 CONSTRUCTION SRVS 1367010 37 10007 8701103 8711110 NET PATIENT SERVICE REVENUES 621110 991668325 991668325 MEDICAL SUPPLIES/DRUG SALES 900099 205229483 205229483 1196897808 1820154 1820154 0 0 6250370 6250370 0 6250370 6250370 -910538 -910538 -910538 -910538 0 0 0 0 0 0 0 0 0 IET PURCHASE SVCS 900099 4261875 4261875 MAPS EQUALIZATION 900099 3920304 3920304 CAFETERIA REVENUES 900099 2058358 2058358 5371949 5371949 15612486 1228381390 1212510294 7159986 0 0 0 0 2114574 1880914 233660 0 0 380639829 338579128 41870381 190320 0 95562036 85002431 10511824 47781 15517267 13802609 1706899 7759 175688993 154606314 21082679 0 1867 1643 224 0 0 0 0 0 27261533 23990149 3271384 0 34895 30708 4187 0 24294335 21379015 2915320 0 685428 603177 82251 0 0 14451375 12717210 1734165 0 268527 236304 32223 0 0 102401 90113 12288 0 2820567 2482099 338468 0 0 33659899 33659899 0 0 5369885 4725499 644386 0 MEDICAL SUPPLIES 341914887 341914887 0 0 TAXES & ASSESSMENTS 26903499 23675079 3228420 0 REPAIRS AND MAINTENANCE 10886410 9580041 1306369 0 DUES & LICENSES 433931 381859 52072 0 17342600 15261486 2081114 0 1175954738 1084600564 91108314 245860 X 37213 9500 43053522 16861615 0 0 143374163 139296862 0 0 0 0 0 0 15637612 19663558 15084559 14893041 822893567 397388560 389675103 425505007 196050129 190421440 0 0 0 0 0 0 128492982 140571220 931405283 947222243 75805265 73898486 0 0 1166667 1166667 88055055 78555728 0 0 0 0 0 0 0 0 119768546 105131540 284795533 258752421 X 450214806 497319550 196394944 191150272 646609750 688469822 931405283 947222243 X 52426652 74134 -10640714 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 479 1016507 672956 49452276 true true 172988119 520090 2413587 0 8264624 0 167657172 182082082 509122 -1852385 0 7750700 0 172988119 135791491 918371 52717110 0 7344890 0 182082082 137910872 3896 4166132 0 6289409 0 135791491 136193580 750547 6488517 0 5521772 0 137910872 0.00000 1.00000 0.00000 true false 4788853 4788853 456092095 205850881 250241214 1663742 1663742 0 258987680 189873937 69113743 101361197 0 101361197 425505007 GOODWILL 24887819 DEFERRED FINANCING COSTS -167 OTHER NON-CURRENT ASSETS 114800563 LONG TERM INVESTMENTS 883005 140571220 0 THIRD PARTY SETTLEMENTS 6557379 FIN 47 ASSET RETIREMENT 3585475 DUE TO AFFILIATE 94988686 105131540 X SCHEDULE D, PART V, LINE 4 USE OF ENDOWMENT FUNDS ALL ENDOWMENT FUNDS ARE USED FOR A VARIETY OF PURPOSES IN FURTHERANCE OF THE ORGANIZATION'S TAX-EXEMPT PURPOSES. ------------------------------ SCHEDULE D, PART X, LINE 1 DETAIL OF OTHER LIABILITIES THE DUE TO AFFILIATE ACCOUNT REPRESENTS AMOUNTS OWED BY THIS ORGANIZATION TO THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("PENN"), A RELATED ORGANIZATION, BASED UPON PENN'S CENTRAL TREASURY OFFICE MANAGING THE CASH BALANCES OF CERTAIN OF ITS AFFILIATES. ------------------------------ SCHEDULE D, PART X, LINE 2 TEXT OF FIN 48 (ASC 740) FOOTNOTE THIS ORGANIZATION IS AN AFFILIATE OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). THE FIN 48 (ASC 740) FOOTNOTE BELOW DERIVES FROM THE CONSOLIDATED JUNE 30, 2023 FINANCIAL STATEMENTS OF THE UNIVERSITY: THE UNIVERSITY REGULARLY EVALUATES ITS TAX POSITION AND DOES NOT BELIEVE IT HAS ANY UNCERTAIN TAX POSITIONS THAT REQUIRE DISCLOSURE OR ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS. true true X true X 300. true X true false true true 4592398 0 4592398 0.00390 201048835 154567927 46480908 0.03950 205641233 154567927 51073306 0.04340 31522027 10423053 21098974 0.01790 31522027 10423053 21098974 0.01790 237163260 164990980 72172280 0.06130 true 16510662 4204859 195495791 188105544 7390247 X true true 1 1 PENN PRESBYTERIAN MEDICAL CTR 51 NORTH 39TH STREET PHILADELPHIA PA 19104 WWW.PENNMEDICINE.ORG LICENSE #421101 X X X X X PENN PRESBYTERIAN MEDICAL CTR 1 false false true X X X X X X X X X 21 true true true true X SEE SCH H, PART V, SECTION C X true 22 true SEE SCH H, PART V, SECTION C false true X 300. 300. X X X X true true X X X X true X SCH H, PART V, SECT. C X SCH H, PART V, SECT. C X SCH H, PART V, SECT. C X X X X X X true X false X X X X true X false false PART V, SECTION B, LINES 5, 6A & 6B (INPUT FROM COMMUNITY; JOINT CHNA) THE PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH ("PDPH") AND HEALTH CARE IMPROVEMENT FOUNDATION ("HFIC") ASSISTED THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("UPHS") AND OTHER PARTICIPATING HOSPITALS AND HEALTH SYSTEMS WITH THE COMPLETION OF THEIR CHNA. PDPH AND HFIC DEVELOPED A COLLABORATIVE, COMMUNITY-ENGAGED APPROACH THAT INVOLVED COLLECTING AND ANALYZING QUANTITATIVE AND QUALITATIVE DATA AND AGGREGATING DATA FROM A VARIETY OF SECONDARY SOURCES TO COMPREHENSIVELY ASSESS THE HEALTH STATUS OF THE REGION. THE ASSESSMENT RESULTED IN A LIST OF PRIORITY HEALTH NEEDS THAT WERE USED BY UPHS AND OTHER PARTICIPATING HOSPITALS AND HEALTH SYSTEMS TO DEVELOP THEIR IMPLEMENTATION PLANS. AMONG OTHERS, THE COLLABORATIVE CHNA INCLUDED THE FOLLOWING PARTNERING UPHS HOSPITAL AFFILIATES: - CHESTER COUNTY HOSPITAL - HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA - PENNSYLVANIA HOSPITAL OF UPHS - PENN PRESBYTERIAN MEDICAL CENTER OF UPHS FOR MORE INFORMATION, PLEASE SEE: https://www.pennmedicine.org/ABOUT/SUPPORTING-OUR-COMMUNITIES -------------------- PART V, SECTION B, LINE 7 & 10- CHNA & IMP. PLAN PUBLIC AVAILABILITY A COPY OF THE ORGANIZATION'S CHNA REPORT AND COMMUNITY HEALTH IMPROVEMENT PLAN REPORT ("IMPLEMENTATION PLAN") CAN BE ACCESSED AT: https://www.pennmedicine.org/ABOUT/SUPPORTING-OUR-COMMUNITIES OUR CHNA AND IMPLEMENTATION PLAN ARE ALSO AVAILABLE TO THE PUBLIC UPON REQUEST. -------------------- PART V, SECTION B, LINE 9 (TAX YEAR THE MOST RECENT IMPLEMENTATION STRATEGY WAS ADOPTED) THE ORGANIZATION'S MOST RECENT IMPLEMENTATION PLAN WAS ADOPTED BY 11/15/2022, AS PERMITTED UNDER THE REGULATIONS. -------------------- PART V, SECTION B, LINE 11 (ADDRESSING THE NEEDS IDENTIFIED IN THE CHNA) FOR A COMPLETE DESCRIPTION ON HOW THE ORGANIZATION IS ADDRESSING THE NEEDS IDENTIFIED IN THE MOST RECENTLY COMPLETED CHNA, SEE THE FOLLOWING: https://www.pennmedicine.org/ABOUT/SUPPORTING-OUR-COMMUNITIES -------------------- PART V, SECTION B, LINE 16 (FINANCIAL ASSISTANCE POLICY AVAILABILITY) A COPY OF THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT: https://www.pennmedicine.org/for-patients-and-visitors/patient-information /insurance-and-billing/financial-assistance ------------------ 7 PENN CENTER FOR REHABILITATION & CARE 3609 CHESTNUT STREET PHILADELPHIA PA 191042612 SKILLED NURSING FACILITY PENN MEDICINE AT CHERRY HILL 1865 E ROUTE 70 2ND FLOOR CHERRY HILL NJ 08034 OUTPATIENT FACILITY PENN CARDIOLOGY - WILLINGBORO 200 CAMPBELL DRIVE SUITE 115 WILLINGBORO NJ 08046 OUTPATIENT FACILITY PENN CARDIOLOGY CAPE MAY 211 S MAIN STREET SUITE 205 CAPE MAY COURTHOUSE NJ 08210 OUTPATIENT FACILITY PENN CARDIOLOGY - PPMC 39TH AND MARKET STREET - SUITE 400 PHILADELPHIA PA 19104 OUTPATIENT FACILITY PENN CARDIOLOGY MAYFAIR 7133 ROOSEVELT BLVD PHILADELPHIA PA 19149 OUTPATIENT FACILITY PENN CARDIOLOGY - MEDIA 605 W STATE STREET MEDIA PA 19063 OUTPATIENT FACILITY PART I, LINE 7 (BAD DEBT EXPENSE, COSTING METHODOLOGY USED) CONSISTENT WITH PRIOR YEAR, DUE TO THE ADOPTION OF ACCOUNTING PRONOUNCEMENT ASC 606, IMPLICIT PRICE CONCESSIONS ARE TREATED AS A CONTRA-REVENUE ITEM ON THE STATEMENT OF REVENUE. THE COSTING METHODOLOGY USED IN CALCULATING THE AMOUNTS REPORTED ON THE LINE 7 TABLE ARE BASED ON A COST TO CHARGE RATIO. THE COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 OF THE FORM 990, SCHEDULE H INSTRUCTIONS. -------------------- PART II (DETAIL OF COMMUNITY BUILDING ACTIVITIES) DETAILS REGARDING THE VARIOUS COMMUNITY BUILDING ACTIVITIES CONDUCTED BY THE ORGANIZATION IS INCLUDED IN OUR RESPONSE TO FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. -------------------- PART III, SECTION A, LINE 2 (IMPLICIT PRICE CONCESSIONS/BAD DEBT EXPENSE) THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 ARE BASED ON ACTUAL CHARGES WRITTEN OFF (AMOUNTS THAT ARE DEEMED TO BE UNCOLLECTIBLE AND RECORDED AS IMPLICIT PRICE CONCESSIONS UNDER ACCOUNTING PRONOUNCEMENT ASC 606). -------------------- PART III, SECTION A, LINE 3 (IMPLICIT PRICE CONCESSIONS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY) THIS ORGANIZATION IS A PART OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("UPHS"). UPHS UTILIZES A THIRD-PARTY VENDOR TO POPULATE THE NUMBER OF INDIVIDUALS WITHIN EACH HOUSEHOLD AND THE MEAN HOUSEHOLD INCOME BASED ON THE ACCOUNT ADDRESS. UPHS ESTIMATES THE AMOUNT OF BAD DEBTS (IMPLICIT PRICE CONCESSIONS) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER ITS FINANCIAL ASSISTANCE POLICY BASED UPON 300% OF THE FEDERAL POVERTY GUIDELINES. -------------------- PART III, SECTION A, LINE 4 (IMPLICIT PRICE CONCESSION FOOTNOTE) THE IMPLICIT PRICE CONCESSION (BAD DEBT EXPENSE) FOOTNOTE DISCLOSURE CAN BE FOUND ON PAGE 11 OF THE ELECTRONICALLY ATTACHED CONSOLIDATED FINANCIAL STATEMENTS FOR THE UNIVERSITY OF PENNSYLVANIA. -------------------- PART III, SECTION B, LINE 8 (COSTING METHODOLOGY, MEDICARE SHORTFALL) THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 6 IS BASED ON A COST TO CHARGE RATIO. CONSISTENT WITH THE CHARTIABLE HEALTHCARE MISSION OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM (UPHS) AND THE COMMUNITY BENEFIT STANDARD SET FORTH IN IRS REVENUE RULING 69-545, UPHS PROVIDES CARE FOR ALL PATIENTS COVERED BY MEDICARE SEEKING MEDICAL CARE AT UPHS. SUCH CARE IS PROVIDED REGARDLESS OF WHETHER THE REIMBURSEMENT PROVIDED FOR SUCH SERVICES MEETS OR EXCEEDS THE COSTS INCURRED BY UPHS TO PROVIDE SUCH SERVICES. -------------------- PART III, LINE 9B (COLLECTION PRACTICES) THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM PROVIDES URGENT/EMERGENT MEDICAL SERVICES WITHOUT REGARD TO ABILITY TO PAY. WHEN IT HAS BEEN DETERMINED THAT A PATIENT IS NOT ELIGIBLE FOR COVERAGE BY EXTERNAL SOURCES OF FUNDING, FINANCIAL ASSISTANCE MAY BE AVAILABLE FOR BOTH THE UNINSURED AND UNDERINSURED, THE INDIGENT, HARDSHIP AND MEDICALLY INDIGENT AND MAY BE APPROVED AS EITHER FULL OR PARTIAL FREE CARE. PATIENTS WHO DO NOT COOPERATE WITH THE FINANCIAL COUNSELING PROCESS OR WHOSE APPLICATION FOR FINANCIAL ASSISTANCE IS DENIED BY THE HEALTH SYSTEM MAY BE PURSUED BY COLLECTION EFFORTS, INCLUDING REFERRAL TO AN OUTSIDE COLLECTION AGENCY OR ATTORNEY AS DETERMINED BY OUR PATIENT ACCOUNTING DEPARTMENT. --------------------- PART VI, LINE 2 (NEEDS ASSESSMENT) THE MISSION OF UPHS IS TO PROVIDE THE MOST ADVANCED AND HIGHEST QUALITY PATIENT CARE POSSIBLE; TO PROVIDE A RICH AND DIVERSE EDUCATIONAL ENVIRONMENT FOR STUDENTS AND TRAINEES; AND TO SUPPORT CLINICAL RESEARCH THAT PUSHES THE BOUNDARIES OF CURRENT HUMAN KNOWLEDGE. TO THESE ENDS, UPHS IS AN ACTIVE PARTICIPANT IN THE WEST PHILADELPHIA NEIGHBORHOOD THAT IS OUR HOME. ON ANY GIVEN DAY, UPHS PHYSICIANS, NURSES, MEDICAL STUDENTS, AND VOLUNTEERS ARE OUT IN THE COMMUNITY SHARING THEIR SKILLS, THEIR TALENTS AND MOST IMPORTANTLY, THEMSELVES FOR THE BETTERMENT OF THE COMMUNITY. - HOW UPHS IDENTIFIES AND TAKES ACTION TO ADDRESS RACIAL, ETHNIC, AND GENDER DISPARITIES IN MEDICAL CARE EVERY DAY IN OUR NEIGHBORHOOD CLINICS, IN OUR EMERGENCY ROOMS AND PHYSICIANS' OFFICES WE SEE THE EFFECTS OF RACIAL, ETHNIC, AND GENDER DISPARITIES IN HEALTH CARE. IN KEEPING WITH OUR CHARITABLE PURPOSE, UPHS ACCEPTS PATIENTS IN NEED OF URGENT MEDICAL CARE REGARDLESS OF THEIR FINANCIAL STATUS OR ANY OTHER SOCIO-ECONOMIC FACTORS. AS THE MAIN PROVIDER IN A SERVICE AREA THAT INCLUDES A NUMBER OF ECONOMICALLY-CHALLENGED NEIGHBORHOODS, UPHS PROVIDES CARE TO MANY PATIENTS WHO DO NOT HAVE HEALTH INSURANCE PROVIDING MORE THAN $100 MILLION IN CHARITY AND UNDERFUNDED CARE EACH YEAR. IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS AND OTHER AREA INSTITUTIONS, UPHS SEEKS TO IDENTIFY AND ADDRESS RACIAL, ETHNIC, AND GENDER DISPARITIES THROUGH SUPPORT FOR PROGRAMS INCLUDING, BUT NOT LIMITED TO: > PUENTES DE SALUD - A WEEKLY FREE CLINIC THAT SEEKS TO ADDRESS THE HEALTH NEEDS OF THE GROWING LATINO POPULATION BY PROVIDING LOW-COST CARE TO PATIENTS ANNUALLY. > THE UNITY CLINIC - A FREE CLINIC THAT PROVIDES PRIMARY CARE SERVICES TO LOW-INCOME ASIAN IMMIGRANTS IN PHILADELPHIA. > WOMEN AND CHILDREN'S HEALTH SERVICES - AN AMBULATORY CARE FACILITY THAT SPECIALIZES IN THE PROVISION OF OBSTETRICAL, FAMILY PLANNING, AND SOCIAL SERVICES THROUGH FREE AND LOW COST PROGRAMS THAT EXTEND WELL BEYOND TRADITIONAL MEDICAL CARE. - HOW THE HEALTH SYSTEM ASSESSES COMMUNITY HEALTH STATUS UPHS PROVIDES VARIOUS COMMUNITY SERVICES WHICH, IN CONJUNCTION WITH PROVIDING PATIENT CARE AND EDUCATIONAL INFORMATION, HELP US ASSESS THE HEALTH STATUS OF OUR COMMUNITY. SOME OF OUR MOST SUCCESSFUL INITIATIVES RESULT FROM APPLYING THE COLLECTIVE RESOURCES OF COMMUNITY RESIDENTS AND ORGANIZATIONS, HEALTH CARE PROFESSIONALS, AND PUBLIC HEALTH AGENCIES WITH THE GOAL OF IDENTIFYING AND ADDRESSING A COMMUNITY PROBLEM. THIS IS ACCOMPLISHED IN MANY WAYS, SUCH AS: FORMAL HEALTH ASSESSMENTS THAT INDIVIDUAL PROGRAMS MAY PERFORM, OPEN DIALOGUE WITH COMMUNITY LEADERS THROUGH PARTICIPATION IN COMMUNITY MEETINGS, OR BY ASSESSING COMMUNITY HEALTH STATUS IN THE WORK WE PERFORM OUT IN THE COMMUNITY. - HOW THE HEALTH SYSTEM COLLABORATES WITH COMMUNITY STAKEHOLDERS, INCLUDING OTHER INSTITUTIONAL PROVIDERS, TO IDENTIFY SPECIFIC COMMUNITY HEALTH NEEDS AND TO DEVELOP AND MEASURE EFFECTIVENESS OF PROGRAMS TO HELP MEET THOSE NEEDS COLLABORATION WITH COMMUNITY STAKEHOLDERS AND OTHER INSTITUTIONAL PROVIDERS IS A PARTICULARLY STRONG AREA FOR UPHS. WORKING IN CONJUNCTION WITH COMMUNITY-BASED NON-PROFIT ORGANIZATIONS, CITY AGENCIES AND OTHER COMMUNITY STAKEHOLDERS, UPHS SEEKS TO IDENTIFY AND ADDRESS COMMUNITY HEALTH NEEDS THROUGH PROGRAMS AND SERVICES, SUCH AS: > SAYRE HEALTH CENTER - RECOGNIZING A NEED FOR PRIMARY CARE SERVICES IN THE NEIGHBORHOOD, PENN JOINED FORCES WITH THE SCHOOL DISTRICT OF PHILADELPHIA TO BRING A STATE-OF-THE-ART HEALTH CARE FACILITY TO SAYRE HIGH SCHOOL IN WEST PHILADELPHIA. IN ADDITION TO PROVIDING PRIMARY CARE SERVICES TO THE COMMUNITY, PENN MEDICINE PHYSICIANS WORK IN PARTNERSHIP WITH SAYRE STUDENTS TO TEACH BASIC MEDICAL SERVICES THAT ONE DAY COULD LEAD TO A CAREER IN THE MEDICAL PROFESSION. > BRIDGING THE GAPS - A PARTNERSHIP OF THE AREA'S FIVE ACADEMIC HEALTH CENTERS, BRIDGING THE GAPS (BTG) LINKS THE TRAINING OF HEALTH PROFESSIONALS WITH THE PROVISION OF CARE TO ECONOMICALLY DISADVANTAGED POPULATIONS. LED BY UPHS PHYSICIANS AND STAFF, BTG GIVES MEDICAL STUDENTS THE OPPORTUNITY TO GAIN FIRST-HAND INSIGHT INTO THE COMPLEX ISSUES AFFECTING UNDERSERVED URBAN COMMUNITIES. IN ADDITION TO THE PROGRAMS OUTLINED ABOVE, UPHS PHYSICIANS AND STAFF PROVIDE EDUCATIONAL PROGRAMS IN CONJUNCTION WITH AREA HIGH SCHOOLS AND VOLUNTEER THEIR EXPERTISE TO NUMEROUS PUBLIC HEALTH COMMITTEES AND AGENCIES AT THE COMMUNITY, STATE AND NATIONAL LEVEL. - HOW THE HEALTH SYSTEM REGULARLY REPORTS TO THE COMMUNITY ON THE ORGANIZATION'S QUALITY PERFORMANCE FOR THE FULL RANGE OF SERVICES IT PROVIDES UPHS HAS IMPLEMENTED OUR "PENN MEDICINE CARES" (COMMUNITY ACTIVITY REPORTING E-INITIATIVE) PROGRAM. THIS REPORTING PROGRAM HAS BEEN DEVELOPED TO ENCOURAGE UPHS EMPLOYEES TO REPORT ALL OF THE COMMUNITY SERVICES THEY PROVIDE SO THAT WE CAN BETTER TRACK COMMUNITY OUTREACH, ENCOURAGE MORE VOLUNTEERISM AND BETTER TARGET OUR EFFORTS TO MEET THE GREATEST COMMUNITY NEEDS. HTTPS://WWW.PENNMEDICINE.ORG/ABOUT/SUPPORTING-OUR-COMMUNITIES -WHETHER AND HOW UPHS IS ADDRESSING THE PER CAPITA COST OF CARE IN THE COMMUNITY. UPHS SUPPORTS EFFORTS TO PROVIDE FREE AND LOW-COST CARE TO THE COMMUNITY THROUGH PARTNERSHIPS WITH BOTH PENN-RELATED AND NON-RELATED PROGRAMS. UPHS PHYSICIANS AND STAFF WORK IN HEALTH CLINICS THROUGHOUT PHILADELPHIA THAT PROVIDE THESE MUCH-NEEDED SERVICES THAT ALSO ADDRESSES THE PER CAPITA COST OF HEALTH CARE IN THE COMMUNITY. IN ADDITION, UPHS HAS A SPECIALTY CARE CONTRACT WITH THE CITY OF PHILADELPHIA THAT ALLOWS PHYSICIANS FROM THE CITY'S DISTRICT HEALTH CENTERS TO REFER PATIENTS INTO THE SYSTEM FOR APPOINTMENTS IN SPECIALTIES SUCH AS CARDIOLOGY, NEUROLOGY AND DERMATOLOGY. THESE SERVICES ARE PROVIDED TO THE CITY AT A SIGNIFICANTLY REDUCED COST - GIVING UNINSURED AND UNDERINSURED PATIENTS ACCESS TO CARE THEY MIGHT NOT OTHERWISE RECEIVE WHILE KEEPING DOWN THE PER CAPITA COST FOR THE CITY AND RESIDENTS OF THE COMMUNITY. AT UPHS, WORKING FOR THE BENEFIT OF THE COMMUNITY IS NOT ONLY A PRIORITY; IT IS ROOTED DEEP IN OUR CULTURE. ALONG WITH OUR ROLE AS A LEADER IN MEDICAL CARE AND RESEARCH, UPHS HAS CULTIVATED A STRONG AFFINITY WITH THE NEIGHBORHOODS WE SERVE- BECOMING INCREASINGLY RESPONSIVE IN IDENTIFYING NEEDS AND PROACTIVE IN FINDING SOLUTIONS. IN ADDITION TO OUR OWN INTERNAL EFFORTS, UPHS ALSO COLLABORATES WITH VARIOUS PUBLIC AND PRIVATE AGENCIES TO HELP DETERMINE COMMUNITY HEALTH NEEDS AND HOW BEST TO ADDRESS THEM. THE SUCCESS OF COMMUNITY OUTREACH REQUIRES A STRONG FOCUS ON SOLUTIONS. AT UPHS, WE CONTINUALLY FIND WAYS TO EXPAND AND STRENGTHEN THE SAFETY NET THAT HELPS ENSURE THE WELL-BEING OF THE COMMUNITIES WE SERVE. IN THAT REGARD, ONE OF OUR MAJOR RESPONSIBILITIES IS TO SHARE KNOWLEDGE. WORKING TOGETHER WITH COMMUNITY PARTNERS ENABLES US TO ACCOMPLISH MORE THAN ANY ONE PERSON COULD INDIVIDUALLY. PLEASE SEE OUR MOST RECENTLY COMPLETED COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN FOR ADDITIONAL INFORMATION. A COPY OF OUR CHNA AND IMPLEMENTATION PLAN CAN BE ACCESSED AT: https://www.pennmedicine.org/ABOUT/SUPPORTING-OUR-COMMUNITIES -------------------- PART VI, LINE 3 (PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE) UPHS IS COMMITTED TO CARING FOR ALL PATIENTS EQUITABLY, WITH DIGNITY, RESPECT AND COMPASSION WITHOUT REGARD TO AGE, RACE, COLOR, NATIONAL ORIGIN, RELIGIOUS CREED, SEX, PHYSICAL OR MENTAL DISABILITY, MARITAL STATUS OR SEXUAL PREFERENCE. AS PART OF THIS COMMITMENT, UPHS OFFERS FINANCIAL COUNSELING AND ASSISTANCE PROGRAMS TO UNINSURED AND UNDERINSURED PATIENTS TO ASSIST THOSE WHO CANNOT PAY FOR ALL OR PART OF THEIR CARE. PATIENTS WILL BE CONSIDERED FOR FINANCIAL ASSISTANCE ON AN INDIVIDUAL BASIS, TAKING INTO CONSIDERATION TOTAL HOUSEHOLD INCOME AND OTHER RESOURCES. UPHS WILL ALSO CONSIDER OTHER FACTORS IN THE PATIENT/FAMILY FINANCIAL SITUATION, SHOULD THERE BE OTHER CRITICAL EXPENSES, NOT RELATED TO THE PATIENT'S MEDICAL CARE, THAT MAKE PAYMENT OF THE FINANCIAL OBLIGATION IMPOSSIBLE, SUCH AS CARING FOR A DISABLED FAMILY MEMBER. UPHS 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 UPHS'S CHARITY CARE POLICY. PATIENTS ARE INFORMED OF THE AVAILABILITY OF CHARITY CARE IN VARIOUS WAYS (E.G. AT POINT OF REGISTRATION, ON POSTERS THROUGHOUT HOSPITAL, IN PRACTICES, FINANCIAL COUNSELOR INTERVIEW AND WEBSITE). A COPY OF OUR FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT: HTTPS://WWW.PENNMEDICINE.ORG/FOR-PATIENTS-AND-VISITORS/PATIENT-INFORMATION /INSURANCE-AND-BILLING/FINANCIAL-ASSISTANCE -------------------- PART VI, LINE 4 (COMMUNITY INFORMATION) UPHS IS SENSITIVE TO THE DISPARITY IN THE QUALITY OF HEALTH AND HEALTH CARE AMONG THE PEOPLE OF THE PHILADELPHIA AREA. IN NEIGHBORHOODS THROUGHOUT THE CITY, MANY RESIDENTS, OFTEN THE VERY YOUNG OR THE VERY OLD DO NOT HAVE ACCESS TO ADEQUATE CARE. THE QUALITY OF THEIR LIVES IS DIMINISHED BECAUSE THEY ARE UNABLE TO RECEIVE THE SERVICES AND SUPPORT THEY NEED. AWARE OF THE BARRIERS TO HEALTH CARE FACED BY OUR COMMUNITIES, WE USE OUR RESOURCES TO IMPROVE THE HEALTH AND WELLNESS AMONG THE UNDERSERVED. OUR MORAL IMPERATIVE IS TO LOOK, LISTEN, AND ACT IN WAYS THAT WILL MAKE A DIFFERENCE. IN COLLABORATION WITH OUR PHYSICIANS, NURSES, STUDENTS AND COMMUNITY PARTNERS, WE TAKE ACTION TO ENHANCE THE WELL-BEING OF THE NEIGHBORHOODS WE ALL SHARE. -------------------- PART VI, LINE 5 (INFORMATION REGARDING PROMOTION OF COMMUNITY HEALTH) DETAILS REGARDING THE VARIOUS COMMUNITY OUTREACH ACTIVITIES CONDUCTED BY THIS ORGANIZATION DESIGNED TO PROMOTE COMMUNITY HEALTH IS INCLUDED IN OUR RESPONSE TO SCHEDULE H, PART VI, LINE 2, AS WELL AS IN FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. -------------------- PART VI, LINE 6 (AFFILIATED HEALTHCARE SYSTEM INFORMATION) THE MISSION OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM IS EXCELLENCE IN EDUCATION, RESEARCH, AND CLINICAL CARE. WE STRIVE TO ACHIEVE THESE GOALS BY HAVING THE BEST PEOPLE IN MEDICAL EDUCATION, HEALTH-RELATED RESEARCH, AND PATIENT CARE; MAKING USE OF KNOWLEDGE GAINED FROM NEARLY TWO AND A HALF CENTURIES OF LEARNING AND DISCOVERY AS PART OF A WORLD-CLASS UNIVERSITY; DELIVERING HIGH-QUALITY MEDICINE TO PATIENTS ACROSS A FULLY-INTEGRATED ACADEMIC HEALTH SYSTEM; AND FULFILLING A COMMITMENT TO IMPROVE THE HEALTH OF PEOPLE IN THE COMMUNITIES SERVED BY THE HEALTH SYSTEM AND AROUND THE WORLD. AS PART OF AN AFFILIATED HEALTHCARE SYSTEM, THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM CONSISTS OF CERTAIN OPERATING DIVISIONS OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA (THE "UNIVERSITY") AND AFFILIATED ENTITIES, INCLUDING: - THE CHESTER COUNTY HOSPITAL ("CCH"), INCLUDES A 245 BED COMPLEX IN WEST CHESTER, PENNSYLVANIA, AND SATELLITE LOCATIONS IN EXTON, WEST GOSHEN, NEW GARDEN, JENNERSVILLE, AND KENNETT SQUARE, PENNSYLVANIA; - THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA ("HUP"), A 727 LICENSED BED QUATERNARY CARE HOSPITAL AND ACADEMIC MEDICAL CENTER LOCATED ON THE CAMPUS OF THE UNIVERSITY IN THE WEST PHILADELPHIA AREA OF PHILADELPHIA, PENNSYLVANIA; - PENN PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("PRESBYTERIAN"), A 317 LICENSED BED ACUTE CARE HOSPITAL LOCATED ADJACENT TO THE CAMPUS OF THE UNIVERSITY IN THE WEST PHILADELPHIA AREA OF PHILADELPHIA, PENNSYLVANIA; - PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("PENNSYLVANIA HOSPITAL"), A 550 LICENSED BED ACUTE CARE HOSPITAL LOCATED IN THE CENTER CITY AREA OF PHILADELPHIA, PENNSYLVANIA; - THE CLINICAL PRACTICES OF THE UNIVERSITY OF PENNSYLVANIA ("CPUP"), THE APPROVED FACULTY PRACTICE PLAN FOR THE CLINICAL PRACTICES OF MEMBERS OF THE MEDICAL FACULTY OF THE UNIVERSITY'S PERELMAN SCHOOL OF MEDICINE; - CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("CCA"), A PRIMARY CARE PHYSICIAN NETWORK THAT INCLUDES LOCATIONS IN SOUTHEASTERN PENNSYLVANIA AND SOUTHERN NEW JERSEY THROUGH ITS NEW JERSEY AFFILIATE; - LANCASTER GENERAL HEALTH ("LGH") AND ITS AFFILIATES. LGH OPERATES THREE HOSPITALS IN SOUTH CENTRAL PENNSYLVANIA, INCLUDING LANCASTER GENERAL HOSPITAL, A 533-BED GENERAL ACUTE CARE HOSPITAL, WOMEN & BABIES HOSPITAL, A 98-BED FACILITY SPECIALIZING IN WOMEN'S HEALTH AND MATERNITY SERVICES, AND LANCASTER REHABILITATION HOSPITAL, A 59-BED REHABILITATION HOSPITAL, AS WELL AS 14 OUTPATIENT CENTERS, THREE URGENT CARE SITES, AND A PHYSICIAN PRACTICE NETWORK WITH NEARLY 200 PRIMARY CARE AND SPECIALTY PRACTICES AT 40 PRACTICE SITES; - WISSAHICKON HOSPICE, A HOSPICE CARE FACILITY SERVING THE TERMINALLY ILL, LOCATED IN BALA CYNWYD, PENNSYLVANIA; AND - PRINCETON HEALTHCARE SYSTEM ("PRINCETON") AND ITS AFFILIATES. PRINCETON INCLUDES A COMPREHENSIVE HEALTHCARE PROVIDER LOCATED IN CENTRAL NEW JERSEY THAT PRINCIPALLY INCLUDES THE MEDICAL CENTER OF PRINCETON, A GENERAL ACUTE CARE HOSPITAL FACILITY IN PLAINSBORO, NJ, WITH 319 INPATIENT BEDS (PLUS 24 NEWBORN BASSINETS), AND PRINCETON HOUSE BEHAVIORAL HEALTH, WHICH INCLUDES A 110 BED INPATIENT FACILITY IN PRINCETON, NJ, AS WELL AS FOUR ADDITIONAL OUTPATIENT LOCATIONS. PRINCETON INCLUDES APPROXIMATELY 1,200 PHYSICIANS ON STAFF AND EMPLOYS APPROXIMATELY 3,200 PEOPLE. -------------------- PART VI, LINE 7 (STATE FILING OF COMMUNITY BENEFIT REPORT) N/A false true false false false false false true false JAMES BALLINGHOFF RNMSNMBA BOARD MEMBER; CNO 340539 0 73382 0 0 0 0 0 11193 0 425114 0 0 0 JACK ENDE MD BOARD MEMBER 0 263293 0 40794 0 54934 0 22907 0 22702 0 404630 0 0 LORIANN GAGLIARDI CLINICAL DIRECTOR 285272 0 32929 0 1002 0 0 0 19387 0 338590 0 0 0 GARY GINSBERG ASSISTANT HOSPITAL DIRECTOR 254841 0 36957 0 2034 0 0 0 21682 0 315514 0 0 0 GENE GOFMAN MBA ASST CONT/SEC. AS OF 5/23/23 215946 0 47197 0 313 0 0 0 28442 0 291898 0 0 0 NISHAMINY KASBEKAR CHIEF PHARMACY OFFICER 221204 0 93077 0 492 0 0 0 28351 0 343124 0 0 0 KEITH KASPER CONTROLLER;EX-OFFICIO MEMBER 0 984066 0 421785 0 311138 0 0 0 24644 0 1741633 0 275942 KIMBERLY A DEPPERT ASSOC. EXEC DIR. CARD SRVCS 257269 0 55509 0 1097 0 0 0 12949 0 326824 0 0 0 KEVIN B MAHONEY EX-OFFICIO MEMBER 0 1716661 0 840000 0 316052 0 504000 0 20230 0 3396943 0 281027 PHILLIP A OKALA EX-OFFICIO MEMBER THRU 8/31/22 0 884238 0 0 0 316913 0 211200 0 17998 0 1430349 0 299941 ROBERT J RUSSELL MPANHAFACHE ACTING CEO AS OF 9/1/22;EX-OFF 277506 0 79305 0 1792 0 0 0 20605 0 379208 0 0 0 S SIU MD PHYSICIAN ADVISOR 280824 0 43999 0 427 0 0 0 20108 0 345358 0 0 0 MICHELE M VOLPE COO UPHS; EX-OFFICIO MBR 0 673726 0 262938 0 130735 0 90150 0 11255 0 1168804 0 90150 ANTHONY ZUMPANO ASST. CONT/SEC. THRU 5/25/23 317670 0 69047 0 6697 0 0 0 17880 0 411294 0 0 0 SCHEDULE J, PART I, LINE 3 TOP MANAGEMENT COMPENSATION AS PROVIDED IN THE FORM 990, SCHEDULE J INSTRUCTIONS, SINCE THE ORGANIZATION RELIES ON A RELATED ORGANIZATION WHICH USES ONE OR MORE OF THE METHODS DESCRIBED IN LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION, THIS QUESTION HAS BEEN LEFT UNANSWERED. REFER TO SCHEDULE O FOR A DESCRIPTION OF THE COMPENSATION REVIEW AND APPROVAL PROCESS. ------------------------------ SCHEDULE J, PART, I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PARTICIPATION CERTAIN TRUSTEES, OFFICERS AND/OR KEY EMPLOYEES OF THIS ORGANIZATION ARE COMPENSATED BY A RELATED ORGANIZATION, THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("HEALTH SYSTEM") MAINTAINS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") DESIGNED FOR SENIOR ADMINISTRATORS OF THE HEALTH SYSTEM, AS DESIGNATED BY THE BOARD OF TRUSTEES, WHO ARE ACTIVELY EMPLOYED BY THE HEALTH SYSTEM WHEN THE CONTRIBUTIONS ARE MADE. VESTING IN THE SERP OCCURS AFTER EACH THREE YEARS OF PARTICIPATION AND UPON THE OCCURRENCE OF CERTAIN EVENTS (ATTAINMENT OF AGE 65, DEATH, DISABILITY, OR INVOLUNTARY TERMINATION WITHOUT "CAUSE"). CONTRIBUTIONS FOR THOSE WHO HAVE REACHED AGE 65 WILL BE FULLY VESTED WHEN MADE. UPON REACHING A VESTING DATE, PARTICIPANTS WILL AUTOMATICALLY RECEIVE A FULL DISTRIBUTION WHICH IS TAXABLE AS EARNED INCOME. PARTICIPANTS WHO VOLUNTARILY TERMINATE BEFORE VESTING WILL FORFEIT THE BALANCE IN THEIR ACCOUNTS. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN THE UNIVERSITY/HEALTH SYSTEM SERP PLAN DURING THE YEAR AND/OR RECEIVED DISTRIBUTIONS DURING THE YEAR: KASPER, KEITH- $275,942 MAHONEY, KEVIN- $281,027 OKALA, PHILIP- $299,941 VOLPE, MICHELE- $90,150 THE HEALTH SYSTEM ALSO MAINTAINS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN DESIGNED FOR SENIOR FACULTY OF THE SCHOOL OF MEDICINE OF THE UNIVERSITY, AS DESIGNATED BY THE BOARD OF TRUSTEES, WHO ARE ACTIVELY EMPLOYED BY THE UNIVERSITY WHEN THE CONTRIBUTIONS ARE MADE (THE "MED SERP"). VESTING IN THE MED SERP OCCURS AFTER EVERY TEN YEARS OF PARTICIPATION AND UPON THE OCCURRENCE OF CERTAIN EVENTS (ATTAINMENT OF AGE 60, DEATH, DISABILITY, OR INVOLUNTARY TERMINATION WITHOUT "CAUSE"). CONTRIBUTIONS FOR THOSE WHO HAVE REACHED AGE 60 (WITH 2 OR MORE YEARS OF PARTICIPATION) WILL BE FULLY VESTED WHEN MADE. UPON REACHING A VESTING DATE, TAXES OWED WILL BE WITHDRAWN FROM THE PLAN, AND THE REMAINING AFTER-TAX BALANCE WILL REMAIN IN THE PLAN. PARTICIPANTS WILL AUTOMATICALLY RECEIVE A FULL DISTRIBUTION THE SUMMER AFTER THE YEAR IN WHICH THEY TERMINATE EMPLOYMENT, AT WHICH TIME ANY EARNINGS NOT YET TAXED WILL BE TREATED AS TAXABLE INCOME. PARTICIPANTS WHO VOLUNTARILY TERMINATE BEFORE VESTING WILL FORFEIT THE NON-VESTED BALANCE IN THEIR ACCOUNTS. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN THE MED SERP PLAN DURING THE YEAR: JACK ENDE- NO DISTRIBUTION ------------------------------ SCHEDULE J, PART I, LINE 7 PROVISION OF NON-FIXED PAYMENTS PRESBYTERIAN MEDICAL CENTER PROVIDES DISCRETIONARY BONUS AND/OR INCENTIVE COMPENSATION PAYMENTS TO ELIGIBLE EMPLOYEES. PAYMENTS MADE TO ANY DISQUALIFIED PERSON IS APPROVED BY THE COMPENSATION COMMITTEE THROUGH THE PROCESS DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 15. ------------------------------ SUPPLEMENTAL INFORMATION ON TAX EXEMPT BONDS FORM 990, SCHEDULE K PRESBYTERIAN MEDICAL CENTER HAS BEEN ALLOCATED A PORTION OF THE PA HIGHER ED FACILITIES AUTHORITY- UPHS SERIES A 2015 BOND ISSUE FROM THE UNIVERSITY, A RELATED IRC SECTION 501(C)(3) ORGANIZATION. SINCE THE UNIVERSITY REMAINS AS THE PRIMARY OBLIGOR OF THE BOND, ALL INFORMATION REGARDING THE UPHS SERIES A 2015 BOND ISSUE HAS BEEN REPORTED ON THE FORM 990, SCHEDULE K OF THE UNIVERSITY. THE TOTAL ALLOCATED OUTSTANDING BALANCE FOR PRESBYTERIAN MEDICAL CENTER WAS $33,620,279 AS OF JUNE 30, 2023. PRESBYTERIAN MEDICAL CENTER HAS BEEN ALLOCATED A PORTION OF THE PA HIGHER ED FACILITIES AUTHORITY- UPHS SERIES A&B 2016 BOND ISSUE FROM THE UNIVERSITY, A RELATED IRC SECTION 501(C)(3) ORGANIZATION. SINCE THE UNIVERSITY REMAINS AS THE PRIMARY OBLIGOR OF THE BOND, ALL INFORMATION REGARDING THE UPHS SERIES A&B 2016 BOND ISSUE HAS BEEN REPORTED ON THE FORM 990, SCHEDULE K OF THE UNIVERSITY. THE TOTAL ALLOCATED OUTSTANDING BALANCE FOR PRESBYTERIAN MEDICAL CENTER WAS $2,474,590 AS OF JUNE 30, 2023. PRESBYTERIAN MEDICAL CENTER HAS BEEN ALLOCATED A PORTION OF THE PA HIGHER ED FACILITIES AUTHORITY- UPHS SERIES C 2016 BOND ISSUE FROM THE UNIVERSITY, A RELATED IRC SECTION 501(C)(3) ORGANIZATION. SINCE THE UNIVERSITY REMAINS AS THE PRIMARY OBLIGOR OF THE BOND, ALL INFORMATION REGARDING THE UPHS SERIES C 2016 BOND ISSUE HAS BEEN REPORTED ON THE FORM 990, SCHEDULE K OF THE UNIVERSITY. THE TOTAL ALLOCATED OUTSTANDING BALANCE FOR PRESBYTERIAN MEDICAL CENTER WAS $12,279,337 AS OF JUNE 30, 2023. PRESBYTERIAN MEDICAL CENTER HAS BEEN ALLOCATED A PORTION OF THE PA HIGHER ED FACILITIES AUTHORITY- UPHS SERIES A 2021 BOND ISSUE FROM THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA (EIN: 23-1352685) ("UNIVERSITY"), A RELATED IRC SECTION 501(C)(3) ORGANIZATION. SINCE THE UNIVERSITY REMAINS AS THE PRIMARY OBLIGOR OF THE BOND, ALL INFORMATION REGARDING THE UPHS SERIES A 2021 BOND ISSUE HAS BEEN REPORTED ON THE FORM 990, SCHEDULE K OF THE UNIVERSITY. THE TOTAL ALLOCATED OUTSTANDING BALANCE FOR PRESBYTERIAN MEDICAL CENTER WAS $14,722,178 AS OF JUNE 30, 2023. PRESBYTERIAN MEDICAL CENTER HAS BEEN ALLOCATED A PORTION OF THE PA HIGHER ED FACILITIES AUTHORITY- UPHS SERIES B 2021 BOND ISSUE FROM THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA (EIN: 23-1352685) ("UNIVERSITY"), A RELATED IRC SECTION 501(C)(3) ORGANIZATION. SINCE THE UNIVERSITY REMAINS AS THE PRIMARY OBLIGOR OF THE BOND, ALL INFORMATION REGARDING THE UPHS SERIES B 2021 BOND ISSUE HAS BEEN REPORTED ON THE FORM 990, SCHEDULE K OF THE UNIVERSITY. THE TOTAL ALLOCATED OUTSTANDING BALANCE FOR PRESBYTERIAN MEDICAL CENTER WAS $17,365,024 AS OF JUNE 30, 2023. FORM 990, PART III, LINE 4A DETAIL OF PROGRAM SERVICE ACCOMPLISHMENTS PRESBYTERIAN MEDICAL CENTER (PPMC OR PENN PRESBYTERIAN) IS A 399-BED ACADEMIC MEDICAL CENTER, WHICH IS PART OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM (UPHS). PPMC'S SPECIALTIES INCLUDE ANESTHESIA, DERMATOLOGY, EMERGENCY MEDICINE, MEDICAL IMAGING, MEDICINE, NEUROLOGY, GYNECOLOGY, OPHTHALMOLOGY, SURGERY, ORTHOPEDIC SURGERY AND CARDIOLOGY. 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 FY2023, UPHS PROVIDED $392.8 MILLION IN CHARITY AND UNDERFUNDED CARE FOR MEDICAID FAMILIES. ADDITIONALLY, FOR THE SAME FISCAL YEAR, PENN PRESBYTERIAN ADMITTED 17,314 ADULT PATIENTS, HAD 310,845 OUTPATIENT VISITS, AND 50,059 EMERGENCY ROOM VISITS. I. COMMUNITY OUTREACH > PENN TRAUMA IS COMMITTED TO THE COMMUNITY IMMEDIATELY SURROUNDING PENN PRESBYTERIAN. REPRESENTATIVES FROM PENN TRAUMA SEEK TO DECREASE TRAUMA THROUGH COMMUNITY EDUCATION AND INTERVENTION. THE FOLLOWING COMMUNITY BENEFIT ACTIVITIES WERE LOGGED FOR FY23. 63 STOP THE BLEED TRAININGS WERE HELD IN THE SURROUNDING REGION WITH THE VAST MAJORITY OF TRAININGS HELD IN THE IMMEDIATE SERVICE AREA OF WEST AND SOUTHWEST PHILADELPHIA.1,064 RESIDENTS WERE TRAINED AT THESE EVENTS HOSTED IN COLLABORATION WITH COMMUNITY-BASED ORGANIZATIONS. 4 OF THESE TRAININGS WERE SKILLS ONLY. PARTICIPATION IN COMMUNITY EVENTS: 7/15/2022: 16TH DISTRICT COMMUNITY DAY, PARTICIPATED IN HEALTH FAIR WITH TABLE-TOP STOP THE BLEED SESSIONS (SKILLS ONLY), AND DISTRIBUTED GUN LOCKS WITH SAFE GUN HANDLING INFORMATION. 7/21/2022 SHOT: WE THE MOTHERS, SAUNDERS PARK, UNVEILED ON 7/21/22 AT SAUNDERS PARK, BEHIND PPMC. PART OF A LARGER MULTIMEDIA PROJECT BRINGING AWARENESS TO GUN VIOLENCE BY SHOWCASING GUN VIOLENCE SURVIVORS AND VICTIMS ACROSS THE U.S. THIS EXHIBIT FEATURED MOTHERS WHO HAVE LOST CHILDREN TO GUN VIOLENCE. 9/30/2022 UPENN: AN OUNCE OF PREVENTION, EDUCATED UPENN STUDENTS AND COMMUNITY ON ALCOHOL CONSUMPTION, STATE AMNESTY LAW PROTECTING UNDERAGE INDIVIDUALS WHEN THEY NEED TO CALL 911 TO HELP AN INDIVIDUAL WITH ALCOHOL INTOXICATION. 11/12/2022: PENN TRAUMA HEALTH CAREERS DAY, PRESENTED TO YOUTH PATRONS FROM W PHILADELPHIA YMCA ABOUT CAREER OPTIONS IN HEALTH CARE, INCLUDING PERSONAL STORIES OF THEIR NON-TRADITIONAL PATHS TAKEN TO GET TO WHERE THEY ARE TODAY. 1/16/2023: LANCASTER AVE CORRIDOR MLK DAY HEALTH FAIR, PARTICIPATED IN HEALTH FAIR WITH TABLE-TOP STOP THE BLEED SESSIONS (SKILLS ONLY), AND DISTRIBUTED GUN LOCKS WITH SAFE GUN HANDLING INFORMATION. 1/16/2023: 52ND AND MARKET STREETS WITH THE PHILADELPHIA POLICE 18TH DISTRICT, PARTICIPATED IN HEALTH FAIR WITH TABLE-TOP STOP THE BLEED SESSIONS (SKILLS ONLY), AND DISTRIBUTED GUN LOCKS WITH SAFE GUN HANDLING INFORMATION. 3/23/2023: MARCH FOR OUR LIVES: PENNSYLVANIA ADVOCACY DAY, MEMBERS OF OUR TRAUMA TEAM, INCLUDING TRAUMA PROGRAM MANAGER, INJURY PREVENTION COORDINATOR, AND SURGEONS WENT TO HARRISBURG AS PART OF THE MARCH FOR OUR LIVES. WE MET WITH LAWMAKERS ASKING FOR THE CO-SPONSORING OF BILLS THAT WILL SAVE LIVES: 1. LOST AND STOLEN GUN REPORTING; 2. SAFE FIREARM STORAGE; 3. EXTREME RISK PROTECTION ORDERS; 4. UNIVERSAL BACKGROUND CHECKS. 5/6/2023: PENN MED NURSES WEEK COMMUNITY DAY AT MALCOLM X PARK, DEMONSTRATED STOP THE BLEED TO 130 INDIVIDUALS AND ENCOURAGED PARTICIPATION IN FULL CLASSES. PROVIDED BIKE SAFETY INFORMATION, REFLECTORS, AND HELMETS WITH FITTING TO 26 INDIVIDUALS. 5/18/2023: HIGH SCHOOL CAREER DAY, HOSTED A CAREER DAY FOR 30 HIGH SCHOOL STUDENTS, INTRODUCING TO SEVERAL ROLES IN HEALTH CARE, TOURED THE TRAUMA CENTER AND PROVIDED TOURNIQUET TRAINING. PROVIDED EACH STUDENT WITH A TOURNIQUET. 5/25/2023: NATIONAL STOP THE BLEED DAY, TABLED AT BOTH PPMC AND PCAM REACHING 263 INDIVIDUALS WITH BRIEF STB SKILLS AND ENCOURAGED SIGN UP FOR FULL CLASSES FOR INDIVIDUALS AND GROUPS. 6/17/2023: HOPEPHL MEN'S WELLNESS DAY, PARTICIPATED IN HEALTH FAIR WITH TABLE-TOP STOP THE BLEED SESSIONS (SKILLS ONLY), AND DISTRIBUTED GUN LOCKS WITH SAFE GUN HANDLING INFORMATION. IN TOTAL: PROVIDED 41 INDIVIDUALS WITH WOUND PACKING SKILLS AND REMINDER TOWELS, DISTRIBUTED 21 GUN LOCKS. EVERYONE WHO STOPPED BY WAS PROVIDED INFO ON ATTENDING A FULL STOP THE BLEED CLASS. 6/23/2023: PROMISE ZONE COMMITTEE WIDE MEETING, REACHED 33 COMMUNITY LEADERS WITH BRIEF STB SKILLS AND PROVIDED INFORMATION ON SCHEDULING FOR INDIVIDUAL AND GROUP STB CLASSES. 6/30/2023: JUNETEENTH WELLNESS SUMMIT, MEMBERS OF TRAUMA TEAM JOINED OTHERS FROM PPMC TO TABLE IN SAUNDERS PARK. TOPICS ADDRESSED: YOUTH SPORTS SAFETY, CONCUSSION AND TBI. FINALLY, PENN TRAUMA REMAINS IN PARTNERSHIP WITH THE FOLLOWING COMMUNITY ACTION GROUPS THROUGHOUT THE YEAR: YOUTH GUN VIOLENCE DISCUSSION GROUP, BIWEEKLY MEETING COORDINATED BY ANTIVIOLENCE PARTNERSHIP OF PHILADELPHIA: MULTIDISCIPLINARY TEAM OF PROVIDERS WHO CARE FOR THOSE INJURED BY GUN VIOLENCE, STRATEGIZING ON WAYS TO ADVOCATE FOR CHANGE ON THE CITY LEVEL TO ADDRESS THE GUN VIOLENCE CRISIS. PHILADELPHIA HOSPITAL-BASED INTERVENTION PROGRAM COLLABORATIVE, MONTHLY COLLABORATIVE MEETING WITH HVIPS FROM THE CHOP, TEMPLE, JEFFERSON, EINSTEIN, ST. CHRISTOPHER'S AND THE CHESTER COALITION (DELCO), AS WELL AS LEADERSHIP FROM THE PHILADELPHIA DEPT. OF HEALTH TO WORK COLLABORATIVELY IN SUPPORTING VICTIMS OF GUN VIOLENCE WHO HAVE BEEN TREATED AT OUR TRAUMA CENTERS. MOUNT VERNON MANOR CDC, SUPPORTING IN THE EFFORTS THROUGH RESOURCES, MENTORSHIP, AND SUPPORT LETTERS FOR GRANT FUNDING TO DEVELOP A CREDIBLE MESSENGER TEAM, BASED ON THE CEASEFIRE MODEL. FORM 990, PART III, LINE 4A (CONTINUED) FAST (FIRST AID FOR SEVERE TRAUMA), SUPPORTING THE RED CROSS AND THE UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES TO BRING FAST TRAINING TO SCHOOLS IN PHILADELPHIA. BIKE HELMETS, PROVIDED TO PATIENTS WHO WERE INJURED DUE TO BICYCLE CRASH WHO EITHER DID NOT OWN A HELMET, OR WHO'S HELMET WAS DAMAGED IN THE CRASH. ALSO PROVIDED WITH REFLECTORS, WATER BOTTLE, AND BIKE SAFETY INFORMATION. PENN TRAUMA VIOLENCE RECOVERY PROGRAM, STARTED IN 2021, THE PENN TRAUMA VIOLENCE RECOVERY PROGRAM (PTVRP) IS A HOSPITAL-BASED VIOLENCE INTERVENTION PROGRAM (HVIP), CREATED TO PROVIDE INJURED INDIVIDUALS WITH THE SUPPORT THEY NEED TO THRIVE AFTER A VIOLENT INJURY THROUGH PSYCHOSOCIAL SUPPORT AND CONNECTION TO WRAPAROUND SERVICES IN THE COMMUNITY. THE GOAL IS TO IMPROVE WELL-BEING, REDUCE REINJURY, AND SAVE COSTS. THE VIOLENCE RECOVERY SPECIALISTS (VRS) ON OUR TEAM REACH PATIENTS EARLY IN THEIR RECOVERY AND EXTENDING SUPPORT PAST THEIR ACUTE HOSPITALIZATION, BRIDGING THE GAP FROM INJURY TO HOLISTIC HEALING AND BY ADDRESSING STRUCTURAL AND SOCIAL DETERMINANTS OF HEALTH INCLUDING EMPLOYMENT, EDUCATION, AND SOCIAL SUPPORT. 2023 SAW OUR TEAM EXPAND FROM ONE TO FOUR VRSS AND WE ADDED 4 PART-TIME PSYCHOLOGISTS TO THE TEAM FROM PENN'S CENTER FOR THE TREATMENT OF ANXIETY TO PROVIDE NO-COST THERAPY SERVICES TO PATIENTS OF THE PROGRAM. WE ALSO BEGAN A CLOTHING CLOSET TO ALL STAFF HOSPITAL WIDE TO GET INVOLVED BY DONATING NEW AND GENTLY USED CLOTHING ITEMS TO PATIENTS IN OUR PROGRAM. IN 2023, WE PROVIDED BEDSIDE SUPPORT TO 423 PATIENTS AND ENROLLED 70 NEW PATIENTS TO THE PROGRAM. THE TOP SERVICES PROVIDED TO THESE PATIENTS WERE FOR BEHAVIORAL HEALTH SUPPORT, MATERIAL AND LOGISTICAL SUPPORT, AND LEGAL ADVOCACY. WE DISTRIBUTED OVER $20,000 IN FUNDS FOR EMERGENT NEEDS. THIS YEAR WE CELEBRATED THE HIGH SCHOOL GRADUATION OF TWO OF OUR PROGRAM PARTICIPANTS. VIRTUAL TAI CHI FOR FALL PREVENTION, THIS YEAR WE LAUNCHED OUR VIRTUAL TAI CHI FOR FALL PREVENTION PROGRAM. THIS PROGRAM WAS DESIGNED WITH THE STRENGTHS AND WEAKNESSES IN OUR COMMUNITY IN MIND. WE WERE COMING OUT OF THE COVID-19 PANDEMIC, WHERE MEETING IN PERSON WAS NOT POSSIBLE. ADDITIONALLY, TRANSPORTATION AND FEELING UNSAFE IN THE COMMUNITY IS A CONCERN FOR OUR MOST VULNERABLE COMMUNITY MEMBERS. UTILIZING THE TECH SKILLS GAINED BY OUR AGING POPULATION DURING THE PANDEMIC, AND LOW-COST INTERNET AVAILABLE THROUGHOUT THE CITY, A VIRTUAL PROGRAM FOR FALL PREVENTION WAS A GOOD FIT. THIS PROGRAM IS AVAILABLE VIA THE INTERNET TO BE FOLLOWED ON AN INDIVIDUAL'S OWN TIME, FROM THEIR OWN HOME. IT IS LED BY A SPECIALIZED GERIATRIC PHYSICAL THERAPIST WHO IS A CERTIFIED TAI CHI FOR ARTHRITIS AND FALLS INSTRUCTOR. INFORMATION IS DISTRIBUTED TO THE COMMUNITY AT HEALTH FAIRS AND PROVIDED TO PATIENTS VIA THEIR AFTER-VISIT SUMMARY. SAFE FIREARM STORAGE, IN 2023, WE WERE NAMED THE RECIPIENT OF A $300,000 3-YEAR GRANT FROM THE PA DEPARTMENT OF HEALTH TO DEVELOP A PROGRAM TO PROMOTE SAFE FIREARM STORAGE IN PHILADELPHIA. WITH THE FUNDING WE ARE PLANNING TO DISTRIBUTE GUN SAFES IN THE COMMUNITY WITH ACCOMPANYING VIDEO AND WEB RESOURCES. KINGSESSING COMMUNITY RESILIENCY CENTER, PARTICIPANT ON THE BOARD FOR THE KINGSESSING COMMUNITY RESILIENCY CENTER, WHICH CAME ABOUT AFTER THE 7/3/2023 MASS SHOOTING. THE EVENT QUALIFIES FOR FEDERAL ANTI-TERRORISM FUNDING. THE BOARD IS TASKED WITH SETTING UP A COMMUNITY RESILIENCY CENTER TO SERVE THOSE AFFECTED BY THE SHOOTING. PTSF INJURY PREVENTION COORDINATORS COMMITTEE PARTICIPATES IN THE COMMITTEE WHERE COLLABORATION OF IP COORDINATIONS FROM PA TRAUMA CENTERS OCCURS. ADDITIONALLY, ON SUBGROUPS FOR GUN VIOLENCE AND FIREARM RESEARCH. > PRESBYTERIAN OUTREACH COUNCIL: COMPRISED OF REPRESENTATIVES FROM EVERY HOSPITAL UNIT, THE COUNCIL STRATEGIZES OUTREACH IN THE IMMEDIATE SERVICE AREA AIMING FOR THE BEST AND HEALTHIEST OUTCOMES. THE COUNCIL PARTICIPATED IN THE FOLLOWING EVENTS AND PROJECTS IN FY23: CUPP 5E 9TH ANNUAL SERVE THE COMMUNITY HOLIDAY DINNER WITH URSTORYTELLERS FOUNDATION INC. 11/16/2022: THANKSGIVING MEAL ITEMS FOR HOMELESS. COLLECTED 25 FROZEN TURKEYS, A HAM, AND A WIDE ARRAY OF FIXINGS FOR THE COMMUNITIES/FAMILIES WITHIN THE GREATER PHILADELPHIA AREA. ITEMS WERE DELIVERED TO CHOSEN 300 MINISTRIES. 11/12/2022: CAREER DAY AT PPMC 20 CHILDREN IN ATTENDANCE. GUN VIOLENCE COMMITTEE WAS PRESENT AS A RESOURCE. VOLUNTEERS FROM THE BELOW DEPARTMENTS PRESENTED ON THEIR CAREER: - RESPIRATORY - TRAUMA - VOLUNTEER COORDINATOR - TRAUMA ADMINISTRATION ASSISTANT - SOCIAL WORK - SECURITY - 2 RNS EMERGENCY DEPARTMENT 12/2022: HOLIDAY DRIVE PEOPLE'S EMERGENCY CENTER 12/2023: CUPP 3S COORDINATED MONETARY DONATIONS TO PURCHASE HOLIDAY GIFTS FOR 2 FAMILIES 4/2023: CITY'S SPRING CLEAN-UP DAY 4/20/2023: NETTER CENTER'S 30TH ANNIVERSARY EVENT AT WEST PHILADELPHIA HIGH SCHOOL 4/2023: YMCA HEALTHY KIDS DAY 4/28/2023: PROM DRESS DRIVE 5/5/2023: MALCOLM X COMMUNITY HEALTH FAIR 6/2023: JUNETEENTH WELLNESS SUMMIT 4/28/2023: PROM DRESS DRIVE 5/5/2023: MALCOLM X COMMUNITY HEALTH FAIR 6/2023: JUNETEENTH WELLNESS SUMMIT ADDITIONALLY, STROKE EDUCATION AND AWARENESS WAS OFFERED BY KARRIMA OWENS, PRESBYTERIAN'S STROKE OUTREACH COORDINATOR, FOR THE FOLLOWING EVENTS: - JULY 16, 2022: LANCASTER AVE. JAZZ FESTIVAL (100 ATTENDEES; 2 HOURS) - OCTOBER 14, 2022: 16TH POLICE DISTRICT AND WEST PHILADELPHIA READING CAPTAINS (80 ATTENDEES; 2.5 HOURS) - OCTOBER 25, 2022: 16TH POLICE DISTRICT TOWN HALL (10 ATTENDEES; .1 HOUR) - JANUARY 16, 2023: 16TH POLICE DISTRICT MLK DAY JOB FAIR AT LUCIEN E. BLACKWELL CTR. 761 N. 47TH ST. (25 ATTENDEES; 4 HOURS) - FEBRUARY 18, 2023: ALPHA KAPPA ALPHA SORORITY, INCORPORATED OMEGA OMEGA CHAPTER AT CHRISTIAN STRONG HOLD CHURCH LANCASTER AVENUE (75 ATTENDEES; 4 HOURS) - APRIL 20, 2023: NETTER CENTER'S 30TH ANNIVERSARY EVENT: WEST PHILADELPHIA HIGH SCHOOL 4901 CHESTNUT ST. (100 ATTENDEES; 2 HOURS) - APRIL 22, 2023: 1MILE WALK/5K RUN AND HEALTHY LIVING EXPO. MT. ZION BAPTIST CHURCH 50TH AND WOODLAND (50 ATTENDEES; 4.5 HOURS) - MAY 6, 2023: PENN MEDICINE NURSES WEEK COMMUNITY DAY. MALCOM X PARK 52ND & PINE (100 ATTENDEES; 4 HOURS) AND MOTIVATED COMMUNITY RESOURCE CENTER SHERWOOD PARK 57TH & BALTIMORE AVE.(50 ATTENDEES; 3 HOURS) - JUNE 17, 2023: 16TH DISTRICT FATHER'S DAY, MEN'S HEALTH, JUNETEENTH CELEBRATION (90 ATTENDEES; 4 HOURS) - JUNE 27, 2023: CAPTAINS TOWNHALL MEETING (20 ATTENDEES; .2 HOURS) - JUNE 30, 2023: JUNETEENTH WELLNESS SUMMIT AT SAUNDERS PARK (50 ATTENDEES; 2 HOURS) FORM 990, PART III, LINE 4A (CONTINUED) PENN MEDICINE CARES GRANT: IN COLLABORATION WITH THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM, PRESBYTERIAN AWARDS PENN MEDICINE CARES GRANTS TO COMMUNITY-BASED PROGRAMS ON BEHALF OF EMPLOYEES WHO VOLUNTEER THEIR TIME AND EFFORT AT THE INITIATIVES. BY FUNDING THESE PROGRAMS, PENN MEDICINE HELPED SUPPLY HEALTH SERVICES, FOOD, MEDICINE, CLOTHING, AND PLACES TO LIVE FOR THOUSANDS OF UNDERSERVED IN THE REGION EVERY YEAR. SINCE THE FIRST ROUND OF RECIPIENTS WAS ANNOUNCED IN JANUARY 2012, PENN MEDICINE HAS SUPPORTED OVER 1,000 SERVICE PROJECTS WITH OVER ONE MILLION DOLLARS IN FUNDING. FOLLOWING, PLEASE FIND PRESBYTERIAN EMPLOYEES WHO RECEIVED THE CARES GRANT FOR THE 2023 FISCAL YEAR: URSTORYTELLERS, SHAWN ANDERSON: URSTORYTELLERS FOCUSES ON THE HOMELESS POPULATION AND THOSE AFFECTED BY SUBSTANCE ABUSE, AND MEMBERS OFFER PEER-TO-PEER SUPPORT AND TRAINING. SHAWN ANDERSON SR.'S GRANT GOES TOWARD THE PURCHASE OF TOILETRIES TO GIVE TO THIS SPECIAL POPULATION AT A FOOD PANTRY EVENT, WHICH RUNS EVERY FIRST MONDAY OF THE MONTH BY COMMUNITY SERVICE AT VISITATION (CATHOLIC SOCIAL SERVICE). THE TOILETRIES INCLUDE SHAMPOO AND BODY WASH, ANTI-CAVITY TOOTHPASTE, STICK DEODORANT, AND TOOTHBRUSHES. STUDENTS IN PENN NURSING'S MASTERS PROGRAM ALSO PARTNER WITH THE PROGRAM TO OFFER FIRST AID. PROVIDER ACCESS FOR LOW INCOME WOMEN IN CHESTER COUNTY TO LARCS AT LCH HEALTH AND COMMUNITY SERVICES, BETHANY ATKINSON: LCH IS A COMMUNITY HEALTH CENTER IN CHESTER COUNTY WITH A TARGET POPULATION OF LOW-INCOME RESIDENTS. 86% OF ITS PATIENTS ARE LATINO, WHO OFTEN FACE SEVERAL BARRIERS TO HEALTH CARE. BETHANY, WHO HAS SERVED AT LCH FOR THE PAST FIVE YEARS, WILL DIRECT HER FUNDING TOWARD THE PURCHASE OF LONG-ACTING REVERSIBLE CONTRACEPTIVES(LARCS). THESE ARE POPULAR BECAUSE OF THEIR DURABILITY, CONVENIENCE, MINIMAL SIDE EFFECTS, AND REVERSIBILITY. THE HEALTH CENTER ESTIMATES THAT IT PROVIDED LARCS TO APPROXIMATELY 340 WOMEN IN THE 2023 CALENDAR YEAR. NO LACKIN LIFESTYLE, DANAE FAISON: NO LACKIN LIFESTYLE USES PHYSICAL FITNESS TO CONTRIBUTE TO THE LIVES OF 30 YOUTH, AGED 12 TO 18 YEARS LIVING IN WEST AND SOUTHWEST PHILADELPHIA AND DELAWARE COUNTY. YOUTH MEET EVERY WEEKEND AND 1 TO 2 DAYS DURING THE WEEK. THE PROGRAM USES SPORTS AND PHYSICAL FITNESS TO HIGHLIGHT POSITIVE NUTRITION, MENTAL HEALTH, AND EDUCATIONAL EXPOSURE WITH AN OVERARCHING GOAL TO CREATE HEALTHIER ENVIRONMENTS, MINDS, LIFESTYLES, COLLEGE AWARENESS AND ASPIRATION, AND DECREASE VIOLENCE FOR EACH MEMBER. STOP THE BLEED (STB) TOURNIQUET DISTRIBUTION, SUNNY JACKSON: AS PART OF HER POSITION WITHIN PENN TRAUMA, SUNNY JACKSON CONDUCTS STOP THE BLEED TRAININGS FOR THE WEST AND SOUTHWEST PHILADELPHIA COMMUNITY, ESPECIALLY THOSE GREATLY AFFECTED BY GUN VIOLENCE. EARLY ON, THE STAFF RECEIVED FEEDBACK THAT THE SKILLS LEARNED WERE VALUABLE, BUT THEY WERE NOT PROVIDING THE TOOLS -- TOURNIQUETS -- NECESSARY TO SAVE A LIFE. HIGH-QUALITY TOURNIQUETS COST $30 EACH, WHICH IS NOT AFFORDABLE FOR MANY MEMBERS OF THE COMMUNITIES MOST STRICKEN BY GUN VIOLENCE. SUNNY'S GRANT ALLOWS THE PURCHASE OF 89 TOURNIQUETS. CULTIVATING SCIENTIFIC MOTIVATIONS, CORNELIA KO: FOR MORE THAN FIVE YEARS, CORNELIA KO HAS SERVED WITH THE DELAWARE SCIENCE OLYMPIAD'S ELEMENTARY DIVISION. ITS GOAL IS TO INTEREST WILMINGTON'S UNDERPRIVILEGED ELEMENTARY STUDENTS IN SCIENCE THROUGH HANDS-ON ACTIVITIES. AN EARLIER PILOT PROGRAM SHOWED THAT THE LONGER STUDENTS ARE EXPOSED TO SCIENCE ACTIVITIES, THE MORE THEY ARE INTERESTED. KNOWING THESE RESULTS, KO WILL PUT HER GRANT TO USE BY PROVIDING ADDITIONAL SCIENCE KITS TO SCHOOLS. COMMUNITY CPR/BLS, BRIDGET MERENDA: MIRANDA'S HOME UNIT AT PENN PRESBYTERIAN HAS BEEN THE CARDIAC STEP-DOWN FLOOR. THERE SHE HAS LEARNED HOW CRUCIAL A ROLE OUR HEARTS PLAY, AND SHE HAS USED CARDIOPULMONARY RESUSCITATION AND BASIC LIFE SUPPORT TECHNIQUES TO HELP RESUSCITATE NUMEROUS PATIENTS. HER FUNDING WILL GO TOWARD TEACHING SUCH TECHNIQUES TO MEMBERS OF THE COMMUNITY. HER GOAL IS TO GET AS MANY PEOPLE AS POSSIBLE TO START TALKING, LEARNING, AND SHARING ABOUT CPR. THE GRANT WILL HELP PAY FOR ADULT AND INFANT MANIKINS, AUTOMATED EXTERNAL DEFIBRILLATORS, A BASIC LIFE SUPPORT (BLS) INSTRUCTOR PACKAGE, AND OTHER NECESSITIES. INCORPORATING MINDFUL CARE FOR U, RASHEDA PEOPLES-STARLING: WHILE SERVING IN PPMC'S MEDICAL CARE UNIT, RASHEDA PEOPLES-STARLING HAS HAD MANY PATIENTS WITH A WIDE RANGE OF MEDICAL AND MENTAL DIAGNOSES. MANY OF THEM HAVE REQUESTED OTHER ACTIVITY OPTIONS THAN WATCHING TELEVISION DURING THEIR HOSPITAL STAYS. RASHEDA'S GRANT GOES TOWARD PURCHASING PUZZLES, CROCHET KITS, PLAYING CARDS, COLORING BOOKS, AND JOURNALS, SO THAT PATIENTS WILL HAVE MORE STIMULATING CHOICES TO HELP ENHANCE HEALING. FAST HEMORRHAGE CONTROL TRAINING FOR PHILADELPHIA HIGH SCHOOLS, KRISTIN QUINLAN: PPMC'S TRAUMA CENTER IS PARTNERING WITH CHILDREN'S HOSPITAL OF PHILADELPHIA, THE UNIFORMED SERVICES UNIVERSITY, AND THE AMERICAN RED CROSS TO MAKE PHILADELPHIA AMONG THE FIRST CITIES IN THE UNITED STATES TO ROLL OUT AGE-APPROPRIATE STOP THE BLEED (STB) TRAINING FOR HIGH-SCHOOL STUDENTS WITH FIRST AID FOR SEVERE TRAUMA (FAST). FAST TEACHES LIFE-SAVING HEMORRHAGE CONTROL FROM PENETRATING TRAUMA: PACKING THE WOUND, APPLYING PRESSURE, AND USING TOURNIQUETS. THIS INITIATIVE ALIGNS WITH THE CITY'S AND UPHS'S RENEWED FOCUS ON CURBING GUN VIOLENCE, ENHANCES SCHOOL SAFETY AND EMERGENCY PREPAREDNESS, AND BUILDS COMMUNITY RESILIENCE. KRISTIN QUINLAN'S GRANT WILL COVER THE PURCHASE OF 30 TOURNIQUETS, TWO WALL-MOUNTED BLEEDING CONTROL MEDICAL SUPPLY KITS, AND OTHER ITEMS. PENN TRAUMA VIOLENCE RECOVERY PROGRAM, JAMIE SONG: PENN TRAUMA'S VIOLENCE RECOVERY PROGRAM AIMS TO REACH PHILADELPHIANS OF ALL AGES WHO HAVE SURVIVED VIOLENT INJURIES (SUCH AS GUNSHOT AND STAB WOUNDS), MANY OF WHOM ARE BLACK BOYS AND MEN. THE PROGRAM SEEKS TO PROVIDE PEER COUNSELING AND CONNECT PATIENTS TO COMMUNITY AGENCIES. JAMIE SONG'S CARES FUNDS WILL GO TO HELP PATIENTS MEET PERSONAL GOALS AS THEY RECOVER FROM VIOLENT INJURIES AND WOULD ALSO HELP WITH TRANSPORTATION, ACCESS TO CELL SERVICE, AND EMERGENCY HOUSING. II. COMMUNITY HEALTH NEEDS ASSESSMENT & IMPLEMENTATION PLAN: PENNSYLVANIA HOSPITAL IS AN ENTITY OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM (UPHS) WHICH ALONG WITH THE PERELMAN SCHOOL OF MEDICINE (PSOM) COMPRISE PENN MEDICINE. THE HOSPITALS AND MEDICAL SCHOOL OF PENN MEDICINE INTEGRATES PROGRAMS IN EDUCATION, RESEARCH, AND PATIENT CARE TO SUSTAIN INSTITUTIONAL LEADERSHIP IN THE ERA OF TRANSLATIONAL MEDICINE. THROUGH UNDERGRADUATE MEDICAL EDUCATION, BROAD RANGING GRADUATE, RESIDENCY, FELLOWSHIP PROGRAMS, AND CONTINUING MEDICAL EDUCATION COURSES, THE SCHOOL TRAINS THE FUTURE LEADERS OF AMERICAN MEDICINE. AMBITIOUS BIOMEDICAL RESEARCH, CARRIED OUT IN 28 BASIC SCIENCE AND CLINICAL DEPARTMENTS AND IN NUMEROUS MULTIDISCIPLINARY CENTERS AND INSTITUTES, IS CLOSELY LINKED TO TEACHING AND PATIENT CARE, CONTRIBUTING TO OVERALL EXCELLENCE IN ALL THREE MISSION AREAS AND TO PENN MEDICINE'S PREEMINENCE AS AN INTEGRATED ACADEMIC MEDICAL CENTER. WHILE UPHS IS KNOWN FOR ADVANCED TREATMENTS THAT DRAW PATIENTS INTERNATIONALLY, THE HEALTH SYSTEM ALSO SERVES THOUSANDS OF LOW-INCOME PHILADELPHIANS. IN FY2023, UPHS PROVIDED $392.8 MILLION IN CHARITY AND UNDERFUNDED CARE FOR MEDICAID FAMILIES. THIS INCLUDES COVERING $17.8M IN UNREIMBURSED CARE IN OUR EMERGENCY DEPARTMENTS, AND $11.2M IN UNREIMBURSED COSTS OF CARE AT THE HUP HELEN O. DICKENS CENTER FOR WOMEN, WHICH SERVES MAINLY MEDICARE, MEDICAID, AND UNINSURED PATIENTS AND OFFERS UNCOMPENSATED AND UNDERCOMPENSATED CARE FOR THOSE WHO QUALIFY, BASED ON FINANCIAL COUNSELING. PENN MEDICINE PROVIDES INFRASTRUCTURE TO MANAGE CARE FOR OVER 500 SICKLE CELL ANEMIA PATIENTS.THIS IS AMONG THE LARGEST PROGRAMS IN THE NATION, PROVIDING CARE MANAGEMENT TO HALF OF THE SICKLE CELL PATIENTS IN PHILADELPHIA, WHO ARE PREDOMINANTLY INSURED BY MEDICAID. FORM 990, PART III, LINE 4A (CONTINUED) IN ADDITION, $93 MILLION HAS BEEN INVESTED TO CAPITALIZE AND OPERATE THE PUBLIC HEALTH CAMPUS OPERATIONS AT HUP CEDAR, IN THE HEART OF WEST PHILADELPHIA (INCLUDING AN EMERGENCY DEPARTMENT AND CRISIS RESPONSE CENTER AT THE FACILITY). THE PHMC PUBLIC HEALTH CAMPUS ON CEDAR, WHICH OPENED IN MARCH 2021, TRANSITIONED THE BUILDING FROM THE FORMER MERCY PHILADELPHIA HOSPITAL INTO A CAMPUS OFFERING EMERGENCY AND INPATIENT CARE AS WELL AS PRIMARY CARE AND COMMUNITY-DRIVEN SOCIAL SUPPORTS. THESE FUNDING ALLOWS CLINICAL CARE TO REMAIN AT A FACILITY THAT WAS AT RISK OF CLOSURE. IN FURTHERANCE OF ITS EXEMPT PURPOSE TO BENEFIT THE COMMUNITY, UPHS, IN COLLABORATION WITH OTHER REGIONAL HEALTH SYSTEMS, COMPLETED ITS FOURTH COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) - THROUGH QUANTITATIVE AND QUALITATIVE RESEARCH, INCLUDING FEEDBACK FROM COMMUNITY AND KEY STAKEHOLDERS - TO IDENTIFY THE MOST PRESSING HEALTH NEEDS IN OUR SERVICE AREA AND DETERMINE HOW BEST TO ADDRESS THOSE NEEDS. THE PHILADELPHIA HOSPITALS OF UPHS, PENNSYLVANIA HOSPITAL, PENN PRESBYTERIAN MEDICAL CENTER, AND HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA INCLUDING THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA AT CEDAR CONDUCTED A JOINT CHNA DUE TO THE SIMILAR SERVICE AREAS. OUR COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) IS AN OUTGROWTH OF THE CHNA PROCESS AND PROVIDES INFORMATION ABOUT THE PROGRAMS AND INVESTMENTS PENN MEDICINE CURRENTLY MAKES TO ADDRESS HEALTH NEEDS IDENTIFIED IN THE CHNA AND ACTS AS A GUIDE FOR INVESTMENT IN FUTURE PROGRAMS. GOOD HEALTH IS DETERMINED BY MORE THAN THE CLINICAL CARE IN OUR HOSPITALS, AND SO THE PROGRAMS AND INITIATIVES OUTLINED IN OUR CHIP FOCUS ON OUR WORK OUTSIDE OF OUR HEALTH SYSTEM WALLS AND IN THE ENVIRONMENTS WHERE WE LIVE, WORK, AND PLAY. PENN MEDICINE IS STRONGLY COMMITTED TO CREATING HEALTHIER, FAIRER, AND MORE JUST COMMUNITIES THROUGH BROAD, INSTITUTIONAL INITIATIVES INCLUDING THE FUND FOR HEALTH, PENN MEDICINE CARES GRANT PROGRAM, CENTER FOR HEALTH EQUITY AND ADVANCEMENT, AND ACCELERATE HEALTH EQUITY, AND THROUGH NUMEROUS, PROGRAMMATIC EFFORTS FOCUSED ON 12 HEALTH PRIORITY AREAS OF THE CHNA, AS OUTLINED IN OUR CHIP. BEGINNING IN SUMMER OF 2021, THROUGH A PARTNERSHIP BETWEEN PENN MEDICINE AND THE WHARTON SOCIAL IMPACT INITIATIVE, THE FUND FOR HEALTH PUSHED FOR MEASURABLE PROGRESS IN SOCIO-ECONOMIC FACTORS THAT CAN HAVE LIFELONG EFFECTS, BY BEGINNING A $5 MILLION INVESTMENT THAT HAS CONTINUED THROUGH 2023. INVESTING AND SUPPORTING INNOVATIVE, FORWARD-THINKING VENTURES HAVE MADE GREAT STRIDES TOWARD MEANINGFUL IMPACT ON OUR CITY'S HEALTH, WHILE HELPING TO BUILD SUSTAINABLE AND PROFITABLE COMPANIES IN FOR THE REGION THAT PROVIDE PATHS TO JOBS AND ECONOMIC OPPORTUNITIES FOR MORE CITY RESIDENTS. THE ACTION FOR CULTURAL TRANSFORMATION (ACT) INITIATIVE, WHICH WAS LAUNCHED IN THE SUMMER OF 2020, HAS CATALYZED FORMATION OF A STRUCTURE AND PROCESSES FOR ENDURING CHANGE. GUIDED BY THE OFFICE OF INCLUSION, DIVERSITY, AND EQUITY (OIDE), SIX WORK GROUPS (FOCUSED RESPECTIVELY ON CLINICAL, RESEARCH, EDUCATION, COMMUNITY, CULTURE, AND PEOPLE) ARE DRIVING BROAD-BASED CHANGE. OVER 70 ACTION ITEMS WERE SUGGESTED BY FACULTY, STUDENTS, AND STAFF AS BUILDING BLOCKS FOR A MORE INCLUSIVE COMMUNITY. TO DATE, THREE-QUARTERS OF THESE HAVE BEEN FULLY IMPLEMENTED. A FLAGSHIP AMONG PENN MEDICINE'S COMMUNITY BENEFIT, THE PENN MEDICINE CARES GRANTS SUPPORT EMPLOYEE VOLUNTEERISM, PROMOTE COMMUNITY ENGAGEMENT, AND IMPROVE HEALTH. SINCE 2012, MORE THAN A MILLION DOLLARS HAS FUNDED OVER 1,000 SERVICE INITIATIVES. EACH GRANT PROVIDES MONETARY AND INSTITUTIONAL SUPPORT TO ORGANIZATIONS AND PROGRAMS DEDICATED TO IMPROVING HEALTH AND ERADICATING SOCIAL DETERMINANTS OF HEALTH NOT ONLY IN PENN MEDICINE'S SERVICE AREA, BUT ALSO GLOBALLY. THE CENTER FOR HEALTH EQUITY AND ADVANCEMENT (CHEA) IS THE CORNERSTONE AT PENN MEDICINE FOR ADVANCING HIGH QUALITY PATIENT AND FAMILY-CENTERED CARE FOR ALL, REGARDLESS OF PERSONAL CHARACTERISTICS, SUPPORTING COMMUNITY PARTNERSHIPS TO TACKLE BARRIERS TO ACHIEVING OPTIMAL HEALTH FOR ALL COMMUNITIES WE SERVE, AND PROVIDING EQUITABLE HEALTHCARE WITHIN INCLUSIVE ENVIRONMENTS THAT SUPPORT A DIVERSE WORKFORCE AND STUDENT BODY. IN ORDER TO BUILD SUPPORT FOR AND ALIGN MUTUALLY REINFORCING EQUITY INITIATIVES ACROSS THE ENTERPRISE, PENN MEDICINE INCORPORATES ITS CENTER FOR HEALTH EQUITY ADVANCEMENT BLUEPRINT FOR EQUITY AND INCLUSION WITHIN THE FOLLOWING INITIATIVE AREAS: CARE TRANSFORMATION, COMMUNITY ENGAGEMENT, WORKFORCE, RESEARCH AND EVALUATION, AND EDUCATION AND TRAINING. THE PENN MEDICINE CENTER FOR DIGITAL HEALTH AND THE PENN CENTER FOR HEALTH INCENTIVES AND BEHAVIORAL ECONOMICS WORKED STRATEGICALLY WITH LOCAL HEALTH SYSTEMS, PAYORS, AND THE CITY OF PHILADELPHIA TO LAUNCH THE ACCELERATE HEALTH EQUITY PROGRAM IN 2020. THIS BROAD INITIATIVE DEPLOYS TOOLS FROM BEHAVIORAL ECONOMICS, DIGITAL HEALTH, INNOVATION SCIENCE, URBAN HEALTH, COMMUNICATIONS SCIENCE, AND PUBLIC HEALTH TO ADDRESS PHYSICAL, BEHAVIORAL, SOCIAL, ECONOMIC, AND CLINICAL BARRIERS TO SUSTAINABLE HEALTH EQUITY. PRIORITY AREA #1: MENTAL HEALTH PENN MEDICINE RECOGNIZES THAT HIGH-QUALITY MENTAL HEALTH CARE IS THE TOP HEALTH NEED IN PHILADELPHIA. MENTAL HEALTH PROBLEMS ARE SERIOUS AND WIDESPREAD AND HAVE WORSENED IN RECENT YEARS DUE TO THE ISOLATION AND STRESS OF THE COVID-19 PANDEMIC. PENN MEDICINE IS COMMITTED TO CREATING MORE ACCESSIBLE, HIGH-QUALITY, INTEGRATED MENTAL HEALTH CARE, PARTICULARLY FOR VULNERABLE POPULATIONS. PENN MEDICINE STRIVES TO INCREASE THE BEHAVIORAL HEALTH WORKFORCE CAPACITY AND DIVERSITY, EMPHASIZING A CULTURALLY FOCUSED APPROACH TO IMPROVE COMMUNITY ENGAGEMENT AND COMMUNITY UTILIZATION OF SERVICES. > HALL-MERCER COMMUNITY MENTAL HEALTH CENTER OF PENNSYLVANIA HOSPITAL IS DEDICATED TO ENRICHING THE LIVES OF PEOPLE AFFECTED BY MENTAL ILLNESS OR DEVELOPMENTAL DISABILITIES, PROVIDING A RANGE OF SERVICES FOR YOUNG CHILDREN TO ADULTS. THE CENTER HAS PLAYED A SIGNIFICANT ROLE IN BROADENING ACCEPTANCE AND ADVANCING CARE FOR PEOPLE WITH PSYCHIATRIC DISORDERS OR INTELLECTUAL DISABILITIES. SPECIFICALLY, THE CENTER PROVIDES COMPREHENSIVE OUTPATIENT SERVICES TO PHILADELPHIA RESIDENTS IN NEED. AS PART OF PHILADELPHIA'S BEHAVIORAL HEALTH SYSTEM, IT IS ONE OF 11 COMMUNITY MENTAL HEALTH CENTERS IN THE CITY. > THE STEVEN A. COHEN MILITARY FAMILY CLINIC AT THE UNIVERSITY OF PENNSYLVANIA DELIVERS CONFIDENTIAL MENTAL HEALTH CARE FOR VETERANS, SERVICE MEMBERS, AND THEIR FAMILIES AT NO COST. THE CLINIC USES TELEHEALTH TO BRING PENN MEDICINE'S WORLD-CLASS TREATMENT AND CARE TO VETERAN AND MILITARY COMMUNITIES ACROSS THE REGION. THE CLINIC SPECIALIZES IN PERSONALIZED, EVIDENCE-BASED MENTAL HEALTH CARE THAT IS PROVEN TO RESULT IN LONG-TERM OUTCOMES. THE CLINIC OFFERS EARLY MORNING AND EVENING HOURS, TRANSPORTATION ASSISTANCE, AND TELEHEALTH TO HELP VETERANS, SERVICE MEMBERS, AND MILITARY FAMILIES EASILY ACCESS THE CARE THEY DESERVE. FORM 990, PART III, LINE 4A (CONTINUED) > PRIMARY CARE SERVICE LINE INTEGRATED BEHAVIORAL HEALTH: IN 2018, THE PENN MEDICINE PRIMARY CARE SERVICE LINE PARTNERED WITH THE PERELMAN SCHOOL OF MEDICINE'S DEPARTMENT OF PSYCHIATRY TO DEVELOP AND IMPLEMENT AN INTEGRATED MODEL OF BEHAVIORAL HEALTH CARE CALLED THE COLLABORATIVE CARE BEHAVIORAL HEALTH (CCBH) PROGRAM. CCBH PUTS LICENSED CLINICAL SOCIAL WORKERS SPECIALLY TRAINED IN MENTAL HEALTH CARE INTO PRIMARY CARE OFFICES. FIVE SOCIAL WORKERS WORK IN EIGHT PENN MEDICINE PRIMARY CARE PRACTICES IN WEST PHILADELPHIA AND CENTER CITY AND ARE AVAILABLE TO MORE THAN 100,000 PATIENTS. THESE EXPERTS WORK WITH PRIMARY CARE PROVIDERS AND A PSYCHIATRIST TO ASSESS AND TREAT PATIENTS AS NEEDED DURING OR AFTER THEIR PRIMARY CARE APPOINTMENTS. SERVICES RANGE FROM SCREENING FOR DEPRESSION TO SUPPORTING THOSE WHO ARE STRUGGLING WITH ADDICTION. > PENN MEDICINE INVESTS IN THE PENN CENTER FOR YOUTH AND FAMILY TRAUMA RESPONSE AND RECOVERY, WHICH PROVIDES A RANGE OF INTERVENTIONS FOR CHILDREN AND FAMILIES TO ADDRESS THE PHYSICAL AND PSYCHOLOGICAL SYSTEMS ASSOCIATED WITH TRAUMA. AS THE ONLY PROVIDER IN THE PHILADELPHIA AREA THAT OFFERS EFFECTIVE EARLY INTERVENTION FOR YOUTH, THE CENTER IS AN ESSENTIAL POINT OF ACCESS TO SPECIALIZED BEHAVIORAL HEALTH SERVICES FOR THOSE IN OUR COMMUNITY. > PENN PSYCHIATRY'S FELLOWSHIP IN COMMUNITY PSYCHIATRY: THIS IS A 1-YEAR NON-ACGME TRAINING PROGRAM RUN BY THE DEPARTMENT OF PSYCHIATRY. THROUGH THIS PROGRAM, PENN PSYCHIATRY CONTRACTS OUT THE SERVICES OF UP TO FOUR COMMUNITY FELLOWS TO PARTNERING COMMUNITY-BASED AGENCIES. COMMUNITY FELLOWS ARE BOARD-ELIGIBLE PSYCHIATRISTS THAT HAVE COMPLETED THEIR ADULT PSYCHIATRY TRAINING, AND THUS PROVIDE ATTENDING-LEVEL PSYCHIATRIC SERVICES TO THESE COMMUNITY AGENCIES DURING THEIR 1-YEAR TRAINING PROGRAM. > PUENTES DE SALUD WORKS TO ENSURE THE WELLNESS OF THE LATINO IMMIGRANT POPULATION IN SOUTH PHILADELPHIA BY OFFERING MEDICAL CARE, EDUCATION, AND SOCIAL SERVICES. MENTAL HEALTH SERVICES AT PUENTES DE SALUD AIM TO PROVIDE THE COMMUNITY WITH EVIDENCE-BASED APPROACHES TO EMPOWERMENT AND SOCIAL ISSUES. > UNITY HEALTH CLINIC IS A FREE CLINIC PRIMARILY SERVING UNINSURED INDONESIAN IMMIGRANTS OF CHINESE DESCENT. MEDICAL STUDENT VOLUNTEERS ASSIST AND SHADOW PENN FACULTY AND RESIDENTS. EACH WEEK, UNITY HEALTH CLINIC SEEKS TO PROVIDE HIGH-QUALITY, CULTURALLY COMPETENT MEDICAL CARE TO UNINSURED AND UNDERINSURED ADULTS, INCLUDING BEHAVIORAL HEALTH CARE. THE CLINIC OFFERS FREE PRIMARY AND PREVENTIVE CARE SERVICES, FREE OR REDUCED-COST MEDICATIONS, AND FREE INTERPRETER SERVICES. > PHILADELPHIA HUMAN RIGHTS CLINIC THE PHILADELPHIA HUMAN RIGHTS CLINIC (PHRC) IS A STUDENT-RUN ORGANIZATION WITH A MISSION TO PROVIDE NO-COST PSYCHIATRIC AND PHYSICAL EVALUATIONS OF SURVIVORS OF PERSECUTION SEEKING ASYLUM IN THE UNITED STATES. THIS IS NOT A PENN ORGANIZATION; HOWEVER, PENN MEDICAL STUDENTS ARE PART OF THE LEADERSHIP TEAM; AND THE FOUNDER AND MEDICAL DIRECTOR OF THE CLINIC IS ON PENN PSYCHIATRY'S FACULTY. > PENN MEDICINE CENTER FOR COMMUNITY HEALTH WORKERS IMPACT: COMMUNITY HEALTH WORKERS (CHWS) ARE UNIQUELY POISED TO SUPPORT COMMUNITY MEMBERS' MENTAL HEALTH NEEDS AND SUPPORT CONNECTIONS WITH HEALTH CARE. THE PENN MEDICINE CENTER FOR COMMUNITY HEALTH WORKERS' EVIDENCE-BASED IMPACT MODEL CHWS ARE SKILLED IN SYSTEM NAVIGATION AND CONNECTING WITH PATIENTS WITH COMPLEX HEALTH AND SOCIAL NEEDS. PRIORITY AREA #2: ACCESS TO PRIMARY AND SPECIALTY CARE PENN MEDICINE STRIVES TO IMPROVE HEALTH CARE ACCESS ACROSS THE COMMUNITIES WE SERVE. WE RECOGNIZE THE NEED TO PROVIDE LINKAGES BETWEEN MEDICAL SPECIALTIES AND THE COMMUNITY. OUR CARE IS DISTINGUISHED BY A HOLISTIC APPROACH TO TREATING THE ENTIRE FAMILY AND ADDRESSING THE CONTINUUM OF CARE. PENN MEDICINE RECOGNIZES THE STRONG RELATIONSHIP BETWEEN PRIMARY CARE ACCESS AND IMPROVED HEALTH OUTCOMES AND IS COMMITTED TO PROVIDING A PRIMARY CARE MEDICAL HOME FOR PATIENTS THROUGHOUT PHILADELPHIA. THE COVID-19 PANDEMIC EXACERBATED PATIENT ACCESS, WITH LONGER WAIT TIMES AND GAPS IN BASIC SERVICES BECOMING MORE ACUTE. GIVEN THESE CHALLENGES, PENN MEDICINE IS CONTINUOUSLY EVALUATING AND CREATING NEW ACCESS POINTS FOR PRIMARY AND SPECIALTY CARE IN ORDER TO MEET THE NEEDS OF OUR COMMUNITY AND ELIMINATE DISPARITIES IN ACCESS TO CARE. WE ENGAGE IN DIVERSE COMMUNITIES TO INFORM STRATEGIES TO IMPROVE ACCESS AND FACILITATE CARE CONNECTIONS. THESE STRATEGIES INCLUDE PARTNERSHIPS WITH FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) AND OTHER SAFETY NET PROVIDERS THAT PROVIDE A KEY STRATEGIC PATHWAY. > THROUGH PENN'S NEW HOSPITAL FACILITY, THE PAVILION, WHICH OPENED IN 2021, PENN MEDICINE IS INCREASING ACCESS TO SPECIALTY CARE FOR PATIENTS AND ENHANCING OPPORTUNITIES FOR COLLABORATIVE CARE DELIVERY. WE HAVE TRANSFORMED HOW WE ORGANIZE AND DELIVER CARE, USING STATE-OF-THE-ART TECHNOLOGY AND NEW WAYS OF THINKING TO ENSURE THE PATIENT EXPERIENCE IS AT THE VERY CENTER OF EVERYTHING WE DO. WITH INNOVATION AND TECHNOLOGY AT THE HEART OF ITS DESIGN, THE HOSPITAL IS EQUIPPED TO DELIVER BOTH THE TREATMENTS OF TODAY AND THE MEDICAL ADVANCES OF TOMORROW. FOR EXAMPLE, THE "REINVENTED" EMERGENCY DEPARTMENT WAS DESIGNED TO DECREASE WAIT TIMES, SPEED DIAGNOSIS, AND IMPROVE THE CARE EXPERIENCE. FURTHER, CUTTING-EDGE TECHNOLOGY HELPS ADVANCE TELEMEDICINE FUNCTIONALITY, WHICH IN ALLOWS FOR MORE REMOTE MONITORING AND CONSULTATIONS BETWEEN PATIENTS-INCLUDING THOSE WHO FACE TRANSPORTATION OR SIMILAR BARRIERS-AND THEIR CARE TEAMS. > THE PENN MEDICINE PRIMARY CARE SERVICE LINE (PCSL) WAS CREATED TO ADVANCE PENN MEDICINE-WIDE COLLABORATION BETWEEN FAMILY AND INTERNAL MEDICINE CLINICAL SERVICES. > PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH PARTNERSHIP: THE DIVISION OF GENERAL INTERNAL MEDICINE FACULTY AND RESIDENTS PROVIDE PRIMARY CARE AT TWO OF THE CITY'S AMBULATORY HEALTH CENTERS IN WEST PHILADELPHIA. THIS UNIQUE PARTNERSHIP INCREASES THE POOL OF PRIMARY CARE PROVIDERS WHO ARE ABLE TO SERVE PHILADELPHIA RESIDENTS, REGARDLESS OF INSURANCE STATUS OR THEIR ABILITY TO PAY. > FEDERALLY QUALIFIED HEALTH CENTER (FQHC) PRENATAL CARE PARTNERSHIP: THE DEPARTMENT OF FAMILY MEDICINE AND COMMUNITY HEALTH FACULTY AND RESIDENTS PROVIDE PRENATAL CARE AT FOUR LOCAL WEST PHILLY FQHCS AND THESE PATIENTS DELIVER ON THE FAMILY MEDICINE SERVICE AT OUR UNIVERSITY HOSPITAL. THIS INNOVATIVE MODEL OF CARE EXPANDS THE ACCESS TO HIGH QUALITY PRIMARY CARE, ENSURES CONTINUITY OF CARE, AND IMPROVES HEALTH OUTCOMES. FACULTY FROM FAMILY MEDICINE AND COMMUNITY HEALTH PROVIDE PRIMARY AND PRENATAL CARE AT SEVERAL SITES THAT ARE PART OF THE GREATER PHILADELPHIA HEALTH ACTION FQHC SYSTEM. > PUENTES DE SALUD AIMS TO IMPROVE COMMUNITY AND INDIVIDUAL HEALTH AND WELL-BEING NOT ONLY BY PROVIDING IMMEDIATE SERVICES, BUT ALSO BY RECOGNIZING AND CHALLENGING SOCIAL INEQUITIES AND INJUSTICES. PUENTES DE SALUD WORKS IN PARTNERSHIP WITH COMMUNITY MEMBERS, LOCAL AND PUBLIC SCHOOLS, UNIVERSITIES, AND COMMUNITY ORGANIZATIONS. PENN MEDICINE PHYSICIANS, STAFF, AND STUDENTS PARTNER WITH PUENTES DE SALUD TO PROVIDE CLINICAL SERVICES INCLUDING ADULT PRIMARY CARE AND WOMEN'S HEALTH SERVICES. ON A MONTHLY BASIS, PENN ALSO OFFERS SPECIALIZED CARE IN THE FOLLOWING AREAS: CARDIOLOGY, DERMATOLOGY, NEUROLOGY, OPHTHALMOLOGY, PEDIATRICS, PHYSIOTHERAPY AND PODIATRY AT PUENTES. FORM 990, PART III, LINE 4A (CONTINUED) > STDS CLINIC AT HEALTH CENTER #1: ALONG WITH THE CITY'S DEPARTMENT OF PUBLIC HEALTH, PENN DERMATOLOGY FACULTY AND RESIDENTS STAFF A FREE, BIWEEKLY STD CLINIC. THE CLINIC ACCEPTS WALK-INS AND PROVIDES TESTING AND TREATMENT SERVICES AT NO COST. > PERELMAN SCHOOL OF MEDICINE COMMUNITY CLINICS: PENN MEDICINE PHYSICIANS AND STAFF PROVIDE PRIMARY AND SPECIALTY CARE ACCESS IN A NETWORK OF COMMUNITY-BASED, STUDENT-LED CLINICS IN UNDERSERVED COMMUNITIES THROUGHOUT PHILADELPHIA. THESE CLINICS PROVIDE SUPPORT TO COMMUNITIES THAT FACE SIGNIFICANT ACCESS BARRIERS TO CARE INCLUDING GEOGRAPHY, CITIZENSHIP STATUS, AND LANGUAGE. > THE CENTER FOR SURGICAL HEALTH (CSH) IS A MULTIDISCIPLINARY CENTER, HOUSED IN THE DEPARTMENT OF SURGERY. CSH PROVIDES A NEW ACCESS POINT INTO SUSTAINABLE, HIGH-VALUE SURGICAL CARE FOR PATIENTS WHO TYPICALLY RELY ON THE EMERGENCY ROOM FOR TREATMENT. THE CSH PROVIDES SURGICAL AND CARE NAVIGATION SERVICES TO PATIENTS, MANY REFERRED THROUGH PUENTES DE SALUD AND THE UNIVERSITY CITY HOSPITALITY COALITION AND WILL GROW THE NUMBER OF PATIENTS SERVED AS THE CSH EXPANDS. WITH PENN MEDICINE NOW MANAGING THE INPATIENT CLINICAL SERVICES AT THE HUP CEDAR, PATIENTS FROM WEST AND SOUTHWEST PHILADELPHIA WILL HAVE AN ADDITIONAL ACCESS POINT TO RECEIVE CARE THROUGH CSH. > UNITED COMMUNITY CLINIC (UCC) IS A FREE HEALTH CLINIC COORDINATED WEEKLY BY UNIVERSITY OF PENNSYLVANIA STUDENTS FROM THE SCHOOLS OF MEDICINE, DENTISTRY, NURSING, AND SOCIAL WORK. IT COLLABORATES WITH RESIDENTS AND COMMUNITY PARTNERS TO ADDRESS THE MEDICAL AND SOCIAL HEALTH NEEDS, WITH THE GOAL OF BUILDING A STRONGER AND HEALTHIER COMMUNITY. SERVICES INCLUDE HEALTH PHYSICALS, ACUTE CARE, DENTAL CARE, EYE CARE, SOCIAL WORK RESOURCES, AND HEALTH INSURANCE ASSISTANCE. THIS PAST YEAR, UCC EXPANDED TO A SECOND CLINICAL SITE IN SOUTHWEST PHILADELPHIA SERVICING COMMUNITY MEMBERS OF THE AFRICAN AND CARIBBEAN DIASPORA. > ICNA RELIEF'S SOCIAL HEALTH AND MEDICAL SERVICE CLINIC (SHAMS CLINIC) IS A NONPROFIT ORGANIZATION THAT ENDEAVORS TO IMPROVE THE HEALTH AND SOCIAL WELL-BEING OF UNDERSERVED COMMUNITIES IN PHILADELPHIA. IN 2022 PHYSICIANS FROM THE DEPARTMENT OF FAMILY MEDICINE AND COMMUNITY HEALTH BEGAN TO PROVIDE PRIMARY CARE SERVICES AT THE SHAMS CLINIC WEST PHILADELPHIA LOCATION, EXPANDING ACCESS TO CARE FOR THAT COMMUNITY. > THE REFUGEE CLINIC AT THE PENN CENTER FOR PRIMARY CARE IS A COLLABORATIVE EFFORT BETWEEN THE PRIMARY CARE AND GLOBAL HEALTH TRACKS OF THE INTERNAL MEDICINE RESIDENCY PROGRAM IN PENN MEDICINE, AND OUR PARTNER RESETTLEMENT AGENCY, HIAS PENNSYLVANIA. THE PENN MEDICINE REFUGEE CLINIC IS A MEMBER OF THE PHILADELPHIA REFUGEE HEALTH COLLABORATIVE (PRHC), A REGIONAL COALITION CONSISTING OF PHILADELPHIA'S THREE REFUGEE RESETTLEMENT AGENCIES AND EIGHT REFUGEE HEALTH CLINICS. THE CORE MISSION OF THE COLLABORATIVE IS TO CREATE AN EQUITABLE SYSTEM OF REFUGEE HEALTH CARE IN THE PHILADELPHIA REGION THAT ENSURES A CONSISTENTLY HIGH STANDARD OF CARE FOR ALL NEWLY ARRIVED REFUGEES. EACH YEAR, PRHC PROVIDES DOMESTIC HEALTH SCREENINGS, PRIMARY CARE (INCLUDING NEWBORN, PEDIATRICS, ADULT MEDICINE, GERIATRIC, OBSTETRIC AND GYNECOLOGIC CARE) AND ACCESS TO LABORATORY, RADIOLOGY, AND SUBSPECIALTY SERVICES TO 800 NEWLY ARRIVED REFUGEES. PRHC ALSO PROVIDES ONGOING PRIMARY CARE AND WOMEN'S HEALTH SERVICES TO ESTABLISHED REFUGEE PATIENTS. THE PENN MEDICINE REFUGEE CLINIC CURRENTLY OPERATES EVERY MONDAY AFTERNOON WITH OVER 20 RESIDENT PHYSICIANS AND SEES OVER 75 NEW ARRIVALS EACH YEAR. FIVE ATTENDING PHYSICIANS' PRECEPT IN THE CLINIC, ALL OF WHOM ARE EXPERIENCED IN GLOBAL HEALTH, TRAVEL MEDICINE OR INFECTIOUS DISEASES. OVER THIRTY DIFFERENT LANGUAGES ARE SPOKEN IN CLINIC BY REFUGEE POPULATIONS FROM BHUTAN, BURMA, ERITREA, LIBERIA, DARFUR, SOUTH SUDAN, RUSSIA, UKRAINE, THE DEMOCRATIC REPUBLIC OF THE CONGO, AND MANY OTHER COUNTRIES. THE CLINIC HOSTS A ONCE-MONTHLY WOMEN'S HEALTH CLINIC SPECIFICALLY FOCUSING ON THE HEALTH NEEDS OF REFUGEE WOMEN AND A WEEKLY LATENT TUBERCULOSIS INFECTION (LTBI) CLINIC, RUN BY A PHARMACIST AND PHARMACY STUDENTS, FOCUSING ON LTBI DIAGNOSIS AND TREATMENT. > ACCESS TO CANCER CARE: PREVENTATIVE SCREENINGS CAN SAVE LIVES. THIS IS WHY ABRAMSON CANCER CENTER FOCUSED ITS EFFORTS ON ELIMINATING BARRIERS AND ENSURING OUR COMMUNITY TAKES ADVANTAGE OF SCIENCE'S BEST TOOLS FOR CANCER PREVENTION AND EARLY DIAGNOSIS. ADDITIONALLY, IF CANCER IS DIAGNOSED WITHIN COMMUNITY SCREENINGS, THE TREATMENT IS COVERED. PRIORITY AREA #3: CHRONIC DISEASE PREVENTION AND MANAGEMENT THE US CENTERS FOR DISEASE CONTROL AND PREVENTION DEFINES A CHRONIC DISEASE AS A CONDITION THAT LASTS AT LEAST ONE YEAR AND REQUIRES ONGOING MEDICAL ATTENTION, LIMITS DAILY ACTIVITIES, OR BOTH. SOME EXAMPLES INCLUDE HEART DISEASE, CANCER, STROKE, DIABETES, CHRONIC KIDNEY DISEASE, AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD)-CONDITIONS THAT ARE LEADING CAUSES OF DEATH IN THE PENN MEDICINE SERVICE AREA. PHILADELPHIA COUNTY HAS A SUBSTANTIALLY HIGHER RATE OF PREMATURE CARDIOVASCULAR DEATH AND ABOVE-AVERAGE RATES OF CANCER MORTALITY WHEN COMPARED WITH OTHER COUNTIES IN THE SERVICE AREA. FOR MANY REASONS, CHRONIC DISEASE CAN BE DIFFICULT TO MANAGE-DUE TO THE COMPLEXITY OF MEDICAL AND LIFESTYLE CHANGE REGIMENS AND THE RELATED DAY-TO-DAY CHALLENGES. THESE CHALLENGES ARE EVEN MORE CONCERNING FOR PEOPLE WHO HAVE LIMITED ACCESS TO NECESSARY MEDICAL CARE, RESOURCES, AWARENESS, AND SUPPORT. THE FOLLOWING PROGRAMS ARE EXEMPLARY INITIATIVES AT PENN MEDICINE THAT HAVE HELPED PATIENTS AND COMMUNITY MEMBERS TO PREVENT AND/OR MANAGE CHRONIC DISEASES. THIS LIST IS NOT EXHAUSTIVE, AND THERE ARE MANY MORE RELEVANT PROGRAMS ACROSS THE HEALTH SYSTEM. > COMMUNITIES CONQUERING CANCER: BLACK INDIVIDUALS HAVE THE HIGHEST INCIDENCE OF AND MORTALITY FROM MANY OF THE MOST COMMON CANCERS. THE OVERARCHING GOAL OF COMMUNITIES CONQUERING CANCER (C3) IS TO INCREASE CANCER SCREENINGS IN THE BLACK COMMUNITIES OF WEST PHILADELPHIA BY DECENTRALIZING CANCER SCREENINGS OUT OF THE CLINICS AND INTO COMMUNITIES. THIS IS DONE BY OFFERING NO-COST CANCER SCREENINGS TO SCREENING ELIGIBLE RESIDENTS AND NAVIGATION OF INDIVIDUALS WITH POSITIVE SCREENINGS TO DIAGNOSTIC PROCEDURES. FOR FISCAL YEAR 2023, THE C3 TEAM DISPERSED 293 FECAL IMMUNOCHEMICAL TESTS (FIT) - USED AS A SCREENING TEST FOR COLON CANCER. 89 WERE RETURNED, 6 WITH POSITIVE RESULTS. 602 INDIVIDUALS WERE EDUCATED ABOUT COLON CANCER AND PREVENTABLE MEASURES. > PENN MEDICINE BREAST HEALTH INITIATIVE: IN RECOGNITION OF THE BARRIERS THAT CAN EXIST FOR WOMEN SEEKING BREAST CANCER SCREENING AND TREATMENT, PENN MEDICINE OFFERS BREAST SCREENINGS AS WELL AS DIAGNOSTIC AND TREATMENT SERVICES TO UNDERSERVED AND UNINSURED WOMEN IN PARTNERSHIP WITH MORE THAN A DOZEN NONPROFITS AND CLINICS IN THE REGION. SINCE ITS INCEPTION IN 2014, THE INITIATIVE HAS PROVIDED FREE MAMMOGRAMS TO MORE THAN 4,500 WOMEN. OF THESE, 50 PERCENT OF THE WOMEN WERE LATINA, 28 PERCENT WERE BLACK, AND 57 PERCENT DID NOT SPEAK ENGLISH. TO DATE, 99 CASES OF BREAST CANCER HAVE BEEN IDENTIFIED AND TREATED THROUGH THE INITIATIVE. > PENN MEDICINE BREAST AND CERVICAL CANCER EARLY DETECTION PROGRAM: THIS BREAST AND CERVICAL CANCER SCREENING NAVIGATION PROGRAM PROVIDES FREE BREAST SCREENING AND DIAGNOSTIC SERVICES TO ELIGIBLE WOMEN WHO ARE UNINSURED OR UNDERINSURED. > THE CUT HYPERTENSION PROJECT: THIS INNOVATIVE PROGRAM TURNS THE CORNER BARBERSHOP- WELL-KNOWN AS INFORMAL GATHERING PLACES IN MANY BLACK AND LATINO COMMUNITIES-INTO A HEALTH HUB AS WELL AS A SOCIAL HUB. IN LOCAL BARBERSHOP, PHILLY CUTS, VOLUNTEERS CONDUCT BLOOD PRESSURE SCREENINGS AND SPREAD INFORMATION ON HOW TO COMBAT HYPERTENSION IN THE BLACK COMMUNITY. PROJECT LEADERS AND VOLUNTEERS ALSO PROVIDE EDUCATION ON HEALTHY DIETING AND EXERCISE, AND THIS YEAR BEGAN HANDING OUT COVID-19 TESTS AT THE BARBERSHOP. THE PROGRAM NOT ONLY HELPS ADDRESS HYPERTENSION BUT BUILDS TRUST BETWEEN HEALTH CARE PROVIDERS AND THE BLACK RESIDENTS OF WEST PHILADELPHIA. > CAN PREVENT CANCER: PENN MEDICINE OFFERS AN ANNUAL, COMMUNITY-BASED CONFERENCE FOCUSED ON SPREADING KNOWLEDGE AND AWARENESS OF DIFFERENT FORMS OF CANCER, INCLUDING KIDNEY, PROSTATE, NEUROENDOCRINE TUMORS, MELANOMA AND LUNG CANCERS. THIS YEAR, 5,125 PATIENTS AND CAREGIVERS PARTICIPATED IN THE EVENT. > STROKE COMMUNITY EDUCATION PROGRAM: IN RECOGNITION THAT STROKE IS THE NUMBER-ONE PREVENTABLE CAUSE OF DISABILITY, PENN MEDICINE OFFERS COMMUNITY-BASED, STROKE-RELATED EDUCATIONAL PROGRAMMING AT EVERY HOSPITAL IN THE SYSTEM. RISK FACTORS ARE IDENTIFIED THROUGH COMMUNITY HEALTH NEEDS ASSESSMENT, WITH PROGRAM STAFF STRIVING TO HELP RESIDENTS COMBAT ANY RISK FACTORS THAT EMERGE, WHILE WORKING TO INCREASE AWARENESS OF STROKE AND ITS SYMPTOMS. FORM 990, PART III, LINE 4A (CONTINUED) > WALK WITH A FUTURE DOC: WWFD AIMS TO PROMOTE PHYSICAL ACTIVITY AND WELL-BEING IN PHILADELPHIA NEIGHBORHOODS, FOCUSING ON USING EXERCISE TO BETTER MANAGE OBESITY, HYPERTENSION, AND DIABETES. THE PENN CENTER FOR PUBLIC HEALTH, IN PARTNERSHIP WITH MEDICAL STUDENTS FROM THE PERELMAN SCHOOL OF MEDICINE, CREATED ONE OF THE FIRST WWFD CHAPTERS IN THE COUNTRY. EACH BIWEEKLY WALK STARTS WITH A SHORT TALK FROM A MEDICAL STUDENT ON A RELEVANT HEALTH TOPIC, FOLLOWED BY A BRIEF Q&A SESSION. AN INFORMAL, ONE-HOUR WALK FOLLOWS, WITH TALKS ON CHRONIC DISEASE AND OTHER RELEVANT HEALTH TOPICS CONTINUING DURING THE WALK. SCHOOL OF MEDICINE FACULTY MENTORS PROVIDE OVERSIGHT FOR ALL EDUCATIONAL CONTENT. > BASSER CENTER FOR BRCA: THE CENTER'S MISSION IS TO SEE A WORLD FREE OF THE DEVASTATING EFFECTS OF BRCA-RELATED CANCERS. MEN AND WOMEN WITH MUTATIONS IN EITHER THE BRCA1 OR BRCA2 GENES ARE AT HEIGHTENED RISK FOR CERTAIN CANCERS, INCLUDING BREAST, OVARIAN, PROSTATE, AND PANCREATIC CANCERS. THESE GENE MUTATIONS CAN BE PASSED ON TO CHILDREN BY EITHER MEN OR WOMEN. THE BASSER CENTER CONDUCTS CUTTING-EDGE REPORT AND ALSO CONDUCTS OUTREACH AND EDUCATION IN COMMUNITIES. THE BASSER CENTER IS A PLACE WHERE FAMILIES CAN TURN FOR EDUCATION AND GENETIC COUNSELING. THE CENTER AND ITS LEADERS ARE DEDICATED TO RAISING AWARENESS, WHICH IS CURRENTLY THE MOST EFFECTIVE WAY TO SAVE LIVES AND PROVIDE OPTIONS TO THOSE AFFECTED BY A BRCA MUTATION. THE CENTER'S EDUCATIONAL INITIATIVES FOCUS ON RAISING AWARENESS AND PROVIDING EDUCATION AND RESOURCES TO COMMUNITIES THROUGHOUT PHILADELPHIA, INCLUDING TARGETED OUTREACH TO BLACK, LATINO, AND LGBTQ POPULATIONS. > HEART HEALTH BRIDGE TO CARE: HEART HEALTH BRIDGE TO CARE CLINIC PROVIDES LONG-TERM CARE TO UNDERINSURED INDIVIDUALS IN THE PARKSIDE SECTION OF PHILADELPHIA. UNDER FACULTY SUPERVISION, MEDICAL, NURSING, PHARMACY, AND SOCIAL WORK STUDENTS WORK TOGETHER TO DEVELOP CARE PLANS FOR PATIENTS WITH HEART DISEASE. SERVICES INCLUDE FREE MEDICATIONS, SUPPORT FOR DIET AND LIFESTYLE CHANGES, PATIENT EDUCATION, AND REGULAR FOLLOW-UP VISITS. > NATIONAL DIABETES PREVENTION PROGRAM (NDPP): THIS YEAR-LONG, RESEARCH-BASED PROGRAM USES CURRICULUM PUBLISHED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION TO PROMOTE HEALTHY EATING AND PHYSICAL ACTIVITY IN INDIVIDUALS AT RISK FOR DEVELOPING TYPE 2 DIABETES. PROVIDED AT MOST PENN MEDICINE DIABETES EDUCATION CENTERS, THE NDPP ENCOURAGES HEALTHY LIFESTYLE CHANGES TO DELAY OR PREVENT A DIAGNOSIS OF TYPE 2 DIABETES. > DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT PROGRAMS (DSMES): DIABETES IS A COMPLEX CONDITION THAT INVOLVES MANY DAILY SELF-MANAGEMENT HABITS. DSMES PROGRAMS PROVIDE INDIVIDUALS LIVING WITH DIABETES WITH THE TOOLS AND SUPPORT NEEDED TO ADDRESS THE BEHAVIORAL, EDUCATIONAL, MEDICAL, AND MENTAL ASPECTS OF DIABETES MANAGEMENT.THESE SKILLS CAN HELP PEOPLE WITH DIABETES ENHANCE THEIR DAILY SELF-CARE, DECREASE COMPLICATIONS OF DIABETES, AND IMPROVE OVERALL HEALTH OUTCOMES. IN THE PAST FISCAL YEAR, OVER 500 INDIVIDUALS HAVE ATTENDED DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT SESSIONS OFFERED AT THE ACCREDITED PENN MEDICINE DIABETES EDUCATION CENTERS, INCLUDING PENNSYLVANIA HOSPITAL. > LAZAREX CANCER FOUNDATION REIMBURSES FOR CANCER TRIALS PARTICIPANTS: THE LAZAREX FOUNDATION WORKS TO IMPROVE CANCER HEALTH OUTCOMES AND DIVERSITY IN CLINICAL TRIALS. THE ABRAMSON CANCER CENTER TAKES PART IN THE FOUNDATION'S PATIENT FINANCIAL ASSISTANCE PROGRAM, WHICH PROVIDES LOWER-INCOME PEOPLE WITH SLIDING-SCALE REIMBURSEMENT FOR THE OUT-OF-POCKET COSTS, SUCH AS TRAVEL AND LODGING, THAT ARE OFTEN VIEWED AS BARRIERS TO PARTICIPATING IN CANCER CLINICAL TREATMENT TRIALS. PRIORITY AREA #4: SUBSTANCE USE AND RELATED DISORDERS THE OPIOID CRISIS CONTINUES TO TAKE ITS TOLL ON PHILADELPHIA, WITH AN ALARMING IMPACT DURING COVID-19, INCLUDING A 30 PERCENT INCREASE IN OVERDOSE DEATHS THROUGHOUT PENN MEDICINE'S PHILADELPHIA SERVICE AREA, AND A 30 PERCENT INCREASE IN OVERDOSE DEATHS SPECIFICALLY AMONG BLACK PATIENTS IN THE CITY, BOTH SINCE 2019. PENN MEDICINE IS WORKING TO CHANGE THOSE STATISTICS, PROVIDING HIGH-QUALITY CARE TO THOSE IN NEED, WORKING IN HARD-HIT NEIGHBORHOODS TO HELP PEOPLE STRUGGLING WITH ADDICTION, ADVOCATING FOR POSITIVE CHANGE, AND TRAINING PHYSICIANS AND OTHER HEALTH PROFESSIONALS IN ADDICTION MEDICINE. PENN MEDICINE PROGRAMS FOR SUBSTANCE USE AND RELATED DISORDERS INCLUDE THE FOLLOWING. > PENN MEDICINE CENTER FOR ADDICTION MEDICINE AND POLICY FOUNDED IN 2019, CAMP IS A MULTIDISCIPLINARY INITIATIVE THAT HELPS ADVANCE PENN MEDICINE AS A LEADER IN ADDICTION MEDICINE EDUCATION AND SUBSTANCE USE TREATMENT AND RESEARCH. A RANGE OF PROFESSIONALS, FROM NURSING TO SOCIAL WORK TO SURGERY, WORK IN PARTNERSHIP WITH RECOVERY SPECIALISTS TO IMPROVE EVIDENCE-BASED AND STIGMA-FREE CARE FOR PATIENTS WITH OPIOID USE AND/OR ANY OTHER SUBSTANCE USE DISORDER. CAMP STAFF WORK TO RAISE AWARENESS THAT OPIOID USE DISORDER (OUD) IS TREATABLE, WHILE STRATEGIZING TO FACILITATE ENHANCED CARE IN THE EMERGENCY DEPARTMENT, PRIMARY CARE, AND HOSPITAL SETTINGS. CAMP ALSO PROVIDES HARM REDUCTION AND OVERDOSE EDUCATION AND RESOURCES IN THE COMMUNITY. > PRIMARY CARE MEDICATION FOR MOUD: PRIMARY CARE IS A CRITICAL PART OF ANY RESPONSE TO THE OPIOID EPIDEMIC. PRIMARY CARE PHYSICIANS FROM THE PERELMAN SCHOOL OF MEDICINE'S DEPARTMENT OF FAMILY MEDICINE AND COMMUNITY HEALTH AND DIVISION OF GENERAL INTERNAL MEDICINE LED EFFORTS TO BUILD AND EXPAND ACCESS TO MEDICATIONS FOR OPIOID USE DISORDERS (MOUDS) AND HARM REDUCTION SERVICES AT PENN MEDICINE. INCORPORATING MOUD CARE INTO PRIMARY CARE HAS DECREASED STIGMA, EXPANDED ACCESS, EMPHASIZED HARM REDUCTION, AND PROVIDED CRITICAL HEALTH CARE SERVICES. FIVE PENN MEDICINE PRACTICES IN DOWNTOWN PHILADELPHIA OFFER HIGH-QUALITY MOUD CARE WITHIN THEIR CLINICAL OPERATIONS. IN COMBINATION, MORE THAN 440 PATIENTS WITH SUBSTANCE USE DISORDERS PASSED THROUGH THEIR DOORS THE LAST YEAR. > PREVENTION POINT PHILADELPHIA (PPP) IS A NONPROFIT PUBLIC HEALTH ORGANIZATION PROVIDING HARM REDUCTION SERVICES TO PHILADELPHIA AND THE SURROUNDING AREA. PENN MEDICINE HAS CONTINUED ITS PARTNERSHIP WITH THE ORGANIZATION, PROVIDING COUNSELING SERVICES, CASE MANAGEMENT, NEEDLE EXCHANGES, LEGAL SERVICES, AND OVERDOSE PREVENTION AND REVERSAL TRAINING. FACULTY AND RESIDENTS FROM THE PERELMAN SCHOOL OF MEDICINE'S DEPARTMENT OF FAMILY MEDICINE AND COMMUNITY HEALTH ARE PART OF THE CARE TEAM AT PPP AND HAVE CONTINUED TO PROVIDE CARE FOR INDIVIDUALS WITH SUBSTANCE USE DISORDERS. > PERINATAL RESOURCE FOR OPIOID USE DISORDER: THROUGH ITS PROUD INITIATIVE, PENN FAMILY CARE IN DOWNTOWN PHILADELPHIA PROVIDES COMPREHENSIVE, MULTIDISCIPLINARY CARE TO PATIENTS WITH A HISTORY OF OPIOID USE DISORDER DURING AND AFTER PREGNANCY. PATIENTS ARE SEEN IN DEDICATED SESSIONS BY PROVIDERS TRAINED IN MANAGING OPIOID USE DISORDERS AS WELL AS PRENATAL/INTRAPARTUM/POSTPARTUM CARE. THE PROUD TEAM ALSO INCLUDES CERTIFIED RECOVERY SPECIALISTS, A CLINICAL PHARMACIST, AN HIV AND VIRAL HEPATITIS SPECIALIST, AND ACCESS TO PSYCHIATRIC SERVICES. > MOBILE OVERDOSE SURGE BUS PROJECT IN COLLABORATION WITH PREVENTION POINT PHILADELPHIA AND THE PHILADELPHIA DEPARTMENT OF BEHAVIORAL HEALTH AND INTELLECTUAL DISABILITY SERVICES, EXPERT CAREGIVERS DELIVER SERVICES AND RESOURCES TO COMMUNITIES THAT ARE ESPECIALLY VULNERABLE TO OVERDOSE. THIS INCLUDES DISTRIBUTING NARCAN, DELIVERING TRAININGS ON HARM REDUCTION AND OVERDOSE REVERSAL, CASE MANAGEMENT, AND COVID-19 VACCINES, AMONG OTHER SERVICES. THE PROJECT PAIRS HARM REDUCTION SERVICES WITH MOBILE MOUD TREATMENT IN OVERDOSE "HOTSPOTS" IN PHILADELPHIA. MANY OF THESE PATIENTS ARE THEN REFERRED TO PENN MEDICINE PRIMARY CARE SITES FOR ONGOING TREATMENT, THUS CREATING A CRITICAL LINK FOR MANY PATIENTS WHO HAD NOT PREVIOUSLY ACCESSED CARE. > PHILLY RESPOND TO RAISE PUBLIC AWARENESS OF OVERDOSE PREVENTION, PERELMAN SCHOOL OF MEDICINE FACULTY, STAFF, AND STUDENTS PARTNERED WITH EXPERTS FROM PENN'S CENTER FOR PUBLIC HEALTH INITIATIVES AND THE PHILADELPHIA INQUIRER TO FORM PHILLY RESPOND, A PROJECT THAT USES COMMUNITY STORYTELLING, VISUAL IMAGES, AND DATA ANALYSIS TO SHIFT SOCIAL NORMS AND REDUCE THE STIGMA SURROUNDING SUBSTANCE USE DISORDERS. THE PROJECT'S MISSION IS TO REDUCE THE TOLL OF THE OVERDOSE CRISIS BY EMPOWERING PHILADELPHIA CITIZENS TO CARRY NALOXONE, A DRUG THAT CAN REVERSE AN OPIOID OVERDOSE. PHILLY RESPOND MAINTAINS A PUBLICLY AVAILABLE CALENDAR OF NALOXONE TRAININGS, MAINTAINS AN FAQ PAGE ON NALOXONE, AND PROVIDES INFORMATION ON WHERE TO GET NALOXONE. THE PROJECT ALSO FEATURES STORY SLAM, A SERIES OF STORYTELLING EVENTS WHERE PARTICIPANTS SHARE STORIES ABOUT THEIR PERSONAL EXPERIENCES WITH NALOXONE IN PHILADELPHIA, WITH THE GOAL OF ENCOURAGING PHILADELPHIANS TO BE PART OF THE COMMUNITY'S EFFORTS TO HALT OVERDOSE DEATHS IN THE CITY. FORM 990, PART III, LINE 4A (CONTINUED) > PENN MEDICINE OPIOID TASK FORCE: THE PENN MEDICINE OPIOID STEWARDSHIP TASK FORCE IS A HEALTH-SYSTEM WIDE INITIATIVE THAT AIMS TO SIGNIFICANTLY STANDARDIZE AND IMPROVE PATIENT CARE FOR ALL IRRESPECTIVE OF THEIR CULTURE OR BACKGROUND, REDUCE OPIOID-RELATED HARM TO PATIENTS, DECREASE RATES OF LEAVING AGAINST MEDICAL ADVICE (AMA) IN PATIENTS WITH OUD, AND REDUCE THE NUMBER OF UNUSED OPIOIDS IN THE COMMUNITY. > CENTER FOR OPIOID RECOVERY AND ENGAGEMENT: CORE PROVIDES COMPREHENSIVE PEER SUPPORT FOR INDIVIDUALS STRUGGLING WITH OPIOID USE, AS WELL AS THEIR LOVED ONES. THE CENTER'S MISSION IS TO SUPPORT ALL PATHWAYS TO RECOVERY AND REMOVE BARRIERS FOR PATIENTS THROUGHOUT THE PENN HEALTH SYSTEM. > SCHOOL OF MEDICINE ADDICTION MEDICINE FELLOWSHIP: THE PERELMAN SCHOOL OF MEDICINE'S DEPARTMENT OF FAMILY MEDICINE AND COMMUNITY HEALTH WAS APPROVED TO PROVIDE TRAINING FOR TWO FELLOWSHIP POSITIONS IN ADDICTION MEDICINE. TWO CLINICIANS WILL BE TRAINED ANNUALLY IN ONE-YEAR POSITIONS TO BECOME CLINICAL EXPERTS IN ADDICTION MEDICINE. THIS FELLOWSHIP WILL CREATE AN ADDICTION MEDICINE CONSULT SERVICE IN TO PROVIDE GUIDANCE TO CLINICIANS TREATING PATIENTS WITH SUBSTANCE USE DISORDER. THE FELLOWSHIP WILL ADD TO THE PIPELINE OF PROVIDERS WHO CAN PROVIDE CLINICAL ADDICTION SERVICES AND EDUCATION IN PHILADELPHIA. > CARE CONNECT WARM LINE THIS TELEHEALTH ADDICTION BRIDGE SERVICE IS AN INNOVATION DESIGNED TO IMPROVE SAME-DAY ACCESS TO TREATMENTS. THE PROJECT EMERGED FROM THE EARLY PHASES OF THE COVID-19 PANDEMIC, WHEN THE NEED FOR SAFER, REMOTE SOLUTIONS LIKE TELEHEALTH LED TO A SWIFT TRANSFORMATION OF MANY ASPECTS OF OUTPATIENT AND INPATIENT CARE. > PEER FELLOWSHIP PROGRAM FOR CERTIFIED RECOVERY SPECIALISTS (CRS): THE CRS IS AN IMPORTANT PROFESSIONAL IN ADDICTION AND RECOVERY CARE TEAMS. PENN MEDICINE PROVIDES TRAINING OPPORTUNITIES FOR CRS ON IMPROVING PATIENT TRANSITIONS FROM ACUTE CARE BACK INTO THE COMMUNITY. PRIORITY AREA #5: HEALTH CARE AND HEALTH RESOURCES NAVIGATION PENN MEDICINE RECOGNIZES THAT BARRIERS TO NAVIGATING THE HEALTH CARE SYSTEM CONTRIBUTE TO INEQUITIES AND POOR HEALTH OUTCOMES. COMMUNITY HEALTH WORKERS, SOCIAL WORKERS, CLINICIANS, STUDENTS, AND A HOST OF OTHER PENN MEDICINE PROFESSIONALS ARE HELPING PATIENTS MORE EASILY NAVIGATE THE SYSTEM. PENN MEDICINE IS A PART OF A REGIONAL COLLABORATIVE THAT INVESTS IN RESOURCE CONNECTS AND WORKS TOGETHER TO IMPROVE HEALTH CARE AND HEALTH RESOURCE NAVIGATION FOR PHILADELPHIA. THE BELOW PROGRAMS WORK TO LINK PATIENTS DIRECTLY TO HEALTH RESOURCES AND ASSISTANCE PROGRAMS, COORDINATING OFFICE VISITS, AND HEALTH RELATED SOCIAL NEED RESOURCES. > PENN CENTER FOR COMMUNITY HEALTH WORKERS (PCCHW): FOR MORE THAN A DECADE, THIS NATIONAL CENTER OF EXCELLENCE HAS CONDUCTED, APPLIED, AND DISSEMINATED IMPORTANT RESEARCH ON COMMUNITY HEALTH WORK AND COMMUNITY HEALTH WORKERS. THE CENTER'S CORNERSTONE INITIATIVE IS IMPACT, WHICH HELPS COMMUNITY HEALTH WORKERS STRIKE THE RIGHT BALANCE BETWEEN THE COMMUNITY AND CLINIC. COMMUNITY HEALTH WORKERS INTEGRATE WITH OTHER CARE TEAMS TO OPTIMIZE PROCESSES AROUND PATIENT REFERRALS, DATA INFRASTRUCTURE, TEAM INTERACTION, AND COMMUNICATION VIA THE ELECTRONIC MEDICAL RECORD. SKILLED IN SYSTEM NAVIGATION AND PROBLEM-SOLVING, COMMUNITY HEALTH WORKERS ASSIST CLIENTS WITH EVERYTHING FROM FINDING THE RIGHT CARE TO BATTLING EVICTION NOTICES. > PHMC PUBLIC HEALTH CAMPUS ON CEDAR ANCHORED BY THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA - CEDAR AVENUE, THE PHMC PUBLIC HEALTH CAMPUS ON CEDAR IS FOUNDED ON THE GUIDING PRINCIPLE OF PROVIDING HIGH-QUALITY, COMMUNITY-INFORMED, PATIENT-CENTERED HEALTH CARE AND SOCIAL SERVICES SUPPORTING THE NEEDS OF THE FACILITY'S WEST AND SOUTHWEST PHILADELPHIA NEIGHBORS. THE COALITION'S GOALS FOR THE PUBLIC HEALTH CAMPUS FOCUS ON HEALTH EQUITY AND AIM TO PROVIDE THE COMMUNITY WITH ACCESS TO PRIMARY AND BEHAVIORAL HEALTH CARE, EMERGENCY SERVICES, ACUTE CARE SERVICES, SUBSTANCE USE TREATMENT, AND OTHER SOCIAL SUPPORT SERVICES. PHMC PUBLIC HEALTH CAMPUS ON CEDAR IS A PARTNERSHIP CONSISTING OF PUBLIC HEALTH MANAGEMENT CORPORATION (PHMC) AS THE OWNER AND OPERATOR OF THE PROPERTY, WITH PENN MEDICINE MANAGING THE HOSPITAL EMERGENCY DEPARTMENT, INPATIENT SERVICES, AND HOSPITAL-BASED BEHAVIORAL HEALTH PROGRAMMING AS A REMOTE LOCATION FOR THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA (HUP), KNOWN AS HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA - CEDAR AVENUE. CHILDREN'S HOSPITAL OF PHILADELPHIA (CHOP) AND THE INDEPENDENCE BLUE CROSS FOUNDATION JOIN PHMC AND PENN MEDICINE AS COALITION PARTNERS FOR THE TRANSFORMATION. > COMMUNITY RESOURCE CONNECTS: WHEN PENNCHART'S HEALTH SCREENER IDENTIFIES SOMEONE WITH POTENTIALLY UNMET SOCIAL NEEDS, PENN MEDICINE TAKES ACTION, WORKING WITH HEALTH CARE PROVIDERS, COMMUNITY-BASED ORGANIZATIONS, THE PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH, AND ENTITIES LIKE FIND HELP, A CLOSED-LOOP REFERRAL NETWORK FOR SOCIAL SERVICES. PENN MEDICINE PROVIDERS AND STAFF CAN THEN CONNECT THE PATIENT WITH RESOURCES THAT CAN HELP THEM AFTER THEY LEAVE THE HOSPITAL. > SOCIAL NEEDS RESPONSE TEAM (SNRT): THIS PROGRAM WAS CREATED BY THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA'S DEPARTMENT OF SOCIAL WORK WITH SUPPORT FROM THE CENTER FOR HEALTH EQUITY ADVANCEMENT, IN ORDER TO ENSURE ALL PENN MEDICINE PATIENTS AND EMPLOYEES HAVE THE SUPPORT THEY NEED TO BE SAFE AND WELL. SNRT IS A VIRTUAL CALL CENTER ESTABLISHED IN APRIL 2020 THAT SUPPORTS PENN PATIENTS AND THE WIDER PHILADELPHIA COMMUNITY WITH ACCESS TO RESOURCES TO ADDRESS SOCIAL NEEDS. SNRT IS A CLINICAL SOCIAL WORKER-SUPERVISED VIRTUAL INTERDISCIPLINARY TEAM OF GRADUATE-LEVEL HEALTH PROFESSIONALS (MEDICINE, NURSING, SOCIAL WORK) WHO ADDRESS PATIENT SAFETY, DISTRESS, AND A MYRIAD OF OTHER UNMET SOCIAL NEEDS IN ORDER TO EFFECTIVELY MITIGATE THEIR COMPOUNDING NEGATIVE EFFECTS ON HEALTH. PENN MEDICINE WILL GROW THE SNRT WITH A FULL-TIME LICENSED CLINICAL SOCIAL WORKER TO OVERSEE THE GROWTH OF THE TEAM. > PENN MEDICINE CONTACT CENTER: THE PENN MEDICINE CONTACT CENTER (1-800-789-PENN) PROVIDES HEALTH SYSTEM NAVIGATION SERVICES TO NEW AND ESTABLISHED PATIENTS WHO ARE SEEKING CLINICAL CARE AT PENN MEDICINE. THE CONTACT CENTER EMPLOYS CUSTOMER SERVICE REPRESENTATIVES AND REGISTERED NURSES WHO ARE AVAILABLE MONDAY THROUGH FRIDAY TO THE GENERAL PUBLIC. CONTACT CENTER AGENTS ARE FAMILIAR WITH THE COMPLETE SCOPE OF PENN MEDICINE CLINICAL CARE, INCLUDING PHYSICIANS, DEPARTMENTS, PROGRAMS, CENTERS, SERVICES, AND LOCATIONS. AGENTS HELP CALLERS FIND AN APPROPRIATE HEALTH CARE PROVIDER BASED ON THE CALLER'S NEEDS, SYMPTOMS, OR DIAGNOSIS. ONCE APPROPRIATE CARE HAS BEEN IDENTIFIED, SCHEDULING SPECIALISTS HELP CALLERS SET UP THEIR APPOINTMENT. ANNUAL CONTACT CENTER VOLUME CURRENTLY AVERAGES APPROXIMATELY 800,000 CALLS. > GOVAXX PHILLY IS A TEAM CREATED WITH FUNDING THROUGH THE HEALTH RESOURCES AND SERVICES ADMINISTRATION AND SUPPORTED BY THE DEPARTMENT OF FAMILY MEDICINE AND COMMUNITY HEALTH TO BUILD COVID-19 VACCINE OUTREACH INFRASTRUCTURE. SPECIFICALLY, THIS TEAM OF OUTREACH AND EDUCATION AMBASSADORS PROVIDES CRITICAL PUBLIC HEALTH INFORMATION TO WEST AND SOUTHWEST PHILADELPHIA, WHICH ARE AMONG THE NEIGHBORHOODS HARDEST HIT BY COVID-19. THROUGH DOOR-TO-DOOR COMMUNITY OUTREACH, GOVAXX AND ITS AMBASSADORS PROVIDE LONGITUDINAL SUPPORT TO ADDRESS BARRIERS TO VACCINE ACCESS, VACCINE HESITANCY, ESTABLISHING TRUST, AND ACHIEVING HEALTH EQUITY. GIVEN RECENT DISEASE OUTBREAKS LIKE MONKEYPOX AND POLIO IN ADDITION TO COVID-19, PENN MEDICINE WILL SUPPORT AN EXPANDED SCOPE OF WORK FOR ITS VACCINE EDUCATION AND OUTREACH AMBASSADORS. > PUENTES DE SALUD WORKS TO IMPROVE THE HEALTH AND WELLNESS OF UNINSURED SPANISH SPEAKERS IN PHILADELPHIA THROUGH PROVISION OF CARE AND SOCIAL PROGRAMS. THE PROGRAM CONNECTS STUDENTS WITH PATIENTS WITH COMPLEX HEALTH NEEDS AND HELPS THEM NAVIGATE THE HEALTH CARE SYSTEM BY ASSISTING IT WITH FINDING APPROPRIATE CARE AND SCHEDULING APPOINTMENTS, AMONG OTHER SERVICES. FORM 990, PART III, LINE 4A (CONTINUED) PRIORITY AREA #6: RACISM AND DISCRIMINATION IN HEALTH CARE PENN MEDICINE IS COMMITTED TO ENSURING EQUITY AND ELIMINATING RACISM FOR ITS EMPLOYEES AND PATIENTS ALIKE. RACISM IS AN URGENT HEALTH CRISIS DRIVING POOR HEALTH OUTCOMES FOR BLACK AND BROWN COMMUNITIES. DISTRUST IN HEALTH CARE INSTITUTIONS AND PROVIDERS, AND SYSTEMIC RACISM WITHIN THESE SYSTEMS LEAD TO INCREASED MORTALITY. THERE ARE HUGE GAPS IN CARE AND CARE OUTCOMES FOR POORER COMMUNITIES OF COLOR WHEN COMPARED WITH MORE RESOURCED AREAS. IN THE CITY OF PHILADELPHIA'S 2020 HEALTH OF THE CITY REPORT, BLACK AND HISPANIC/LATINO COMMUNITIES WERE MORE LIKELY TO DESCRIBE THEIR HEALTH AS "FAIR"POOR" COMPARED TO THEIR WHITE COUNTERPARTS. THE DISPARITIES ARE WELL-DOCUMENTED AND ONLY WORSENED DURING THE COVID-19 PANDEMIC. DURING THE PANDEMIC, BLACK COMMUNITIES EXPERIENCED HIGHER RATES OF COVID-19 INFECTION, HOSPITALIZATION, AND MORTALITY. PENN MEDICINE IS COMMITTED TO ELIMINATING STRUCTURAL INJUSTICE ACROSS OUR ORGANIZATION AND THE COMMUNITIES WE SERVE TO ACHIEVE A VISION FOR THE FUTURE: PENN MEDICINE IS UNITED AS AN ANTI-RACIST, EQUITABLE, DIVERSE, AND INCLUSIVE ORGANIZATION. > DIVERSITY, EQUITY, AND INCLUSION FORUMS: THE ACTION FOR CULTURAL TRANSFORMATION (ACT) STRATEGY IDENTIFIED A NEED TO DESIGN FORUMS AT MULTIPLE LEVELS OF PENN MEDICINE DEDICATED TO DIVERSITY, EQUALITY, AND INCLUSION (DEI)-AND TO ENSURING EMPLOYEES AND LEADERS ARE ENGAGED IN DEI LEARNING AND DEEPENING UNDERSTANDING. THE FORUMS FOSTER ANTI-RACIST TRAINING, LEARNING MODULES INCLUDING THOSE PROVIDED TO NEW HIRES, PARTICIPATION IN SURVEYS AND TOWN HALLS, DEI GROUPS, AND OTHER RESOURCES LIKE BOOK CLUBS. > THE HUP CLINICAL NURSE MENTORSHIP PROGRAM PAIRS CLINICAL NURSES WITH HUP NURSE LEADERS IN A YEARLONG MENTORSHIP. LEADERS SEEK TO GUIDE AND SHAPE CLINICAL NURSE MENTEES BY PROVIDING INFORMATION, ADVICE, SUPPORT, AND IDEAS. AS PART OF THE PROGRAM, MENTORS AND MENTEES READ A LIST OF RECOMMENDED READINGS INCLUDE ARTICLES AIMED TO FOCUS ON CREATING DIVERSITY, EQUITY AND INCLUSIVITY. > PENN-CHOP ALLIANCE OF MINORITY PHYSICIANS BRINGS TOGETHER FACULTY, RESIDENTS, FELLOWS AND MEDICAL STUDENTS FROM ACROSS BOTH INSTITUTIONS FOR SOCIAL AND PROFESSIONAL NETWORKING AND CAREER DEVELOPMENT. INITIATIVES INCLUDE THE VISITING CLERKSHIP FOR URIM MEDICAL STUDENTS AS A PIPELINE PROGRAM FROM MEDICAL SCHOOL TO MEDICAL RESIDENCY, A MENTORSHIP PROGRAM, PROFESSIONAL DEVELOPMENT WORKSHOPS AND SOCIAL EVENTS. > ACTION FOR CULTURAL TRANSFORMATION (ACT) IS PENN MEDICINE'S STRATEGIC PLAN AND COMMITMENT TO ANTI-RACISM. ACT'S MISSION IS TO ELIMINATE STRUCTURAL INJUSTICE ACROSS PENN MEDICINE AND THE COMMUNITIES IT SERVES. ACT'S STRATEGIC PRIORITIES SPAN ALL INSTITUTIONAL FUNCTIONS AND TOUCHPOINTS, INCLUDING CLINICAL CARE, RESEARCH, EDUCATION, COMMUNITY, CULTURE, AND PEOPLE. SINCE ACT'S CREATION IN 2020, MORE THAN 5,500 VOICES IN A STRATEGIC PLANNING PROCESS PRODUCED A STRATEGIC ROADMAP, GOVERNANCE, AND INFRASTRUCTURE. PARTICIPANTS IDENTIFIED 71 'JUST DO ITS,IMMEDIATE ACTION STEPS TO ADDRESS SYSTEMIC ISSUES OF BIAS AND DISCRIMINATION. SINCE 2020, ACT HAS ENGAGED 44,000 EMPLOYEES, STUDENTS, FACULTY, AND TRAINEES IN UNCONSCIOUS BIAS EDUCATION. > LIFT EVERY VOICE IS AN ANONYMOUS DIGITAL PLATFORM DESIGNED TO COLLECT EXPERIENCES AND OBSERVATIONS OF RACISM IN THE HEALTH CARE WORKPLACE AND PROVIDE LEADERS WITH THE ON-THE-GROUND INFORMATION THEY NEED TO DISMANTLE RACISM. LIFT EVERY VOICE ALSO LEVERAGES THE POWER OF STORIES TO SPARK CONVERSATION. PENN MEDICINE STAFF SUBMIT STORIES TO THE PLATFORM, WHICH ARE THEN REVIEWED, ILLUSTRATED, AND POSTED PUBLICLY. DEPARTMENTAL LEADERS REGULARLY REVIEW SUBMISSIONS AND DEVELOP ACTION PLANS. SPECIAL SECTION: ADDRESSING MATERNAL MORTALITY WITHIN RACISM AND DISCRIMINATION IN HEALTH CARE FOR YEARS, PENN MEDICINE HAS BEEN TAKING BOLD STEPS TO BETTER UNDERSTAND AND REDUCE MATERNAL MORTALITY. AS MATERNAL MORTALITY WAS IDENTIFIED AS A COMMUNITY HEALTH PRIORITY IN THE PREVIOUS CHNA, IT REMAINS AN IMPORTANT PART OF OUR EFFORTS TO TACKLE RACISM AND DISCRIMINATION ACROSS THE ENTIRE HEALTH CARE ENTERPRISE-ONE OF PENN MEDICINE'S HEALTH PRIORITIES. THE DEATH OF A NEW OR EXPECTANT MOTHER BECAUSE OF COMPLICATIONS RELATED TO PREGNANCY OR CHILDBIRTH IS ONE OF THE GREATEST TRAGEDIES A FAMILY AND A COMMUNITY CAN FACE. IN PHILADELPHIA AS IN MUCH OF THE REST OF THE COUNTRY, THESE DEVASTATING EVENTS AFFECT BLACK WOMEN AND NEIGHBORHOODS OF COLOR MOST ACUTELY. A STUDY FROM THE CITY OF PHILADELPHIA'S MATERNAL MORTALITY REVIEW COMMITTEE, WHICH ANALYZED 110 PREGNANCY-ASSOCIATED DEATHS, FOUND THAT 73 PERCENT OF THESE DEATHS OCCURRED AMONG BLACK WOMEN, EVEN AS BLACK WOMEN ACCOUNTED FOR LESS THAN HALF OF ALL LIVE BIRTHS. BLACK WOMEN ALSO ARE MORE LIKELY THAN THEIR WHITE COUNTERPARTS TO EXPERIENCE POSTPARTUM HEMORRHAGING, WHICH CAN REQUIRE BLOOD TRANSFUSIONS OR EVEN A HYSTERECTOMY TO CONTROL. AS PART OF A MULTI-STEP APPROACH TO ADDRESSING THIS PRIORITY, PENN MEDICINE SET AMBITIOUS SYSTEM-WIDE HEALTH EQUITY GOALS AND UNDERTAKING EFFORTS TO ENSURE OUR PEOPLE ARE ACCOUNTABLE AND EMPOWERED TO HELP WOMEN IN NEED AND REDUCE MATERNAL MORTALITY AND PREGNANCY COMPLICATIONS IN PHILADELPHIA. WE ARE ACHIEVING IMPORTANT CLINICAL BREAKTHROUGHS, CARING FOR PREGNANT WOMEN ACROSS THE CITY REGARDLESS OF THEIR ABILITY TO PAY, AND TYING EXECUTIVE COMPENSATION TO PROGRESS ON MATERNAL MORTALITY AND SERIOUS COMPLICATIONS. PRIORITY AREA #7: FOOD ACCESS FOOD SECURITY IS DEFINED AS HAVING RELIABLE ACCESS TO ENOUGH AFFORDABLE, NUTRITIOUS FOOD. FOOD INSECURITY OCCURS WHEN COMMUNITIES EXPERIENCE CHALLENGES OBTAINING ENOUGH FOOD. THE FINANCIAL CHALLENGES BROUGHT ON BY THE COVID-19 PANDEMIC HAVE LED TO HIGHER RATES OF FOOD INSECURITY ACROSS THE PENN MEDICINE SERVICE AREA-AND, BY EXTENSION, A GREATER NEED FOR FOOD ASSISTANCE. NEARLY A QUARTER OF PHILADELPHIA HOUSEHOLDS RECEIVE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) BENEFITS. BLACK, HISPANIC/LATINO, AND IMMIGRANT COMMUNITIES, AS WELL AS OLDER ADULTS, ARE ALL DISPROPORTIONATELY AFFECTED BY FOOD INSECURITY. THROUGH FOOD PANTRIES, COMMUNITY EDUCATION, AND ITS OWN NUTRITION POLICIES, PENN MEDICINE IS PUSHING TO ADDRESS FOOD SECURITY WITHIN PHILADELPHIA AND SERVING AS A POSITIVE EXAMPLE FOR HEALTHY BEHAVIORS. > THE AGASTON URBAN NUTRITION INITIATIVE WAS CREATED TO HELP BUILD AND SUSTAIN HEALTHY COMMUNITIES IN WEST PHILADELPHIA. THE INITIATIVE STRIVES TO PROMOTE AND FACILITATE GOOD NUTRITION AND EXERCISE PRACTICES AND WORKS CLOSELY WITH PENN MEDICINE'S STUDENT-RUN HEALTH CLINICS AND HUP CEDAR'S FEDERALLY QUALIFIED HEALTH CENTER. OTHER PARTNERS INCLUDE PENN FARM AS PART OF THE PENN FOOD AND WELLNESS COLLABORATIVE. > HUP HARVEST (FORMERLY HUP FOOD PANTRY) BEGAN IN MAY 2020, SHORTLY AFTER THE ONSET OF THE COVID-19 PANDEMIC. CREATED AND LED BY HUP NURSING STAFF, AND WITH GUIDANCE FROM HOSPITAL NUTRITION PROFESSIONALS, PANTRY VOLUNTEERS ASSEMBLE BAGS OF FOOD TO FEED A FAMILY OF FOUR FOR A DAY. BAGS ARE DISTRIBUTED EVERY WEDNESDAY. MANY RECIPIENTS ARE PENN MEDICINE EMPLOYEES, WHO MAY RECEIVE ONE BAG OF FOOD WITH NO QUESTIONS ASKED. HUP FOOD PANTRY PARTNERS WITH PHILABUNDANCE TO RECEIVE A MINIMUM OF 500 POUNDS OF FOOD EACH WEEK. THE PROGRAM HAS SINCE EXPANDED, OFFERING BAGS OF FOOD TO FOOD-INSECURE, DIABETIC PRENATAL AND POSTPARTUM PATIENTS AT PENN'S HELEN O. DICKENS CENTER FOR WOMEN'S HEALTH. LEADERS HAVE ALSO WORKED TO EXPAND HUP HARVEST TO HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA - CEDAR AVENUE. > HUNGRY HARVEST IS A COMMUNITY-BASED ORGANIZATION THAT "RESCUES" FRESH PRODUCE THAT OTHERWISE WOULD HAVE BEEN FARM WASTE AND DISTRIBUTES IT TO INDIVIDUALS AND FAMILIES IN NEED. CURRENTLY HUNGRY HARVEST BRINGS FRESH FRUIT AND PRODUCE BOXES TO FOOD-INSECURE POSTPARTUM PATIENTS AT THE DICKENS CENTER FOR WOMEN'S HEALTH. > CHOSEN 300 DISTRIBUTES HOT, NUTRITIOUS MEALS SIX DAYS PER WEEK AT THREE PHILADELPHIA LOCATIONS. PENN MEDICINE SUPPORTS THE ORGANIZATION BY DONATING $6,000 PER YEAR AND COORDINATING DINNER SERVICE AT THE ORGANIZATION'S WEST PHILADELPHIA LOCATION ON THE FIRST MONDAY OF EACH MONTH AND AT THE SPRING GARDEN LOCATION EVERY WEDNESDAY. BLOOD PRESSURE SCREENINGS ARE OFFERED ON NIGHTS OF SERVICE, ALONG WITH INFORMATION ON HOW AND WHERE TO ACCESS PRIMARY CARE, INCLUDING WITHIN THE PENN MEDICINE SYSTEM. > HALL MERCER FOOD PANTRY IS A NON-PERISHABLE FOOD PANTRY ESTABLISHED EIGHT YEARS AGO TO SERVE PENNSYLVANIA HOSPITAL PATIENTS AND, STARTING IN 2020, ITS EMPLOYEES. THE PANTRY WAS ESTABLISHED AND IS MAINTAINED BY TWO EMPLOYEES: DONNA CAMPO AND MAUREEN DECARLO. PATIENTS ARE REFERRED TO PANTRY THROUGH CASE MANAGERS, WHO WORK WITH THE INDIVIDUAL TO IMPROVE HIS OR HER FOOD SECURITY. FORM 990, PART III, LINE 4A (CONTINUED) > FOLLOWING A MAJOR INITIATIVE OF THE PENNSYLVANIA DEPARTMENT OF HEALTH, PENN MEDICINE MADE SEVERAL INSTITUTIONAL CHANGES AIMED AT TRANSFORMING ITS HOSPITAL FOOD ENVIRONMENTS BY LAUNCHING THE GOOD FOOD, HEALTHY HOSPITAL INITIATIVE: POLICY AND OPERATIONAL CHANGES INCLUDE: - REMOVAL OF ALL SUGAR-SWEETENED BEVERAGES FROM VENDING MACHINES. - VENDING MACHINE POLICIES HAVE BEEN UPDATED TO REFLECT NEW HEALTH REQUIREMENTS AND OFFER HEALTHIER SNACK OPTIONS. - CATERING SERVICES POLICY CONTAINS HEALTHY RECOMMENDATIONS AND SUGAR-FREE BEVERAGE RULES. > FOOD ACCESS SUPPORT TECHNOLOGY (FAST) APP IS A CENTRALIZED ONLINE PLATFORM CONNECTING FOOD-INSECURE PATIENTS WITH PANTRIES AND OTHER COMMUNITY RESOURCES. CREATED BY THE PENN MEDICINE CENTER FOR HEALTH EQUITY AND ADVANCEMENT, THE FAST APP HAS BEEN ADOPTED BY OTHER LOCAL ORGANIZATIONS INCLUDING ANOTHER HEALTH SYSTEM. PRIORITY AREA #8: CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES ACCORDING TO CENSUS DATA, NEARLY 10% OF PHILADELPHIAN'S SPEAK ENGLISH LESS THAN "VERY WELL." IN THE PENN MEDICINE SERVICE REGION, THIS RANGES FROM 5% TO 14% OF THE POPULATION. MANY OF THESE ARE ENGLISH LANGUAGE LEARNERS WITH VARYING DEGREES OF ENGLISH PROFICIENCY. THERE IS A NEED IN PHILADELPHIA FOR HIGH-QUALITY, WIDELY AVAILABLE ORAL AND WRITTEN TRANSLATIONS, INCLUDING INTERPRETATION SERVICES. IN HEALTH CARE SETTING, LANGUAGE SERVICES STRENGTHEN ACCESS TO CARE AND THE QUALITY OF THAT CARE, AS EFFECTIVE CLINICIAN-PATIENT COMMUNICATION IS CRITICAL FOR SUCCESS. BEYOND LANGUAGE, PATIENTS' IDENTITIES, CULTURAL AND RELIGIOUS NORMS ALSO INFLUENCE INDIVIDUAL BELIEFS ABOUT HEALTH AS WELL AS EXPERIENCES IN THE HEALTH CARE SYSTEM. PENN MEDICINE IS WORKING TO ENSURE EVERY PATIENT WHO WALKS THROUGH PENN MEDICINE'S DOORS RECEIVES CARE IN A CULTURALLY RESPONSIVE WAY THAT INCLUDES AND VALUES ALL ASPECTS OF A PATIENT'S IDENTITY, EXPERIENCES AND BACKGROUND. > MY ACCESSIBLE REAL-TIME TRUSTED INTERPRETER (MARTTI): CLINICIANS AND STAFF ACROSS PENN MEDICINE ARE ABLE TO USE MARTTI UNITS FOR QUICK AND EFFECTIVE INTERPRETATION IN A RANGE OF LANGUAGES. THE EASY-TO-USE MOBILE TABLETS ARE HIPPA-APPROVED AND CREATE A VIRTUAL CONNECTION BETWEEN PATIENTS AND CERTIFIED MEDICAL INTERPRETERS. ALONG WITH NON-NATIVE ENGLISH SPEAKERS, MARTTI CAN SERVE THE NEEDS OF PEOPLE WHO ARE DEAF AND HARD OF HEARING. SPANISH, ARABIC, AMERICAN SIGN LANGUAGE, AND RUSSIAN-FOUR OF THE MOST COMMONLY SPOKEN NON-ENGLISH LANGUAGES AMONG HOSPITAL PATIENTS-ARE READILY AVAILABLE, BUT USERS CAN ACCESS A NUMBER OF OTHER LANGUAGES THROUGH THE TOOL. > THE REFUGEE CLINIC AT PENN PRESBYTERIAN MEDICAL CENTER PROVIDES INITIAL HEALTH ASSESSMENTS FOR REFUGEES UPON ARRIVAL TO THE CITY, AS WELL AS FOLLOW-UP HEALTH SERVICES FOR WOMEN'S HEALTH CARE. THE CLINIC PROVIDES CULTURALLY SENSITIVE CARE BY PARTNERING WITH REFUGEE RESETTLEMENT AGENCIES, TRANSLATORS, AND PHYSICIANS' FAMILIAR WITH REFUGEE HEALTH. > THE LGBTQ HEALTH PROGRAM IS PENN MEDICINE'S PROGRAM TO SUPPORT ACCESS TO CARE, QUALITY OF CARE AND PATIENT EXPERIENCE FOR LGBTQ+ PATIENTS ACROSS THE SYSTEM. CARE IS DELIVERED BY COMPASSIONATE AND SKILLED PROVIDERS ACROSS THE HEALTH SYSTEM WHO OFFER CULTURALLY COMPETENT CARE IN A JUDGMENT-FREE SETTING. THE PROGRAM ALSO WORKS TO SUPPORT CHANGE TO POLICIES, WORKFLOWS AND OPERATIONS TO AFFIRM LGBTQ+ PEOPLE. THE PROGRAM ALSO RUNS THE TRANSGENDER PATIENT ADVOCATE PROGRAM WHICH CONNECTS PATIENTS IDENTIFYING ANYWHERE ALONG THE TRANSGENDER SPECTRUM TO FACILITATE OUTPATIENT OR SPECIALTY CARE AT PENN MEDICINE. ADVOCATES HELP PEOPLE FIND APPROPRIATE PROVIDERS, MAKE IT TO APPOINTMENTS, AND COMMUNICATE GENDER IDENTITY AND PRONOUNS IN USE TO STAFF AND PROVIDERS. > PENN MEDICINE PASTORAL CARE AND EDUCATION: AVAILABLE AT ALL DOWNTOWN HOSPITALS, PASTORAL CARE IS AN IMPORTANT PART OF PENN MEDICINE'S HEALING MISSION. CHAPLAINS, AS A VALUED PART OF THE HEALTH CARE TEAM, HELP PATIENTS DRAW UPON SPIRITUAL RESOURCES, VALUES, AND TRADITIONS TO COPE WITH ILLNESS AND TRAGEDY. CARE IS CULTURALLY COMPETENT, FOLLOWING AN INTERFAITH MODEL AND RESPECTING THE FULL RANGE OF PATIENT FAITHS AND SPIRITUAL EXPRESSIONS. PENN MEDICINE PASTORAL CARE AND EDUCATION IS NATIONALLY ACCREDITED THROUGH ACPE, AN ORGANIZATION PROVIDING THE HIGHEST QUALITY CLINICAL PASTORAL EDUCATION PROGRAMS FOR SPIRITUAL CARE PROFESSIONALS OF ANY FAITH AND IN ANY SETTING. > PENN MEDICINE DIETARY SERVICES PROVIDES CUSTOM DIETARY OPTIONS THAT RESPECT RELIGIOUS AND CULTURAL DIVERSITY. THIS INCLUDES KOSHER, HALAL, VEGETARIAN, AND OTHER OPTIONS, ALL OF WHICH ARE AVAILABLE UPON REQUEST. PRIORITY AREA #9: COMMUNITY VIOLENCE THERE IS AN EPIDEMIC IN THE PHILADELPHIA COMMUNITY AND THE STATISTICS ARE UNPRECEDENTED. VIOLENT INJURY AND HOMICIDE RATES DISPROPORTIONATELY IMPACT THE NEIGHBORHOODS AND COMMUNITIES PENN MEDICINE SERVES. IN A SINGLE YEAR (2022), PHILADELPHIA LOST 516 PEOPLE TO GUN VIOLENCE. FIREARM HOMICIDE IS THE LEADING CAUSE OF DEATH FOR BLACK MEN AGES 15-43 AND HISPANIC/LATINO MEN AGES 15-31. RISING RATES OF VIOLENCE AFFECT INDIVIDUALS, FAMILIES, COMMUNITIES, HEALTH SYSTEMS, AND OUR CITY AS A WHOLE. DIRECT AND INDIRECT EXPOSURE TO VIOLENCE CONTRIBUTES TO DEPRESSION, ANXIETY, PTSD, SUICIDE, ABUSE, AND NEGLECT. MANY SURVIVORS OF VIOLENCE ENCOUNTER BARRIERS TO FOLLOW UP CARE AND RECOVERY. WITHOUT SOMEONE TO HELP NAVIGATE, THE LABYRINTH OF SYSTEMS CAN SEEM AN IMPOSSIBLE HURDLE. WE UNDERSTAND THAT WE MUST COLLABORATE WITH THE COMMUNITIES WE SERVE TO PREVENT VIOLENT INJURY IN THE FIRST PLACE. BECAUSE THE ROOT CAUSES OF VIOLENCE INCLUDE STRUCTURAL RACISM AND SYSTEMATIC UNDERINVESTMENT IN COMMUNITIES OF COLOR, THE ECONOMIC IMPACT OF PENN MEDICINE AS AN EMPLOYER AND AN ANCHOR INSTITUTION IS ESSENTIAL. WE MUST ALSO EXPAND OUR COLLABORATIONS WITH THE COMMUNITY-BASED ORGANIZATIONS THAT ARE USING EVIDENCE-BASED STRATEGIES TO INTERRUPT VIOLENCE AND TO IMPROVE ENVIRONMENTAL CONDITIONS TO PREVENT VIOLENCE. > AS A LEVEL 1 TRAUMA CENTER, PENN PRESBYTERIAN MEDICAL CENTER TREATS OVER 3,000 INJURED PATIENTS ANNUALLY. APPROXIMATELY 33% ARE THE VICTIMS OF INTERPERSONAL VIOLENCE. IN ADDITION TO CONTINUING TO PROVIDE THE HIGHEST LEVEL OF ACUTE CARE FOR INJURED INDIVIDUALS, THE MISSION OF PENN MEDICINE INCLUDES BOTH SUPPORTING HOLISTIC HEALING OF THOSE INJURED THROUGH VIOLENCE AND PREVENTING VIOLENT INJURY IN THE FIRST PLACE. TO IMPROVE HEALING FROM VIOLENCE PENN MEDICINE HAS THE OPPORTUNITY TO MAKE MENTAL HEALTH CARE READILY AVAILABLE TO SURVIVORS OF VIOLENT INJURY AND TO MEMBERS OF COMMUNITIES DISPROPORTIONATELY AFFECTED BY VIOLENCE. HOSPITAL-BASED VIOLENCE INTERVENTION PROGRAMS (HVIPS) PROVIDE ESSENTIAL RESOURCES TO RECOVERING PATIENTS, BUT OFTEN STRUGGLE TO REACH PATIENTS IN NEED DUE TO LIMITED FUNDING OPPORTUNITIES. PENN MEDICINE CAN DIRECTLY SUPPORT THESE ESSENTIAL SERVICES AND CAN ALSO ADVOCATE FOR SUSTAINABLE SOURCES OF FUNDING AT THE MUNICIPAL, STATE, AND FEDERAL LEVEL. THE NEED TO SUPPORT OUR COMMUNITIES IS EVIDENT. HOWEVER, WE SHOULD NOT FORGET THAT THE COMMUNITY ALSO INCLUDES THOSE WHO WORK WITHIN PENN MEDICINE. BY ADDING ADDITIONAL LAYERS OF SUPPORT BOTH INTERNALLY AND EXTERNALLY, WE CAN MAKE A REAL DIFFERENCE. > PENN TRAUMA VIOLENCE RECOVERY PROGRAM: THE PENN TRAUMA VIOLENCE RECOVERY PROGRAM AIMS TO ACCELERATE AND OPTIMIZE HOLISTIC RECOVERY FROM VIOLENT INJURY. HOSPITAL-BASED VIOLENCE INTERVENTION PROGRAMS ARE MULTIDISCIPLINARY COLLABORATIONS BETWEEN CLINICAL TEAMS, COMMUNITY ORGANIZATIONS, AND TRAINED VIOLENCE PREVENTION PROFESSIONALS WHO BUILD CONNECTIONS WITH INJURED PATIENTS, PROVIDE PSYCHOSOCIAL SUPPORT, AND HELP PATIENTS NAVIGATE THE HEALTHCARE AND SOCIAL SERVICES LANDSCAPES. TWO DECADES OF EVIDENCE SHOW THAT THESE PROGRAMS CAN IMPROVE OUTCOMES, PREVENT RE-INJURY, AND SAVE COSTS. OUR NEW PROGRAM BEGAN ENROLLING PATIENTS IN AUGUST 2021, AND HAS BEEN VERY WELL RECEIVED. THIS PROGRAM WORKS TO CONNECT INDIVIDUALS AT RISK FOR INVOLVEMENT WITH VIOLENCE TO KEY RESOURCES AND SUPPORTS. THIS INTERVENTION ALSO HELPS THESE VICTIMS BETTER MANAGE THEIR HEALTH, WORK, HOUSING, AND OTHER BARRIERS. THIS GRANT-FUNDED PROGRAM IS SUPPORTED BY THE PENNSYLVANIA COMMISSION ON CRIME AND DELINQUENCY (PCCD) AND THE PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH. THE TRAUMA PROGRAM ALSO RECEIVED SMALL GRANTS TO FUND TRAUMA INJURY PREVENTION PROGRAMING WHICH INCLUDED EDUCATING THE PUBLIC ON SAFE GUN HANDLING AND IN SOME CASES PROVIDED GUN LOCKS TO PROMOTE SAFE STORAGE. FORM 990, PART III, LINE 4A (CONTINUED) > PENN COMMUNITY VIOLENCE PREVENTION PROGRAM: PRIMARILY GRANT FUNDED BY PCCD, THIS NEW PROGRAM AIMS TO DEVELOP A COLLECTIVE IMPACT PARTNERSHIP TO SUPPORT COMMUNITY-ENGAGED, EVIDENCE-BASED VIOLENCE PREVENTION IN WEST/SOUTHWEST PHILADELPHIA. TO DO THIS, WE WILL CONVENE A NETWORK OF STAKEHOLDERS IN THE PHIGHT NETWORK (PHILADELPHIA'S HUB TO REDUCE INTERPERSONAL VIOLENCE, GUN VIOLENCE, HOMICIDE AND TRAUMA) TO PROVIDE WRAP AROUND SERVICES; IDENTIFY A COHORT OF 40-65 ADULT AND YOUNG ADULTS AT HIGHEST RISK FOR FUTURE INVOLVEMENT IN GUN VIOLENCE FOR FOCUSED INTERVENTION;AND IMPLEMENT AND EVALUATE TRAUMA-INFORMED VIOLENCE INTERRUPTION SERVICES AND TAILORED SUPPORT FROM COMMUNITY-BASED ORGANIZATIONS INCLUDING SHORT AND LONG-TERM CONFLICT RESOLUTION AND TAILORED SUPPORT. THIS IS A COMMUNITY-RELEVANT EXPANSION AND ADAPTATION OF THE GLOBAL CURE VIOLENCE MODEL. > STOP THE BLEED (STB) TEACHES COMMUNITY MEMBERS, INCLUDING TEACHERS AND YOUTH, TO ADMINISTER HEMORRHAGE CONTROL. RESIDENTS WITH NO FORMAL TRAINING LEARN TO APPLY PRESSURE TO WOUNDS-AND MAYBE SAVE A LIFE-UNTIL FIRST RESPONDERS ARRIVE. MAKING THESE PROGRAMS, INCLUDING EQUIPMENT FOR EDUCATION AND DISTRIBUTION, MORE READILY AVAILABLE, EVEN EXPANDING INTO SCHOOLS, HELP INCREASE THE SAFETY AND PREPAREDNESS OF UNDER-RESOURCED COMMUNITIES. SINCE JANUARY 2023, PENN TRAUMA HAS TRAINED 576 INDIVIDUALS IN STB; 240 OF THESE PARTICIPANTS ARE NOW INSTRUCTORS THEMSELVES. 245 CLASS PARTICIPANTS RECEIVED EITHER FULL BLEEDING CONTROL KITS OR TOURNIQUETS. ADDITIONAL 393 RECEIVED HANDS ON SKILLS ONLY AT A TABLING EVENT. > PENN INJURY SCIENCE CENTER (PISC): FUNDED BY A GRANT FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION, THE PENN INJURY SCIENCE CENTER BRINGS TOGETHER UNIVERSITY, COMMUNITY, AND GOVERNMENT PARTNERS TO DEVELOP INTERVENTION PROGRAMS FOR INJURIES AND VIOLENCE. THE CENTER PROMOTES AND PERFORMS THE HIGHEST-QUALITY RESEARCH, TRAINING, AND TRANSLATION OF SCIENTIFIC DISCOVERIES INTO PRACTICE AND POLICY FOR PEOPLE IN PHILADELPHIA AND AROUND THE WORLD. > ADMINISTRATORS FOR PENN MEDICINE CARES GRANT UNDERSTAND THE DEVASTATING IMPACT OF VIOLENCE ON COMMUNITIES. CONTINUING FROM FISCAL YEAR 2022, THE HIGHEST PRIORITY WAS GIVEN TO PROJECTS THAT AIMED TO CURB VIOLENCE WITHIN PHILADELPHIA. PROJECTS THAT IMPROVED NEIGHBORHOOD REC CENTERS, GREENED VACANT LOTS AND OUTSIDE COMMUNITY SPACES, AND MENTORED AND ENGAGED YOUTH AFTER SCHOOL AND ON WEEKENDS WERE FUNDED. PRIORITY AREAS #10 & #12: HOUSING & NEIGHBORHOOD CONDITIONS SAFE, STABLE HOUSING AND LIVABLE NEIGHBORHOODS ARE INDISPENSABLE TO PHYSICAL AND MENTAL HEALTH AND WELL-BEING. ACCORDING TO A 2020 STUDY FROM PEW CHARITABLE TRUSTS, 40 PERCENT OF PHILADELPHIA RESIDENTS REPORTED DIFFICULTY PAYING THEIR MORTGAGE OR RENT. CITYWIDE, 54 PERCENT OF RENTERS ARE COST-BURDENED, MEANING THEY SPEND MORE THAN 30 PERCENT OF THEIR INCOME ON HOUSING. AMONG RESIDENTS EARNING LESS THAN $30,000 PER YEAR, THAT FIGURE JUMPS TO 88 PERCENT, WITH WEST, SOUTHWEST, AND NORTH PHILADELPHIA HAVING PARTICULARLY HIGH RATES OF HOUSING COST BURDEN. FURTHER, ACCESS TO OUTDOOR GREENSPACES AND RECREATION AREAS LIKE PARKS AND TRAILS HAVE BEEN SHOWN TO IMPROVE PHYSICAL AND MENTAL HEALTH. BUT THESE AMENITIES ARE LESS FAMILIAR IN HIGH-POVERTY AREAS, WHERE ABANDONED HOMES AND VACANT LOTS ARE MORE THE NORM. NEIGHBORHOOD BLIGHT HAS BEEN LINKED TO INCREASED COMMUNITY VIOLENCE, WHICH IN TURN HAS A NEGATIVE IMPACT ON PHYSICAL ACTIVITY AS YOUTH AVOID GOING OUTSIDE TO EXERCISE DUE TO FEARS OF VIOLENCE. WITH ITS WIDE BREADTH OF PROGRAMS TO IMPROVE HOUSING AND MAKE NEIGHBORHOODS MORE LIVABLE, PENN MEDICINE HAS COMMITTED SIGNIFICANT INVESTMENT OVER THE NEXT THREE YEARS TO IMPROVE QUALITY OF LIFE ACROSS THE CITY AND MEET THESE PRESSING AND COMPLEX PROBLEMS HEAD ON. > DEEPLY ROOTED IS A COMMUNITY-ACADEMIC COLLABORATIVE LED BY PENN URBAN HEALTH LAB THAT USES THE HEALING POWER OF NATURE TO PROMOTE HEALTH AND WELL-BEING IN BLACK AND OTHER MINORITY PHILADELPHIA NEIGHBORHOODS. THE COLLABORATION IS FORGED BETWEEN HEALTH SYSTEMS, NON-PROFITS, AND COMMUNITY GROUPS AND IS DRIVEN BY A $6 MILLION INVESTMENT FROM PENN MEDICINE AND CHOP. AMONG ITS FUNCTIONS, DEEPLY ROOTED: - EMPOWER COMMUNITIES TO CREATE NEW GREEN SPACE INCLUDING PLANTING TREES, GREENING VACANT LOTS, AND BUILDING COMMUNITY GARDENS AND MINI PARKS. - PROVIDES GRANTS TO COMMUNITY ORGANIZATIONS AND RESIDENTS TO PUT ON EVENTS AND RUN ACTIVITIES IN PARKS AND OTHER GREENSPACES. - CREATES CAREER DEVELOPMENT OPPORTUNITIES FOR YOUTH, FORMERLY INCARCERATED CITIZENS, AND OTHER COMMUNITY MEMBERS THROUGH LEADERSHIP AND NATURE-BASED JOB TRAINING. - ADVOCATES FOR POLICIES AND INVESTMENTS THAT PROMOTE ENVIRONMENTAL JUSTICE IN PHILADELPHIA'S NEIGHBORHOODS. > CENTER FOR EXCELLENCE IN ENVIRONMENTAL TOXICOLOGY (CEET): THE CEET IS A REGIONAL RESOURCE AND THE ONLY ENVIRONMENTAL HEALTH SCIENCES CORE CENTER IN PENNSYLVANIA, THOUGH IT ALSO SERVES DELAWARE, MARYLAND, VIRGINIA, WEST VIRGINIA, AND WASHINGTON, DC. THE CENTER WORKS DIRECTLY WITH COMMUNITIES TO IDENTIFY ENVIRONMENTAL HEALTH QUESTIONS AND CONCERNS, THEN MOBILIZES ITS RESEARCH EXPERTISE TO RESOLVE THOSE QUESTIONS. ONE COMMON AND IMPORTANT THEME IN THE CENTER'S WORK IS AIR POLLUTION AND LUNG HEALTH. CEET TEAM MEMBERS ARE ALWAYS TAKING ACTION IN THIS AREA. FOR EXAMPLE, THE CENTER WORKED WITH DAY-CARE FACILITIES IN PHILADELPHIA COMMUNITIES TO DECREASE AIR POLLUTION EXPOSURE BY MAPPING THE RELEASES OF AIRBORNE TOXINS WITH AIR MANAGEMENT SERVICES PROFESSIONALS. TO FURTHER CEET IMPACT, PENN MEDICINE'S OFFICE OF GOVERNMENT AND COMMUNITY RELATIONS SUPPORT ADVOCACY EFFORT WITH LOCAL, STATE AND FEDERAL REGULATORS AND LEGISLATORS. PRIORITY AREA #11: SOCIOECONOMIC DISADVANTAGE PENN MEDICINE RECOGNIZES THAT PEOPLE LIVING AT OR NEAR THE POVERTY LINE FACE POOR HEALTH OUTCOMES. POVERTY RATES ARE NEARLY FOUR TIMES HIGHER IN PHILADELPHIA THAN ITS NEIGHBORING SUBURBS, ALTHOUGH POCKETS OF POVERTY EXIST ACROSS ALL FIVE COUNTIES IN THE PENN MEDICINE SERVICE AREA. RATES IN WEST AND SOUTHWEST PHILADELPHIA, WHICH COMPRISE PENN MEDICINE'S PRIMARY SERVICE AREA, ARE 32.8% AND 29.6% RESPECTIVELY - SIGNIFICANTLY EVEN HIGHER THAN THE CITY'S 23.1%. AS A LEADING EMPLOYER AND ACADEMIC MEDICAL AND RESEARCH INSTITUTION, PENN MEDICINE IS COMMITTED TO ELIMINATING ECONOMIC INJUSTICE AND INEQUITY ACROSS OUR ORGANIZATION AND THE COMMUNITIES WE SERVE THROUGH EDUCATION, SUSTAINABLE EMPLOYMENT, ECONOMIC INCLUSION, AND EFFICIENT PATHWAYS TO RESOURCES. > BRIDGING THE GAPS (BTG) LINKS THE PROVISION OF HEALTH-RELATED SERVICE FOR UNDER-RESOURCES COMMUNITIES WITH THE INTER-PROFESSIONAL TRAINING OF HEALTH AND SOCIAL SERVICE PROFESSIONALS. STARTING AT PENN IN 1991, WITHIN 5 YEARS BTG INCLUDED ALL OF PHILADELPHIA ACADEMIC HEALTH CENTERS AND HAS SINCE BEEN ADOPTED AS A PROGRAM MODEL IN ORGANIZATIONS ACROSS PENNSYLVANIA AND IN NEW JERSEY. FOR FISCAL YEAR 2022, 46 HEALTH SERVICE STUDENTS SPECIFICALLY FROM PENN PROVIDED 1,152 DAYS OF SERVICE TO OVER 25 COMMUNITY-BASED PROJECTS. > DROSOPHILA IS A HIGH SCHOOL-LEVEL, CLASSROOM-BASED NEUROSCIENCE PROGRAM DEVELOPED IN PARTNERSHIP WITH THE BASHAW LAB AT PENN MEDICINE. STUDENTS GO THROUGH A RANGE OF EXPERIMENTS, INCLUDING FLIES ON ICE, WHICH USES THE SCIENTIFIC METHOD AND NEUROSCIENCE PRINCIPLES TO STUDY THE EFFECTS OF COLD TEMPERATURES ON FRUIT FLIES. ANNUALLY, FIVE PENN MEDICINE LAB MEMBERS COLLECTIVELY VOLUNTEER NEARLY 100 HOURS OF TIME. IN 2023, A FULL-TIME OUTREACH STAFF MEMBER JOINED THE TEAM TO MEET THE HIGH DEMAND AND DELIVER THE PROGRAM TO OVER 750+ PHILADELPHIA HIGH SCHOOL STUDENTS. > PATHWAY PROGRAM ASSOCIATES: IN PARTNERSHIP WITH PENN'S NETTER CENTER FOR COMMUNITY PARTNERSHIPS, THE WEST PHILADELPHIA SKILLS INITIATIVE (WPSI), AND JEVS HUMAN SERVICES, THE PENN MEDICINE PATHWAYS PROGRAM CREATES WORKFORCE DEVELOPMENT AND ECONOMIC OPPORTUNITIES WITH A FOCUS ON RECENT HIGH SCHOOL GRADUATES. PENN MEDICINE HAS IDENTIFIED FULL-TIME ROLES WITHIN ITS SYSTEM WHERE ASSOCIATES CAN GAIN EMPLOYMENT, RECEIVE CAREER TRAINING, DEVELOP A CAREER PATHWAY, AND ENJOY COMPREHENSIVE BENEFITS PACKAGES. AS OF OCTOBER 2023, 2 COHORTS HAVE GRADUATED. > PATHWAYS TO PROMOTION: FACILITATING CAREER ADVANCEMENT FOR INTERNAL FRONTLINE STAFF WHILE WORKING TO IMPROVE DIVERSITY IN SUPERVISORY AND MANAGEMENT ROLES. TO DATE, THE PROGRAM'S FIRST COHORT HAS COLLECTIVELY RECEIVED 15 OFFERS FOR ADVANCEMENT. A TOTAL OF 25 EMPLOYEES ARE PARTICIPATING IN THE SECOND COHORT, WHICH BEGAN IN SPRING 2022. COHORT 4 IS UNDERWAY WITH GRADUATION SET FOR DECEMBER 2023. WHEN GRADUATION OCCURS, 100 EMPLOYEES WOULD HAVE COMPLETED THIS PROGRAM. FORM 990, PART III, LINE 4A (CONTINUED) > PENN FUTURES: IDENTIFYING PENN MEDICINE EMPLOYEES WHO HAVE HIGH POTENTIAL BUT ARE NOT CURRENTLY IN A MANAGEMENT OR SUPERVISORY ROLE. THE PROGRAM GUIDES PARTICIPANTS TO IDENTIFY STRENGTHS AND PLAN THEIR OWN CAREER DEVELOPMENT. > HUP GATEWAY PROGRAM: NEW-TO-PRACTICE NURSES HAVE AN OPPORTUNITY TO BE PAID WHILE PARTICIPATING IN AN ACCELERATED, IMMERSIVE CLINICAL EXPERIENCE THAT PREPARES THEM FOR HIGHER-LEVEL SURGICAL AND CRITICAL CARE NURSING ROLES. > PROJECT BIOEYES IS A K-12 SCIENCE EDUCATION PROGRAM WHERE STUDENTS BECOME THE SCIENTIST, NOT JUST LEARN FROM OR ABOUT THEM. DURING WEEKLONG EXPERIMENTS, STUDENTS USE LIVE ZEBRAFISH TO STUDY LIFE CYCLES, HABITATS, GENETICS, AND THE MANY BENEFITS OF RESEARCH. BIOEYES IS DESIGNED TO INCORPORATE TEACHER EMPOWERMENT AND PROVIDES PROFESSIONAL DEVELOPMENT SEMINARS AND CO-TEACHING EXPERIENCE WITH TRAINED SCIENCE CONSULTANTS, CALLED OUTREACH EDUCATORS. IN 2023, 3,652 STUDENTS BECAME SCIENTISTS IN THEIR VERY OWN CLASSROOMS. > PENN PRESBYTERIAN MEDICAL CENTER STERILE PROCESSING CANDIDATE PIPELINE: STARTING IN 2018, THIS MEDICAL CENTER HAS WORKED WITH THE JAMES INSTITUTE FOR LEARNING AND CENTRAL SOURCE TO DEVELOP AND PLACE STUDENTS IN JOBS IN THE STERILE PROCESSING FIELD. STUDENTS RECEIVE THE INSTRUCTION AND INTERNSHIPS NEEDED TO BECOME A CERTIFIED REGISTERED CENTRAL SERVICE TECHNICIAN (CRCST), AS WELL AS HANDS-ON EXPERIENCES IN A BUSY HEALTH CARE ENVIRONMENT. > PENN ACADEMY FOR REPRODUCTIVE SCIENCE (PARS) IS A WORKSHOP FOR HIGH SCHOOL STUDENTS LED BY CLINICIANS, SCIENTISTS, AND MEDICAL STUDENTS. THE FREE PROGRAM IS DESIGNED FOR STUDENTS INTERESTED IN HEALTH CARE AND MEDICINE, WITH AN EMPHASIS ON REPRODUCTIVE SCIENCE. THE ACADEMY RUNS TWICE PER YEAR FOR FOUR CONSECUTIVE SATURDAYS AND INVOLVES HANDS-ON ACTIVITIES SUCH AS THE IN-VITRO FERTILIZATION OF A MOUSE EGG. THE PROGRAM ALSO OFFERS SESSIONS DEDICATED TO COLLEGE APPLICATIONS, RESUMES, AND NETWORKING. SINCE ITS INCEPTION IN 2010, PARS HAS EDUCATED 274 STUDENTS FROM ACROSS THE PHILADELPHIA AREA. > PENN ACADEMY FOR SKIN HEALTH (PASH) IS A FREE PROGRAM OFFERED TO PHILADELPHIA PUBLIC SCHOOL STUDENTS INTERESTED IN A CAREER IN DERMATOLOGY. OVER FOUR SATURDAYS, PASH TEACHES STUDENTS ABOUT THE SCIENCE BEHIND THEIR SKIN. SINCE ITS INCEPTION IN 2017, PASH HAS EDUCATED 81 STUDENTS FROM PHILADELPHIA PUBLIC SCHOOLS. > OFFICE OF OUTREACH, EDUCATION AND RESEARCH SUMMER RESEARCH: THIS OFFICE WAS CREATED TO HELP PARS AND PASH ALUMNAE CONTINUE THEIR STEM CAREER PATHS THROUGH ADDITIONAL INSTRUCTION AND EVEN EMPLOYMENT OPPORTUNITIES. IN 2023, PENN MEDICINE HIRED 25 ALUMNAE ACROSS FIVE PENN MEDICINE DEPARTMENTS, AS TEMPORARY RESEARCHERS. ALL STUDENTS IN THE PROGRAM WORK SIDE-BY-SIDE WITH PENN MEDICINE MENTORS, WITH 28 GRADUATE STUDENTS AND POST-DOCS VOLUNTEERING OVER 210 HOURS EACH TO INSPIRE THE NEXT GENERATION OF RESEARCHERS. > AS PART OF PENN'S ECONOMIC INCLUSION INITIATIVES, THE PENN MEDICINE CAMPUSES CONTINUE TO FIND ECONOMIC OPPORTUNITIES FOR LOCAL RESIDENTS. OPPORTUNITIES COVER VARIOUS EMPLOYMENT TYPES, FROM CONSTRUCTION TO PROCUREMENT OF GOODS AND SERVICES. CURRENTLY, PENN MEDICINE HOLDS $40.7 MILLION IN VALIDATED CONTRACTING AGREEMENTS - IN PARTICULAR, SERVICE AGREEMENTS - WITH MINORITY-, WOMAN-, AND DISABLED-OWNED BUSINESSES WITH A GOAL OF A 3% INCREASE. > VENDOR FRIDAYS: LAUNCHED BY HUP FOOD SERVICES CONTRACTOR, THIS EVENT SERIES FEATURES LOCAL SMALL BUSINESSES. MANY PARTICIPANTS COME FROM THE DORRANCE H. HAMILTON CENTER FOR CULINARY ENTERPRISES AT THE ENTERPRISE CENTER, A LONGSTANDING MINORITY BUSINESS ACCELERATOR IN WEST PHILADELPHIA. > PENN MEDICINE COMMUNITY EVENTS CALENDARS: THIS TOOL LINKS VOLUNTEER OPPORTUNITIES WITH PENN MEDICINE EMPLOYEES SEEKING TO DONATE THEIR TIME OR OTHER SUPPORT TO CHARITABLE EFFORTS OUTSIDE THE HOSPITAL WALLS. IN FISCAL 2023, THE CALENDAR FEATURED 98 EVENTS REPRESENTING 573 EMPLOYEES VOLUNTEERING ALMOST 2,000 HOURS OF VOLUNTEER SERVICE IN PHILADELPHIA. > COMMUNITY RESOURCE CONNECTS: WHEN PENNCHART'S HEALTH SCREENER IDENTIFIES SOMEONE WITH POTENTIALLY UNMET SOCIAL NEEDS, PENN MEDICINE TAKES ACTION, WORKING WITH HEALTH CARE PROVIDERS, COMMUNITY-BASED ORGANIZATIONS, THE PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH, AND ENTITIES LIKE FIND HELP, A CLOSED-LOOP REFERRAL NETWORK FOR SOCIAL SERVICES. PENN MEDICINE PROVIDERS AND STAFF CAN THEN CONNECT THE PATIENT WITH RESOURCES THAT CAN HELP THEM AFTER THEY LEAVE THE HOSPITAL. > REGIONAL HEALTH EQUITY DASHBOARD: THIS WEB-BASED TOOL CENTRALIZES AND BENCHMARKS CRITICAL METRICS ACROSS KEY HEALTH CARE NEED AREAS SUCH AS MATERNAL AND INFANT MORTALITY AND MORBIDITY, CANCER SCREENING AND PREVENTION, ACCESS TO SPECIALTY CARE, AND SOCIOECONOMIC DISADVANTAGE, HELPING TO INFORM A WIDE VARIETY OF PROJECTS AND INQUIRIES. ------------------------------ FORM 990, PART V, LINE 1A FORM 990, PART V, LINE 1A DETAIL OF FORMS 1099 FILINGS THIS ORGANIZATION IS AN AFFILIATE OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("TRUSTEES"). THE FORMS 1099 DISTRIBUTED AS PART OF THIS ENTITY'S ACTIVITIES ARE DONE SO THROUGH THE UNIVERSITY HEALTH SYSTEM AND CONSOLIDATED WITH THE TRUSTEES. ------------------------------ FORM 990, PART VI, SECTION B, LINE 11 FORM 990 REVIEW PROCESS INFORMATION RELATED TO THIS ORGANIZATION'S FORM 990 FILING IS GATHERED BY FINANCE STAFF AND PROVIDED TO PWC US TAX LLP FOR REVIEW AND RETURN PREPARATION. A DRAFT COPY OF THE 2022 FORM 990 WAS REVIEWED BY VARIOUS SENIOR FINANCIAL MANAGEMENT OFFICIALS BEFORE IT WAS SUBMITTED TO THE BOARD FOR THEIR REVIEW. A COPY OF THE FINAL 2022 FORM 990 WAS THEN MADE AVAILABLE TO EACH BOARD MEMBER PRIOR TO THE FILING DEADLINE. ------------------------------ FORM 990, PART VI, SECTION A, LINE 12C CONFLICT OF INTEREST POLICY THIS ORGANIZATION IS AN AFFILIATE OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). EACH COVERED PERSON* ANNUALLY SHALL COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE PROVIDED BY THE UNIVERSITY AND SHALL UPDATE SUCH QUESTIONNAIRE PROMPTLY AS NECESSARY TO REFLECT CHANGES DURING THE COURSE OF THE YEAR. FORMER BOARD MEMBERS WHO ARE NOT TRUSTEE EMERITI ARE ENCOURAGED BUT NOT REQUIRED TO COMPLETE THE QUESTIONNAIRE DURING THE FIVE-YEAR PERIOD FOLLOWING COMPLETION OF THEIR TERMS. COMPLETED QUESTIONNAIRES SHALL BE RETURNED TO THE OFFICE OF THE SECRETARY AND SHALL BE SUBJECT TO REVIEW BY SUCH OFFICE AND THE OFFICE OF THE GENERAL COUNSEL, AS WELL AS BY ANY OUTSIDE LEGAL COUNSEL AND/OR AUDITORS WHO MAY BE APPOINTED TO ADVISE THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES APPOINTED TO OVERSEE THIS POLICY. COMPLETED QUESTIONNAIRES ALSO SHALL BE AVAILABLE FOR INSPECTION BY ANY BOARD MEMBER. *COVERED PERSONS INCLUDE: (1) VOTING MEMBERS OF THE BOARD OF TRUSTEES (INCLUDING CHARTER TRUSTEES, TERM TRUSTEES, ALUMNI TRUSTEES, AND COMMONWEALTH TRUSTEES); (2) TRUSTEE EMERITI WHO HAVE SERVED IN THAT CAPACITY FOR FIVE YEARS OR LESS; (3) OTHER FORMER VOTING TRUSTEES FOR A PERIOD OF FIVE YEARS FROM THE END OF THEIR TERM AS SUCH; (4) OFFICERS AS DEFINED IN THE STATUTES; AND (5) MEMBERS OF THE INVESTMENT BOARD. EACH COVERED PERSON (EXCEPT FORMER BOARD MEMBERS WHO ARE NOT TRUSTEE EMERITI) SHALL BE REQUIRED TO ACKNOWLEDGE, NOT LESS THAN ANNUALLY, THAT HE OR SHE HAS READ AND IS IN COMPLIANCE WITH THIS POLICY. ------------------------------ FORM 990 PART VI, SECTION B, LINE 15 COMPENSATION PROCESS THIS ORGANIZATION IS AN AFFILIATE OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). COMPENSATION ARRANGEMENTS INVOLVING ANY OF OUR OFFICERS AND/OR KEY EMPLOYEES ARE ESTABLISHED BY THE UNIVERSITY PURSUANT TO A PROCESS THAT SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR SECTION 4958 EXCESS BENEFIT TRANSACTION TAX PURPOSES (WHICH REQUIRES A REVIEW OF COMPENSATION DETERMINATIONS BY DISINTERESTED PERSONS, USE OF APPROPRIATE COMPARABILITY DATA, AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS). ------------------------------ FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS AVAILABILITY TO PUBLIC OUR FORMS 1023 AND 990, GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. ------------------------------ FORM 990, PART XI, LINE 9 DETAIL OF OTHER CHANGES IN NET ASSETS NET UNREALIZED INC. IN NET ASSETS $(5,244,671) TRANSFER TO CHCA-NJ PPMC DIVISIONS (5,232,500) TRANSFER/OTHER ADJUSTMENTS (163,543) ----------- TOTAL OTHER CHANGES IN NET ASSETS $(10,640,714) 3737 FEE OWNER LLC 17190 BERNARDO CENTER DRIVE SAN DIEGO CA 92128 611692432 RENTAL CA 0 71280519 PMC AFFILIA HOME HEALTH 1811 OLDE HOMESTEAD LANE LANCASTER PA 17601 231352572 HOME HEALTH PA 501(c)(3) 7 LG HEALTH false CARL V S PATTERSON 19 UN OF PA C/O PNC BANK 620 LIBERTY AVE 10FL PITTSBURGH PA 15222 236415355 SUPPORT TRUST PA 4947(A)(1) N/A NA false CHESTER COUNTY HOSPITAL 701 E MARSHALL STREET WEST CHESTER PA 19380 230469150 HEALTHCARE PA 501(C)(3) 3 CCH&HS false CHESTER COUNTY HOSPITAL & HEALTH SYSTEM 701 E MARSHALL STREET WEST CHESTER PA 19380 264233321 MGMT SRVCS PA 501(C)(3) 12, I TRUSTEES false CLINICAL CARE ASSOCIATES OF UPHS 250 KING OF PRUSSIA RD 4TH FL RADNOR PA 19087 232729852 HEALTHCARE PA 501(c)(3) 10 TRUSTEES false HAJOCA 3025 INC 3451 WALNUT STREET ROOM 737 PHILADELPHIA PA 19104 843379653 SUPPORT ORG PA 501(c)(3) 12, I TRUSTEES false LAISE CA TUW FBO UNIV OF PENN 3451 WALNUT STREET SUITE 305 PHILADELPHIA PA 19104 823434615 SUPPORT TRUST PA 4947(A)(1) N/A NA false LANCASTER GENERAL HEALTH 555 NORTH DUKE STREET LANCASTER PA 17602 232250941 SUPPORT ORG PA 501(C)(3) 12, II TRUSTEES false LANCASTER GENERAL HEALTH COLUMBIA CENTER 306 NORTH 7TH STREET COLUMBIA PA 17512 230485650 FACILITY MGMT PA 501(C)(3) 3 LG HOSPITAL false LANCASTER GENERAL HEALTH FOUNDATION 555 NORTH DUKE STREET LANCASTER PA 17602 205767147 FUNDRAISING PA 501(C)(3) 7 NA false LANCASTER GENERAL HEALTH HOLDINGS 555 NORTH DUKE STREET LANCASTER PA 17602 204943109 HEALTHCARE PA 501(C)(3) 3 LG HEALTH false LANCASTER GENERAL HOSPITAL 555 NORTH DUKE STREET LANCASTER PA 17602 231365353 HEALTHCARE PA 501(C)(3) 3 LG HEALTH false LANCASTER GENERAL MEDICAL GROUP 1097 COMMERCIAL AVE EAST PETERSBURG PA 17520 232777286 HEALTHCARE PA 501(C)(3) 3 LG HEALTH false MORRIS EST LYDIA T DECD TW 6325 S RAINBOW BLVD STE 300 LAS VEGAS NV 89118 236210940 SUPPORT TRUST NV 501(C)(3) 12, III-FI NA false NEIGHBORHOOD HEALTH AGENCIES INC 795 E MARSHALL STREET WEST CHESTER PA 19380 232324782 NURSING PA 501(C)(3) 12, I CCH&HS false NEIGHBORHOOD LEAGUE HEALTH SERVICES 795 E MARSHALL STREET WEST CHESTER PA 19380 232324787 HEALTH SRVCS PA 501(C)(3) 10 CCH&HS false NEIGHBORHOOD VISITING NURSE ASSOCIATION 795 E MARSHALL STREET WEST CHESTER PA 19380 231352243 NURSING PA 501(C)(3) 7 CCH&HS false OAP INC 3451 WALNUT STREET ROOM 748 PHILADELPHIA PA 19104 231986931 SUPPORT ORG PA 501(c)(3) 12, I TRUSTEES false PENN CENTER FOR REHAB AND CARE 3609 CHESTNUT STREET PHILADELPHIA PA 19104 232422635 HEALTHCARE PA 501(c)(3) 3 PMC true PENN CLUB OF NEW YORK INC 30 WEST 44TH STREET NEW YORK NY 10036 232726687 CLUB NY 501(c)(7) N/A NA false PENN PRAXIS INC 210 SOUTH 34TH STREET PHILADELPHIA PA 19104 752974931 SUPPORT ORG PA 501(c)(3) 12, I TRUSTEES false PENN PRESS INC 3905 SPRUCE STREET PHILADELPHIA PA 19107 231876142 PUBLISHING PA 501(c)(3) 12, I TRUSTEES false PENNSYLVANIA COLLEGE OF HEALTH SCIENCES 850 GREENFIELD ROAD LANCASTER PA 17601 061645496 HEALTH EDU PA 501(C)(3) 2 LG HOSPITAL false PENNSYLVANIA HOSPITAL OF UPHS 800 SPRUCE STREET PHILADELPHIA PA 19107 311538725 HEALTHCARE PA 501(C)(3) 3 TRUSTEES false PGH DEVELOPMENT CORP 426 CURIE BLVD PHILADELPHIA PA 19104 232351015 SUPPORT ORG PA 501(c)(3) 12, I NA false PHOENIXVILLE HOSPITAL OF UPHS 3001 MARKET STREET 3RD FLOOR PHILADELPHIA PA 19104 232901089 SUPPORT ORG PA 501(c)(3) 3 TRUSTEES false PRINCETON CAREGIVERS INC ONE PLAINSBORO ROAD PLAINSBORO NJ 08536 222842773 HOMECARE SVCS NJ 501(C)(3) 3 PHCS HOLDING false PRINCETON HEALTHCARE AFFILIATED PHYS PC ONE PLAINSBORO ROAD PLAINSBORO NJ 08536 264203938 HEALTHCARE NJ 501(C)(3) 10 PHCS HOLDING false PRINCETON HEALTHCARE SYSTEM ONE PLAINSBORO ROAD PLAINSBORO NJ 08536 210635009 HEALTHCARE NJ 501(C)(3) 3 PHCS HOLDING false PRINCETON HEALTHCARE SYSTEM FDN INC ONE PLAINSBORO ROAD PLAINSBORO NJ 08536 222225911 SUPPORT PHCS NJ 501(C)(3) 7 PHCS HOLDING false PRINCETON HLTHCARE SYSTEM HOLDING INC ONE PLAINSBORO ROAD PLAINSBORO NJ 08536 223493256 SUPPORT ORG NJ 501(C)(3) 12, I TRUSTEES false PRINCETON MEDICAL PROPERTIES INC ONE PLAINSBORO ROAD PLAINSBORO NJ 08536 220022702 REAL ESTATE NJ 501(C)(2) N/A PHCS HOLDING false THE ASC TRUST OF THE UNIV OF PA 1500 MARKET ST STE 3500E PHILADELPHIA PA 19102 810550464 BUS. TRUST PA 501(c)(3) 8 NA false THE HEART GROUP OF LANCASTER GEN HEALTH 217 HARRISBURG AVENUE LANCASTER PA 17603 300634510 CARDIOLOGY PA 501(C)(3) 3 LG HEALTH false THE LEONARD AND MADLYN ABRAMSON INST 421 CURIE BLVD 450 BRB II/III PHILADELPHIA PA 19104 232929823 MED RESEARCH PA 501(c)(3) 4 NA false TRUSTEES OF THE UNIVERSITY OF PENN 3451 WALNUT STREET ROOM 305 PHILADELPHIA PA 19104 231352685 EDUCATION PA 501(c)(3) 2 NA false UNIVERSITY CITY ASSOCIATES INC 3451 WALNUT STREET ROOM 329 PHILADELPHIA PA 19104 233021159 SUPPORT ORG PA 501(c)(3) 12, I TRUSTEES false UNIVERSITY CLUB AT PENN INC 3611 WALNUT STREET PHILADELPHIA PA 19104 236299508 FAC. CLUB PA 501(c)(3) 12, I TRUSTEES false UPENN INTERNATIONAL 3451 WALNUT STREET SUITE 731 PHILADELPHIA PA 19104 454985731 SUPPORT ORG PA 501(C)(3) 12, I TRUSTEES false UPENN MASTER RETIREMENT TRUST 3451 WALNUT STREET ROOM 305 PHILADELPHIA PA 19104 043574136 RETIRE TRUST PA 501(A) N/A TRUSTEES false UPENN RETIREE BENEFITS TRUST 3451 WALNUT STREET ROOM 329 PHILADELPHIA PA 19104 232769744 BENEFITS PA 501(c)(3) 12, I TRUSTEES false WISSAHICKON HOSPICE OF UPHS 150 MONUMENT ROAD SUITE 300 BALA CYNWYD PA 19004 232152662 HOSPICE CARE PA 501(c)(3) 10 TRUSTEES false WOMEN'S AND CHILDREN'S HEALTH SERVICES 700 SPRUCE STREET PHILADELPHIA PA 19106 232248956 HEALTHCARE PA 501(c)(3) 3 PA HOSPITAL false PENN MEDICINE-PMA 5 ATRIUM 3400 CIVIC CTR BLVD PHILADELPHA PA 19104 863800365 HEALTHCARE PA 501(C)(3) 10 CCA false PDCP 1740 FUND LP 311 S WACKER DR STE 2620 CHICAGO IL 60601 320472404 INVESTMENT IL NA false CYRUS 1740 FUND LP 65 E 55TH STREET 35TH FLOOR NEW YORK NY 10022 821211542 INVESTMENT NY NA false CYRUS 1740 MASTER FUND LP 89 NEXUS WAY CAMANA BAY GR CJ KY1-9009 981361754 INVESTMENT CJ NA false DVG 1740 FUND LP ONE FAWCETT PLACE GREENWICH CT 06830 800961539 INVESTMENT CT NA false EAST MARSHALL STREET PARTNERSHIP LP 701 E MARSHALL STREET WEST CHESTER PA 19380 232902742 INVESTMENT PA NA false FERN HILL PARTNERSHIP III LP 701 E MARSHALL STREET WEST CHESTER PA 19380 300409614 RENTAL PA NA false FERN HILL LLC 701 E MARSHALL STREET WEST CHESTER PA 19380 233005147 RENTAL PA NA false GALLOPAVO LP 2000 McKINNEY AVE STE 2125 DALLAS TX 75201 464621967 INVESTMENT TX NA false JOG V C LIMITED PARTNERSHIP STE 2370 440 2ND AVE SW CALGARY AL CA T2P5E9 INVESTMENT CA NA false JOG VI C LIMITED PARTNERSHIP STE 2370 440 2ND AVE SW CALGARY AL CA T2P5E9 INVESTMENT CA NA false KINGSTOWN 1740 FUND LP 167 MADISON AVE ST 205 1033 NEW YORK NY 10016 843119908 INVESTMENT NY NA false LANCASTER PET PARTNERSHIP LLP PO BOX 4216 LANCASTER PA 17604 233102793 MEDICAL SERVICES PA NA false LG HEALTH COMM CARE COLLAB II 555 NORTH DUKE STREET LANCASTER PA 17602 823809581 ACO PA NA false LG HEALTH COMMUNITY CARE COLLABORATIVE 555 NORTH DUKE STREET LANCASTER PA 17602 455542179 ACO PA NA false MRI GROUP LLP PO BOX 4216 LANCASTER PA 17604 331011386 MEDICAL SERVICES PA NA false NEIGHBRHD PRES & DEV FUND LP 240 NEW YORK DR STE 1 FORT WASHINGTON PA 19034 233037919 RENTAL PA NA false OAKLANDS WAY MEDICAL BUILDING ASSOCIATES 701 E MARSHALL STREET WEST CHESTER PA 19380 830490251 RENTAL PA NA false SRP INVESTORS FUND A LP 2001 ROSS AVE SUITE 400 DALLAS TX 75201 611748291 INVESTMENT TX NA false TURK'S HEAD SURGERY CENTER 915 OLD FERN HILL ROAD BLDG B STE WEST CHESTER PA 19380 200184603 MEDICAL SERVICES PA NA false ST-TO RIBBIT OPPORTUNITY V LLC 364 UNIVERSITY AVENUE PALO ALTO CA 94301 841814102 INVESTMENT CA NA false UNIVERSA BLACK SWAN PROTECTION PROTOCOL 2601 S BAYSHORE DR SUITE 2030 MIAMI FL 33133 852143048 INVESTMENT FL N/A false AXIS UKA GP LLC 240 NEW YORK DRIVE SUITE 1 FORT WASHINGTON PA 19034 273617178 INVESTMENT PA N/A false LIFT REAL ESTATE PARTNERS FUND II LP 180 SUTTER STREET SUITE 400 SAN FRANCISCO CA 94104 844983190 INVESTMENT CA NA false BEXP II (PARALLEL) LP 5914 W COURTYARD DRIVE AUSTIN TX 78730 873188834 INVESTMENT TX NA false FORERUNNER BUILDERS F-G LP ONE LETTERMAN DR BLDG C SUITE C5 SAN FRANCISCO CA 94129 873427543 INVESTMENT CA NA false GCM CARRIAGE SPV LP 250 WEST 55TH STREET 36TH FLOOR NEW YORK NY 10019 872075062 INVESTMENT NY NA false INITIALIZED CBH SPV LLC 464 TEHAMA STREET SAN FRANCISCO CA 94103 871123527 INVESTMENT CA NA false SALLINGSTONE GLOBAL NATURAL RESOURCES 100 WAUGH DRIVE SUITE 600 HOUSTON TX 77007 371770014 INVESTMENT TX NA false ARCM 1740 LTD 27 HOSPITAL ROAD GRAND CAYMAN CJ KY1-9008 INVESTMENTS CJ TRUSTEES C-CORP false CIRCLE MEDICAL ASSURANCE CO 2929 WALNUT STREET STE 460 PHILADELPHIA PA 19104 833556286 INSURANCE PA TRUSTEES C-CORP false CLINICAL HEALTH CARE ASSOC OF NJ PC 250 KING OF PRUSSIA RD 4TH FL RADNOR PA 19087 232865181 PHYS MGMT PA CCA C-CORP false DELANCEY CORPORATION 800 SPRUCE STREET PHILADELPHIA PA 19106 232060159 RENTAL PA PA HOSPITAL C-CORP false FRANKLIN CASUALTY INSURANCE CO PO BOX 530 BURLINGTON VT 05402 043378984 INSURANCE VT TRUSTEES C-CORP false LANCASTER GENERAL 457 DEFERRED COMP PLAN 555 NORTH DUKE STREET LANCASTER PA 17602 232250941 TRUST PA LG HEALTH TRUST false LANCASTER GENERAL INSURANCE COMPANY PO BOX 1109 GT GRAND CAYMAN CJ KYI-1102 980176655 INSURANCE CJ LG HEALTH C-CORP false LANCASTER GENERAL SERVICES INC 555 NORTH DUKE STREET LANCASTER PA 17602 232250128 PROPERTY SVCS PA LG HEALTH C-CORP false NAYA 1740 FUND LTD PO BOX 309 UGLAND HOUSE CJ KY1-1104 INVESTMENTS CJ TRUSTEES C-CORP false PENN MEDICINE LONDON LIMITED VISTRA STE 2 FIRST FLOOR 10 TEMPLE BRISTOL UK BS1 6FL NETWORKING UK UPENN INT'L LIMITED COMPANY false PENN WHARTON CONSULTING (BEIJING) CO LTD CHINA WORLD TOWER 1 14F CHAOYANG DIST CH 100004 BUS. CONSULTING CH UPENN INT'L C-CORP false PHI PHARMACY INC ONE PLAINSBORO ROAD PLAINSBORO NJ 08536 223467899 INACTIVE NJ PHCS HOLDING C-CORP false PRINCETON HEALTH INC & SUBS ONE PLAINSBORO ROAD PLAINSBORO NJ 08536 223450093 MEDICAL NJ PHCS HOLDING C-CORP false QUAKER INSURANCE COMPANY LTD VICTORIA STREET PO BOX HM 1826 VICTORIA HALL HAMILTON BD HM HX 300708282 SELF-INSURANCE BD TRUSTEES C-CORP false THE PAM 1740 FUND LTD PO BOX 309 GEORGE TOWN GRAND CAYMAN CJ KYI-1104 INVESTMENTS CJ TRUSTEES C-CORP false TURK'S HEAD HEALTH SERVICES INC 701 E MARSHALL STREET WEST CHESTER PA 19380 232329753 MEDICAL SERVICES PA CCH&HS C-CORP false CYRUS 1740 FUND LTD 89 NEXUS WAY CAMANA BAY GRAND CAYMAN CJ KY1-9009 981361907 INVESTMENTS CJ TRUSTEES LIMITED COMPANY false UPENN HOSPITALITY INC 3401 WALNUT STREET SUITE 440A PHILADELPHIA PA 19104 233076589 HOTEL/RESTAURANT TRUSTEES C-CORP false false false true false false false false false false false false false false true true false false true false