2025-05-14T16:52:06-04:00 2024-06-30 PwC US Tax LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2023-07-01 311538725 PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM % CYNTHIA A GALLO PENN 2158297723 800 SPRUCE STREET PHILADELPHIA PA 191073501 JULIA PUCHTLER CFO 6104315000 2025-05-13 true true ANTONIO C RUSSO DIRECTOR P00858539 2673303000 2025-05-08 2023 2025-03-06 01:10:19Z FRANK A ANASTASI 800 SPRUCE STREET PHILADELPHIA PA 19107 852788266 false X WWW.PENNMEDICINE.ORG/PAHOSP X 1751 PA PROVISION OF CHARITABLE HEALTHCARE SERVICES 10 6 4054 292 562379 0 2931490 9010030 784457427 780496464 11051235 14631791 18159324 48582321 816599476 852720606 0 0 0 0 359596259 377722769 0 0 921281 437800063 478372850 797396322 856095619 19203154 -3375013 813366817 844583367 129402444 129341406 683964373 715241961 X PROVISION OF CHARITABLE HEALTHCARE SERVICES false false 775465456 11575 827960517 SEE SCHEDULE O 775465456 true true false false false false true true false true true true 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 true false false false true false false false false true true false false false true X 0 0 true 4054 true true true false false false false true true false false false false false false false false false X 10 6 false false false false false false false true true false false true true true true true true true true false PA X CYNTHIA A GALLO 2158297351 210 WEST WASHINGTON SQUARE PHILADELPHIA PA 191063501 X KEVIN B MAHONEY EX-OFFICIO MEMBER 1.0 54.0 X 0 2777146 20761 KEITH KASPER EX-OFFICIO MEMBER, CONTROLLER 1.0 54.0 X X 0 1810167 236866 MICHELLE M VOLPE EX-OFFICIO MEM, COO 1.0 54.0 X X 0 1396534 15224 THERESA M LARIVEE BOARD MEMBER, CEO 1.0 54.0 X X 0 924854 112198 JODY J FOSTER CHAIR DEPT. PSYCHIATRY 55.0 0.0 X 648402 0 26758 FRANK A ANASTASI FHFMA CFO,ASST CONT,SECR UNTIL 12/23 55.0 0.0 X X 522184 0 20714 DANIEL WILSON CEO UNTIL 1/24 55.0 0.0 X X 444229 0 28997 MINA RICCIARDELLI ASSOCIATE DIRECTOR PHARMACY 55.0 0.0 X 291478 0 31688 LINDSEY AARONSON-AYLING CFO,ASST CONT,SECR AS OF 12/23 55.0 0.0 X X 298758 0 18567 CHRISTINE TIERNEY CHRO 55.0 0.0 X 259424 0 23979 TRACEY WU-TRAM NURSE RN 55.0 0.0 X 259768 0 19262 KERRI MOCHARNUK CLINICAL NURSE 2 55.0 0.0 X 256290 0 6108 MELISSA L ZAK DNP MBA RN BOARD MEMBER 1.0 0.0 X 211272 0 19005 KATHY BOSTON ASST. SECRETARY 55.0 0.0 X X 81765 0 9249 ALLEN H BAR MD BOARD MEMBER 1.0 0.0 X 0 0 0 JILL ROBERTS BOARD MEMBER 1.0 0.0 X 0 0 0 KATHY KILLIAN BOARD MEMBER 1.0 0.0 X 0 0 0 SUEYUN LOCKS MFA BOARD MEMBER UNTIL 1/24 1.0 0.0 X 0 0 0 THOMAS J SHARBAUGH JD BOARD MEMBER, CHAIR 1.0 0.0 X X 0 0 0 WILLIAM H LIPSHUTZ MD BOARD MEMBER 1.0 0.0 X 0 0 0 ALICIA GRESHAM CEO, BOARD MEMBER AS OF 1/24 55.0 0.0 X X 0 0 0 3273570 6908701 589376 898 false true false SOCIETY HILL ANESTHESIA CONSULTANTS PO BOX 414853 BOSTON MA 022414853 MEDICAL SERVICES 15540476 GENERAL HEALTHCARE RESOURCES 2250 HICKORY RD STE 240 PLYMOUTH MEETING PA 19462 OUTSOURCED STAFFING 9578737 LF DRISCOLL COMPANY LLC 401 CITY AVE STE 500 BALA CYNWYD PA 19004 CONSTRUCTION SVCS 5974772 MAYFLOWER LAUNDRY LINEN 10 DOCK VIEW DRIVE NEW CASTLE DE 19720 HOUSEKEEPING SVCS 1872331 SUPPLEMENTAL HEALTH CARE 1640 W REDSTONE CENTER DR STE 200 PARK CITY UT 84098 OUTSOURCED STAFFING 543358 29 9010030 616177 9010030 NET PATIENT SERVICE REVENUES 621110 777843560 777843560 OUTPATIENT BEHAVIORAL HEALTH REVENUES 621400 2652904 2652904 780496464 14699451 14699451 0 0 555889 555889 0 555889 555889 67660 -67660 -67660 -67660 0 0 0 0 0 0 0 0 0 PARKING REVENUES 812930 1776519 1259140 517379 CAFETERIA SALES 900099 2582621 2582621 SPONSORED PROGRAMS 900099 1138927 1138927 42528365 42483365 45000 48026432 852720606 827960517 562379 15187680 0 0 0 0 2164873 1926737 238136 0 0 291472766 258740375 31857973 874418 0 63576863 55801413 7756377 19073 20508267 18000106 2502009 6152 145607191 126939649 18645904 21638 67722 58647 9075 0 57530 49821 7709 0 0 0 0 29838283 25839953 3998330 0 3662 3245 417 0 20806846 18289543 2517303 0 434932 376651 58281 0 0 8650074 6305904 2344170 0 568754 0 568754 0 0 0 2741325 2404142 337183 0 0 26030401 22568358 3462043 0 7974337 7017417 956920 0 MEDICAL SUPPLIES 196571639 196571639 0 0 MISC. EXPENSES 20939239 18552166 2387073 0 STATE ASSESSMENTS 17123288 15171233 1952055 0 DUES & LICENSES 691464 612638 78826 0 266163 235819 30344 856095619 775465456 79708882 921281 3900 3820 -60906 -187449 0 0 98199592 107257671 0 0 0 0 0 0 9725507 10237522 11099237 16029484 692757948 484197506 215207483 208560442 0 0 342755745 357332092 0 0 0 0 136436259 145349785 813366817 844583367 32461951 40288269 0 0 0 0 88966280 83169315 0 0 0 0 0 0 0 0 7974213 5883822 129402444 129341406 X 342962663 358100589 341001710 357141372 683964373 715241961 813366817 844583367 X -3375013 2489136 32163465 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 1 1 1 false true X X X false 411179545 11645310 32017356 0 20979351 0 433862860 419248304 4665760 7228079 0 19962598 0 411179545 440690694 4534002 -7492915 0 18483477 0 419248304 327925670 4040242 124536512 0 15811730 0 440690694 331668307 3606954 8456336 0 15805927 0 327925670 0.23940 0.76060 0.00000 true false 134140 134140 372024095 240376188 131647907 2110625 2124025 -13400 301015950 241697293 59318657 17473138 0 17473138 208560442 INVESTMENTS - PLANT FUND 140720 F DONOR RESTRICTED FUNDS 357141372 F SPECIAL PURPOSE FUNDS 50000 F 357332092 DUE FROM AFFILIATES 38798190 BOARD DESIGNATED FUNDS 103875122 3RD PARTY RECEIVABLE 1099806 RIGHT OF USE ASSET 1576667 145349785 0 ASSET RETIREMENT LIABILITY 216320 ESTIMATED 3RD PARTY PAYABLES 4664374 LEASE LIABILITY 1003128 5883822 X SCHEDULE D, PART II, LINE 9 DETAIL OF CONSERVATION EASEMENTS PENNSYLVANIA HOSPITAL ("PAH") HAS A CONSERVATION EASEMENT IN PLACE WITH THE PARK COMMISSION IN REGARD TO PENNSYLVANIA HOSPITAL'S PINE BUILDING. THE CONSERVATION EASEMENT STATES THAT DUE TO ITS HISTORICAL NATURE, PENNSYLVANIA HOSPITAL CANNOT CHANGE OR MODIFY IN ANY WAY THE EXTERIOR OF THIS BUILDING. SINCE THERE ARE NO REVENUES OR EXPENSES ASSOCIATED WITH THIS CONSERVATION EASEMENT, IT IS NOT REFLECTED ON PENNSYLVANIA HOSPITAL'S FINANCIAL STATEMENTS. ------------------------------ SCHEDULE D, PART III, LINE 1A DETAIL OF COLLECTIONS ALTHOUGH PAH MAINTAINS COLLECTIONS OF WORKs OF ART, HISTORICAL TREASURES, AND/OR OTHER SIMILAR ASSETS, SINCE THE ORGANIZATION AND SUCH COLLECTIONS HAVE BEEN IN EXISTENCE FOR SEVERAL DECADES, THE COST OF CAPITALIZING THESE COLLECTIONS WOULD EXCEED THE INCREMENTAL BENEFIT OF THE INFORMATION GAINED. AS A RESULT, PAH DOES NOT CAPITALIZE THESE TYPES OF ASSETS. NOTE THAT SINCE PAH IS INCLUDED IN A CONSOLIDATED AUDIT, THE CONSOLIDATED FINANCIAL STATEMENTS DO NOT CONTAIN ANY FOOTNOTE DISCLOSURE RELATING TO THIS ITEM. ------------------------------ SCHEDULE D, PART III, LINE 4 DESCRIPTION OF COLLECTIONS LIBRARY COLLECTIONS - THE LIBRARIES AT PAH ARE LOCATED ON THE 2ND AND 3RD FLOOR OF THE HISTORIC PINE BUILDING. THE MODERN LIBRARY IS AN ON-SITE, EASILY ACCESSIBLE, VITAL REFERENCE CENTER INCORPORATING MODERN INFORMATION TECHNOLOGY. THE COLLECTIONS INCLUDE THE CLINICAL LIBRARY AND THE PSYCHIATRIC LIBRARY. THE HISTORIC LIBRARY AND HISTORIC COLLECTIONS CONTAIN MANUSCRIPTS, RARE BOOKS, ART, AND ARTIFACTS RELATED TO THE HISTORY OF MEDICINE AND PAH. THESE COLLECTIONS ARE USED BY LOCAL, REGIONAL, NATIONAL, AND INTERNATIONAL RESEARCHERS. THE LIBRARY OFFERS AN ARRAY OF SERVICES, INCLUDING PROFESSIONAL SEARCHING OF THE MEDICAL LITERATURE. IN ADDITION TO SERVING THE INFORMATION NEEDS OF CLINICIANS, THE LIBRARY IS OPEN TO OUR PATIENTS, FAMILIES, AND THE GENERAL PUBLIC. HISTORIC COLLECTIONS - PAH IS THE NATION'S FIRST HOSPITAL AND A DESIGNATED NATIONAL HISTORIC LANDMARK. FOUNDED BY DR. THOMAS BOND AND BENJAMIN FRANKLIN, THE HOSPITAL WAS CHARTERED IN 1751 BY THE COLONIAL GOVERNMENT AS THE FIRST INSTITUTION IN AMERICA ORGANIZED EXCLUSIVELY FOR THE TREATMENT AND CARE OF THE SICK, POOR AND MENTALLY ILL. PAH OFFERS THE PUBLIC A VIEW OF THE HISTORY OF MEDICINE IN A WAY UNLIKE ANY OTHER INSTITUTION IN THE UNITED STATES, PROVIDING BOTH GUIDED AND SELF-GUIDED TOURS OF THE NATION'S FIRST MEDICAL LIBRARY AND SURGICAL AMPHITHEATRE. WE ARE A BLUE STAR MUSEUM, PROVIDING FREE TOURS FOR MILITARY PERSONNEL AND THEIR FAMILIES. THE HISTORIC COLLECTIONS, HOUSED IN THE ORIGINAL EAST WING OF THE PINE BUILDING, HOLDS A COLLECTION OF RECORD THAT REFLECTS THE DEVELOPMENT OF HEALTHCARE AND MEDICAL EDUCATION FROM THE EIGHTEENTH TO THE TWENTY-FIRST CENTURIES. OUR COLLECTIONS ARE HIGHLIGHTED IN OUR CHANGING EXHIBITIONS, WHICH HAVE INCLUDED THE HISTORY OF EARLY MEDICAL EDUCATION AND COLONIAL MEDICINE. A FREE LECTURE SERIES, OPEN TO THE PUBLIC, BRINGS IN SCHOLARS TO DISCUSS A VARIETY OF TOPICS RELATED TO THE CURRENT EXHIBITION. ADDITIONALLY, THE HISTORIC COLLECTIONS HOSTS RESEARCHERS WHO UTILIZE THESE IMPORTANT MANUSCRIPTS, AS WELL AS HOSTING AN ANNUAL CONFERENCE ON THE HISTORY OF WOMEN'S HEALTH, BRINGING TOGETHER HISTORICAL SCHOLARS AND MEDICAL PRACTITIONERS FROM ACROSS THE COUNTRY. HISTORIC TOURS - PAH PROVIDES TOURS OF ITS HISTORIC BUILDINGS AND HISTORIC COLLECTIONS. ------------------------------ 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 IX, LINE 1 DETAIL OF OTHER ASSETS THE DUE FROM AFFILIATES ACCOUNT REPRESENTS AMOUNTS OWED TO THIS ORGANIZATION BY 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, 2024 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 4606714 0 4606714 0.00540 193340845 152509574 40831271 0.04770 197947559 152509574 45437985 0.05310 28004779 8902246 19102533 0.02230 3460597 413734 3046863 0.00360 31465376 9315980 22149396 0.02590 229412935 161825554 67587381 0.07900 true 11853618 1720712 126481030 135660415 -9179385 X true true 1 1 PENNSYLVANIA HOSPITAL OF UPHS 800 SPRUCE STREET PHILADELPHIA PA 19107 www.pennmedicine.org LICENSE# 162701 X X X X X PENNSYLVANIA HOSPITAL OF UPHS 1 false false true X X X X X X X X X 21 true true true true X SEE SCHEDULE H, PART V, SECTION C X true 22 true SEE SCHEDULE 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 ("HCIF") ASSISTED THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("UPHS") AND OTHER PARTICIPATING HOSPITALS AND HEALTH SYSTEMS WITH THE COMPLETION OF THEIR CHNA. PDPH AND HCIF 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 OUR RESPONSE TO FORM 990, SCHEDULE H, PART VI, LINE 2 (NEEDS ASSESSMENT), AS WELL AS THE FOLLOWING: HTTPS://WWW.PENNMEDICINE.ORG/ABOUT/SUPPORTING-OUR-COMMUNITIES TO READ MORE WAYS PENN MEDICINE SERVES ITS COMMUNITY, PLEASE VISIT HTTPS://COMMUNITYIMPACT.PENNMEDICINE.ORG/ -------------------- 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 ------------------ 1 PENN MEDICINE AT RITTENHOUSE 1840 SOUTH STREET PHILADELPHIA PA 19146 OUTPATIENT FACILITY PART I, LINE 7 (BAD DEBT EXPENSE, COSTING METHODOLOGY USED) THE BAD DEBT EXPENSE AMOUNT INCLUDED ON FORM 990, PART IX, COLUMN 25(A) WAS $28,689,000 RELATED TO ACADEMIC BAD DEBTS FOR THE YEAR ENDED JUNE 30, 2024. 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 CAN BE FOUND 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) 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 CHARITABLE HEALTHCARE MISSION OF 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) PENN MEDICINE IS ONE OF THE WORLD'S LEADING ACADEMIC MEDICAL CENTERS, DEDICATED TO THE RELATED MISSIONS OF MEDICAL EDUCATION, BIOMEDICAL RESEARCH, AND EXCELLENCE IN PATIENT CARE. PENN MEDICINE CONSISTS OF THE RAYMOND AND RUTH PERELMAN SCHOOL OF MEDICINE AT THE UNIVERSITY OF PENNSYLVANIA, FOUNDED IN 1765 AS THE NATION'S FIRST MEDICAL SCHOOL, AND THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM (UPHS), WHICH TOGETHER FORM A $11.9 BILLION ENTERPRISE. THE PERELMAN SCHOOL OF MEDICINE AND UPHS ARE COMMITTED TO IMPROVING LIVES AND HEALTH THROUGH CLINICAL CARE, RESEARCH, MEDICAL EDUCATION, AND COMMUNITY SERVICE. THE SCHOOL OF MEDICINE HAS 791 M.D. STUDENTS, 1,947 RESIDENTS AND FELLOWS, AND 3,289 FULL-TIME FACULTY MEMBERS AS OF FY23. THROUGH UNDERGRADUATE MEDICAL EDUCATION, BROAD RANGING GRADUATE, RESIDENCY, AND 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. WITHIN OUR PHILADELPHIA FACILITIES, IN KEEPING WITH OUR CHARITABLE PURPOSE, UPHS ACCEPTS PATIENTS IN SERIOUS NEED OF MEDICAL CARE REGARDLESS OF THEIR FINANCIAL STATUS. UPHS ALSO PROVIDES CARE TO PATIENTS WHO DO NOT HAVE HEALTH INSURANCE OR MEET THE CRITERIA TO QUALIFY FOR ITS CHARITY CARE POLICY. IN FISCAL YEAR 2023, PENN MEDICINE, AS AN INSTITUTION, PROVIDED $421.9 MILLION IN CHARITY AND UNDERFUNDED CARE FOR PATIENTS IN NEED. THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA (HUP) WAS ESTABLISHED IN 1874 AS A TEACHING HOSPITAL TO COMPLEMENT THE MEDICAL EDUCATION RECEIVED BY STUDENTS AT THE PERELMAN SCHOOL OF MEDICINE. TODAY, IT HAS 20 CLINICAL DEPARTMENTS AND PROVIDES TRAINING IN MORE THAN 40 CLINICAL SPECIALTIES. MAJOR AREAS OF CLINICAL FOCUS ACROSS HUP INCLUDE CARDIAC CARE, ONCOLOGY, NEUROSCIENCES, AND WOMEN'S HEALTH. HUP IS ONE OF THE ONLY HOSPITALS IN THIS REGION THAT PERFORMS TRANSPLANTS OF ALL MAJOR ORGANS. HUP'S CAMPUS IS A HUB FOR INNOVATIVE MEDICAL CARE, AND HOME TO THE PAVILION-THE LARGEST CAPITAL PROJECT IN THE UNIVERSITY OF PENNSYLVANIA'S HISTORY-WHICH OPENED IN OCTOBER 2021. THE PAVILION IS ONE OF THE LARGEST HOSPITAL PROJECTS IN THE U.S.-AND THE LARGEST IN THE PHILADELPHIA REGION. THE BUILDING RISES 17 STORIES ON PENN MEDICINE'S WEST PHILADELPHIA CAMPUS AS A PLACE WHERE PENN'S WORLD-RENOWNED RESEARCHERS, CLINICIANS, AND FACULTY WILL CONTINUE TO PIONEER ADVANCED PATIENT CARE. THE $1.6 BILLION FACILITY HOUSES 504 PRIVATE PATIENT ROOMS AND 47 OPERATING ROOMS. IN MARCH 2021, HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA - CEDAR AVENUE OPENED AS PART OF A PARTNERSHIP WITH PUBLIC HEALTH MANAGEMENT CORPORATION (PHMC) OFFERING CONTINUITY IN ACCESS TO CARE AND SERVICES IN WEST AND SOUTHWEST PHILADELPHIA IN PLACE OF A LONGSTANDING COMMUNITY HOSPITAL THAT NEEDED TO CLOSE. THIS SITE OFFERS 121 LICENSED BEDS AND CONTINUES TO EVOLVE INTO A MULTI-FACETED AND INNOVATIVE PUBLIC HEALTH CAMPUS. PENN MEDICINE MANAGES THE EMERGENCY DEPARTMENT, INPATIENT SERVICES, AND HOSPITAL-BASED BEHAVIORAL HEALTH PROGRAMMING AS HUP-CEDAR. PHMC HAS OPENED A FEDERALLY QUALIFIED HEALTH CENTER AT THE SITE, WHICH IS STAFFED BY CLINICIANS FROM THE PENN MEDICINE DEPARTMENT OF FAMILY MEDICINE AND COMMUNITY HEALTH, PROVIDING COMMUNITY MEMBERS WITH ACCESS TO HIGH-QUALITY, INTEGRATED, PATIENT-CENTERED HEALTH CARE. A KEY ELEMENT OF THE CAMPUS IS A ROBUST COMMUNITY ENGAGEMENT PLAN THAT INCLUDES REGULAR AND ONGOING COMMUNITY OUTREACH WITH STAKEHOLDERS, THUS SUPPORTING THE ENGAGEMENT OF COMMUNITY-BASED, NON-PROFIT SOCIAL SERVICES THAT ADDRESS KEY ISSUES, SUCH AS HEALTH AND WELLNESS EDUCATION AND FOOD INSECURITY. PENN PRESBYTERIAN MEDICAL CENTER (PPMC) IS CONSISTENTLY RECOGNIZED AS A CENTER OF EXCELLENCE FOR CARDIAC CARE, OPHTHALMOLOGY, AND NEUROSCIENCES. PPMC'S CAMPUS INCLUDES THE MUSCULOSKELETAL CENTER'S OUTPATIENT FACILITY AT PENN MEDICINE UNIVERSITY CITY, ABRAMSON CANCER CENTER AND THE PAVILION FOR ADVANCED CARE, HOME TO PENN MEDICINE'S LEVEL 1 TRAUMA CENTER. THE PA ACCREDITED TRAUMA CENTER OPERATES AROUND THE CLOCK TO CARE FOR PATIENTS WHO HAVE BEEN CRITICALLY INJURED IN CAR ACCIDENTS, FALLS, GUNSHOT WOUNDS AND THROUGH OTHER BLUNT AND PENETRATING TRAUMAS. THE TRAUMA CENTER AT PENN PRESBYTERIAN MEDICAL CENTER SERVES AS A REGIONAL RESOURCE FOR INJURED PATIENTS CARING FOR MORE THAN 3,000 PATIENTS ANNUALLY, SEVERAL HUNDRED OF WHOM ARE TRANSFERRED FROM OTHER AREA HOSPITALS AND TRAUMA CENTERS. PENNSYLVANIA HOSPITAL IS THE NATION'S FIRST HOSPITAL. FOUNDED IN 1751 BY BENJAMIN FRANKLIN AND DR. THOMAS BOND, PENNSYLVANIA HOSPITAL HAS BEEN A LEADER IN PATIENT CARE, TREATMENT TECHNIQUES, AND MEDICAL EDUCATION FOR MORE THAN 270 YEARS. TODAY ITS CLINICAL PROGRAMS INCLUDE THE SPINE CENTER, ORTHOPEDICS, THE CENTER FOR TRANSFUSION-FREE MEDICINE, MATERNITY AND NEWBORN SERVICES, AND BEHAVIORAL HEALTH. PENNSYLVANIA HOSPITAL IS ALSO HOME TO PENN MEDICINE WASHINGTON SQUARE, THE HOSPITAL'S OUTPATIENT FACILITY. **IMPACT OF PRIOR COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION** PROPELLED BY OUR TRIPARTITE MISSION OF PATIENT CARE, EDUCATION, AND RESEARCH, AND IN RESPONSE TO THE NEEDS OF OUR COMMUNITY, PENN MEDICINE HAS DRIVEN SEVERAL PROGRAMS TO CARE FOR OUR NEIGHBORS AND IMPROVE THE WELL-BEING OF OUR REGION: > MENTAL AND BEHAVIORAL HEALTH AND SUBSTANCE USE THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA-CEDAR AVENUE (HUP CEDAR) CRISIS RESPONSE CENTER (CRC) WAS ESTABLISHED IN 2023 TO MAKE CRITICAL PSYCHIATRIC AND SUBSTANCE USE CARE EASILY ACCESSIBLE FOR WEST AND SOUTHWEST PHILADELPHIA RESIDENTS. IN ADDITION TO MOVING INPATIENT AND DRUG AND ALCOHOL DETOXIFICATION UNITS FROM PENN PRESBYTERIAN MEDICAL CENTER TO HUP CEDAR, THE NEWLY ESTABLISHED CRC PROVIDED CARE FOR MORE THAN 4,500 PATIENT VISITS IN ITS FIRST YEAR. TOGETHER, PENNSYLVANIA HOSPITAL AND THE HUP CEDAR HAVE A TOTAL OF 73 LICENSED INPATIENT PSYCHIATRIC BEDS AND 16 BEDS FOR SUBSTANCE USE TREATMENT. IN 2023, THERE WERE MORE THAN 107,000 DRUG OVERDOSE DEATHS IN THE UNITED STATES, AND IN PHILADELPHIA, DEATH RATES CONTINUE TO RISE. PENN MEDICINE'S CENTER FOR OPIOID RECOVERY AND ENGAGEMENT (CORE) PROVIDES FREE PEER SUPPORT FOR INDIVIDUALS STRUGGLING WITH OPIOID USE AND THEIR LOVED ONES. THE PROGRAM PROVIDES MULTIPLE PATHWAYS TO RECOVERY BY REMOVING BARRIERS AND FACILITATING ACCESS TO RECOVERY RESOURCES. CORE OFFERS HANDS-ON MEDICAL AND BEHAVIORAL HELP TO ENSURE INDIVIDUALS RECEIVE CONTINUED TREATMENT AND ARE SUPPORTED WITHIN THEIR COMMUNITIES. CORE'S OPIOID USE DISORDER (OUD) CARE TEAM IS MADE UP OF CERTIFIED RECOVERY SPECIALISTS WHO USE THEIR PERSONAL OUD EXPERIENCES TO PROVIDE PARTICIPANTS WITH LONG-TERM GUIDANCE FOR RECOVERY. CORE ALSO OFFERS ENHANCED CASE MANAGEMENT SERVICES, PROVIDING ASSISTANCE WITH OBTAINING HOUSING, EDUCATION, SOCIAL SERVICE NEEDS, SUPPORT GROUPS AND ACCESS TO TREATMENT. > CHRONIC DISEASE PREVENTION AND MANAGEMENT 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 A 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. 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. PART VI, LINE 2 (NEEDS ASSESSMENT) (CONTINUED) > PRIMARY AND PREVENTIVE CARE NAVIGATION AND ACCESS THE PENN CENTER FOR COMMUNITY HEALTH WORKERS PROGRAM IS A STANDARDIZED, SCALABLE COMMUNITY HEALTH WORKER (CHW) PROGRAM IN WHICH PENN MEDICINE HIRES, TRAINS, AND DEPLOYS TRUSTED LAYPEOPLE FROM LOCAL COMMUNITIES TO HELP PATIENTS ADDRESS FOOD, HOUSING, TRANSPORTATION, AND CHRONIC DISEASE PREVENTION. THE PROGRAM HAS BEEN DELIVERED TO NEARLY 10,000 HIGH-RISK PATIENTS AND PROVEN IN THREE RANDOMIZED CONTROLLED TRIALS TO IMPROVE CHRONIC DISEASE CONTROL, MENTAL HEALTH, AND QUALITY OF CARE WHILE REDUCING TOTAL HOSPITAL DAYS BY 65 PERCENT. THE UNITED COMMUNITY CLINIC (UCC), HOUSED IN THE NEW RIVER CHURCH, HAS BEEN A CORNERSTONE OF PREVENTATIVE CARE IN WEST PHILADELPHIA FOR NEARLY 25 YEARS. LED BY MEDICAL STUDENTS AND FACULTY FROM THE PERELMAN SCHOOL OF MEDICINE, THE UCC HAS CONSISTENTLY EVOLVED TO MEET THE NEEDS OF ITS COMMUNITY. IN THE LAST TWO YEARS, PENN MEDICINE AND UCC HAVE EXPANDED THEIR SERVICES TO SOUTHWEST PHILADELPHIA, ANOTHER MEDICALLY UNDERSERVED COMMUNITY. UCC CLINICIANS ADDRESS A WIDE RANGE OF HEALTH NEEDS FROM ROUTINE CHECK-UPS AND DIABETES MANAGEMENT TO TREATING COMMON ILLNESS AND PROVIDING X-RAYS FOR INJURIES. OVER THE PAST YEAR, UCC HAS TREATED 158 PATIENTS ACROSS TWO COMMUNITY CLINIC LOCATIONS. THE CLINIC ALSO ASSISTS PATIENTS IN FINDING INSURANCE TO ENSURE THEY HAVE CONTINUED ACCESS TO NECESSARY MEDICAL SERVICES IN THE FUTURE. 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 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 ACCESS TO HIGH QUALITY PRIMARY CARE, ENSURES CONTINUITY OF CARE, AND IMPROVES HEALTH OUTCOMES. 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 MEDICALLY UNDERSERVED COMMUNITIES THROUGHOUT PHILADELPHIA. THESE CLINICS PROVIDE SUPPORT TO COMMUNITIES THAT FACE SIGNIFICANT ACCESS BARRIERS TO CARE. > SPECIALTY CARE NAVIGATION AND ACCESS THE PENN CENTER FOR SURGICAL HEALTH (CSH) AIMS TO CREATE SUSTAINABLE INFRASTRUCTURE FOR ACCESS TO HIGH-QUALITY, COST-CONSCIOUS SURGICAL CARE BEFORE IT BECOMES AN EMERGENCY. CSH PAIRS PATIENTS WITH A PERSONAL PATIENT NAVIGATOR (PPN)-TYPICALLY A MEDICAL STUDENT WHO HAS UNDERGONE CHS'S PPN TRAINING PROGRAM-TO HELP PATIENTS THROUGH OBTAINING INSURANCE OR OTHER FUNDING AND UNDERSTANDING AND NAVIGATING FROM PREOPERATIVE THROUGH TO POSTOPERATIVE CARE. SINCE ITS INCEPTION IN FALL 2021, THE CSH HAS PROVIDED MORE THAN 1,000 PATIENT REFERRALS, FACILITATED TRANSPORTATION TO SURGERIES FOR 333 PATIENTS, AND HELPED 180 PATIENTS GET ACCESS TO CARE THAT WOULD OTHERWISE BE OUT OF REACH. PENN MEDICINE IS ACTIVELY WORKING TO DECENTRALIZE CANCER SCREENINGS AND BRING CANCER CARE TO COMMUNITIES BY ENABLING ACCESS TO PREVENTATIVE CARE OUTSIDE OF HOSPITALS IN THE COMMUNITIES THAT NEED THEM MOST. INEQUITIES IN ACCESS TO CANCER SCREENINGS FOR EARLY DETECTION, CUTTING-EDGE TREATMENTS, AND PARTICIPATION IN BREAKTHROUGH CLINICAL TRIALS CONTRIBUTE TO PERSISTENT INEQUITIES IN OUTCOMES. THROUGH COLLABORATIVE EFFORTS, LIKE THE PARTNERSHIP BETWEEN ENON TABERNACLE BAPTIST CHURCH AND THE ABRAMSON CANCER CENTER, PENN MEDICINE HAS PROVIDED AT-HOME COLORECTAL CANCER SCREENING KITS AT COMMUNITY EVENTS AND DRIVE-THROUGHS, COUPLED WITH NAVIGATION SUPPORT FOR FOLLOW-UP CARE. SIMILARLY, THE PENN MEDICINE BREAST HEALTH INITIATIVE HAS DELIVERED FREE BREAST CANCER SCREENINGS AND BREAST HEALTH EDUCATION, AMONG OTHER SUPPORT SERVICES THAT HAVE REACHED MORE THAN 3,000 WOMEN IN THE REGION SINCE 2014. BY FOCUSING ON COMMUNITY-BASED OUTREACH AND PATIENT NAVIGATION, PENN MEDICINE IS CLOSING GAPS IN CARE, BOOSTING PARTICIPATION IN SCREENINGS AND CLINICAL TRIALS, AND IMPROVING OUTCOMES. > VIOLENCE PREVENTION AND INTERVENTION DEEPLY ROOTED WAS LAUNCHED IN 2022 BY THE PENN URBAN HEALTH LAB AS A COMMUNITY-ACADEMIC COLLABORATIVE. WITH A $6 MILLION INVESTMENT FROM PENN MEDICINE AND CHILDREN'S HOSPITAL OF PHILADELPHIA (CHOP), THE COLLABORATIVE HAS CLEANED AND GREENED MORE THAN 700 VACANT LOTS, PLANTED MORE THAN 820 TREES, AND BUILT MINIPARKS DESIGNED BY THE COMMUNITY. THE PROGRAM HAS ALSO AWARDED MULTIPLE MICRO-GRANTS FOR RESIDENT-LED PROJECTS THAT SUPPORT VACANT LOT CLEANUPS, COMMUNITY SPACE PROGRAMMING, JOB TRAINING, EDUCATION, AND MORE. THESE EFFORTS ARE BACKED BY PENN MEDICINE RESEARCH THAT SHOWS GREENING VACANT SPACES REDUCES VIOLENT CRIME, IMPROVES MENTAL HEALTH AND HAS VARIOUS OTHER POSITIVE IMPACTS ON HEALTH OUTCOMES. THE PENN TRAUMA VIOLENCE RECOVERY PROGRAM IS A HOSPITAL-BASED VIOLENCE INTERVENTION PROGRAM (HVIP) THAT PROVIDES SURVIVORS OF VIOLENT INJURIES WITH PSYCHOSOCIAL SUPPORT AND WRAPAROUND SERVICES TO PROMOTE THEIR HOLISTIC HEALING. THE PROGRAM IS MADE UP OF PENN PRESBYTERIAN MEDICAL CENTER (PPMC) EMPLOYEES WHO WORK ALONGSIDE PENN MEDICINE TRAUMA TEAMS TO IMPROVE CARE AND OUTCOMES FOR INJURED PATIENTS. TO DATE, THE PROGRAM HAS ENROLLED 80 PATIENTS, PROVIDED 363 PATIENTS WITH BEDSIDE COUNSELING, AND MADE 143 REFERRALS TO COMMUNITY SERVICES AND RESOURCES. PENN TRAUMA VIOLENCE RECOVERY PROGRAM LEADERS HAVE ALSO ESTABLISHED A FUND TO MEET PROGRAM PARTICIPANT'S BASIC NEEDS, FROM TRANSPORTATION COSTS TO FOOD AND OTHER NECESSITIES. > ADVANCING MATERNAL HEALTH NEW AND EXPECTANT MOTHERS IN THE UNITED STATES ARE MORE LIKELY TO DIE THAN THOSE IN ANY OTHER DEVELOPED COUNTRY IN THE WORLD. MORE THAN 80 PERCENT OF THESE DEATHS ARE PREVENTABLE. IN TERMS OF HEALTHCARE OUTCOMES, IT APPEARS THERE ARE DISPARATE OUTCOMES RELATED TO MATERIAL MORTALITY IN THAT BLACK PATIENTS ARE DISPROPORTIONATELY IMPACTED; THEIR RISK OF DEATH APPEARS TO BE FOUR TIMES THAT OF CAUCASIAN PATIENTS IN PHILADELPHIA. TO AVOID DISPARITIES IN OUTCOME AMONG PATIENTS GIVING BIRTH AT PENN MEDICINE, PENN MEDICINE HAS DEVELOPED A UNIFIED SYSTEM-WIDE EFFORT TO REDUCE MATERNAL HEALTH DISPARITIES THROUGH FACULTY RESEARCH, COMMUNITY ENGAGEMENT, AND A BROAD ARRAY OF QUALITY IMPROVEMENTS AND INNOVATIONS IN PATIENT CARE. ONE SUCH INNOVATION, THE HEART SAFE MOTHERHOOD REMOTE BLOOD PRESSURE MONITORING PROGRAM, WAS IMPLEMENTED TO HELP POSTPARTUM MOTHERS MANAGE HIGH BLOOD PRESSURE FROM HOME VIA TEXT MESSAGES, REDUCING THE NEED FOR IN-OFFICE VISITS. IN THE 2023 FISCAL YEAR, HEART SAFE MOTHERHOOD RECEIVED MORE THAN 250,000 PATIENT-REPORTED BLOOD PRESSURE READINGS, RESULTING IN A 50 PERCENT REDUCTION IN 6-MONTH READMISSIONS FOR MOTHERS WITH BLOOD PRESSURE-RELATED CONDITIONS. HEART SAFE MOTHERHOOD IS NOT ONLY STANDARD OF CARE FOR AT-RISK PATIENTS IN ALL PENN MEDICINE BIRTHING HOSPITALS, BUT HAS EXPANDED TO SEVERAL OTHER PHILADELPHIA HOSPITALS OUTSIDE OF PENN. PENN MEDICINE'S APPROACH TO MATERNAL HEALTH INVOLVES INTERVENTIONS AT EVERY STAGE IN THE CONTINUUM OF MATERNAL CARE, FROM PREGNANCY AND DELIVERY, THROUGH THE FIRST FEW WEEKS POSTPARTUM, AS WELL AS AFTER AND IN BETWEEN PREGNANCIES. THIS COMPREHENSIVE APPROACH RESULTED IN A 30 PERCENT REDUCTION IN MATERNAL MORBIDITY-HEALTH PROBLEMS RESULTING FROM PREGNANCY AND CHILDBIRTH-IN THE FIRST YEAR ALONE. > FOOD SECURITY THE FOOD ACCESS SUPPORT TECHNOLOGY (FAST) PROGRAM ADDRESSES THE NEEDS OF FOOD-INSECURE RESIDENTS IN PHILADELPHIA WHOSE LACK OF ACCESS TO NUTRITIOUS FOOD EXACERBATES CHRONIC HEALTH CONDITIONS WITH A DIGITAL PLATFORM THAT ENABLES HEALTH SYSTEMS, COMMUNITY-BASED ORGANIZATIONS, AND SMALL BUSINESSES TO IMPROVE FOOD DELIVERY IN THE REGION. THE PROGRAM HAS SUCCESSFULLY PROVIDED THOUSANDS OF MEALS TO FAMILIES IN NEED SINCE THE APP LAUNCHED IN 2021. PART VI, LINE 2 (NEEDS ASSESSMENT) (CONTINUED) THE HUP HARVEST FOOD PANTRY BEGAN IN MAY 2020. 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. HUP FOOD PANTRY PARTNERS WITH PHILABUNDANCE TO RECEIVE A MINIMUM OF 500 POUNDS OF FOOD EACH WEEK. IN OCTOBER 2020, THE PANTRY CEMENTED RELATIONSHIPS WITH THE PENN FOOD AND WELLNESS COLLABORATIVE AND STARTED RECEIVING PRODUCE FROM PENN FARM. THE PROGRAM AGAIN EXPANDED IN DECEMBER 2021, OFFERING BAGS OF FOOD TO FOOD-INSECURE, DIABETIC PRENATAL AND POSTPARTUM PATIENTS AT PENN'S HELEN O. DICKENS CENTER FOR WOMEN'S HEALTH. IN THIS PAST YEAR, PENN MEDICINE EXPANDED THE HUP PANTRY PROGRAM TO HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA - CEDAR AVENUE, WHICH SERVES WEST AND SOUTHWEST PHILADELPHIA. TO DATE, 14,160 CLIENTS HAVE BEEN SERVED WITH 163,210 POUNDS OF FOOD AND THE HELP OF 762 VOLUNTEER HOURS. > ADDRESSING A WIDE ARRAY OF SOCIAL DETERMINANTS OF HEALTH THE SOCIAL NEEDS RESPONSE TEAM (SNRT) ADDRESSES THE SOCIOECONOMIC CHALLENGES OF PATIENT POPULATIONS WHO VISIT PENN MEDICINE. BY CONDUCTING SURVEYS THAT IDENTIFY ISSUES LIKE FOOD AND HOUSING INSECURITY, SNRT CONNECTS PATIENTS WITH COMMUNITY RESOURCES BOTH DURING THEIR TREATMENT AND AFTER DISCHARGE FROM CARE AT PENN MEDICINE. SINCE IT BEGAN, SNRT HAS RECEIVED OVER 1000 REFERRALS, WITH FOOD ASSISTANCE, HOUSING, AND EMPLOYMENT AMONG THE COMMUNITY'S PRIMARY NEEDS. THE PENN MEDICINE CARES GRANT PROGRAM WAS CREATED TO PROVIDE INSTITUTIONAL SUPPORT FOR INITIATIVES THAT ADDRESS COMMUNITY HEALTH NEEDS WHILE RECOGNIZING THE VOLUNTEER EFFORTS OF EMPLOYEES AND MEDICAL STUDENTS. SINCE ITS INCEPTION IN 2012, THE PROGRAM HAS FUNDED 1,200 SERVICE PROJECTS ACROSS THE PENN MEDICINE SERVICE AREA. THESE INITIATIVES HAVE INCLUDED PROGRAMS AT COMMUNITY CENTERS, FARMERS' MARKETS, AND PLACES OF WORSHIP, BENEFITING COMMUNITIES FROM PHILADELPHIA, LANCASTER, AND CHESTER COUNTIES TO NEW JERSEY'S SUBURBS AND SHORE AREAS. TO DATE, NEARLY $1.25 MILLION HAS BEEN AWARDED TO SUPPORT VOLUNTEERISM AND PROJECTS THAT AIM TO IMPROVE HEALTH AND WELLNESS. IN OCTOBER 2024, PENN MEDICINE ANNOUNCED AN INCREASE IN ANNUAL FUNDING FOR THE CARES PROGRAM, FURTHER EXPANDING ITS POTENTIAL FOR FUTURE IMPACT. TO READ MORE WAYS PENN MEDICINE SERVES ITS COMMUNITY, PLEASE VISIT HTTPS://COMMUNITYIMPACT.PENNMEDICINE.ORG/ -------------------- PART VI, LINE 3 (PATIENT EDUCATION OF ELIGBILITY FOR ASSISTANCE) UPHS IS COMMITTED TO CARING FOR ALL PATIENTS EQUITABLY, WITH DIGNITY, RESPECT AND COMPASSION WITHOUT REGARD TO AGE, RACE, COLOR, NATIONAL ORIGIN (INCLUDING LIMITED ENGLISH PROFICIENCY), ETHNICITY, RELIGION, CREED, SEX, PHYSICAL OR MENTAL DISABILITY, MARITAL STATUS OR SEXUAL PREFERENCE, ANCESTRY, SEXUAL ORIENTATION OR GENDER IDENTITY, GENETIC INFORMATION, CULTURE, SOCIOECONOMIC STATUS, DOMESTIC OR SEXUAL VIOLENCE VICTIM STATUS, SOURCE OF INCOME, SOURCE OF PAYMENT, OR VETERAN STATUS. 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 UPHS 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 FRANK A ANASTASI FHFMA CFO,ASST CONT,SECR UNTIL 12/23 438183 0 79749 0 4252 0 0 0 20714 0 542898 0 0 0 KEITH KASPER EX-OFFICIO MEMBER, CONTROLLER 0 1066738 0 507150 0 236279 0 218400 0 18466 0 2047033 0 198644 KEVIN B MAHONEY EX-OFFICIO MEMBER 0 1801543 0 938400 0 37203 0 0 0 20761 0 2797907 0 0 MELISSA L ZAK DNP MBA RN BOARD MEMBER 202954 0 8000 0 318 0 0 0 19005 0 230277 0 0 0 MICHELLE M VOLPE EX-OFFICIO MEM, COO 0 862368 0 376308 0 157858 0 0 0 15224 0 1411758 0 0 DANIEL WILSON CEO UNTIL 1/24 276131 0 166886 0 1212 0 0 0 28997 0 473226 0 0 0 JODY J FOSTER CHAIR DEPT. PSYCHIATRY 457805 0 188462 0 2135 0 0 0 26758 0 675160 0 0 0 MINA RICCIARDELLI ASSOCIATE DIRECTOR PHARMACY 284150 0 6259 0 1069 0 0 0 31688 0 323166 0 0 0 TRACEY WU-TRAM NURSE RN 258657 0 550 0 561 0 0 0 19262 0 279030 0 0 0 CHRISTINE TIERNEY CHRO 206267 0 52366 0 791 0 0 0 23979 0 283403 0 0 0 THERESA M LARIVEE BOARD MEMBER, CEO 0 549173 0 268989 0 106692 0 83580 0 28618 0 1037052 0 80169 LINDSEY AARONSON-AYLING CFO,ASST CONT,SECR AS OF 12/23 251813 0 46697 0 248 0 0 0 18567 0 317325 0 0 0 KERRI MOCHARNUK CLINICAL NURSE 2 256223 0 0 0 67 0 0 0 6108 0 262398 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 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: KEITH KASPER - $198,644 KEVIN B. MAHONEY - NO DISTRIBUTION MICHELLE M. VOLPE - $127,500 THERESA M. LARIVEE- $80,169 -------------------- SCHEDULE J, PART I, LINE 7 PROVISION OF NON-FIXED PAYMENTS PENNSYLVANIA HOSPITAL 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 PENNSYLVANIA HOSPITAL HAS BEEN ALLOCATED A PORTION OF THE PA HIGHER ED FACILITIES AUTHORITY- UPHS SERIES A OF 2008 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 OF 2008 BOND ISSUE HAS BEEN REPORTED ON THE FORM 990, SCHEDULE K OF THE UNIVERSITY. THE TOTAL ALLOCATED OUTSTANDING BALANCE FOR PENNSYLVANIA HOSPITAL WAS $15,441,300 AS OF JUNE 30, 2024. PENNSYLVANIA HOSPITAL 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 PENNSYLVANIA HOSPITAL WAS $28,890,483 AS OF JUNE 30, 2024. PENNSYLVANIA HOSPITAL 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 PENNSYLVANIA HOSPITAL WAS $9,664,287 AS OF JUNE 30, 2024. PENNSYLVANIA HOSPITAL 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 PENNSYLVANIA HOSPITAL WAS $3,885,626 AS OF JUNE 30, 2024. PENNSYLVANIA HOSPITAL 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 PENNSYLVANIA HOSPITAL WAS $21,184,614 AS OF JUNE 30, 2024. FORM 990, SCHEDULE L, PART III GRANTS OR ASSISTANCE BENEFITING INTERESTED PERSONS CERTAIN OFFICERS AND/OR KEY EMPLOYEES OF PENNSYLVANIA HOSPITAL MAY RECEIVE TUITION ASSISTANCE FROM THE ORGANIZATION. THE AMOUNT OF SUCH ASSISTANCE HAS BEEN ACCOUNTED FOR AS A COMPONENT OF OVERALL COMPENSATION REPORTED FOR EACH APPLICABLE OFFICER/KEY EMPLOYEE ON FORM 990, PART VII. AS A RESULT, PURSUANT TO THE FORM 990, SCHEDULE L INSTRUCTIONS, SUCH AMOUNTS HAVE NOT BEEN ALSO REPORTED ON SCHEDULE L, PART III. X 3 616177 FMV false true false FORM 990, PART III, LINE 4A DETAIL OF PROGRAM SERVICE ACCOMPLISHMENTS PENNSYLVANIA HOSPITAL IS A 475 BED, COMMUNITY BASED, TERTIARY CARE TEACHING HOSPITAL PROVIDING A FULL RANGE OF DIAGNOSTIC AND THERAPEUTIC MEDICAL SERVICES. THE HOSPITAL'S SPECIALTIES INCLUDE OBSTETRICS AND GYNECOLOGY, NEUROSCIENCES, ORTHOPEDICS, BEHAVIORAL HEALTH, CANCER TREATMENT, CARDIAC CARE, AND BLOODLESS MEDICINE AND SURGERY. SINCE ITS FOUNDING IN 1751, THE MISSION OF PENNSYLVANIA HOSPITAL HAS BEEN TO PROVIDE THE HIGHEST LEVEL OF HEALTH CARE FOR ALL, REGARDLESS OF ABILITY TO PAY. THE HOSPITAL SUBSIDIZES THE COST OF TREATING PATIENTS WHO ARE UNINSURED AND UNABLE TO PAY, OR WHEN GOVERNMENT ASSISTANCE REIMBURSEMENT FALLS BELOW COST. PENNSYLVANIA HOSPITAL ACCEPTS PATIENTS IN SERIOUS NEED OF PROFESSIONAL MEDICAL CARE, INDEPENDENT OF THEIR FINANCIAL STATUS. THIS DEFINITION INCLUDES THOSE PATIENTS SUFFERING FROM A MEDICAL CONDITION MANIFESTING ITSELF BY ACUTE SYMPTOMS OF SUFFICIENT SEVERITY (INCLUDING SEVERE PAIN) SUCH THAT THE ABSENCE OF IMMEDIATE MEDICAL ATTENTION COULD REASONABLY BE EXPECTED TO RESULT IN (1) PLACING THE HEALTH OF THE INDIVIDUAL (OR, WITH RESPECT TO A PREGNANT WOMAN, THE HEALTH OF THE WOMAN OR HER UNBORN CHILD) IN SERIOUS JEOPARDY, OR (2) SERIOUS IMPAIRMENT TO BODILY FUNCTIONS. ACCORDINGLY, PENNSYLVANIA HOSPITAL PROVIDES SERVICES TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY, WITHOUT CHARGE OR AT AMOUNTS LESS THAN PENNSYLVANIA HOSPITAL'S ESTABLISHED RATES. BECAUSE PENNSYLVANIA HOSPITAL DOES NOT PURSUE COLLECTIONS, SUCH AMOUNTS HAVE BEEN EXCLUDED FROM NET PATIENT SERVICE REVENUE. PENNSYLVANIA HOSPITAL ESTIMATED $3,059,306 OF COSTS WERE INCURRED DURING FY24. THE ESTIMATED COSTS OF PROVIDING CHARITY SERVICES ARE BASED ON DATA DERIVED FROM A COMBINATION OF THE PENNSYLVANIA HOSPITAL (UPHS) ACCOUNTING SYSTEM AND THE RATIO OF COSTS TO CHARGES. PENNSYLVANIA HOSPITAL ALSO PROVIDES CARE TO PATIENTS WHO DO NOT HAVE HEALTH INSURANCE OR MEET THE CRITERIA TO QUALIFY FOR ITS CHARITY CARE POLICY. PENNSYLVANIA HOSPITAL PURSUES COLLECTION OF THESE AMOUNTS; HOWEVER, CERTAIN AMOUNTS ARE DEEMED TO BE UNCOLLECTIBLE. FOR FY24, $17,041,695 WAS CLASSIFIED AS AN IMPLICIT PRICE CONCESSION WHICH REDUCES NET PATIENT SERVICE REVENUE. ADDITIONALLY, THE COSTS OF PROVIDING SERVICES TO ELIGIBLE WELFARE RECIPIENTS, WHO PARTICIPATE IN THE PENNSYLVANIA MEDICAL ASSISTANCE AND LOCAL MANAGED MEDICAID PROGRAMS EXCEEDED REIMBURSEMENT BY $38,823,910 IN FY24. IN ADDITION TO PROVIDING DIRECT PATIENT CHARITY CARE AND IN FURTHERANCE OF ITS EXEMPT PURPOSE TO BENEFIT THE COMMUNITY, THE HOSPITAL OPERATES AN EMERGENCY DEPARTMENT OPEN TO THE PUBLIC 24 HOURS PER DAY, 7 DAYS PER WEEK, MAINTAINS RESEARCH FACILITIES FOR THE STUDY OF DISEASE AND INJURIES, PROVIDES FACILITIES FOR TEACHING AND TRAINING VARIOUS MEDICAL PERSONNEL, AND FACILITATES THE ADVANCEMENT OF MEDICAL AND SURGICAL EDUCATION. THE HOSPITAL ALSO PROVIDES VARIOUS COMMUNITY SERVICES SUCH AS SCREENINGS FOR THE DETECTION OF BREAST, COLORECTAL, AND SKIN CANCER, CANCER SUPPORT GROUPS, A TOLL-FREE NUMBER FOR CANCER INFORMATION, FREE IMMUNIZATION SHOTS, TRAINING PROGRAMS FOR THE CITY FIRE AND POLICE DEPARTMENTS, HEALTH EDUCATION CLASSES, SPEECHES AND REGULARLY PROVIDES HEALTH RELATED INFORMATION TO TELEVISION AND RADIO NEWS PROGRAMS AND TO REPORTERS AT NEWSPAPERS AND MAGAZINES. PENNSYLVANIA HOSPITAL PROVIDES A CONTINUUM OF HEALTH CARE SERVICES, INCLUDING EMERGENCY SERVICES, INPATIENT SERVICES, PRIMARY AND SPECIALTY CARE OUTPATIENT SERVICES, AND BEHAVIORAL HEALTH SERVICES. HEALTH SERVICES ARE PROVIDED FOR PERSONS WITHOUT REGARD TO RACE, COLOR, RELIGIOUS BELIEF, ANCESTRY, GENDER, HANDICAP, AGE, OR NATIONAL ORIGIN. IN FY24, PENNSYLVANIA HOSPITAL ADMITTED 18,959 ADULT PATIENTS; AND RECORDED 5,245 BIRTHS.THERE WERE ALSO 337,911 OUTPATIENT VISITS. IN ADDITION, 59,894 PSYCHIATRY PATIENTS WERE TREATED.THE EMERGENCY DEPARTMENT TREATED 40,618 PATIENTS IN FY24. THE PENNSYLVANIA HOSPITAL EMERGENCY DEPARTMENT IS STAFFED AND EQUIPPED TO PROVIDE EXCELLENT EMERGENCY MEDICAL CARE 24 HOURS A DAY, SEVEN DAYS A WEEK. ALL PATIENTS ARE EVALUATED REGARDLESS OF THEIR ABILITY TO PAY. THE PENNSYLVANIA HOSPITAL EMERGENCY DEPARTMENT IS RECOGNIZED BY THE EMERGENCY NURSES ASSOCIATION AS A LANTERN-RECOGNIZED EMERGENCY DEPARTMENT. THIS AWARD DISTINGUISHES EMERGENCY DEPARTMENTS FOR EXCELLENCE IN EXCEPTIONAL PRACTICE AND INNOVATIVE PERFORMANCE IN THE CORE AREAS OF LEADERSHIP, PRACTICE, EDUCATION, ADVOCACY AND RESEARCH. ONLY 1% OF EMERGENCY DEPARTMENTS NATIONWIDE HAVE RECEIVED THIS ESTEEMED RECOGNITION. COMMUNITY SERVICES & PROGRAMS HALL-MERCER COMMUNITY MENTAL HEALTH CENTER OFFERS OUTPATIENT SERVICES RANGING FROM PSYCHOTHERAPY TO COUNSELING THROUGH A VARIETY OF SPECIALIZED PROGRAMS FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES, CHRONIC MENTAL ILLNESS, AND RELATED PROBLEMS. THE CENTER RECEIVES THE MAJORITY OF ITS SUPPORT FROM THE CITY AND STATE, BUT PENNSYLVANIA HOSPITAL SUBSIDIZES A SIGNIFICANT PORTION OF ITS SERVICES. MANY OUTPATIENT SERVICES ARE AVAILABLE ON A SLIDING SCALE FEE BASIS. SPECIAL PROGRAMS WITHIN HALL-MERCER INCLUDE: ACCESS INTENSIVE CASE MANAGEMENT IS A TARGETED CASE MANAGEMENT PROGRAM WHICH SERVES ADULTS RECOVERING FROM SEVERE MENTAL ILLNESS WITH POSSIBLE CO-OCCURRING SUBSTANCE ABUSE ISSUES. MANY PARTICIPANTS AUTHORIZED TO THIS PROGRAM ARE HOMELESS OR MAY HAVE A HISTORY OF BEING HOMELESS. A TEAM APPROACH AND RECOVERY-BASED MODEL IS USED TO CONNECT PARTICIPANTS WITH SUPPORTIVE SERVICES WHICH ENCOURAGE DAILY STABILITY AND REDUCED PSYCHIATRIC HOSPITALIZATIONS. ADULT MENTAL HEALTH SERVICES PROVIDES COMPREHENSIVE OUTPATIENT MENTAL HEALTH SERVICES IN CENTER CITY, SOUTH PHILADELPHIA AND SURROUNDING AREAS. SPECIFIC SERVICES INCLUDE EVALUATIONS, PSYCHOTHERAPY, PHARMACOTHERAPY, AND SOCIAL REHABILITATION. EMPHASIS IS ON PROVIDING ALL PERSONS WHO HAVE SEVERE AND CHRONIC MENTAL ILLNESS WITH OUTSTANDING CARE IN A PLEASANT ENVIRONMENT AND RESPECTFUL MANNER. ADULT OUTPATIENT SERVICES PROVIDES BEHAVIORAL HEALTH SERVIVES INCLUDING EVALUATIONS AND ASSESSMENTS, PSYCHOPHARMACOLOGY, INDIVIDUAL THERAPY AND SOCIAL WORK SUPPORT SERVICES. A MULTIDISCIPLINARY TEAM APPROACH IS UTILIZED CONSISTING OF PSYCHIATRIS, NURSES, THERAPISTS, AND SOCIAL WORKERS. THE GOAL IS TO MEET THE NEEDS OF OUR PATIENTS IN A TIMELY, EFFICIENT, COMPASSIONATE, AND PROFESSIONAL MANNER. BEHAVIORAL HEALTH SERVICES AT THE PHILADELPHIA JUVENILE JUSTICE SERVICES CENTER (PJJSC) HALL-MERCER PROVIDES BEHAVIORAL HEALTH SERVICES AT THE PHILADELPHIA JUVENILE JUSTICE SERVICES CENTER (PJJSC). THE CLINICAL TEAM AT THE PJJSC PROVIDES ADJUSTMENT/CRISIS SERVICES, INDIVIDUAL THERAPY FOR YOUTH WITH EXTENDED LENGTH OF STAY, AND PSYCHIATRIC EVALUATION AND MEDICATION MANAGEMENT. BLENDED CASE MANAGEMENT (BCM) IS A TARGETED CASE MANAGEMENT PROGRAM WHICH SERVES ADULTS RECOVERING FROM SEVERE MENTAL ILLNESS WITH POSSIBLE CO-OCCURRING SUBSTANCE ABUSE ISSUES. MANY PARTICIPANTS IN THE PROGRAM MAY HAVE A HISTORY OF HOMELESSNESS. BCM PARTICIPANTS REQUIRE LESS INTENSIVE CASE MANAGEMENT SERVICES THAN THOSE ENROLLED IN ACCESS. A TEAM APPROACH AND RECOVERY-BASED MODEL IS USED TO CONNECT PARTICIPANTS WITH SUPPORTIVE SERVICES WHICH ENCOURAGE DAILY STABILITY AND REDUCED PSYCHIATRIC HOSPITALIZATIONS. HALL MERCER ALSO OFFERS A SOUTHEAST ASIAN BLENDED CASE MANAGEMENT PROGRAM WHICH PROVIDES BCM TO ADULTS WHO SPEAK CANTONESE, MANDARIN, VIETNAMESE, KHMER, OR LAO. CASE MANAGERS IN THIS PROGRAM PROVIDE ENGLISH INTERPRETATION TO HELP PARTICIPANTS CONNECT TO PUBLIC BENEFITS AND OTHER COMMUNITY SUPPORTS. CHILD BLENDED CASE MANAGEMENT IS A COMMUNITY-BASED PROGRAM THAT WORKS WITH FAMILIES IN THEIR HOME, SCHOOL AND/OR COMMUNITY. THEY HELP CONNECT FAMILIES WITH NEEDED RESOURCES, HELP TO COORDINATE CARE AMONGS PROVIDERS AND ENSURE THAT CHILDREN'S ACADEMIC AND SOCIAL NEEDS ARE BEING MET. THEY PROVIDE SERVICES 24/7, 365 DAYS A YEAR. FORM 990, PART III, LINE 4A (CONT.) CHILD OUTPATIENT SERVICES PROVIDES EVALUATION, TREATMENT AND MEDICATION MANAGEMENT TO CHILDREN, YOUTH AND FAMILIES, IN PHILADELPHIA, RANGING IN AGES FROM 5-18 (21 IF THE YOUTH IS STILL IN HIGH SCHOOL OR HAS AN INTELLECTUAL DISABILITY). WE PROVIDE A RANGE OF TREATMENTS AND MODALITIES BUT ARE SPECIALLY TRAINED IN TRAUMA-INFORMED TREATMENT. EARLY CHILDHOOD PROGRAM HALL-MERCER RECENTLY PARTNERED WITH THE PENN CENTER FOR MENTAL HEALTH TO BRING AUTISM SERVICES TO CHILDREN 3-5 YEARS OLD. THE EARLY CHILDHOOD PROGRAM SERVES AS A THERAPEUTIC PRESCHOOL FOR CHILDREN WHO STRUGGLE WITH EMOTIONAL AND BEHAVIORAL REGULATION, SOCIAL COMMUNICATION SKILLS, AND PLAY SKILLS - MAKING IT DIFFICULT FOR THEM TO LEARN IN A TRADITIONAL SCHOOL ENVIRONMENT. THE PROGRAM HAS THE CAPACITY TO SERVE 32 CHILDREN ON A DAILY BASIS, IN OUR NATURALIST CHILD-LED LEARNING SPACE. HOMELESS OUTREACH PROGRAM PROVIDES ENGAGEMENT TO PEOPLE WHO ARE LIVING ON THE STREET. HALL MERCER WORKS IN CONJUNCTION WITH DEPARTMENT OF BEHAVIORAL HEALTH AND INTELLECTUAL DISABILITIES AND OTHER HOMELESS OUTREACH PROGRAMS TO ASSIST THE HOMELESS COMMUNITY WITH CONNECTING TO SHELTER, URGENT MEDICAL OR PSYCHIATRIC TREATMENT, OR TO SIMPLY PROVIDE RESOURCES THAT HELP PEOPLE MEET THEIR IMMEDIATE SURVIVAL NEEDS. THE GOAL OF OUTREACH IS TO BUILD TRUSTING RELATIONSHIPS WITH THE HOMELESS COMMUNITY SO THAT THE OUTREACH WORKER CAN HELP SOMEONE ADDRESS THE BARRIERS WHICH PREVENT THEM FROM SEEKING SHELTER. HALL MERCER IS STAFFED WITH AN OUTREACH TEAM 365 DAYS A YEAR. INTELLECTUAL DISABILITIES PROGRAMS PROVIDE AN ARRAY OF SERVICES TO ADULTS WITH INTELLECTUAL DISABILITIES AND THEIR FAMILIES TO SUPPORT INDIVIDUAL CHOICE, COMMUNITY INVOLVEMENT, AND USE OF TRADITIONAL AND NATURAL RESOURCES. THESE INCLUDE THE INTENSIVE SERVICES CASE MANAGEMENT PROGRAM (ISCM). THE ISCM PROGRAM IS A CITY-WIDE PROGRAM WHICH WORKS IN COLLABORATION WITH THE PHILADELPHIA OFFICE OF INTELLECTUAL DISABILITIES(IDS)TO PROVIDE EMERGENCY SUPPORTS COORDINATION TO ADULTS WITH INTELLECTUAL DISABILITIES LIVING IN ALL CATCHMENT AREAS. THE PROGRAM OPERATES 24 HOURS A DAY, 7 DAYS PER WEEK AND RESPONDS TO EMERGENCY SITUATIONS SUCH AS EMERGENCY PLACEMENT DUE TO ABUSE, NEGLECT OR DEATH OF A CAREGIVER, MOVING INDIVIDUALS FROM SUBSTANDARD LIVING CONDITIONS INTO A SAFE LIVING ENVIRONMENT. THE ISCM PROGRAM ALSO ASSISTS UNDERSERVED INDIVIDUALS IN THE COMMUNITY TO BECOME REGISTERED AND RECEIVE SERVICES THROUGH IDS. PATCH (PEDIATRIC ANXIETY TREATMENT CENTER AT HALL-MERCER) IS A SPECIALTY CLINIC IN CENTER CITY PHILADELPHIA THAT ASSESSES AND TREATS CHILDREN AND ADOLESCENTS WITH ANXIETY DISORDERS, OBSESSIVE-COMBULSIVE DISORDER (OCD), TICS, AND TRICHOTILLOMANIA. PATCH THERAPISTS USE TREATMENTS THAT HAVE BEEN DEMONSTRATED TO WORK, SUCH AS COGNITIVE-BEHAVIORAL THERAPY (CBT) AND EXPOSURE AND RESPONSE PREVENTION (ERP). OUR THERAPY APPROACH INVOLVES A PARTNERSHIP BETWEEN THE THERAPIST AND FAMILY AND HELPS YOUTH LEARN TO MANAGE THEIR ANXIETY MORE EFFECTIVELY. WE OFFER TREATMENT FOR CHILDREN AND ADOLESCENTS (AGES 4-18) WITH: GENERALIZED ANXIETY, SOCIAL ANXIETY, SEPARATION ANXIETY, FEARS AND PHOBIAS, SCHOOL ANXIETY, OBSESSIVE-COMPULSIVE DISORDER (OCD), PANIC ATTACKS, SELECTIVE MUTISM, TICS, TRICHOTILLOMANIA (HAIR PULLING). PHIICAPS (PHILADELPHIA INTENSIVE IN-HOME CHILD AND ADOLESCENT PSYCHIATRY SERVICE) PROVIDE INTENSIVE FAMILY TREATMENT AND CASE MANAGEMENT TO 48 FAMILIES AT A TIME. THE CHILD OR ADOLESCENT IS IDENTIFIED TO BE SEVERELY EMOTIONALLY DISTURBED AND AT RISK OF HOSPITALIZATION OR OUT OF HOME PLACEMENT. MODALITIES INCLUDE INDIVIDUAL AND FAMILY THERAPY, TF-CBT, CBT WITH EXPOSURE THERAPY FOR SEVERE ANXIETY DISORDERS, ADVOCACY AND CASE MANAGEMENT IN THE CHILD, FAMILY, ENVIRONMENT AND SCHOOL DOMAINS. PHIICAPS HAS SIX TEAMS, EACH MADE UP OF ONE MASTER'S LEVEL CLINICIAN AND ONE BACHELORS LEVEL MENTAL HEALTH WORKER. ALL ARE DESIGNATED AS TRAUMA SPECIALTY TEAMS, PER CBH. TWO TEAMS ARE SPANISH-SPEAKING. ONE TEAM IS A PILOT ANXIETY-DISORDER SPECIALTY TEAM. PREVENTION AND RECOVERY SERVICES (PARS) IS A 90-DAY TARGETED CASE MANAGEMENT SERVICE WHICH SERVES ADULTS RECOVERING FROM SEVERE MENTAL ILLNESS WITH POSSIBLE CO-OCCURRING SUBSTANCE ABUSE ISSUES. MANY PARTICIPANTS IN THIS PROGRAM MAY HAVE A HISTORY OF HOMELESSNESS. CASE MANAGERS, THROUGH A TEAM APPROACH AND RECOVERY-BASED MODEL, PROVIDE RAPID INTERVENTION TO ASSIST INDIVIDUALS WITH CONNECTING TO SUPPORTS WHICH WILL ALLOW THEM TO REACH THE HIGHEST LEVEL OF INDEPENDENT FUNCTIONING POSSIBLE. OTHER HALL-MERCER ACTIVITIES - IN COLLABORATION WITH PAH, HOSTED AN ANNUAL FOOD DRIVE. - HALL MERCER DEVELOPED A CLOTHES ROOM TO ASSIST CONSUMERS IN NEED. - HALL MERCER DEVELOPED A FOOD PANTRY TO ASSIST CONSUMERS IN NEED. - HALL MERCER HAS ALSO COLLABORATED WITH PAH TO DEVELOP A FOOD PANTRY FOR STAFF IN NEED. - TEAMING WITH PAH SOCIAL WORK DEPARTMENT'S SHARED GOVERNANCE COMMITTEE TO PROVIDE TOILETRIES AND OTHER ESSENTIAL ITEMS FOR PARTICIPANTS IN OUR HALL MERCER OUTREACH PROGRAM. - STAFF MEMBERS OF THE PHILADELPHIA MEDICAL RESERVE CORPS IS A COMMITTED GROUP OF VOLUNTEERS, WITH AND WITHOUT MEDICAL BACKGROUNDS, WHO HELP KEEP PHILADELPHIA SAFE BY RESPONDING TO PUBLIC HEALTH EMERGENCIES. THE PHILADELPHIA MRC HELPS ENSURE THAT ALL PHILADELPHIANS, ESPECIALLY THE MOST VULNERABLE, RECEIVE THE CARE THEY NEED DURING A PUBLIC HEALTH CRISIS. - MEMBERS OF THE PHILADELPHIA MRC. A GROUP OF MEDICAL, PUBLIC HEALTH, AND OTHER VOLUNTEERS WHO ARE READY TO SERVE PHILADELPHIA DURING PUBLIC HEALTH EMERGENCIES OR OTHER TIME OF NEED. - STAFF MEMBER VOLUNTEERS TO RESPOND DURING LARGE AND SMALL-SCALE EMERGENCIES, SUCH AS AN INFLUENZA PANDEMIC, A BIOTERRORISM EVENT, A SEVERE STORM THAT REQUIRES THE CITY TO OPEN MASS SHELTERS, OR OTHER EVENT THAT OVERWHELMS COMMUNITY RESOURCES. - THE THERAPIST IN THE DUAL DIAGNOSIS OUTPATIENT PROGRAM HAS ENGAGED THE AA INTERGROUP TO ACCEPT OUR CONSUMERS TO WORK AT THEIR CENTER CITY OFFICES, AIDING IN THEIR RECOVERY. - HALL MERCER IMPLEMENTED A PATIENT RECOVERY MENTAL HEALTH AND HEALTH AND WELLNESS PROGRAM. - STAFF VOLUNTEERS WITH LOCAL ANIMAL RESCUE ORGANIZATION. - HALL MERCER PROVIDES BEHAVIORAL HEALTH TRAINING AND EDUCATION TO THE STAFF OF AREA COMMUNITY RESIDENTIAL PROGRAMS AND HOMELESS SHELTERS. - HALL MERCER PROGRAMS ADOPTED FAMILIES TO PROVIDE HOLIDAY GIFTS DURING THE HOLIDAY SEASON. - STAFF MEMBERS VOLUNTEERED TO HOST MENTAL HEALTH SCREENING EVENTS IN COLLABORATION WITH THE PHILADELPHIA, DEPARTMENT OF BEHAVIORAL HEALTH. - HALL MERCER FACILITATES A NICOTINE ANONYMOUS GROUP. THE DIABETES EDUCATION CENTER PROVIDES COMPREHENSIVE OUTPATIENT EDUCATION AND TRAINING FOR PEOPLE LIVING WITH DIABETES, THEIR FAMILY MEMBERS, AND MEMBERS OF THE COMMUNITY. OUR TEAM CURRENTLY CONSISTS OF THREE REGISTERED DIETITIANS WHO ARE ALSO CERTIFIED DIABETES CARE AND EDUCATION SPECIALISTS. THE CENTER PROVIDES ITS SERVICES, REGARDLESS OF INSURANCE STATUS OR ABILITY TO PAY FOR SERVICES. SERVICES PROVIDED IN FY24 INCLUDED: - COMPREHENSIVE DIABETES SELF-MANAGEMENT EDUCATION AND NUTRITION COUNSELING FOR INDIVIDUALS AND GROUPS. - THE PROGRAM HOLDS ACCREDITATION FOR MEETING NATIONAL STANDARDS FROM THE AMERICAN DIABETES ASSOCIATION. - IN FY24, 109 INDIVIDUALS COMPLETED THE COMPREHENSIVE DIABETES SELF-MANAGEMENT PROGRAM. THESE INDIVIDUALS ARRIVED TO THE PROGRAM WITH AN AVERAGE PRE-CLASS A1C OF 8.5% AND EXPERIENCED AN AVERAGE 1.2% REDUCTION IN THEIR A1C FOLLOWING CLASS COMPLETION. - MEDICAL NUTRITION THERAPY FOR DIABETES-RELATED COUNSELING. - THE DIABETES EDUCATION CENTER TEAM COMPLETED 1776 INDIVIDUAL APPOINTMENTS IN FY24. - INDIVIDUAL EDUCATION FOR SPECIFIC DIABETES MANAGEMENT NEEDS SUCH AS SELF-BLOOD GLUCOSE MONITORING, CONTINUOUS GLUCOSE SENSOR USE, AND MEDICATION ADMINISTRATION. - THE NATIONAL DIABETES PREVENTION PROGRAM (DPP) IS A YEAR-LONG LIFESTYLE CHANGE PROGRAM THAT HELPS PARTICIPANTS PREVENT OR DELAY A DIAGNOSIS OF TYPE 2 DIABETES. - THE CENTER IS FULLY RECOGNIZED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) FOR PROVIDING THE DPP. - THIS PROGRAM HAS HAD 10 PARTICIPANTS OVER THE LAST YEAR. - GROUP PREDIABETES EDUCATION BEGAN IN JANUARY 2024 AND PROVIDED DIABETES PREVENTION EDUCATION TO 41 INDIVIDUALS. - WELLFOCUSED EMPLOYEE DIABETES BOOTCAMP CLASSES BEGAN IN FALL 2023 AND HAS PROVIDED COMPREHENSIVE DIABETES EDUCATION TO 17 PENN MEDICINE EMPLOYEES. - THIS PROGRAM HAS BEEN ADJUSTED FOR FY25 AND IS ALREADY REACHING A SIGNIFICANTLY HIGHER NUMBER OF EMPLOYEES WITH THE FIRST SESSION HAVING 87 ATTENDEES. - DIABETES AWARENESS EDUCATION FOR LOCAL AND NATIONAL CIVIC, BUSINESS, AND SOCIAL GROUPS. THE TEAM FROM THE CENTER HAS SPENT TIME AT OUTREACH EVENTS AND SUPPORTED VARIOUS OTHERS WITH EDUCATIONAL MATERIALS IN FY24. FORM 990, PART III, LINE 4A (CONT.) - THE TEAM SPENT TIME AT OUTREACH EVENTS WITH: - PENN MEDICINE NURSES WEEK COMMUNITY DAY - MAY 2024 - SCHEIE EYE INSTITUTE - APRIL 2024 - AMERICAN COUNCIL FOR THE BLIND: DIABETICS IN ACTION GROUP - MARCH 2024 - NATIONAL NUTRITION MONTH PRESENTATIONS (2) - MARCH 2024 - FOOD AND WELLNESS NETWORK FOOD PANTRIES AT TILDEN MIDDLE SCHOOL AND RISING SUN HEALTH CENTER - JANUARY 2024 - THE TEAM PROVIDED EDUCATIONAL MATERIALS FOR EVENTS WITH: - PHILADELPHIA MASJID HEALTH FAIR - FAMILY MEDICINE RESIDENTS WEST PHILADELPHIA HEALTH FAIR PROFESSIONAL EDUCATION FOR NURSES, ADVANCED PRACTICE PRACTITIONERS, PHARMACISTS, DIETITIANS, AND OTHER HEALTHCARE PROVIDERS. - THE TEAM HOSTED FIRST YEAR PHYSICIAN INTERNS FROM THE WOOD CLINIC BIWEEKLY THROUGH FY24. THROUGH THE COURSE OF THE YEAR, THE DEC HAS HOSTED 16 DIFFERENT FIRST YEAR RESIDENTS. - SHADOWING EXPERIENCES WERE ALSO PROVIDED FOR NURSE PRACTITIONERS NEW TO THE SYSTEM. TWO NPS FROM ENDOCRINOLOGY AT PMUC AND ONE NP FROM THE WOOD CLINIC SPENT TIME SHADOWING APPOINTMENTS, CLASSES, AND LEARNING MORE ABOUT DIABETES TECHNOLOGY. HOSTING UNDERGRADUATE DIETETICS AND PUBLIC HEALTH STUDENTS TO PROVIDE EXPERIENTIAL LEARNING TOWARDS DEGREE REQUIREMENTS. - THE DEC HOSTED SIX BACHELOR'S IN PUBLIC HEALTH STUDENTS FOR THEIR PRACTICUM SEMESTER IN FY24. - 12 REGISTERED DIETITIAN STUDENTS HAVE SPENT TIME WITH THE RDS AT THE DIABETES EDUCATION CENTER. FOUR OF THESE STUDENTS SPENT A FEW DAYS SHADOWING WHILE THE OTHER EIGHT SPENT 3-6 WEEKS WITH THE TEAM. PROGRAM STATISTICS FOR FY24 ARE AS FOLLOWS: - DIABETES GROUP CLASS PARTICIPANTS: 355 TOTAL VISITS (158 TOTAL ENROLLEES, 109 PARTICIPANTS COMPLETED THE CLASSES) - INDIVIDUAL CONSULTATIONS: 1776 TOTAL VISITS - MNT GROUP CLASS PARTICIPANTS (PREDIABETES, POSTPARTUM DIABETES PREVENTION): 41 TOTAL VISITS - MEDICARE DIABETES PREVENTION PROGRAM: 280 TOTAL VISITS - GESTATIONAL DIABETES/DIABETES IN PREGNANCY PATIENTS: 81 PATIENTS - TOTAL NUMBER OF BILLABLE VISITS: 2,452 - TOTAL NUMBER OF INDIVIDUAL PATIENTS SEEN: 1,014 - TOTAL NUMBER OF REFERRALS PLACED IN PENNCHART: 2,215 - 236 UNIQUE REFERRING PROVIDERS IN PENNCHART ABRAMSON CANCER CENTER AT PENNSYLVANIA HOSPITAL: AS PART OF THE ABRAMSON CANCER CENTER AT PENNSYLVANIA HOSPITAL, THE JOAN KARNELL SUPPORTIVE CARE PROGRAM OFFERS SUPPORT TO HELP CANCER PATIENTS AND THEIR FAMILIES COPE WITH THE DIAGNOSIS OF CANCER. LED BY TRAINED PROFESSIONALS, THESE GROUPS OFFER EMOTIONAL SUPPORT, EDUCATION, OPPORTUNITIES TO LEARN WAYS OF COPING WITH UNCERTAINTY AND CHANGE, AND A CHANCE TO MEET OTHERS WHO FACE SIMILAR ISSUES. THE CENTER ALSO SUPPORTS ADVOCACY GROUPS WHO PROVIDE PROGRAMS AND SUPPORT TO MUTUAL PATIENTS, THROUGH SHARING OF RESOURCES AND STAFF VOLUNTEERING. WEEKLY SUPPORT GROUPS: PATIENT SUPPORT GROUPS: PARTNERSHIP WITH PERELMAN ABRAMSON CANCER CENTER PATIENT SUPPORT GROUPS. ALL SUPPORT GROUPS ARE FACILITATED VIRTUALLY BY A SOCIAL WORKER OR PSYCHOLOGIST. ANNUAL SERIES (INCLUDING SCREENINGS, AWARENESS PROGRAMS, WALKS AND RACES, AND FUNDRAISERS): COOKING NUTRITIOUS & DELICIOUS FOOD, A SERIES OF VIRTUAL MEETINGS FROM OUR NUTRITION COUNSELORS. - 10/4/2023, 11 ATTENDEES - 3/13/2024, 23 ATTENDEES - 6/27/2024, 10 ATTENDEES EXERCISE AND NUTRITION PROGRAM FOR ALL CANCER SURVIVORS. A SUPPORT AND EDUCATIONAL PROGRAM FOR ALL CANCER SURVIVORS WITH A TOTAL OF 21 PARTICIPANTS. A MULTIDISCIPLINARY TEAM FACILITATED THIS SERIES INCLUDING A CERTIFIED ONCOLOGY YOGA THERAPIST, ONCOLOGY NUTRITION COUNSELORS, AND AN ONCOLOGY LYMPHEDEMA PHYSICAL THERAPIST. 6/5/24 CANCER SURVIVORS DAY EVENTS: IN-PERSON TABLING EVENTS FEATURING INFORMATION ON CANCER SURVIVORSHIP, EDUCATIONAL MATERIALS, A COMMUNITY ART PROJECT, AND OPPORTUNITIES TO INTERACT WITH CANCER CENTER STAFF. 6/3/24, 6/4/24, 6/13/24 DRESS IN BLUE DAY: STAFF FROM THE ENDOSCOPY CENTER AND PAH ABRAMSON CANCER CENTER LED AN EVENT TO HIGHLIGHT COLON CANCER AWARENESS MONTH. AN EDUCATION TABLE WAS SET UP AT THE CAFETERIA WITH INFORMATION ABOUT COLON CANCER PREVENTION, RISK FACTORS, AND SIGNS AND SYMPTOMS. 3/1/24 GYN CANCER AWARENESS DAY: STAFF FROM THE GYN ONCOLOGY PRACTICE AND PAH ABRAMSON CANCER CENTER OFFERED A TABLE WITH INFORMATION AND RESOURCES REGARDING PREVENTION, RISK FACTORS, AND SYMPTOMS OF GYNECOLOGICAL CANCERS. 9/21/23 UTERINE CANCER AWARENESS DAY: STAFF FROM THE GYN ONCOLOGY PRACTICE AND PAH ABRAMSON CANCER CENTER SET UP A TABLE WITH INFORMATION AND RESOURCES SPECIFIC TO UTERINE CANCER PREVENTION, RISK FACTORS, AND SYMPTOMS. 6/20/24 FAMILY HEALTH HISTORY DAY: STAFF FROM THE CANCER RISK EVALUALTION PROGRAM SET UP AN EDUCATIONAL TABLE IN THE CAFETERIA WITH INFORMATION ABOUT THE IMPORTANCE OF UNDERSTANDING CANCER RISK AND HOW TO SET UP AN APPOINTMENT WITH A GENETIC COUNSELOR. 11/15/23 PENN MEDICINE MAMMOTHON: STAFF FROM THE CANCER CENTER AND RADIOLOGY PARTNERED TOGETHER TO PROMOTE BREAST CANCER AWARENESS AND THE IMPORTANCE OF REGULAR MAMMOGRAMS. PATIENTS WERE ABLE TO SCHEDULE ON THE SPOT, AND THE EVENTS RESULTED IN 42 MAMMOGRAM APPPOINTMENTS. 10/19/23, 5/15/24 CAREGIVER AWARENESS MONTH: AWARENESS TABLE WITH CAREGIVER RESOURCES SET UP IN THE CANCER CENTER. 11/1/23 - 11/30/23 OTHER SUPPORT/COMMUNITY EVENTS: UNITE FOR HER WELLNESS VIRTUAL WORKSHOP: PARTNERSHIP BETWEEN PENN MEDICINE/ACC AND UFH TO HOST A VIRTUAL WELLNESS DAYS, PROVIDING COMPLEMENTARY THERAPY TREATMENT FOR BREAST AND OVARIAN CANCER PATIENTS. THIS PARTNERSHIP BENEFITS 400 PATIENTS/YEAR ACROSS THE HEALTH SYSTEM. 9/9/23, 12/13/23, 3/9/24, 6/12/24 PATIENTS AND STAFF ATTENDED 10TH ANNUAL STEPS TO CURE SARCOMA 5K EVENT. 5/19/24 NEWBORN CARE: THE SECTION ON NEWBORN MEDICINE, THE INTENSIVE CARE NURSERY, AND THE ASSOCIATED DELIVERY AND TERM NURSERIES SERVE MORE THAN 5,000 INFANT- PARENT PAIRS ANNUALLY. OF THESE, ROUGHLY 30-40% UTILIZE PUBLIC INSURANCE WHILE 60-70% ARE PRIVATELY INSURED OR PRIVATE PAY. WE TAKE PRIDE IN THE POPULATION THAT WE SERVE. THE INTENSIVE CARE NURSERY (ICN) PROVIDES COMPREHENSIVE INTENSIVE CARE TO CRITICALLY ILL AND SICK NEONATES AND THEIR FAMILIES. THE UNIT SPECIALIZES IN PROVIDING CARE TO ALL INFANTS WHO ARE BORN AT PAH AT LESS THAN 36 WEEKS GESTATIONAL AGE, AS WELL AS TO INFANTS OF VARIOUS GESTATIONAL AGES WHO REQUIRE INTENSIVE CARE DUE TO CONDITIONS SUCH AS HYPOXIC-ISCHEMIC INJURY; CARDIAC DYSFUNCTION; RESPIRATORY DISTRESS; SEPSIS; HYPOGLYCEMIA; HYPERBILIRUBINEMIA; SEIZURES; CONGENITAL ANOMALIES; OR NEONATES WHO ARE SUBSTANCE EXPOSED. AFTER DISCHARGE FROM THE ICN, THE DEVELOPMENTAL FOLLOW-UP PROGRAM AT PENNSYLVANIA HOSPITAL PROVIDES OUTPATIENT NEURODEVELOPMENTAL ASSESSMENTS TO ALL INFANTS WHO WERE BORN AT < 32 WEEKS GESTATION, AND/OR THOSE WITH BIRTH WEIGHT < 1500 GRAMS, AS WELL AS OLDER INFANTS WITH HYPOXIC ISCHEMIC ENCEPHALOPATHY, NEWBORNS WHO ARE SUBSTANCE EXPOSED, OR WHO HAVE EXPERIENCED SEVERE RESPIRATORY FAILURE. THIS PROGRAM OFFERS SERIAL ASSESSMENTS THROUGH 2 YEARS OF AGE. A NEED FOR ONGOING PSYCHOSOCIAL SUPPORT FOR ICN PARENTS, MANY OF WHOM STRUGGLE WITH DEPRESSION AND ANXIETY DURING THE OFTEN-PROLONGED HOSPITALIZATION OF THEIR SICK AND PREMATURE INFANTS, WAS IDENTIFIED BY THE ICN FAMILY ADVISORY COUNCIL. BECAUSE OF THE COUNCIL'S ADVOCACY AND THE ADVOCACY OF UNIT LEADERS, THE ICN AND THE DEPARTMENT OF NURSING WAS ABLE TO HIRE A PART TIME CLINICAL PSYCHOLOGIST. THE CLINICAL PSYCHOLOGIST PROVIDES 24 HOURS OF CLINICAL TIME PER WEEK FOR THE SUPPORT OF ICN PARENTS. THE CLINICAL PSYCHOLOGIST ALSO RUNS A WEEKLY SUPPORT GROUP WHERE ICN FAMILIES CAN SOCIALIZE AND SHARE EXPERIENCES WHICH ONE ANOTHER. NURSE-MIDWIFERY: PENN OB/GYN AND MIDWIFERY CARE, A PRACTICE OF PENNSYLVANIA HOSPITAL, INCLUDES 17 MIDWIVES WHO WORK COLLABORATIVELY WITH PHYSICIANS IN THE DEPARTMENT OF OBSTETRICS AND GYNECOLOGY TO PROVIDE CARE TO LOW-INCOME WOMEN WITH AND WITHOUT MEDICAL RISK FACTORS. FAMILY-CENTERED REPRODUCTIVE AND GYNECOLOGIC HEALTHCARE IS PROVIDED BASED ON THE PHILOSOPHY OF MUTUAL RESPECT, CLIENT PARTICIPATION, AND EDUCATION. SERVICES ARE PROVIDED WITHIN THE HOSPITAL, AS WELL AS IN THE OUTPATIENT OFFICE SETTING. THE MIDWIVES PROVIDE FREE COMMUNITY EDUCATION WITH SPEAKING ENGAGEMENTS TO BREASTFEEDING AND PARENTING GROUPS, NURSING AND UNDERGRADUATE STUDENTS, AND THE GENERAL COMMUNITY. THE MIDWIVES ARE ACTIVE PARTICIPANTS IN THE TRAINING OF MIDWIFERY AND MEDICAL STUDENTS, AS WELL AS OBGYN RESIDENTS AT PENNSYLVANIA HOSPITAL. ADDITIONALLY, A MIDWIFE AT PENNSYLVANIA HOSPITAL HOSTS A COMMUNITY BABY SHOWER ANNUALLY THROUGH HER NONPROFIT, ROYAL GENERATION. THIS YEAR'S SHOWER WAS HELD ON JUNE 24, IN WEST PHILADELPHIA. OVER 100 EXPECTANT FAMILIES ATTENDED AND RECEIVED EDUCATION, RESOURCES, ENCOURAGEMENT AND BABY SUPPLIES SUCH AS DIAPERS, WIPES, FORMULA, CAR SEATS, BATHING SUPPLIES (LOTION/SOAP), STROLLERS, CRIBS, BOOKS, SAFETY KITS, BABY CLOTHING, AND GIFT CERTIFICATES, AND WERE OFFERED A FOOD BOX THAT INCLUDED FRESH PRODUCE. IN ADDITION TO NEEDED BABY ESSENTIALS, FAMILIES RECEIVED EDUCATION AND COMMUNITY RESOURCES. FORM 990, PART III, LINE 4A (CONT.) PENN PARENTING RESOURCE CENTER: OUR PRACTICE OFFERS CHILDBIRTH AND PRENATAL EDUCATION, PARENTING EDUCATION, BREASTFEEDING SUPPORT, INFANT FEEDING AND SWALLOWING EVALUATION AND TREATMENT, AND PSYCHOSOCIAL SUPPORT THROUGHOUT PREGNANCY AND BEYOND. WE ALSO PARTNER WITH COMMUNITY ORGANIZATIONS TO SUPPORT AND EDUCATE FAMILIES THROUGHOUT THE CITY OF PHILADELPHIA. WAYS WE WERE ADDITIONALLY INVOLVED IN COMMUNITY IN FY24: - HOSTED A GLOBAL LATCH EVENT, OPEN TO ANYONE IN THE COMMUNITY - PARTICIPATED IN SEVERAL COMMUNITY BABY SHOWERS AND COMMUNITY FAMILY EVENTS WHERE WE BROUGHT FREE SUPPLIES AND RESOURCES AND PROVIDED EDUCATION - PARTNERED WITH THE PROUD (PERINATAL RESOURCES FOR OPIOID USE DISORDER) CLINIC TO PROVIDE PATIENTS WITH A CLASS ON BABY CARE BASICS, SAFE SLEEP, AND SAFE CAR-SEAT USE - CELEBRATED WORLD BREASTFEEDING WEEK THROUGHOUT THE HOSPITAL - SUPPORTED BLACK MATERNAL HEALTH WEEK WITH A TABLING EVENT TO PROVIDE EMPLOYEES AND COMMUNITY MEMBERS WITH INFORMATION AND GIVEAWAYS TO BRING AWARENESS TO DISPARITIES IN BLACK MATERNAL HEALTH WE HAVE A LINK ON OUR WEBSITE FOR THOSE WHO WISH TO SUBMIT A LACTATION QUESTION ELECTRONICALLY. THOSE QUESTIONS ARE PASSED ON TO OUR CERTIFIED LACTATION CONSULTANTS WHO CAN PROVIDE RESOURCES AND SCHEDULE A 1:1 APPOINTMENT. OUR PRACTICE RENTS HOSPITAL-GRADE BREAST PUMPS AND BABY SCALES, AND STOCKS PUMPING SUPPLIES FOR NEW PARENTS, INCLUDING BRA AND FLANGE FITTING. THE OUTPATIENT LACTATION CARE PROVIDES PATIENTS WITH A 1:1 CONSULTATION AND SUPPORT WITH AN INTERNATIONAL BOARD-CERTIFIED LACTATION CONSULTANT. AREAS OF SUPPORT INCLUDE PRENATAL ASSESSMENT AND PLANNING, LATCHING, PUMPING, MILK-SUPPLY, BREAST CARE, WEANING, TRANSITION TO WORK, BOTTLE REFUSAL, AND MORE. WE ALSO HOST REGULAR-SCHEDULED, FREE, BREASTFEEDING SUPPORT GROUPS THAT MEET HYBRID (VIRTUAL AND IN-PERSON). OUR PRACTICE OFFERS TWICE MONTHLY SUPPORT GROUPS THROUGH THE BEYOND BIRTH PROGRAM. THESE GROUPS PROVIDE SOCIAL/EMOTIONAL SUPPORT FOR PATIENTS WHO EXPERIENCED BIRTH TRAUMA OR ARE WORKING THROUGH A PERINATAL MOOD DISORDER. OUR PRACTICE BEGAN OFFERING A MONTHLY, FREE, LIVE WEBINAR FOR PATIENTS WHO PLAN TO DELIVER AT PENNSYLVANIA HOSPITAL. THIS WEBINAR COVERS EVERYTHING PATIENTS NEED TO KNOW ABOUT DELIVERING A BABY AT THE HOSPITAL INCLUDING WHERE TO PARK, WHAT TO BRING, WHAT MEDICAL CARE THEY CAN EXPECT TO RECEIVE, AND MORE. FOR FY24, PENN PARENTING RESOURCE CENTER - HOSTED 1,565 PATIENTS FOR OUTPATIENT LACTATION CARE - SUPPORTED 98 PATIENTS THROUGH THE BEYOND BIRTH PROGRAM; FURTHER CONNECTED 67 OF THOSE PATIENTS TO RESOURCES TO SUPPORT THEIR WELL-BEING - CARED FOR 114 PATIENTS IN THE BEYOND BIRTH SUPPORT GROUP - BEGINNING IN FEBRUARY, FAMILIARIZED 682 PATIENTS IN THE NEWLY DEVELOPED WEBINAR, PREGNANCY AND CHILDBIRTH AT PENNSYLVANIA HOSPITAL - EDUCATED 2,386 INDIVIDUALS IN A MIX OF THE FOLLOWING, VIRTUAL AND IN-PERSON CLASSES: - BABY CARE BASICS - BECOMING GRAND - BABY CARE BASICS FOR GRANDS - BEGINNING BREASTFEEDING - CHILDBIRTH PREP 101 - EXPLORING PARENTHOOD - INFANT/CHILD CPR - PEDIATRIC FIRST AID PHARMACY: THE HARRISON SPECIALTY GRANT PROVIDES COPAY ASSISTANCE IN SITUATIONS WHERE THE COPAY IS THE ONLY BARRIER TO OBTAINING THE MEDICATIONS. THE GRANT ALSO PROVIDES FOR MEDICATION WHEN THE ONLY BARRIER TO DISCHARGE IS THAT COST. FOR FY24, 631 PATIENTS RECEIVED 910 PRESCRIPTIONS IN THE AMOUNT OF $36,378.94 PATIENT AND GUEST RELATIONS WORKS TO ENSURE EVERY PATIENT RECEIVES THE BEST POSSIBLE CARE AND TREATMENT AT PENNSYLVANIA HOSPITAL. REPRESENTATIVES OF THE PATIENT AND GUEST RELATIONS DEPARTMENT SERVE AS A SOURCE OF INFORMATION AND RESOURCES TO HELP PATIENTS, FAMILIES, AND VISITORS. PLEASE SEE THE FOLLOWING QUALITATIVE DATA RELATED TO PATIENT AND GUEST RELATIONS FOR FY24: - PATIENT CONCERN/COMPLAINT RESOLUTION: 547 - INTERPRETER SERVICES: 27,578 CALLS (OR 410,308 MINUTES) - MEAL VOUCHERS: $12,297 - PARKING VOUCHERS: $12,300 - NOTARY SERVICE: 63 - CHAPLAIN VISITS: 1,159 IN ADDITION, PATIENT & GUEST RELATIONS, IN PARTNERSHIP WITH VOLUNTEER SERVICES, ROUNDED ON 3,929 UNIQUE PATIENTS USING THE CIPHERHEALTH ROUNDING TOOL. PIPELINE PROGRAM: IN PARTNERSHIP WITH THE MAST COMMUNITY CHARTER SCHOOL, POINT BREEZE PREPARATORY SCHOOL AND OTHER LOCAL PHILADELPHIA HIGH SCHOOLS, ALONG WITH THE WEST PHILADELPHIA SKILLS INITIATIVE AND PHILAWORKS, PENN MEDICINE CONTINUED THE PENN PATHWAYS PROGRAM, A PIPELINE TO PROFESSIONAL PLACEMENT AT PENNSYLVANIA HOSPITAL. THIS WORKFORCE DEVELOPMENT PROGRAM, IN ITS THIRD YEAR, FOCUSED ON PROVIDING ECONOMIC OPPORTUNITIES FOR RECENT HIGH SCHOOL GRADUATES WHILE DEVELOPING THE LEADERS OF TOMORROW. PENNSYLVANIA HOSPITAL INTRODUCED SEVEN GRADUATES FROM PHILADELPHIA HIGH SCHOOLS' GRADUATING CLASS OF 2024 TO 5 KEY ROLES WITHIN THE HEALTH SYSTEM. DURING THIS 4-MONTH PROGRAM, THESE INDIVIDUALS RECEIVED ON-SITE CAREER TRAINING, DIDACTIC EDUCATION SESSIONS, FULL-TIME COMPETITIVE COMPENSATION, ACCESS TO PENN MEDICINE'S COMPREHENSIVE BENEFITS PACKAGE, AND AN INVITATION TO CONTINUE THEIR CAREER DEVELOPMENT AS STAFF UPON THE PROGRAM'S COMPLETION IN OCTOBER 2024. SEVEN MEMBERS FROM THE 2024 PENN PATHWAYS PROGRAM WERE PLACED INTO LONG-TERM POSITIONS TO WHICH THEY APPLIED. THE PENNSYLVANIA HOSPITAL DEPARTMENT OF NURSING ENGAGES IN NUMEROUS OUTREACH EFFORTS FOR THE BENEFIT OF OUR COMMUNITY. BELOW ARE THE COMMUNITY OUTREACH ACTIVITIES FROM FY24: - THE DEPARTMENT OF NURSING COLLABORATED WITH COLLEAGUES AT HUP AND PPMC TO HOST THE ANNUAL PENN MEDICINE COMMUNITY DAY, PROVIDING SERVICES AND COMMUNITY HEALTH OUTREACH TO THE COMMUNITY - THE PAH QUALITY AND SAFETY COUNCIL ATTENDED THIS EVENT AND PROVIDED HAND HYGIENE EDUCATION AND HAND SANITIZERS. - THE DEPARTMENT OF NURSING EDUCATION PARTICIPATED IN HALL MERCER'S "ADOPT A FAMILY" HOLIDAY GIVING INITIATIVE, PROVIDING HOLIDAYS GIFTS FOR HALL MERCER CLIENTS AND FAMILIES - AMBULATORY SURGERY CENTER DISTRIBUTED HOME BLOOD PRESSURE MONITORING DEVICES FOR PATIENTS WITH HYPERTENSION - THE OPERATING ROOM VOLUNTEERED AT GIFT OF LIFE SERVING BRUNCH - THE OPERATING ROOM AND PACU PARTICIPATED IN HALL MERCER'S "ADOPT A FAMILY" HOLIDAY GIVING INITIATIVE, PROVIDING HOLIDAYS GIFTS FOR HALL MERCER CLIENTS AND FAMILIES - THE INTENSIVE CARE NURSERY CREATED T-SHIRTS TO RAISE MONEY FOR BREAST CANCER, PARTICIPATED IN A MARCH OF DIMES FUNDRAISER AND WALK, VOLUNTEERED FOR THE MCCALL SCHOOL HOLIDAY DRIVE, AND VOLUNTEERS AT MANNA - 6 CATHCART/SCHIEDT RAISED $1,538 FOR THE HEAD AND NECK CANCER ALLIANCE IN AUGUST 2023 - THE PENN PARENTING RESOURCE CENTER AND HALL MERCER HOSTED A FREE FAMILY SAFETY CLASS FOR COMMUNITY MEMBERS. EDUCATION TOPICS INCLUDED FIRST AID, CPR, NUTRITION, AND ACCIDENT PREVENTION, AND FREE GIVEAWAYS INCLUDED FIRST AID KITS, GUN LOCKS, BIKE HELMETS, AND CARE SEATS. SEE OUR RESPONSE TO FORM 990, SCHEDULE H, PART VI, LINE 2 (NEEDS ASSESSMENT) FOR ADDITIONAL PROGRAM SERVICE ACCOMPLISHMENTS. 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 11B 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 2023 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 2023 FORM 990 WAS THEN MADE AVAILABLE TO EACH BOARD MEMBER PRIOR TO THE FILING DEADLINE. ------------------------------ FORM 990, PART VI, SECTION B, 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 990, GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. NOTE THAT SINCE THE ORGANIZATION HAS BEEN IN EXISTENCE SINCE 1751, IT WAS NOT REQUIRED TO FILE A FORM 1023 APPLICATION. INSTEAD, THE ORGANIZATION'S IRC SECTION 501(C)(3) TAX-EXEMPT STATUS WAS GRANDFATHERED BY THE IRS. ------------------------------ FORM 990, PART XI, LINE 9 DETAIL OF OTHER CHANGES IN NET ASSETS OTHER CHANGES IN TEMP & PERM RESTRICTED NET ASSETS $16,139,662 TRANSFERS TO AFFILIATES $16,023,803 ---------- TOTAL OTHER CHANGES IN NET ASSETS $32,163,465 -------------------------------- AFFILIA HOME HEALTH 1811 OLDE HOMESTEAD LANE LANCASTER PA 17601 231352572 HOME HEALTH PA 501(c)(3) 10 LG HEALTH false CARL V S PATTERSON IRR 116 ALLEGHENY CENTER MAIL P8YB3502L PITTSBURGH PA 15212 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 false 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 PENNSYLVANIA COLLEGE OF HEALTH SCIENCES 850 GREENFIELD ROAD LANCASTER PA 17601 061645496 HEALTH EDU PA 501(C)(3) 2 LG HOSPITAL 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 PRESBYTERIAN MEDICAL CENTER OF UPHS 51 NORTH 39TH STREET PHILADELPHIA PA 19104 232810852 HEALTHCARE 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 PENN MEDICINE-PMA 5 ATRIUM 3400 CIVIC CTR BLVD PHILADELPHIA 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 4215 WEST LOVERS LANE SUITE 100 DALLAS TX 75209 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 NA false AXIS UKA GP LLC 240 NEW YORK DRIVE SUITE 1 FORT WASHINGTON PA 19034 273617178 INVESTMENT PA NA 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 DRIVE BLDG C SUITE 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 SAILINGSTONE GLOBAL NATURAL RESOURCES 100 WAUGH DRIVE SUITE 600 HOUSTON TX 77007 371770014 INVESTMENT TX NA false AUSTIN 512 LP 5914 W COURTYARD DRIVE SUITE 340 AUSTIN TX 78730 921329561 INVESTMENT TX NA false BLACKSTONE REAL ESTATE PARTNERS VIITE5 C/O THE BLACKSTONE GROUP 345 PARK A NEW YORK NY 10154 800815880 INVESTMENT NY NA false KEYFRAME 1740 FUND LP 65 E 55TH STREET 35TH FLOOR NEW YORK NY 10022 883210105 INVESTMENT NY NA false LIFT REAL ESTATE PARTNERS FUND III LP 180 SUTTER STREET SUITE 400 SAN FRANCISCO CA 94104 872869560 INVESTMENT CA NA false NEUBERGER BERMAN HEDGED CRYPTOCURRENCY 1290 AVENUE OF THE AMERICAS 22ND F NEW YORK NY 10104 871241085 INVESTMENT NY NA false ARCM 1740 LTD 27 HOSPITAL ROAD GRAND CAYMAN CJ KY1-9008 INVESTMENTS CJ TRUSTEES C-CORP false CYRUS 1740 FUND LTD 89 NEXUS WAY CAMANA BAY GRAND CAYMAN CJ KY1-9009 981361907 INVESTMENTS CJ TRUSTEES LIMITED COMPANY 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 5747742 3444882 1.00000 true 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 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 GRAND CAYMAN CJ KY1-1104 INVESTMENTS CJ TRUSTEES C-CORP false PENN MEDICINE LONDON LIMITED VISTRA STE 2 1ST FLR 10 TEMPL BACK BRISTOL UK BS1 6FL NETWORKING UK UPENN INT'L LIMITED COMPANY false PENN WHARTON CONSULTING (BEIJING) CO LTD UNIT 3106 LEVEL 31 YINTAI OFFICE T CHAOYANG DIST CH 100022 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 UPENN HOSPITALITY INC 3401 WALNUT STREET SUITE 440A PHILADELPHIA PA 19104 233076589 HOTEL/RESTAURANT PA TRUSTEES C-CORP false false false true false false false false false false true true false false true true true true true true DELANCEY CORPORATION S 413800 FMV DELANCEY CORPORATION R 1302904 FMV