2025-05-14T16:51:20-04:00 2024-06-30 PwC US Tax LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2023-07-01 232729852 CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM % JOSEPH P HEANEY CLIN 6109021739 150 MONUMENT ROAD 4TH FL BALA CYNWYD PA 19004 JULIA PUCHTLER CFO 6109021739 2025-05-13 true true ANTONIO C RUSSO DIRECTOR P00858539 2673303000 2025-05-09 2023 2025-03-06 01:10:19Z SCOTT SCHLEGEL 150 MONUMENT ROAD 4TH FL BALA CYNWYD PA 19004 294828327 false X WWW.UPHS.UPENN.EDU X 1993 PA CLINICAL CARE ASSOCIATES SERVES TO FURTHER THE EDUCATIONAL AND CHARITABLE MISSIONS OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM. 7 1 2044 0 0 0 0 0 246746543 288796777 1162134 -59635 26332981 4341185 274241658 293078327 0 0 0 0 194707187 213610842 0 0 0 78879870 77644379 273587057 291255221 654601 1823106 84999581 87459287 233618438 326000794 -148618857 -238541507 X CLINICAL CARE ASSOCIATES SERVES TO FURTHER THE EDUCATIONAL AND CHARITABLE MISSIONS OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM. false false 261762228 0 293137962 SEE SCHEDULE O 261762228 true false false false false false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true X 0 0 true 2044 true false false false false false false false false false false false false false false false X 7 1 false false false false false false false true true false false true true true true true true true true false PA X JOSEPH P HEANEY 6109021739 150 MONUMENT ROAD 4TH FL BALA CYNWYD PA 19004 X KEVIN B MAHONEY NETWORK EXEC., EX OFFICIO 1.0 54.0 X X 0 2777146 20761 DEBORAH A DRISCOLL MD NETWORK EXEC., EX OFFICIO 1.0 54.0 X X 0 2124039 34248 KEITH KASPER CONTROLLER, BOARD MEMBER 1.0 54.0 X X 0 1810167 236866 MICHELE M VOLPE BOARD MEMBER 1.0 54.0 X 0 1396534 15224 LORI GUSTAVE BOARD MEMBER 1.0 54.0 X 0 905147 140435 HARVEY L WAXMAN MD BOARD MEMBER 1.0 54.0 X 0 879210 57023 KRISTEN RAINEAR MD CARDIOLOGIST 55.0 0.0 X 862060 0 26635 BENJAMIN SILVERMAN MD INTERNIST 55.0 0.0 X 851282 0 28277 JACK QUINLAN MD CARDIOLOGIST 55.0 0.0 X 826648 0 26553 WILLIAM DUFFY MD INTERNIST 55.0 0.0 X 810136 0 26607 GARY DORSHIMER MD INTERNIST 55.0 0.0 X 787337 0 17983 ELIZABETH B JOHNSTON FORMER BOARD MEMBER 1.0 54.0 X 0 658654 21617 SCOTT SCHLEGEL EXECUTIVE DIRECTOR, EX OFFICIO 1.0 54.0 X X 0 582783 77061 CHARLES F ORELLANA MD SR MEDICAL DIRECTOR, BOARD MBR 55.0 0.0 X X 413414 0 18602 JOSEPH P HEANEY CFO, ASST CONTROLLER & SECRY 54.0 1.0 X X 0 385336 26823 RONALD B BARG MD FORMER EXECUTIVE DIRECTOR 0.0 0.0 X 0 162317 11647 BERT W O'MALLEY JR MD BOARD MEMBER 1.0 2.0 X 0 0 0 4550877 11681333 786362 558 true true false HSC BUILDERS CONSTRUCTION MGRS 304 NEW MILL LN EXTON PA 19341 CONSTRUCTION SRVCS 2595129 SEAVEST CORE JENNERSVILLE LLC 101 W BIG BEAVER ROAD SUITE 200 TROY MI 48084 PROPERTY LEASING SRV 2206884 PEMBROKE TOWNSHIP LP 24 N BRYN MAWR AVE SUITE 287 BRYN MAWR PA 19010 PROPERTY LEASING SRV 1411330 WILLOWBROOK PARTNERS LP 600 WILLOWBROOK LANE SUITE 603 WEST CHESTER PA 193825578 PROPERTY LEASING SRV 808524 CPI AHP OXFORD VALLEY MOB 425 7TH STREET NE CHARLOTTESVILLE VA 22902 PROPERTY LEASING SRV 593204 36 0 NET PATIENT SERVICE REVENUES 621110 224173034 224173034 IET SERVICE REVENUES 900099 6723483 6723483 IET SUPPORT 900099 57162038 57162038 THIRD PARTY SETTLEMENTS 900099 738222 738222 288796777 1690365 1690365 0 0 0 0 0 1750000 -1750000 -1750000 -1750000 0 0 0 0 0 0 0 0 0 JOINT VENTURE INCOME 900099 220837 220837 OTHER OPERATING REVENUE 900099 4120348 4120348 4341185 293078327 293137962 -59635 0 0 0 0 551534 490865 60669 0 0 173418100 154342109 19075991 0 0 29494297 26249924 3244373 0 10146911 9030751 1116160 0 33642919 29942198 3700721 0 2051 1825 226 0 0 0 0 0 1194336 1062959 131377 0 223489 198905 24584 0 3374179 3003019 371160 0 35975 32018 3957 0 0 5676151 5051774 624377 0 313980 279442 34538 0 0 0 0 0 2015808 2015808 0 0 0 MEDICAL SUPPLIES 21121295 21121295 0 0 MALPRACTICE 6798391 6050568 747823 0 REPAIRS & MAINTENANCE 1595815 1420275 175540 0 PARKING 313388 278915 34473 0 1336602 1189578 147024 291255221 261762228 29492993 0 11640 9072 664759 218637 0 0 18552221 14117173 0 0 0 0 0 0 0 0 471490 366443 70531030 35353812 39864452 35177218 0 0 195947 195947 0 0 959927 0 24279145 37374797 84999581 87459287 64988983 84476966 0 0 0 0 0 0 0 0 0 0 0 0 0 0 168629455 241523828 233618438 326000794 X -148618857 -238541507 0 0 -148618857 -238541507 84999581 87459287 X 1823106 -91745756 X false true X true false X 5144255 2502913 352112 0 0 7999280 175025058 193350581 254732533 246746543 288796777 1158651492 0 0 0 180169313 195853494 255084645 246746543 288796777 1166650772 0 0 0 1166650772 273655 237190 -81142 1182022 1690365 3302090 0 273655 237190 -81142 1182022 1690365 3302090 0 11573425 14840429 18173416 26332981 2591185 73511436 192016393 210931113 273176919 274261546 293078327 1243464298 0.93823 0.92374 0.00266 0.00161 X SCHEDULE A, PART III, LINE 12 DETAIL OF OTHER INCOME LINE 12 INCLUDES MISCELLANEOUS OTHER REVENUES EARNED BY THE ORGANIZATION. 5584189 5584189 42132426 17357645 24774781 7193356 6060767 1132589 9351391 8934932 416459 6269668 3000468 3269200 35177218 RIGHT-TO-USE ASSET 36905835 OTHER ASSETS 468962 37374797 0 DUE TO AFFILIATES 241523828 241523828 X SCHEDULE D, PART X, LINE 1 DETAIL OF OTHER LIABILITIES THE DUE TO AFFILIATES ACCOUNT REPRESENTS AMOUNTS OWED BY THIS ORGANIZATION TO THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"), A RELATED ORGANIZATION, BASED UPON THE UNIVERSITY'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 STATEMENT. false true false false false false false true false RONALD B BARG MD FORMER EXECUTIVE DIRECTOR 0 157014 0 3400 0 1903 0 0 0 11647 0 173964 0 0 JOSEPH P HEANEY CFO, ASST CONTROLLER & SECRY 0 299859 0 85477 0 0 0 0 0 26823 0 412159 0 0 KEITH KASPER CONTROLLER, BOARD MEMBER 0 1066738 0 507150 0 236279 0 218400 0 18466 0 2047033 0 198644 KEVIN B MAHONEY NETWORK EXEC., EX OFFICIO 0 1801543 0 938400 0 37203 0 0 0 20761 0 2797907 0 0 CHARLES F ORELLANA MD SR MEDICAL DIRECTOR, BOARD MBR 325817 0 86152 0 1445 0 0 0 18602 0 432016 0 0 0 LORI GUSTAVE BOARD MEMBER 0 532155 0 244388 0 128604 0 111300 0 29135 0 1045582 0 85890 SCOTT SCHLEGEL EXECUTIVE DIRECTOR, EX OFFICIO 0 339440 0 144813 0 98530 0 50634 0 26427 0 659844 0 51449 HARVEY L WAXMAN MD BOARD MEMBER 0 862008 0 0 0 17202 0 33000 0 24023 0 936233 0 0 DEBORAH A DRISCOLL MD NETWORK EXEC., EX OFFICIO 0 751288 0 1132980 0 239771 0 33000 0 1248 0 2158287 0 0 KRISTEN RAINEAR MD CARDIOLOGIST 744460 0 114058 0 3542 0 0 0 26635 0 888695 0 0 0 GARY DORSHIMER MD INTERNIST 687450 0 90207 0 9680 0 0 0 17983 0 805320 0 0 0 JACK QUINLAN MD CARDIOLOGIST 706673 0 118191 0 1784 0 0 0 26553 0 853201 0 0 0 WILLIAM DUFFY MD INTERNIST 620277 0 187019 0 2840 0 0 0 26607 0 836743 0 0 0 BENJAMIN SILVERMAN MD INTERNIST 742269 0 107779 0 1234 0 0 0 28277 0 879559 0 0 0 MICHELE M VOLPE BOARD MEMBER 0 862368 0 376308 0 157858 0 0 0 15224 0 1411758 0 0 ELIZABETH B JOHNSTON FORMER BOARD MEMBER 0 349913 0 289884 0 18857 0 0 0 21617 0 680271 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 PARTICIPATION IN A SUPP NONQUALIFIED PLAN CERTAIN TRUSTEES, OFFICERS AND/OR KEY EMPLOYEES OF THIS ORGANIZATION ARE COMPENSATED BY A RELATED ORGANIZATION, THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("HEALTH SYSTEM") MAINTAINS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") DESIGNED FOR SENIOR ADMINISTRATORS OF THE HEALTH SYSTEM, AS DESIGNATED BY THE BOARD OF TRUSTEES, WHO ARE ACTIVELY EMPLOYED BY THE HEALTH SYSTEM WHEN THE CONTRIBUTIONS ARE MADE. VESTING IN THE SERP OCCURS AFTER EACH THREE YEARS OF PARTICIPATION AND UPON THE OCCURRENCE OF CERTAIN EVENTS (ATTAINMENT OF AGE 65, DEATH, DISABILITY, OR INVOLUNTARY TERMINATION WITHOUT "CAUSE"). CONTRIBUTIONS FOR THOSE WHO HAVE REACHED AGE 65 WILL BE FULLY VESTED WHEN MADE. UPON REACHING A VESTING DATE, PARTICIPANTS WILL AUTOMATICALLY RECEIVE A FULL DISTRIBUTION WHICH IS TAXABLE AS EARNED INCOME. PARTICIPANTS WHO VOLUNTARILY TERMINATE BEFORE VESTING WILL FORFEIT THE BALANCE IN THEIR ACCOUNTS. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN THE UNIVERSITY/HEALTH SYSTEM SERP PLAN DURING THE YEAR: DRISCOLL, DEBORAH A. - NO DISTRIBUTION GUSTAVE, LORI - $85,366 KASPER, KEITH - $198,644 MAHONEY, KEVIN B. - NO DISTRIBUTION SCHLEGEL, SCOTT - $51,449 VOLPE, MICHELE M. - $127,500 THE HEALTH SYSTEM ALSO MAINTAINS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN DESIGNED FOR SENIOR FACULTY OF THE SCHOOL OF MEDICINE OF THE UNIVERSITY, AS DESIGNATED BY THE BOARD OF TRUSTEES, WHO ARE ACTIVELY EMPLOYED BY THE UNIVERSITY WHEN THE CONTRIBUTIONS ARE MADE (THE "CPUP SERP"). VESTING IN THE MED SERP OCCURS AFTER EVERY TEN YEARS OF PARTICIPATION AND UPON THE OCCURRENCE OF CERTAIN EVENTS (ATTAINMENT OF AGE 60, DEATH, DISABILITY, OR INVOLUNTARY TERMINATION WITHOUT "CAUSE"). CONTRIBUTIONS FOR THOSE WHO HAVE REACHED AGE 60 (WITH 2 OR MORE YEARS OF PARTICIPATION) WILL BE FULLY VESTED WHEN MADE. UPON REACHING A VESTING DATE, TAXES OWED WILL BE WITHDRAWN FROM THE PLAN, AND THE REMAINING AFTER-TAX BALANCE WILL REMAIN IN THE PLAN. PARTICIPANTS WILL AUTOMATICALLY RECEIVE A FULL DISTRIBUTION THE SUMMER AFTER THE YEAR IN WHICH THEY TERMINATE EMPLOYMENT, AT WHICH TIME ANY EARNINGS NOT YET TAXED WILL BE TREATED AS TAXABLE INCOME. PARTICIPANTS WHO VOLUNTARILY TERMINATE BEFORE VESTING WILL FORFEIT THE NON-VESTED BALANCE IN THEIR ACCOUNTS. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN THE CPUP SERP PLAN DURING THE YEAR: DRISCOLL, DEBORAH A. - NO DISTRIBUTION QUINN, PETER D. - NO DISTRIBUTION WAXMAN, HARVEY L. - NO DISTRIBUTION --------------- SCHEDULE J, PART I, LINE 7 PROVISION OF NON-FIXED PAYMENTS CLINICAL CARE ASSOCIATES 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. --------------- FORM 990, PART III, LINE 4A STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM (CCA) IS PART OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM (UPHS). IN KEEPING WITH ITS CHARITABLE PURPOSE, UPHS ACCEPTS PATIENTS IN SERIOUS NEED OF MEDICAL CARE REGARDLESS OF THEIR FINANCIAL STATUS. UPHS MAINTAINS RECORDS TO IDENTIFY AND MONITOR LEVELS OF CHARITY CARE PROVIDED, INCLUDING THE AMOUNT OF PAYMENT FORGONE, BASED ON ESTABLISHED RATES, FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. UPHS ALSO PROVIDES CARE TO PATIENTS WHO DO NOT HAVE HEALTH INSURANCE OR MEET THE CRITERIA TO QUALIFY FOR ITS CHARITY CARE POLICY, AND CERTAIN AMOUNTS CHARGED FOR SUCH SERVICES ARE DEEMED TO BE UNCOLLECTIBLE. IN FY 2024, CCA PROVIDED $33 MILLION IN CHARITY AND UNDERFUNDED CARE FOR MEDICARE AND MEDICAID FAMILIES. CCA WAS FORMED IN JUNE 1993 TO DEVELOP A GEOGRAPHICALLY DISTRIBUTED NETWORK OF PRIMARY CARE PHYSICIANS. AS OF JUNE 30, 2024, CCA AND ITS NEW JERSEY AFFILIATE, CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY, P.C., EMPLOYED OR CONTRACTED WITH 353 PHYSICIANS AND 216 PHYSICIAN EXTENDERS AT 112 OFFICE LOCATIONS THROUGHOUT THE FIVE-COUNTY SOUTHEASTERN PENNSYLVANIA AREA AND THREE-COUNTY SOUTHERN NEW JERSEY AREA. CCA HAS GROWN TO BE A PRIMARY AND SPECIALTY CARE NETWORK WITH APPROXIMATELY 37% OF CCA PHYSICIANS PROVIDING PRIMARY CARE, 10% PROVIDING OBGYN CARE, AND 53% A VARIETY OF SPECIALTY SERVICES. CCA PHYSICIANS SERVE AS TEACHERS FOR STUDENTS AND RESIDENTS OF THE PERELMAN SCHOOL OF MEDICINE, AND THE HEALTH SYSTEM HAS REALIZED, AND CONTINUES TO REALIZE, INCREASED ACCESS TO PATIENTS FOR TEACHING AND RESEARCH PURPOSES AS A RESULT OF CCA'S DEVELOPMENT. HUP, CPUP, PRESBYTERIAN, PENNSYLVANIA, PRINCETON, AND CHESTER COUNTY HOSPITALS ALSO EXPECT TO ATTRACT INCREMENTAL ADMISSIONS AND OUTPATIENT VISITS BECAUSE OF THE UNIQUE AND SPECIALIZED SERVICES THEY CAN PROVIDE TO CCA PATIENTS. A FLAGSHIP AMONG THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM'S COMMUNITY BENEFIT, PENN MEDICINE CARES GRANTS SUPPORT EMPLOYEE VOLUNTEERISM AND PROJECTS FOCUSED ON IMPROVING HEALTH AND WELLNESS, AND ADDRESSING HEALTH DISPARITIES IN UNDERSERVED COMMUNITIES. SINCE 2012, THE CARES PROGRAM HAS FUNDED 1,200 SERVICE INITIATIVES ACROSS THE REGION PENN MEDICINE SERVES, FROM PHILADELPHIA, LANCASTER, AND CHESTER COUNTIES TO THE SUBURBS AND SHORE COMMUNITIES OF NEW JERSEY. FUNDING GIVEN TO LOCAL COMMUNITIES TOTALS $1.25 MILLION. FURTHER, THIS PAST YEAR, PENN MEDICINE ANNOUNCED AN INCREASE IN ANNUAL FUNDING FOR CARES GRANT, BOLSTERING THE IMPACT OF THE PROGRAM. FOLLOWING PLEASE FIND CCA EMPLOYEES WHO RECEIVED THE CARES GRANT FOR THE 2024 FISCAL YEAR: HARRY'S HANDS TO HELP AND HEAL, LORNA LAFFEY: FOR THE PAST TWO YEARS, LORNA HAS BEEN VOLUNTEERING WITH HARRY'S HANDS TO HELP AND HEAL, WHOSE MISSION IS TO ASSIST THE SPOUSES, CHILDREN, FAMILIES, AND COMMUNITIES DIRECTLY AFFECTED BY SUICIDE OR MENTAL ILLNESS. IT SERVES ALL OF DELAWARE COUNTY, PROVIDING A FOOD PANTRY, PET PANTRY, BABY PANTRY, AND CLOTHES PANTRY THAT IS FREE TO EVERYONE. HARRY'S HANDS ALSO ASSISTS OTHER PANTRIES IN THE AREA IN HELPING THEIR COMMUNITIES. LORNA'S GRANT GOES TO PURCHASE NECESSARY FOOD AND SUPPLIES FOR THE PANTRY. FLEA/TICK DISEASE PREVENTION, SUSAN SPINELLO: FLEAS AND TICKS ARE COMMONLY CARRIED INTO HOMES ON PETS AND ARE WELL KNOWN TO CAUSE DISEASE IN BOTH PETS AND HUMANS. PREVENTION FOR PETS IS AVAILABLE, BUT THE COST IS OFTEN VERY HIGH. SUSAN HAS BEEN A VOLUNTEER WITH THE SPAYED CLUB (TSC), WHICH OFFERS LOW-COST OR FREE VETERINARY CARE TO FAMILIES IN WEST PHILADELPHIA AND DELAWARE COUNTY. HER GRANT WILL COVER THE COSTS OF MANY DOSES FOR DOGS AND CATS. AT THE SAME TIME, TSC WILL OFFER INFORMATION TO THE OWNERS. MICHAEL PETRONE FOUNDATION, KELLY MORK: KELLY IS A VOLUNTEER WITH THE MICHAEL PETRONE FOUNDATION, WHICH IDENTIFIES NORRISTOWN FAMILIES IN NEED OF FINANCIAL SUPPORT BECAUSE OF HEALTH HARDSHIPS OR SUDDEN LOSS. KELLY WILL DIRECT HER FUNDING TO HELP SUPPORT ITS CHOSEN FAMILY FOR THIS YEAR. THE FOUNDATION WAS STARTED BY MEMBERS OF BISHOP KENRICK HIGH SCHOOL'S CLASS OF 1976 IN HONOR OF PETRONE, A CLASSMATE WHO DIED A YEAR EARLIER WHILE UNDERGOING A HEART AND KIDNEY TRANSPLANT. THE FOUNDATION ALSO HOSTS RAFFLES, GOLF OUTINGS, DINNERS, ETC., IN ORDER TO RAISE MONEY FOR THE FAMILIES. MT. ZION AME CHURCH, VINCENT SPELLER: A MEMBER OF MT. ZION AME CHURCH IN DEVON, PA., VINCENT WILL USE HIS GRANT TO PURCHASE AN AUTOMATED EXTERNAL DEFIBRILLATOR (AED) FOR THE CHURCH, TO HAVE READY IN CASE OF CARDIAC EVENTS. HIS GRANT WILL ALSO COVER THE COSTS OF PADS, BATTERIES, AND A WALL MOUNT. VINCENT ALSO INTENDS TO TEACH THE CONGREGANTS CPR AND HOW TO USE THE AED. --------------- FORM 990, PART V, LINE 1A FORMS 1099 THIS ORGANIZATION IS AN AFFILIATE OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("TRUSTEES"). THE FORMS 1099 DISTRIBUTED AS PART OF THIS ENTITY'S ACTIVITIES ARE DONE SO THROUGH THE UNIVERSITY HEALTH SYSTEM AND CONSOLIDATED WITH THE TRUSTEES. --------------- FORM 990, PART VI, SECTION B, LINE 11 FORM 990 REVIEW PROCESS INFORMATION RELATED TO THIS ORGANIZATION'S FORM 990 FILING IS GATHERED BY FINANCE STAFF AND PROVIDED TO PWC US TAX LLP FOR REVIEW AND RETURN PREPARATION. A DRAFT COPY OF THE 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 A, LINE 12C CONFLICT OF INTEREST POLICY THIS ORGANIZATION IS AN AFFILIATE OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). EACH COVERED PERSON* ANNUALLY SHALL COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE PROVIDED BY THE UNIVERSITY AND SHALL UPDATE SUCH QUESTIONNAIRE PROMPTLY AS NECESSARY TO REFLECT CHANGES DURING THE COURSE OF THE YEAR. FORMER BOARD MEMBERS WHO ARE NOT TRUSTEE EMERITI ARE ENCOURAGED BUT NOT REQUIRED TO COMPLETE THE QUESTIONNAIRE DURING THE FIVE-YEAR PERIOD FOLLOWING COMPLETION OF THEIR TERMS. COMPLETED QUESTIONNAIRES SHALL BE RETURNED TO THE OFFICE OF THE SECRETARY AND SHALL BE SUBJECT TO REVIEW BY SUCH OFFICE AND THE OFFICE OF THE GENERAL COUNSEL, AS WELL AS BY ANY OUTSIDE LEGAL COUNSEL AND/OR AUDITORS WHO MAY BE APPOINTED TO ADVISE THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES APPOINTED TO OVERSEE THIS POLICY. COMPLETED QUESTIONNAIRES ALSO SHALL BE AVAILABLE FOR INSPECTION BY ANY BOARD MEMBER. *COVERED PERSONS INCLUDE: (1) VOTING MEMBERS OF THE BOARD OF TRUSTEES (INCLUDING CHARTER TRUSTEES, TERM TRUSTEES, ALUMNI TRUSTEES, AND COMMONWEALTH TRUSTEES); (2) TRUSTEE EMERITI WHO HAVE SERVED IN THAT CAPACITY FOR FIVE YEARS OR LESS; (3) OTHER FORMER VOTING TRUSTEES FOR A PERIOD OF FIVE YEARS FROM THE END OF THEIR TERM AS SUCH; (4) OFFICERS AS DEFINED IN THE STATUTES; AND (5) MEMBERS OF THE INVESTMENT BOARD. EACH COVERED PERSON (EXCEPT FORMER BOARD MEMBERS WHO ARE NOT TRUSTEE EMERITI) SHALL BE REQUIRED TO ACKNOWLEDGE, NOT LESS THAN ANNUALLY, THAT HE OR SHE HAS READ AND IS IN COMPLIANCE WITH THIS POLICY. --------------- FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION PROCESS THIS ORGANIZATION IS AN AFFILIATE OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). COMPENSATION ARRANGEMENTS INVOLVING ANY OF OUR OFFICERS AND/OR KEY EMPLOYEES ARE ESTABLISHED BY THE UNIVERSITY PURSUANT TO A PROCESS THAT SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR SECTION 4958 EXCESS BENEFIT TRANSACTION TAX PURPOSES (WHICH REQUIRES A REVIEW OF COMPENSATION DETERMINATIONS BY DISINTERESTED PERSONS, USE OF APPROPRIATE COMPARABILITY DATA, AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS). --------------- FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS AVAILABILITY TO PUBLIC OUR FORMS 1023 AND 990, GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. --------------- FORM 990, PART XI, LINE 9 DETAIL OF OTHER CHANGES IN NET ASSETS NET ALLOCATION TO PENN MEDICINE PMA $ 382,786 OTHER CHANGES IN NET ASSETS (92,128,542) ------------- TOTAL $ (91,745,756) --------------- 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 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 PENNSYLVANIA HOSPITAL OF UPHS 800 SPRUCE STREET PHILADELPHIA PA 19107 311538725 HEALTHCARE PA 501(C)(3) 3 TRUSTEES false PGH DEVELOPMENT CORP 426 CURIE BLVD PHILADELPHIA PA 19104 232351015 SUPPORT ORG PA 501(c)(3) 12, I NA false PHOENIXVILLE HOSPITAL OF UPHS 3001 MARKET STREET 3RD FLOOR PHILADELPHIA PA 19104 232901089 SUPPORT ORG PA 501(c)(3) 3 TRUSTEES false 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 CLINICAL CARE ASSOCIATES OF UPHS 250 KING OF PRUSSIA RD 4TH FL RADNOR PA 19087 232729852 HEALTHCARE PA 501(c)(3) 10 TRUSTEES 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 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