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      <Form990PartVIISectionAGrp>
        <PersonNm>CHRIS MYERS</PersonNm>
        <TitleTxt>CHIEF INFORMATION OFFICER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>STEVEN DAY JR</PersonNm>
        <TitleTxt>RISK SERVICES, BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTINE ROUSSEL</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN B REISS JD</PersonNm>
        <TitleTxt>VP, GEN COUNCIL - UNTIL 11/24</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KENNETH COBURN MD DRPH</PersonNm>
        <TitleTxt>PRES &amp; CEO, MEDICAL DIR - HQP</TitleTxt>
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        <PersonNm>JOHN C CASTNER</PersonNm>
        <TitleTxt>DIR OF FAC DESIGN &amp; CONTSTRUCT</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANNA THOMAS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>EDWARD CALLAHAN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARIANNE E CHABOT</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BARBARA ANN PRICE</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BEVERLY HARVEY</PersonNm>
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        <PersonNm>LILLIAN O'CONNOR</PersonNm>
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        <PersonNm>CATHERINE SCANLON</PersonNm>
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        <PersonNm>RICHARD CLARK</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NICOLE GERACIMOS MD</PersonNm>
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        <PersonNm>HELEN HAMMES</PersonNm>
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        <PersonNm>KATHLEEN KRICK</PersonNm>
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        <PersonNm>WILLIAM LIESER</PersonNm>
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        <PersonNm>BRIAN MCLEOD</PersonNm>
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        <PersonNm>CHRISTOPHER NARDO</PersonNm>
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        <PersonNm>PAULENE O'BRIEN</PersonNm>
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        <PersonNm>SHERI PUTNAM</PersonNm>
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        <PersonNm>MARGUERITE QUINN</PersonNm>
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        <PersonNm>SANDY HOMEL EDD</PersonNm>
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        <PersonNm>PATRICK COUNIHAN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ALYSON G COLE MPM FACHE</PersonNm>
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      <OtherExpensesGrp>
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        <ContributorUSAddress>
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        <ExplanationTxt>DETAIL OF LOBBYING ACTIVITIES THIS ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND THE HOSPITAL AND HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA WHICH BOTH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $17,053 FOR THE FISCAL YEAR ENDED JUNE 30, 2025. -----------------------------</ExplanationTxt>
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      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
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        <TotalCommunityBenefitExpnsAmt>49845281</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>34599988</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>15245293</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.03900</TotalExpensePct>
      </SubsidizedHealthServicesGrp>
      <ResearchGrp>
        <TotalCommunityBenefitExpnsAmt>897770</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>315630</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>582139</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00150</TotalExpensePct>
      </ResearchGrp>
      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>1141527</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>15451</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1126076</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00290</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>65753522</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>37275227</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>28478294</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.07280</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>84747947</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>44320672</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>40427274</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.10330</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>8757005</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>2001609</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>118405179</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>131466623</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-13061444</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostAccountingSystemInd>X</CostAccountingSystemInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>DOYLESTOWN PET</BusinessNameLine1Txt>
        </EntityName>
      </ManagementCoAndJntVenturesGrp>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>ASSOCIATES LLC</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>MEDICAL SERVIVES</PrimaryActivitiesTxt>
        <OrgProfitOrOwnershipPct>0.49</OrgProfitOrOwnershipPct>
        <PhysiciansProfitOrOwnershipPct>0.51</PhysiciansProfitOrOwnershipPct>
      </ManagementCoAndJntVenturesGrp>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>DOYLESTOWN HEALTH</BusinessNameLine1Txt>
        </EntityName>
      </ManagementCoAndJntVenturesGrp>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>CARE PARTNERSHIP</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>ACO</PrimaryActivitiesTxt>
        <OrgProfitOrOwnershipPct>0.5</OrgProfitOrOwnershipPct>
        <PhysiciansProfitOrOwnershipPct>0.5</PhysiciansProfitOrOwnershipPct>
      </ManagementCoAndJntVenturesGrp>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>DOYLESTOWN HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>595 WEST STATE STREET</AddressLine1Txt>
          <CityNm>DOYLESTOWN</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18901</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.DOYLESTOWNHEALTH.ORG</WebsiteAddressTxt>
        <StateLicenseNum>LICENSE# 300401</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <FacilityReportingGroupCd>1</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>DOYLESTOWN HOSPITAL</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>24</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>true</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>true</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE SCH H, PART V, SECTION C</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>25</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE SCH H, PART V, SECTION C</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>250.</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>400.</FPGFamilyIncmLmtDscntCarePct>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>SCH H, PART V, SECT. C</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SCH H, PART V, SECT. C</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>SCH H, PART V, SECT. C</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <OtherActionsTakenInd>X</OtherActionsTakenInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINES 5, 6A &amp; 6B (INPUT FROM COMMUNITY; JOINT CHNA)</FormAndLineReferenceDesc>
        <ExplanationTxt>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 - DOYLESTOWN 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/SUPPORTING-OUR-COMMUNITIES HTTPS://WWW.DOYLESTOWNHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH- NEEDS-ASSESSMENT --------------------</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 7 &amp; 10- CHNA &amp; IMP. PLAN PUBLIC AVAILABILITY</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE ORGANIZATION'S CHNA REPORT AND COMMUNITY HEALTH IMPROVEMENT PLAN REPORT ("IMPLEMENTATION PLAN") CAN BE ACCESSED AT: HTTPS://WWW.DOYLESTOWNHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH- NEEDS-ASSESSMENT HTTPS://WWW.PENNMEDICINE.ORG/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 11/15/2025, AS PERMITTED UNDER THE REGULATIONS. --------------------</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 11 (ADDRESSING THE NEEDS IDENTIFIED IN THE CHNA)</FormAndLineReferenceDesc>
        <ExplanationTxt>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/SUPPORTING-OUR-COMMUNITIES HTTPS://WWW.DOYLESTOWNHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH- NEEDS-ASSESSMENT TO READ MORE WAYS PENN MEDICINE SERVES ITS COMMUNITY, PLEASE VISIT HTTPS://WWW.PENNMEDICINE.ORG/NEWS/COMMUNITY-IMPACT --------------------</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 16 (FINANCIAL ASSISTANCE POLICY AVAILABILITY)</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT: HTTPS://WWW.DOYLESTOWNHEALTH.ORG/PATIENTS-AND-VISITORS/ BILLING-AND-FINANCE --------------------</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>1</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>DH HEALTH &amp; WELLNESS CENTER INC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>847 EASTON ROAD</AddressLine1Txt>
            <CityNm>WARRINGTON</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>18976</ZIPCd>
          </USAddress>
          <FacilityTxt>WELLNESS CENTER &amp; DIAGNOSTIC HOSPITAL STUDIES</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7 (BAD DEBT EXPENSE, COST METHOLODGY USED)</FormAndLineReferenceDesc>
        <ExplanationTxt>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 ACCOUNTING SYSTEM. --------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II (DETAIL OF COMMUNITY BUILDING ACTIVITIES)</FormAndLineReferenceDesc>
        <ExplanationTxt>THROUGHOUT ITS MORE THAN 100-YEAR HISTORY, DOYLESTOWN HOSPITAL HAS BEEN A LEADER IN COMMUNITY ADVOCACY. DOYLESTOWN HOSPITAL IS ACTIVELY ENGAGED WITH MANY COMMUNITY ORGANIZATIONS THAT PROMOTE THE HEALTH AND WELL BEING OF THE POPULATION, FROM BIRTH TO DEATH. 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. --------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, SECTION A, LINE 2 (IMPLICIT PRICE CONCESSIONS/BAD DEBT EXPENSE)</FormAndLineReferenceDesc>
        <ExplanationTxt>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. --------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, SECTION B, LINE 8 (COSTING METHODOLOGY, MEDICARE SHORTFALL)</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 6 IS BASED ON A COST ACCOUNTING CALCULATION. 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. --------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B (COLLECTION PRACTICES)</FormAndLineReferenceDesc>
        <ExplanationTxt>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. --------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2 (NEEDS ASSESSMENT)</FormAndLineReferenceDesc>
        <ExplanationTxt>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) COMPRISED OF THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA (HUP), PENN PRESBYTERIAN MEDICAL CENTER (PPMC), PENNSYLVANIA HOSPITAL (PAH), PRINCETON HEALTH (PH), CHESTER COUNTY HOSPITAL (CCH), AND LANCASTER GENERAL HEALTH (LGH). DOYLESTOWN HEALTH ALSO BECAME PART OF UPHS AS OF APRIL 1, 2025. EVIDENT BY $425.8 MILLION IN CHARITY AND UNDERFUNDED MEDICAID CARE PROVIDED TO FAMILIES, THE PERELMAN SCHOOL OF MEDICINE AND UPHS ARE COMMITTED TO IMPROVING LIVES AND HEALTH THROUGH CLINICAL CARE, RESEARCH, MEDICAL EDUCATION, AND COMMUNITY SERVICE. PENN MEDICINE HAS INVESTED AND SUSTAINED INSTITUTION-WIDE, COMPREHENSIVE PROGRAMS THAT ANCHOR OUR CHARGE IN COMMUNITY HEALTH. THESE PROGRAMS ARE EVIDENCE OF PENN MEDICINE INTEGRATING COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PRIORITIES TO GUIDE STRATEGY, OPERATIONS, AND INVESTMENTS: - THE CENTER FOR HEALTH EQUITY ADVANCEMENT (CHEA) AT PENN MEDICINE COLLABORATES CLOSELY WITH A NETWORK OF HEALTHCARE LEADERS, CLINICAL TEAMS, COMMUNITY PARTNERS, AND RESEARCH FELLOWS TO TRANSFORM SCIENTIFIC RESEARCH INTO PRACTICAL, IMPACTFUL STRATEGIES. THROUGH FOCUSED EFFORTS IN RESEARCH AND EVALUATION, CARE TRANSFORMATION, EDUCATION AND TRAINING, WORKFORCE DEVELOPMENT, AND COMMUNITY ENGAGEMENT, CHEA IS DEDICATED TO ENHANCING CARE DELIVERY, FOSTERING MEANINGFUL CONNECTIONS WITH THOSE LIVING NEAR OUR HOSPITALS, AND INSPIRING THE NEXT GENERATION OF SCIENTISTS AND HEALTHCARE PROVIDERS. - THE CENTER FOR HEALTH JUSTICE (CHJ) WORKS TO ADVANCE HEALTH THROUGH SUPPORT PROVIDED TO COMMUNITIES HARMED BY STRUCTURAL INEQUITY. ITS TWO MAIN GROUPS-URBAN HEALTH LAB AND HEALTH JUSTICE TRANSFORMATION-LEAD RESEARCH, COMMUNITY ACTION, AND HEALTH SYSTEM REFORM. CHJ COLLABORATES ACROSS PENN MEDICINE AND THE UNIVERSITY OF PENNSYLVANIA TO GUIDE STRATEGY AND BUILD INFRASTRUCTURE FOR LASTING CHANGE. THROUGH ITS HEALTH JUSTICE TRANSFORMATION PORTFOLIO, CHJ PARTNERS WITH STAFF AND LEADERS TO EMBED TRANSFORMATIVE COMMUNITY SUPPORT INTO HEALTH SYSTEM OPERATIONS AND POLICY. - THE PENN CENTER FOR COMMUNITY HEALTH WORKERS WORKS TO ADVANCE HEALTH EQUITY AND IMPROVE HEALTH OUTCOMES. SINCE ITS CREATION, THE CENTER HAS SUPPORTED CLOSE TO 25,000 PEOPLE IN OUR REGION BY LEVERAGING THE COMPASSION AND RESOURCEFULNESS OF COMMUNITY HEALTH WORKERS TO PROVIDE TRUSTED, PERSON-CENTERED SUPPORT. COMMUNITY HEALTH WORKERS PARTNER WITH PATIENTS TO ADDRESS VARIOUS ASPECTS OF THEIR LIVES THAT IMPACT HEALTH-FROM NAVIGATING THE HEALTH SYSTEM TO TACKLING UNDERLYING SOCIAL BARRIERS, SUCH AS UNSTABLE HOUSING, SOCIAL ISOLATION, AND UNEMPLOYMENT. - THE PENN MEDICINE WHARTON FUND FOR HEALTH IS IN PARTNERSHIP WITH THE SOCIAL IMPACT INITIATIVE AT THE UNIVERSITY OF PENNSYLVANIA'S WHARTON SCHOOL, AND WORKS TO IMPROVE THE SOCIAL DETERMINANTS OF HEALTH FOR PHILADELPHIANS. INITIALLY COMMITTING $5 MILLION OVER THREE YEARS, THIS INITIATIVE INVESTS IN INNOVATIVE, FORWARD-THINKING VENTURES CREATING MEANINGFUL IMPROVEMENTS IN OUR CITY'S HEALTH WHILE FOSTERING SUSTAINABLE AND PROFITABLE COMPANIES THAT GENERATE JOBS AND ECONOMIC OPPORTUNITIES FOR MORE RESIDENTS. BUILDING ON THE SUCCESS OF THE INITIAL STARTUPS AND THEIR POSITIVE EFFECT ON HEALTH INEQUITIES, INVESTMENT IN FUND FOR HEALTH WILL CONTINUE. - THE PENN MEDICINE CARES GRANT WILL CONTINUE TO EMPOWER COMMUNITY-BASED INITIATIVES LED BY EMPLOYEES AND MEDICAL STUDENTS BY AWARDING FUNDING ON A QUARTERLY BASIS. THESE GRANTS CAN BE USED TO PURCHASE SUPPLIES AND RESOURCES ESSENTIAL TO ADVANCING FAIR HEALTH OUTCOMES WITHIN THE COMMUNITY. SINCE ITS INCEPTION IN 2012, AND INCLUDING FY2025, THE PROGRAM HAS SUPPORTED OVER 1,264 PROJECTS, DISTRIBUTING MORE THAN $1.38 MILLION IN TOTAL FUNDING. WE EAGERLY ANTICIPATE THE INNOVATIVE APPROACHES THAT FACULTY, STAFF, AND STUDENTS AT PENN MEDICINE WILL CONTINUE TO DEVELOP TO ADDRESS COMMUNITY HEALTH NEEDS. COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION IN PHILADELPHIA DEVELOPED BY A COALITION OF AREA HOSPITALS WITH AN AMPLIFIED COMMUNITY VOICE TO GUIDE, THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR PHILADELPHIA AND THE SURROUNDING COUNTIES IN PENNSYLVANIA WAS COMPLETED IN 2025. THE FOLLOWING NEEDS WERE NAMED AS PRIORITY: TRUST AND COMMUNICATION DISCRIMINATION IN HEALTH CARE CHRONIC DISEASE PREVENTION AND MANAGEMENT ACCESS TO CARE (PRIMARY AND SPECIALTY) HEALTHCARE AND HEALTH RESOURCES NAVIGATION MENTAL HEALTH ACCESS SUBSTANCE USE AND RELATED DISORDERS HEALTHY AGING CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES FOOD ACCESS HOUSING INSECURITY NEIGHBORHOOD CONDITIONS YOUTH PRIORITIES: YOUTH MENTAL HEALTH LACK OF RESOURCES/KNOWLEDGE OF RESOURCES SUBSTANCE USE AND RELATED DISORDERS BULLYING GUN VIOLENCE ACCESS TO PHYSICAL ACTIVITY ACTIVITIES FOR YOUTH ACCESS TO GOOD SCHOOLS IN RESPONSE TO THE PRIORITIZED NEEDS OF OUR COMMUNITY, LISTED ABOVE, PENN MEDICINE'S PHILADELPHIA-BASED HOSPITALS, HUP, PPMC, AND PAH, HAVE DEVELOPED NUMEROUS PROGRAMS IN NEIGHBORHOODS NEAR OUR HOSPITALS. FOLLOWING PLEASE FIND A LIST OF PROGRAMS PENN MEDICINE INVESTS IN AND MAINTAINS WITH AN AIM TO IMPROVE COMMUNITY HEALTH IN THE RESPECTIVE CHNA NEED AREAS; THE FOLLOWING REPRESENTS A SELECTION OF KEY INITIATIVES AND IS NOT AN EXHAUSTIVE LIST: BUILDING TRUST AND IMPROVING COMMUNICATION TRUST AND CLEAR COMMUNICATION ARE ESSENTIAL TO STRONG PATIENT-PROVIDER RELATIONSHIPS. BREAKDOWNS IN COMMUNICATION CAN ERODE TRUST AND LEAD TO DISENGAGEMENT AND POORER HEALTH OUTCOMES. TO ADDRESS THIS, PENN MEDICINE EMPHASIZES PROACTIVE STORYTELLING AND OUTWARD-FACING COMMUNICATION THROUGH THE FOLLOWING INITIATIVES: PENN MEDICINE USES ITS COMMUNITY EVENTS CALENDAR TO PROMOTE SUPPORT GROUPS, CLASSES, PROFESSIONAL DEVELOPMENT, AND HEALTH PROGRAMS - THUS IMPROVING CONNECTEDNESS BETWEEN AREA RESIDENTS OUR PHILADELPHIA HOSPITALS. THE COMMUNITY RELATIONS TEAM FACILITATES VOLUNTEER REQUESTS TO BRING EMPLOYEE EXPERTS AND HEALTH SYSTEM SERVICES DIRECTLY INTO NEIGHBORHOODS. ADDITIONALLY, THERE ARE A BREADTH OF EMPLOYEES AND DEPARTMENTS ACROSS THE HEALTH SYSTEM WORKING WITHIN OUR COMMUNITY IN THEIR OWN AREA OF EXPERTISE. TO REDUCE PATIENT FRUSTRATION AND IMPROVE UNDERSTANDING FOR PATIENTS IN PAH'S EMERGENCY DEPARTMENT WAITING ROOM, ANIMATED VIDEOS WERE CREATED AND EXPLAIN THE EMERGENCY DEPARTMENT PROCESSES-SUCH AS TRIAGE, CONDUCT EXPECTATIONS, AND WHAT TO ANTICIPATE DURING A VISIT. THE VIDEOS PLAY AS PATIENTS ENTER AND WAIT AND ARE AVAILABLE IN ENGLISH AND SPANISH FOR ACCESSIBILITY. DEVELOPED WITH INPUT FROM PENN MEDICINE'S COMMUNITY ADVISORY BOARDS AND PATIENT FAMILY ADVISORY COUNCILS, THE VIDEOS ENSURE CONTENT REFLECTS COMMUNITY NEEDS, STRENGTHENS TRUST, AND ENHANCES THE OVERALL EMERGENCY CARE EXPERIENCE. THE PENN MEDICINE LISTENING LAB ELEVATES THE LIVED EXPERIENCES OF PATIENTS, CAREGIVERS, STAFF, AND PROVIDERS TO STRENGTHEN A UNIFIED CULTURE OF CAREGIVING. THROUGH A FACILITATED, HIPAA-COMPLIANT PROCESS, STORIES ARE RECORDED, COLLABORATIVELY EDITED, AND SHARED WITH THE STORYTELLER'S CONSENT. THESE NARRATIVES ARE USED ACROSS THE HEALTH SYSTEM-IN EMPLOYEE ORIENTATION, MEDICAL AND NURSING EDUCATION, PATIENT AND FAMILY ADVISORY COMMITTEE COLLABORATIONS, LEADERSHIP MEETINGS, STAFF HUDDLES, INTERNAL COMMUNICATIONS, AND CLINICAL-ROOM SCREENSAVERS. FOR MANY STORYTELLERS, THE PROCESS IS ALSO VALIDATING, COMFORTING, AND HEALING. IN 2024, PENN MEDICINE INTRODUCED A PATIENT QUALITY AND SAFETY WEBSITE AND DASHBOARD OFFERING TRANSPARENT, REGULARLY UPDATED DATA ON MEASURES SUCH AS PREVENTIVE CARE, INFECTIONS, MORTALITY, AND HOME HEALTH OUTCOMES. WHERE POSSIBLE, RESULTS ARE COMPARED WITH STATE AND NATIONAL BENCHMARKS TO SUPPORT INFORMED DECISION-MAKING. CLEAR NARRATIVES AND SELECT EXPLAINER VIDEOS HELP MAKE THE DATA MORE ACCESSIBLE AND HIGHLIGHT PENN MEDICINE'S QUALITY AND SAFETY STRATEGIES, PATIENT EXPERIENCE INSIGHTS, AND COMMUNITY HEALTH GOALS. THE CENTERS FOR MEDICARE AND MEDICAID SERVICE REQUIRES HOSPITALS TO POST MACHINE-READABLE LISTS OF STANDARD CHARGES, UPDATED ANNUALLY. PENN MEDICINE'S "TRANSPARENCY IN PRICING" WEBPAGE ALLOWS PATIENTS TO ACCESS THESE CHARGEMASTER DETAILS, VIEW NEGOTIATED PRICE LISTS, AND REQUEST COST ESTIMATES THROUGH MYCHART OR BY PHONE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2 (NEEDS ASSESSMENT) CONT.</FormAndLineReferenceDesc>
        <ExplanationTxt>ELIMINATING DISCRIMINATION IN HEALTH CARE THE FOLLOWING PENN MEDICINE PROGRAMS ADDRESS THE DISCRIMINATION IN HEALTH CARE PRIORITY: THE ONCOLINK TEAM IN RADIATION ONCOLOGY HAS PROVIDED TRAUMA-INFORMED CARE TRAINING TO 804 MULTIDISCIPLINARY CARE TEAM MEMBERS ACROSS UPHS' PHILADELPHIA HOSPITALS. THROUGH INTERACTIVE CASE DISCUSSIONS AND EXPERIENTIAL LEARNING, PARTICIPANTS BUILD UNDERSTANDING OF TRAUMA, ADVERSE CHILDHOOD EXPERIENCES (ACES), TRAUMA RESPONSES, AND SENSITIVE PRACTICE TECHNIQUES. PRE- AND POST-TRAINING SURVEYS MEASURE KNOWLEDGE, COMPETENCE, BARRIERS, AND NEEDED SUPPORT. ADDITIONALLY, PENN'S DEPARTMENT OF EMERGENCY MEDICINE IS EMBEDDING TRAUMA-INFORMED CARE INTO ALL ASPECTS OF EMERGENCY MEDICINE'S OPERATIONS, TO REDUCE STIGMA AND CREATE HEALING-CENTERED ENVIRONMENTS. HUP HAS ENHANCED INTERPRETER SERVICES BY PRIORITIZING IN-PERSON SUPPORT, HIRING MORE MULTILINGUAL STAFF, AND STRENGTHENING DOCUMENTATION STANDARDS. UPHS IS CURRENTLY EXPANDING THIS MODEL ACROSS ITS PHILADELPHIA HOSPITALS IN ORDER TO IMPROVE COMMUNICATION FOR PATIENTS WITH LIMITED ENGLISH PROFICIENCY. A JOINT PENN-CHOP INITIATIVE, ALLIANCE OF MINORITY PHYSICIANS SUPPORTS MEDICAL STUDENTS, TRAINEES, AND FACULTY THROUGH MENTORSHIP, NETWORKING, AND PROFESSIONAL DEVELOPMENT-PROMOTING EQUAL TREATMENT, ATTRACTING TALENT, AND FOSTERING INCLUSIVE LEARNING ENVIRONMENTS. THE PERINATAL RESOURCES FOR OPIOID USE DISORDER (PROUD) CLINIC DELIVERS COMPREHENSIVE, AFFIRMING CARE FOR PERINATAL PATIENTS WITH SUBSTANCE USE DISORDERS THROUGH AN INTERDISCIPLINARY TEAM SPANNING SOCIAL WORK, PHARMACY, PSYCHIATRY, OB/GYN, AND FAMILY MEDICINE. THE SICKLE CELL DISEASE TASK FORCE PROMOTES EQUITABLE CARE FOR PATIENTS WITH SICKLE CELL DISEASE BY DEVELOPING STANDARDIZED PROTOCOLS AND USING DATA DASHBOARDS TO TRACK CARE. THIS APPROACH IMPROVES CONSISTENCY, PAIN MANAGEMENT, AND OVERALL QUALITY OF CARE. PENN PSYCHIATRY OFFERS SPECIALIZED BEHAVIORAL HEALTH CLINICS, INCLUDING Q-MUNITY WELLNESS FOR UNINSURED LGBTQ+ PATIENTS, AN LGBTQ+ DBT SKILLS GROUP, A MEDICAID-DESIGNATED PTSD PROGRAM, AND THE SOUTHEAST ASIAN PROGRAM AT HALL-MERCER, PROVIDING MULTILINGUAL, CULTURALLY TAILORED SERVICES. WITH AN AIM TO MONITOR CARE DISPARITIES AND PREVENT DISCRIMINATION, CHEA CREATED THE EQUITY AND QUALITY DASHBOARD AND HEALTH RELATED SOCIAL NEEDS DASHBOARD. PENN MEDICINE IS STANDARDIZING DATA COLLECTION TO BETTER MEASURE POTENTIAL INEQUITIES AND GUIDE DATA-DRIVEN INTERVENTIONS. IMPROVING THE MANAGEMENT AND PREVENTION OF CHRONIC DISEASES CHRONIC DISEASES-SUCH AS HYPERTENSION, DIABETES, COPD, AND STROKE-ARE LEADING CAUSES OF DEATH IN THE PENN MEDICINE SERVICE AREA. PENN MEDICINE ADDRESSES THESE CONDITIONS THROUGH EVIDENCE-BASED SCREENING, DIAGNOSIS, AND MANAGEMENT, WHILE IMPLEMENTING HEALTH SYSTEM AND COMMUNITY STRATEGIES TO PREVENT DISEASE AND OVERCOME BARRIERS TO CARE. EARLY DETECTION ENABLES TIMELY TREATMENT, BETTER OUTCOMES, AND IMPROVED LONG-TERM HEALTH. SINCE 2021, PENN MEDICINE, IN PARTNERSHIP WITH SIEMENS HEALTHINEERS, HAS PROVIDED NEARLY 1,000 FREE MAMMOGRAMS, DETECTING NINE BREAST CANCERS-EXCEEDING THE TYPICAL SCREENING DETECTION RATE. BUILDING ON THE ABRAMSON CANCER CENTER'S SCREENING PROGRAMS FOR UNDERSERVED COMMUNITIES, PENN MEDICINE LAUNCHED ITS OWN MOBILE MAMMOGRAPHY VAN IN JULY 2025. THE VAN OFFERS 3D BREAST IMAGING IN A PRIVATE, COMFORTABLE SETTING AND HAS VISITED HEALTH FAIRS, COMMUNITY EVENTS, AND CORPORATE CAMPUSES ACROSS THE GREATER PHILADELPHIA AREA. PATIENTS' INSURANCE WILL BE BILLED IF APPLICABLE, AND NO ONE IS TURNED AWAY FOR LACK OF COVERAGE. ORGANIZATIONS REQUEST THE VAN ONLINE, WITH A PUBLIC EVENT CALENDAR AVAILABLE. SINCE 2014, THE PENN MEDICINE BREAST HEALTH INITIATIVE HAS PROVIDED FREE BREAST CANCER SCREENINGS, DIAGNOSTICS, AND TREATMENT TO NEARLY 7,000 UNDERSERVED AND UNINSURED WOMEN, PARTNERING WITH REGIONAL NONPROFITS AND CLINICS. FIFTY-SEVEN PERCENT OF PARTICIPANTS DID NOT SPEAK ENGLISH. THROUGH FY2025, 803 BIOPSIES WERE PERFORMED, IDENTIFYING AND TREATING 137 BREAST CANCER CASES. PENN MEDICINE'S ONCOLOGY NURSES AND PATIENT NAVIGATORS GUIDE BREAST CANCER PATIENTS FROM DIAGNOSIS THROUGH SURVIVORSHIP, HELPING THEM PERSONALLY UNDERSTAND TREATMENT OPTIONS, SCHEDULE CARE, ACCESS RESOURCES, AND EXPLORE CLINICAL TRIALS-EMPOWERING PATIENTS AND FAMILIES THROUGHOUT THEIR JOURNEY. PENN MEDICINE'S COLORECTAL CANCER SCREENING OUTREACH PROMOTES COLORECTAL CANCER SCREENING THROUGH COMMUNITY EVENTS, MAILED FIT KITS, AND TEXT REMINDERS. PARTNERING WITH LOCAL GROUPS AND CLINICS, IT TARGETS UNDERSERVED POPULATIONS AND SUPPORTS FOLLOW-UP FOR POSITIVE RESULTS TO CLOSE SCREENING GAPS. THE INNOVATIVE CUT HYPERTENSION PROJECT TURNS THE CORNER BARBER SHOP IN UNDERSERVED COMMUNITIES INTO HEALTH HUBS, OFFERING BLOOD PRESSURE SCREENINGS, EDUCATION ON HYPERTENSION, DIET, AND EXERCISE, WHILE BUILDING TRUST WITH LOCAL RESIDENTS. UNITED COMMUNITY CLINIC (UCC) UCC PROVIDES FREE, LONG-TERM PRIMARY AND PREVENTIVE CARE TO UNDERINSURED INDIVIDUALS IN THE WEST AND SOUTHWEST PHILADELPHIA. PARTNERING WITH LOCAL ORGANIZATIONS, UCC ENGAGES STUDENTS IN DEVELOPING CARE PLANS, OFFERING MEDICATIONS, LIFESTYLE SUPPORT, EDUCATION, AND REGULAR FOLLOW-UP FOR CHRONIC DISEASE MANAGEMENT. SUPPORTING HEALTHCARE AND HEALTH RESOURCES NAVIGATION PENN MEDICINE ADDRESSED THE HEALTHCARE AND HEALTH RESOURCES NAVIGATION PRIORITY BY FINANCING SYSTEMS THAT HELP PATIENTS-PARTICULARLY VULNERABLE POPULATIONS-NAVIGATE HEALTH AND SOCIAL SERVICES. THE PENN CENTER FOR COMMUNITY HEALTH WORKERS, A NATIONAL CENTER OF EXCELLENCE, ADVANCES RESEARCH AND BEST PRACTICES IN COMMUNITY HEALTH WORK AND LEADS IMPLEMENTATION OF THE IMPACT PROGRAM, WHICH INTEGRATES COMMUNITY HEALTH WORKERS INTO CARE TEAMS TO IMPROVE REFERRALS, DATA PROCESSES, AND COMMUNICATION. THESE WORKERS HELP PATIENTS NAVIGATE HEALTH AND SOCIAL SYSTEMS, CONNECT TO APPROPRIATE CARE, AND ADVOCATE FOR THEIR NEEDS. THE PHMC PUBLIC HEALTH CAMPUS ON CEDAR, ANCHORED BY THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA-CEDAR AVENUE, WAS REDEVELOPED BY PENN MEDICINE AND PARTNERS AFTER A PREVIOUS OPERATOR ANNOUNCED PLANS TO CLOSE THE HOSPITAL. TODAY, THE CAMPUS PROVIDES HIGH-QUALITY, COMMUNITY-INFORMED MEDICAL AND SOCIAL SERVICES FOR WEST AND SOUTHWEST PHILADELPHIA. THROUGH A PARTNERSHIP WITH PHMC, PENN MEDICINE MANAGES EMERGENCY, INPATIENT, AND BEHAVIORAL HEALTH SERVICES, ALONGSIDE COALITION PARTNERS INCLUDING CHILDREN'S HOSPITAL OF PHILADELPHIA AND THE INDEPENDENCE BLUE CROSS FOUNDATION. THE CAMPUS FOCUSES ON HEALTH EQUITY AND EXPANDS COMMUNITY ACCESS TO PRIMARY CARE, BEHAVIORAL HEALTH, ACUTE CARE, SUBSTANCE USE TREATMENT, AND OTHER SOCIAL SUPPORTS. PA NAVIGATE IS A STATEWIDE PLATFORM VESTED BY PENN MEDICINE TO CONNECT PATIENTS WITH ESSENTIAL HEALTH AND SOCIAL SERVICES, INCLUDING FOOD, HOUSING, TRANSPORTATION, AND BEHAVIORAL HEALTH SUPPORTS. BY STREAMLINING REFERRALS AND COORDINATING CARE AMONG PROVIDERS AND COMMUNITY ORGANIZATIONS, THE TOOL REDUCES BARRIERS AND IMPROVES EQUITABLE ACCESS TO RESOURCES. INTEGRATED INTO PENN MEDICINE'S CARE COORDINATION WORKFLOWS, PA NAVIGATE IS USED BY COMMUNITY HEALTH WORKERS, SOCIAL WORKERS, AND OTHER STAFF TO PROVIDE TIMELY, CULTURALLY RESPONSIVE ASSISTANCE. THE SOCIAL NEEDS RESPONSE TEAM (SNRT), CREATED BY PENN MEDICINE'S DEPARTMENT OF SOCIAL WORK WITH SUPPORT FROM THE CENTER FOR HEALTH EQUITY ADVANCEMENT, IS A VIRTUAL CALL CENTER PROVIDING PATIENTS AND THE WIDER PHILADELPHIA COMMUNITY WITH ACCESS TO RESOURCES THAT ADDRESS SOCIAL NEEDS. SUPERVISED BY A CLINICAL SOCIAL WORKER, AN INTERDISCIPLINARY TEAM OF HEALTH PROFESSIONALS ASSISTS WITH SAFETY, DISTRESS, AND OTHER UNMET NEEDS TO REDUCE RESIDENTS' IMPACT ON HEALTH. PUENTES DE SALUD IS A NONPROFIT - SUPPORTED BY PENN MEDICINE - SERVING UNINSURED RESIDENTS OF PHILADELPHIA, HELPING PATIENTS WITH COMPLEX MEDICAL NEEDS NAVIGATE THE HEALTH CARE SYSTEM, ACCESS APPROPRIATE CARE, SCHEDULE APPOINTMENTS, AND OBTAIN SUPPORTIVE SERVICES. PENN MEDICINE'S LGBTQ+ PATIENT NAVIGATION PROGRAM ADVANCES HEALTH EQUITY BY HELPING LGBTQ+ PATIENTS ACCESS HIGH-QUALITY CARE. NAVIGATORS ASSIST WITH FINDING KNOWLEDGEABLE PROVIDERS, COORDINATING APPOINTMENTS, AND ADDRESSING INSURANCE AND SPECIALIZED CARE BARRIERS, FOSTERING TRUST AND ENSURING CARE IS RESPECTFUL AND RESPONSIVE TO THE UNIQUE NEEDS OF LGBTQ+ COMMUNITIES. THE CENTER FOR SURGICAL HEALTH (CSH) HELPS UNINSURED AND UNDERINSURED PATIENTS ACCESS NECESSARY SURGICAL CARE BY PROVIDING NAVIGATION THROUGHOUT THE SURGICAL JOURNEY AND ADDRESSING BARRIERS SUCH AS INSURANCE, LANGUAGE, TRANSPORTATION, AND CARE COORDINATION. WORKING WITH FINANCIAL ADVOCATES AND COMMUNITY PARTNERS, CSH INTEGRATES CLINICAL, FINANCIAL, AND SOCIAL SUPPORT TO ENSURE EQUITABLE ACCESS TO LIFESAVING AND LIFE-IMPROVING SURGERIES, ADVANCING HEALTH EQUITY AND REDUCING DISPARITIES IN OUR LOCAL COMMUNITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2 (NEEDS ASSESSMENT) CONT.</FormAndLineReferenceDesc>
        <ExplanationTxt>MAKING MENTAL HEALTHCARE MORE ACCESSIBLE PENN MEDICINE RECOGNIZES MENTAL HEALTH AS A CRITICAL NEED IN PHILADELPHIA AND IS COMMITTED TO PROVIDING HIGH-QUALITY, ACCESSIBLE, TEAM-BASED, AND CULTURALLY RESPONSIVE CARE, PARTICULARLY FOR VULNERABLE POPULATIONS IN OUR LOCAL COMMUNITIES. WE ALSO WORK TO EXPAND THE MENTAL HEALTH WORKFORCE AND ENHANCE SERVICES THROUGH COMMUNITY ENGAGEMENT, ADDRESSING THE MENTAL HEALTH ACCESS PRIORITY: THE HALL-MERCER COMMUNITY BEHAVIORAL HEALTH CENTER - WITHIN PENN MEDICINE - IS PENNSYLVANIA'S FIRST OUTPATIENT COMMUNITY MENTAL HEALTH CENTER AND SERVES INDIVIDUALS WITH MENTAL ILLNESS OR DEVELOPMENTAL DISABILITIES. PROVIDING COMPREHENSIVE SERVICES FOR ALL AGES, IT ADVANCES CARE AND ACCEPTANCE FOR PEOPLE WITH PSYCHIATRIC OR INTELLECTUAL DISABILITIES AND IS PART OF PHILADELPHIA'S NETWORK OF 11 COMMUNITY MENTAL HEALTH CENTERS. THE PENN CENTER FOR YOUTH AND FAMILY TRAUMA RESPONSE AND RECOVERY (CYFTRR) PROVIDES SPECIALIZED INTERVENTIONS FOR CHILDREN AND FAMILIES TO ADDRESS TRAUMA-RELATED PHYSICAL AND PSYCHOLOGICAL EFFECTS, SERVING AS THE ONLY EARLY-INTERVENTION PROVIDER OF ITS KIND IN THE PHILADELPHIA AREA. PENN PSYCHIATRY'S FELLOWSHIP IN COMMUNITY PSYCHIATRY IS A ONE-YEAR PROGRAM IN WHICH 4 BOARD-ELIGIBLE COMMUNITY FELLOWS PROVIDE ATTENDING-LEVEL SERVICES TO PARTNERING COMMUNITY AGENCIES, ENHANCING ACCESS TO PSYCHIATRIC CARE. PROVIDING QUALITY CARE FOR SUBSTANCE USE AND RELATED DISORDERS PHILADELPHIA CONTINUES TO BE SEVERELY AFFECTED BY THE OPIOID CRISIS. IN 2023, THE CITY RECORDED APPROXIMATELY 1,315 OVERDOSE DEATHS-THE SECOND-HIGHEST TOTAL ON RECORD-WITH MOST INVOLVING POLYSUBSTANCE EXPOSURES REFLECTING AN INCREASINGLY TOXIC DRUG SUPPLY. ALTHOUGH OVERDOSE DEATHS DECLINED SLIGHTLY IN 2024, DATA TENDS TO DEMONSTRATE THAT BLACK AND INDIGENOUS PEOPLE LIVING IN PHILADELPHIA CONTINUE TO EXPERIENCE DISPROPORTIONATE HARM RELATED TO SUBSTANCE USE AND RELATED DISORDERS, HIGHLIGHTING THE NEED FOR CULTURALLY RESPONSIVE, EQUITY-FOCUSED INTERVENTIONS. PENN MEDICINE REMAINS COMMITTED TO ADDRESSING THESE CHALLENGES BY EXPANDING ACCESS TO EVIDENCE-BASED TREATMENT, DELIVERING HIGH-QUALITY CARE IN THE NEIGHBORHOODS MOST AFFECTED, TRAINING HEALTH PROFESSIONALS IN ADDICTION MEDICINE, AND ADVOCATING FOR SYSTEMS-LEVEL SOLUTIONS THROUGH THE FOLLOWING STRATEGIES AND PROGRAMS: FOUNDED IN 2019, PENN MEDICINE'S CENTER FOR ADDICTION MEDICINE AND POLICY (CAMP) IS A MULTIDISCIPLINARY INITIATIVE ADVANCING EDUCATION, TREATMENT, AND RESEARCH IN ADDICTION MEDICINE. CAMP PARTNERS WITH RECOVERY SPECIALISTS AND STAFF ACROSS DISCIPLINES TO PROVIDE EVIDENCE-BASED, STIGMA-FREE CARE FOR PATIENTS WITH SUBSTANCE USE DISORDERS, EXPAND TREATMENT IN CLINICAL SETTINGS, AND DELIVER HARM REDUCTION AND OVERDOSE PREVENTION RESOURCES TO THE COMMUNITY. PENN MEDICINE INTEGRATES MEDICATION FOR OPIOID USE DISORDERS (MOUD) INTO PRIMARY CARE TO EXPAND ACCESS, REDUCE STIGMA, AND PROVIDE HARM REDUCTION SERVICES. SIX PHILADELPHIA PRACTICES NOW OFFER MOUD, TREATING OVER 800 PATIENTS WITH BUPRENORPHINE WITHIN ROUTINE PRIMARY CARE. PREVENTION POINT PHILADELPHIA (PPP), A NONPROFIT PUBLIC HEALTH ORGANIZATION, PROVIDES HARM REDUCTION SERVICES IN THE REGION. PENN MEDICINE SUPPORTS PPP THROUGH COUNSELING, CASE MANAGEMENT, LEGAL AID, AND OVERDOSE PREVENTION TRAINING, WHILE FACULTY AND RESIDENTS STAFF THE SANA CLINIC AND MOBILE UNIT TO DELIVER INTEGRATED HIV AND OUD CARE, INCLUDING FOR INDIVIDUALS EXPERIENCING STREET HOMELESSNESS. THE CARECONNECT WARMLINE, A PARTNERSHIP WITH THE PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH, IS A SUBSTANCE USE NAVIGATION LINE THAT IMPROVES SAME-DAY ACCESS TO TREATMENT. LAUNCHED DURING THE COVID-19 PANDEMIC, IT RECENTLY EXPANDED TO INCLUDE CLINICAL CONSULTATIONS WITH EXPERTS IN PERINATAL SUD AND REPRODUCTIVE PSYCHIATRY FOR PHILADELPHIA AND SURROUNDING COUNTIES. OTHER PROGRAMS SUPPORTED BY PENN MEDICINE ADDRESS OPIOID AND SUBSTANCE USE DISORDERS THROUGH A COMPREHENSIVE, EQUITY-FOCUSED APPROACH THAT INTEGRATES PREVENTION, TREATMENT, AND RECOVERY SUPPORT. KEY INITIATIVES INCLUDE PERINATAL AND PRIMARY CARE MOUD PROGRAMS, MOBILE AND VIRTUAL HARM REDUCTION SERVICES, PEER NAVIGATION, AND JUSTICE-INVOLVED SUPPORT, ALONGSIDE SYSTEMWIDE EFFORTS LIKE THE ADDICTION MEDICINE CONSULT SERVICE AND OPIOID TASK FORCE TO STANDARDIZE CARE AND REDUCE OPIOID-RELATED HARM. EMERGENCY DEPARTMENT-BASED PROGRAMS EXPAND ACCESS TO TREATMENT AND SAFER-USE RESOURCES, WHILE DATA-DRIVEN STRATEGIES GUIDE EQUITABLE, EVIDENCE-BASED CARE. COLLECTIVELY, THESE PROGRAMS ADVANCE RECOVERY, CONNECT PATIENTS TO ESSENTIAL SERVICES, AND REDUCE DISPARITIES ACROSS THE COMMUNITY. PROVIDING CARE AND RESOURCES TO SUPPORT HEALTHY AGING PENN MEDICINE ADDRESSES THE GROWING NEEDS OF OLDER ADULTS-DEFINED AS AGE 65 AND OLDER-THROUGH PERSONALIZED CARE AND SPECIALIZED PROGRAMS VIA PENN GERIATRIC MEDICINE AND THE PENN MEMORY CENTER. THESE INITIATIVES PROVIDE COMPREHENSIVE TREATMENTS AND SUPPORT FOR AGING INDIVIDUALS, REFLECTING PENN MEDICINE'S COMMITMENT TO HEALTHY AGING AND RESPONSE TO THE "HEALTHY AGING" PRIORITY: PENN MEDICINE PARTICIPATES IN GUIDING AN IMPROVED DEMENTIA EXPERIENCE (GUIDE), A MEDICARE MODEL TO PROVIDE HIGH-QUALITY, AT-HOME CARE FOR PEOPLE WITH DEMENTIA WHILE SUPPORTING CAREGIVERS. GUIDE OFFERS PERSONALIZED DEMENTIA CARE, CAREGIVER RESOURCES, SOCIAL AND WELLNESS ACTIVITIES, RESPITE SERVICES, AND A DEDICATED CARE NAVIGATOR TO REDUCE STRESS AND MAXIMIZE TIME AT HOME. SUPPORTING OLDER ADULTS AT RISK (SOAR) HELPS OLDER ADULTS RETURN HOME SOONER AND RECOVER SAFELY THROUGH THREE PHASES: - PREPARE: GERIATRIC NURSE CONSULTANTS IDENTIFY ELIGIBLE PATIENTS, PERFORM ASSESSMENTS, AND CREATE TAILORED CARE PLANS WHILE KEEPING CARE TEAMS AND CAREGIVERS INFORMED. - TRANSITION: COLLABORATIVE DISCHARGE PLANNING ENSURES TIMELY HANDOFFS, TRANSPORTATION HOME, AND SAME- OR NEXT-DAY NURSING VISITS AND MEDICATION DELIVERY. - SUPPORT: PATIENTS RECEIVE HOME EVALUATIONS FOR THERAPY SERVICES, TELEMEDICINE MONITORING, VIRTUAL CASE MANAGEMENT, AND CONNECTION TO COMMUNITY RESOURCES TO SUPPORT RECOVERY AND INDEPENDENCE. RIDE4HEALTH MEDICAL TRANSPORTATION R4H HELPS REDUCE MISSED APPOINTMENTS-NEARLY FOUR MILLION ANNUALLY-BY PROVIDING TRANSPORTATION FOR OLDER ADULTS FACING BARRIERS. WITH THE SENIOR POPULATION SET TO DOUBLE, PENN MEDICINE OUTPATIENT PRACTICES PARTNER WITH R4H TO ENSURE TIMELY ACCESS TO CARE FOR THIS SPECIAL POPULATION. HOSPITAL ELDER LIFE PROGRAM (HELP) IS AN EVIDENCE-BASED, NONPHARMACOLOGICAL PROGRAM FOR HOSPITALIZED PATIENTS OVER 70, DESIGNED TO PREVENT DELIRIUM, FUNCTIONAL DECLINE, AND FALLS. ESTABLISHED IN 1999 BY DR. SHARON INOUYE, IT IS WIDELY STUDIED AND ENDORSED BY THE AMERICAN GERIATRICS SOCIETY. IMPLEMENTED IN HOSPITAL MEDICINE, ONCOLOGY, AND HEART FAILURE UNITS, INTERVENTIONS INCLUDE DAILY VISITS, THERAPEUTIC ACTIVITIES, MOBILITY SUPPORT, AND ASSISTANCE WITH VISION, HEARING, FEEDING, AND FLUIDS. PENN MEDICINE'S PROGRAM USES PAID STUDENT GERIATRIC ASSOCIATES, JUNIOR AND SENIOR NURSING STUDENTS, RATHER THAN VOLUNTEERS. HELP PROMOTES INDEPENDENCE, PERSON-CENTERED CARE, SAFE TRANSITIONS HOME, REDUCED READMISSIONS, AND COST-EFFECTIVE RESOURCE USE. ADDITIONALLY, PENN MEMORY CENTER CONCENTRATES ON THE FOLLOWING PROGRAMS TO SUPPORT OUR NEIGHBORS WITH COGNITIVE IMPAIRMENT AND THEIR CAREGIVERS: - GRIEF YOGA: RESTORATIVE CLASSES FOR CAREGIVERS TO REFLECT, CONNECT, AND FIND RELEASE. - MEMORY CAF: MONTHLY POP-UP GATHERINGS WITH MUSIC, EXPERT TALKS, AND SOCIAL CONNECTION. - CREATIVE EXPRESSION THROUGH MUSIC: INTERACTIVE MUSIC COMPOSITION SESSIONS LED BY CURTIS INSTITUTE MUSICIANS. - COGNITIVE FITNESS PROGRAM: LAUNCHED IN 2017 FOR ADULTS WITH MILD COGNITIVE IMPAIRMENT, OFFERING SKILLS, THERAPY, AND SOCIAL GROUP OPTIONS - MINDFULNESS MEDITATION: SHORT EXERCISES FOR INDIVIDUAL OR GROUP PRACTICE. - COGNITIVE COMEDY: FREE IMPROV-BASED SESSIONS PROMOTING SOCIAL ENGAGEMENT AND COGNITIVE STIMULATION. - THE CARING COLLECTIVE: STRUCTURED MATCHING OF FORMER AND SEASONED FAMILY CAREGIVERS WITH CURRENT FAMILY CAREGIVERS TO PROVIDE SUPPORT THROUGH THEIR CAREGIVING JOURNEY. ENSURING CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES IN HEALTHCARE EFFECTIVE CLINICIAN-PATIENT COMMUNICATION IS ESSENTIAL FOR EQUITABLE CARE, YET LANGUAGE BARRIERS AND CULTURAL DIFFERENCES CAN DISCOURAGE PATIENTS FROM SEEKING CARE. NEARLY 10% OF PHILADELPHIANS REPORT LIMITED ENGLISH PROFICIENCY, CREATING CHALLENGES IN ACCESS AND QUALITY OF HEALTH SERVICES. PENN MEDICINE ADDRESSES THIS THROUGH HIGH-QUALITY LANGUAGE SERVICES, INCLUDING ORAL INTERPRETATION AND WRITTEN TRANSLATION, AND BY ASSESSING INTERPRETER NEEDS DURING SCHEDULING. RECOGNIZING THE IMPACT OF CULTURAL IDENTITY, RELIGIOUS NORMS, AND STIGMA, PENN MEDICINE INTEGRATES LANGUAGE SUPPORT WITH CULTURALLY RESPONSIVE CARE TO REDUCE BARRIERS, FOSTER TRUST, AND ENSURE ALL FEEL VALUED AND SUPPORTED THROUGH THE FOLLOWING INITIATIVES:</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2 (NEEDS ASSESSMENT) CONT.</FormAndLineReferenceDesc>
        <ExplanationTxt>PENN MEDICINE STAFF USE CYRACOM MOBILE TABLETS FOR QUICK, HIPAA-COMPLIANT INTERPRETATION IN MULTIPLE LANGUAGES, INCLUDING SPANISH, ARABIC, ASL, AND RUSSIAN, SERVING NON-ENGLISH SPEAKERS AND THE DEAF OR HARD-OF-HEARING, SUPPORTING EQUITABLE HEATH CARE DELIVERY. THE REFUGEE CLINIC AT PENN PRESBYTERIAN MEDICAL CENTER PROVIDES INITIAL AND FOLLOW-UP HEALTH ASSESSMENTS FOR REFUGEES, OFFERING NEEDED CULTURALLY SENSITIVE CARE IN PARTNERSHIP WITH VARIOUS AGENCIES, TRANSLATORS, AND PHYSICIANS FAMILIAR WITH REFUGEE HEALTH. THE PENN MEDICINE LGBTQ+ HEALTH PROGRAM SUPPORTS ACCESS, QUALITY, AND PATIENT EXPERIENCE FOR LGBTQ+ PATIENTS. PROVIDERS DELIVER CULTURALLY COMPETENT CARE, AND THE PATIENT NAVIGATION PROGRAM CONNECTS PATIENTS TO OUTPATIENT OR SPECIALTY CARE WHILE OFFERING SYSTEM-WIDE SUPPORT. CHAPLAINS WITHIN PENN MEDICINE PASTORAL CARE AND EDUCATION PROVIDE CULTURALLY COMPETENT, INTERFAITH SPIRITUAL SUPPORT TO HELP PATIENTS COPE WITH ILLNESS. ACCREDITED BY ACPE, THE PROGRAM INCLUDES CHAPELS AND PRAYER ROOMS FOR PATIENTS, VISITORS, AND STAFF. FINALLY, PENN MEDICINE DIETARY SERVICES OFFERS CUSTOMIZED DIETARY OPTIONS RESPECTING RELIGIOUS AND CULTURAL PREFERENCES, INCLUDING KOSHER, HALAL, VEGETARIAN, AND OTHER MEALS AVAILABLE UPON REQUEST ENSURING CULTURAL SENSITIVITY FOR OUR PATIENTS. IMPROVING ACCESS TO FOOD FOOD INSECURITY AND LIMITED ACCESS TO FRESH, AFFORDABLE PRODUCE REMAIN CRITICAL ISSUES IN PENN MEDICINE'S PHILADELPHIA COMMUNITY, PARTICULARLY IN FOOD DESERTS AND AREAS WHERE SNAP AND WIC ARE NOT ACCEPTED. HOUSING INSTABILITY AND NEIGHBORHOOD SAFETY FURTHER UNDERSCORE THE NEED FOR COMMUNITY-DRIVEN SOLUTIONS ADDRESSING SOCIAL DETERMINANTS OF HEALTH. THE BELOW PROGRAMS REPRESENTING COMMUNITY INVESTMENTS OF PENN MEDICINE RESPOND TO THE FOOD ACCESS PRIORITY: HUP HARVEST: PARTNERS WITH PHILABUNDANCE TO PROVIDE 500+ POUNDS OF FOOD WEEKLY, EXPANDED TO HUP-CEDAR, OFFERING CLIENT-CHOICE SHOPPING FOR PATIENTS AND STAFF. MARKET ON 8TH STREET: SERVES PATIENTS AND COMMUNITY MEMBERS WITH PRE-MADE GROCERY BAGS AND REFERRAL-BASED PICKUP. FOOD FOR HEALTH: MATERNAL HEALTH PROGRAM PROVIDING NUTRITION EDUCATION AND CHW SUPPORT FOR PATIENTS EXPERIENCING FOOD INSECURITY, SOURCING FOOD FROM HUP HARVEST. FOOD ACCESS SUPPORT TECHNOLOGY (FAST): CHEA-DEVELOPED PLATFORM CONNECTING HEALTH SYSTEMS, FOOD ACCESS ORGANIZATIONS, AND MINORITY-OWNED BUSINESSES TO STREAMLINE FOOD DELIVERY TO VULNERABLE HOUSEHOLDS. FOOD CONNECT: CONTRACTED BY HUP, THIS COMMUNITY-BASED FOOD RELIEF DELIVERS WEEKLY FOOD FROM HUP HARVEST TO PATIENTS' HOMES. SHARING EXCESS: PARTNERING WITH PENN MEDICINE, THIS NATIONAL PROGRAM PROVIDES RESCUED RETAIL PRODUCE TO OUR FOOD BANKS READY FOR DISTRIBUTION TO OUR LOCAL COMMUNITY. PENN MEDICINE ASSIST PROGRAM: A HIGH-PROFILE PARTNERSHIP, PENN MEDICINE DONATES FOOD TO PHILABUNDANCE FOR EACH PHILADELPHIA FLYERS ASSIST. FOR FY25, 12,090 POUNDS OF FOOD WAS DONATED FOR LOCAL COMMUNITIES. CHOSEN 300: SUPPORTED BY PENN MEDICINE WITH FUNDING AND VOLUNTEER EFFORTS, THIS NONPROFIT SERVES HOT MEALS FIVE DAYS A WEEK AT TWO PHILADELPHIA LOCATIONS. GOOD FOOD, HEALTHY HOSPITALS: ALL PHILADELPHIA HOSPITALS MAINTAIN HEALTHIER AND SUSTAINABLE FOOD OPTIONS; HUP AND PENNSYLVANIA HOSPITAL RECEIVED PUBLIC HEALTH FUNDING FOR FOOD BANKS. MANNA: DELIVERS MEDICALLY TAILORED MEALS TO SUPPORT PATIENT HEALTH POST-DISCHARGE. IMPROVING CONDITIONS OF HOUSING AND NEIGHBORHOODS IN OUR LATEST CHNA, COMMUNITY MEMBERS HIGHLIGHTED CHALLENGES INCLUDING AFFORDABLE HOUSING SHORTAGES, EVICTIONS, UNSAFE LIVING CONDITIONS, AND ENVIRONMENTAL HAZARDS, PARTICULARLY AFFECTING OLDER ADULTS, VETERANS, AND OTHER POPULATIONS. IN RESPONSE, PENN MEDICINE SUPPORTS PROGRAMS THAT IMPROVE ACCESS TO SAFE HOUSING, ENHANCE NEIGHBORHOOD ENVIRONMENTS, AND FOSTER HEALTHIER, MORE CONNECTED COMMUNITIES. THE FOLLOWING INITIATIVES FOCUS ON CREATING SAFE, CLEAN, AND ACCESSIBLE SPACES, WHILE ADDRESSING UNDERLYING SOCIAL AND STRUCTURAL BARRIERS TO HEALTH: PENN CENTER OF EXCELLENCE IN ENVIRONMENTAL TOXICOLOGY (CEET) ENGAGES WITH REGIONAL COMMUNITIES TO ADDRESS ENVIRONMENTAL HEALTH CONCERNS, INCLUDING AIR POLLUTION AND LUNG HEALTH, AND COLLABORATES WITH LOCAL STAKEHOLDERS TO REDUCE EXPOSURE TO AIRBORNE TOXINS. ADVOCACY EFFORTS SUPPORT POLICY AND REGULATORY IMPROVEMENTS AT LOCAL, STATE, AND FEDERAL LEVELS. A $6 MILLION COMMUNITY-ACADEMIC COLLABORATIVE LED BY PENN'S URBAN HEALTH LAB, DEEPLY ROOTED PROMOTES HEALTH AND WELL-BEING THROUGH GREEN SPACE EXPANSION, YOUTH WORKFORCE DEVELOPMENT, AND ENVIRONMENTAL JUSTICE. THE INITIATIVE HAS PLANTED OVER 1,000 TREES, STABILIZED 1,073 VACANT LOTS, AWARDED $212,000 IN COMMUNITY GREEN GRANTS, AND IS DEVELOPING SIX COMMUNITY-LED MINI-PARKS. EXPANSION PLANS WILL CONNECT GREEN SPACES ACROSS EIGHT WEST AND SOUTHWEST PHILADELPHIA NEIGHBORHOODS. PENN MEDICINE IS REDUCING ITS ENVIRONMENTAL FOOTPRINT THROUGH ITS CLIMATE AND SUSTAINABILITY ACTION PLAN (CSAP) WITH GOALS TO HALVE EMISSIONS BY 2030 AND ACHIEVE NET-ZERO BY 2042. ACTIONS INCLUDE INCREASING RENEWABLE ENERGY USE, PHASING OUT ENVIRONMENTALLY HARMFUL ANESTHETIC GASES, REDUCING SURGICAL WASTE, AND PROMOTING RECYCLING AND REUSE. FINALLY, PENN MEDICINE SEEKS OUT TARGETED PARTNERSHIPS WITH ORGANIZATIONS SUCH AS A HOME IS A RIGHT AND THE AMERICAN RED CROSS TO SUPPORT THIS COMMUNITY HEALTH NEED BY SUPPORTING EMERGENCY SHELTER, TRANSITIONAL HOUSING, AND WRAPAROUND SERVICES FOR VULNERABLE POPULATIONS ACROSS SOUTHEASTERN PENNSYLVANIA. YOUTH COMMUNITY HEALTH PRIORITIES THE 2025 CHNA IDENTIFIED YOUTH-FOCUSED PRIORITIES BASED ON INPUT FROM SCHOOLS, YOUTH-SERVING ORGANIZATIONS, AND YOUNG RESIDENTS THEMSELVES. YOUTH HIGHLIGHTED COMMUNITY STRENGTHS SUCH AS SUPPORTIVE RELATIONSHIPS AND ACCESS TO PARKS AND SCHOOLS, ALONGSIDE CHALLENGES INCLUDING BULLYING, GUN VIOLENCE, MENTAL HEALTH NEEDS, AND LIMITED ACCESS TO FOOD, SAFE TRANSPORTATION, AND QUALITY EDUCATION. THE YOUTH ALSO OFFERED SOLUTIONS, EMPHASIZING THE NEED FOR MENTAL HEALTH SUPPORT, SAFER NEIGHBORHOODS, STRONGER SCHOOLS, AND PROGRAMS THAT PREPARE THEM FOR FUTURE SUCCESS. THE BELOW PROGRAMS ARE SPONSORED BY PENN MEDICINE IN AN EFFORT TO RELIEVE THESE RESPECTIVE COMMUNITY NEEDS WITHIN OUR YOUTH COMMUNITIES: MENTAL HEALTH SERVICES: - HUP-CEDAR MENTAL HEALTH HUB IS A LICENSED CRISIS INTERVENTION FACILITY PROVIDING TRIAGE, EVALUATION, TREATMENT, AND SOCIAL SUPPORT FOR SERIOUS PSYCHIATRIC CONDITIONS AND SUBSTANCE USE, WITH SEAMLESS TRANSITIONS TO INPATIENT CARE. THE CO-LOCATION OF THE PENN MEDICINE CRISIS RESPONSE CENTER (CRC) WITH THE CHILDREN'S HOSPITAL OF PHILADELPHIA'S CRC AND CRISIS STABILIZATION UNIT AND INPATIENT HOSPITAL CARE ENABLE A SEAMLESS TRANSITION OF CARE FOR PATIENTS ACROSS THE AGE CONTINUUM, ELIMINATING THE WAIT TIME AND ADDITIONAL STEPS REQUIRED TO TRANSFER PATIENTS TO INPATIENT UNITS AT OTHER FACILITIES-A COMMON OCCURRENCE IN A CITY WHERE EMERGENCY PSYCHIATRIC RESOURCES REMAIN IN SHORT SUPPLY. - HALL-MERCER COMMUNITY MENTAL HEALTH CENTER, UNDER THE PENN MEDICINE UMBRELLA, PROVIDES OUTPATIENT EVALUATIONS AND TREATMENT FOR CHILDREN AND ADOLESCENTS, INCLUDING SPECIALTY PROGRAMS SUCH AS THE CONNECTION CLINIC, EARLY CHILDHOOD PROGRAM (AUTISM SUPPORT), PHIICAPS (TRAUMA-INFORMED HOME-BASED THERAPY), PHIIPATCH (ANXIETY/OCD SUPPORT), JCAPS (JUVENILE JUSTICE-FOCUSED THERAPY), AND PATCH (ANXIETY TREATMENT). - PENN INTEGRATED CARE (PIC) IS A COLLABORATIVE CARE MODEL INTEGRATING MENTAL AND PHYSICAL HEALTH IN PRIMARY CARE WITHIN OUR HEALTH SYSTEM. - OPERATED BY PENN MEDICINE DEPARTMENT OF FAMILY MEDICINE AND COMMUNITY HEALTH, THE WELLNESS CENTER AT WEST PHILADELPHIA HIGH SCHOOL PROVIDES BEHAVIORAL HEALTH ASSESSMENT, COUNSELING, MEDICATION MANAGEMENT, AND REFERRALS FOR STUDENTS. RESOURCE NAVIGATION: - PA NAVIGATE: ONLINE TOOL CONNECTING YOUTH TO COMMUNITY RESOURCES INCLUDING FOOD, SHELTER, AND TRANSPORTATION. BULLYING AND VIOLENCE PREVENTION: - OPERATED BY THE DEPARTMENT OF FAMILY MEDICINE AND COMMUNITY HEALTH'S CENTER FOR PUBLIC HEALTH AND THE NETTER CENTER FOR COMMUNITY PARTNERSHIP IN 3 PARTNER WEST PHILADELPHIA SCHOOLS, THE HEALTH AND HUMAN DEVELOPMENT PROGRAM IS A SCHOOL-BASED CURRICULUM ADDRESSING BULLYING, HEALTHY RELATIONSHIPS, SEXUAL HEALTH, AND ONLINE SAFETY. - THE PENN TRAUMA VIOLENCE RECOVERY PROGRAM (PTVRP) IS A HOSPITAL-BASED INTERVENTION FOR YOUTH INJURED BY VIOLENCE, PROVIDING TRAUMA-INFORMED CARE, PSYCHOSOCIAL SUPPORT, AND WRAPAROUND SERVICES INCLUDING HOUSING ASSISTANCE. PHYSICAL ACTIVITY &amp; WELLNESS: - COMMUNITY PARTNERSHIPS FOR WELLNESS (CP4W): SCHOOL- AND COMMUNITY-BASED PREVENTIVE CARE, HEALTH EDUCATION, AND ACCESS TO ATHLETIC ACTIVITIES FOR YOUTH. PROVIDES SCHOOL-BASED HEALTH SERVICES, OVER 1,000 SPORTS PHYSICALS ANNUALLY, AND MOBILE CARE AT 20+ PARTNER SCHOOLS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2 (NEEDS ASSESSMENT) CONT.</FormAndLineReferenceDesc>
        <ExplanationTxt>YOUTH ENGAGEMENT &amp; WORKFORCE DEVELOPMENT: - PUBLIC HEALTH PIPELINE PLUS (PHPP) AND PIPELINE PROGRAMS: SUMMER INTERNSHIPS, MENTORSHIP, AND HANDS-ON PUBLIC HEALTH EXPERIENCES FOR HIGH SCHOOL STUDENTS. - PENN MEDICINE PATHWAYS-EMERGING CAREERS AND PIPELINE PLUS: CAREER EXPOSURE, MENTORSHIP, AND TUITION BENEFITS FOR HIGH SCHOOL GRADUATES ENTERING HEALTH SYSTEM ROLES. - ASPIRE NURSE SCHOLARS PROGRAM: INTRODUCES HIGH SCHOOL STUDENTS TO NURSING CAREERS, WITH MENTORSHIP, STIPENDS, AND PATHWAYS TO COLLEGE AND HOSPITAL EMPLOYMENT. - PENN PRESBYTERIAN MEDICAL CENTER EMERGING CAREER PIPELINE: TRAINS LOCAL HIGH SCHOOL GRADUATES FOR HOSPITAL CAREERS, PROVIDING COACHING, TRAINING, AND MENTORSHIP. IN ADDITION TO THE SECTION 501(R) COMMUNITY HEALTH NEEDS ASSESSMENT INFORMATION OUTLINED IN THIS FORM 990, SCHEDULE H, PART V, DOYLESTOWN HOSPITAL CONDUCTS REGULAR REVIEWS OF HEALTHCARE UTILIZATION IN ITS SERVICE AREA FOR BOTH CLINICAL QUALITY AND TO DETERMINE PATIENT PREFERENCES. CURRENT DATA ON SERVICE LINE UTILIZATION (CARDIOLOGY, OBSTETRICS AND GYNECOLOGY, ORTHOPEDICS, ETC.) IS USED TO FORECAST HEALTHCARE NEEDS, TO ESTIMATE PROJECTED INPATIENT AND OUTPATIENT ACTIVITY, AND TO PLAN FOR CAPITAL AND STAFF RESOURCES TO BETTER MEET THE NEEDS OF OUR PATIENTS. REAL-TIME REVIEWS OF QUALITY INDICATORS HELP TO IMPROVE SYSTEMS AND PROCESSES. PATIENT AND VISITOR FEEDBACK, ALONG WITH QUARTERLY REVIEWS OF PATIENT SATISFACTION AND EXPERIENCE SURVEYS FOR EACH UNIT OF THE HOSPITAL, ARE INSTRUMENTAL IN PROCESS AND QUALITY IMPROVEMENT INITIATIVES. EVERY TWO YEARS, DOYLESTOWN HOSPITAL CONDUCTS A SURVEY OF COMMUNITY MEMBERS, MEDICAL STAFF AND HOSPITAL BOARD MEMBERS AS PART OF ITS MEDICAL STAFF DEVELOPMENT PLAN. RESPONSES TO THE SURVEY ARE THE BASIS FOR IDENTIFYING GAPS IN SPECIALIST AND/OR PRIMARY CARE MEDICAL SERVICES. THE SURVEYS HELP GUIDE THE MEDICAL STAFF DEVELOPMENT COMMITTEE IN REVIEWING APPLICATIONS FOR MEMBERSHIP, AND DIRECT RECRUITING EFFORTS FOR SPECIALTIES IDENTIFIED BY THE SURVEY RESPONDENTS. IN ADDITION, DOYLESTOWN HOSPITAL COOPERATES CLOSELY WITH THE BUCKS COUNTY DEPARTMENT OF HEALTH AND COMMUNITY PHYSICIANS TO MONITOR THE HEALTH NEEDS OF THE POPULATION. AMONG THE MANY COMMUNITY HEALTH ORGANIZATIONS DOYLESTOWN HOSPITAL WORKS WITH AND SUPPORTS, IS THE BUCKS COUNTY HEALTH IMPROVEMENT PARTNERSHIP, A COLLABORATION OF THE SEVEN HOSPITALS IN BUCKS COUNTY, ALONG WITH THE COUNTY HEALTH DEPARTMENT, BUCKS COUNTY MEDICAL SOCIETY, CENTRAL BUCKS SCHOOL DISTRICT AND BUCKS COUNTY AREA AGENCY ON AGING. DOYLESTOWN HOSPITAL WAS A FOUNDING MEMBER OF THE BUCKS COUNTY HEALTH IMPROVEMENT PARTNERSHIP. TO READ MORE WAYS PENN MEDICINE SERVES ITS COMMUNITY, PLEASE VISIT HTTPS://WWW.PENNMEDICINE.ORG/NEWS/COMMUNITY-IMPACT --------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3(PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE)</FormAndLineReferenceDesc>
        <ExplanationTxt>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, 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.DOYLESTOWNHEALTH.ORG/PATIENTS-AND-VISITORS/ BILLING-AND-FINANCE https://www.pennmedicine.org/patient-resources/policies/ --------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4(COMMUNITY INFORMATION)</FormAndLineReferenceDesc>
        <ExplanationTxt>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. DOYLESTOWN HOSPITAL SERVES A GEOGRAPHIC AREA THAT SPANS RURAL AND SUBURBAN TOWNSHIPS AND DENSELY POPULATED TOWNS. IT IS SITUATED IN DOYLESTOWN TOWNSHIP, ON THE BORDER WITH DOYLESTOWN BOROUGH, THE BUCKS COUNTY SEAT OF GOVERNMENT. BUCKS COUNTY IS AMONG THE MOST POPULATED AND FASTEST GROWING COUNTIES IN PENNSYLVANIA. --------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5 (INFORMATION REGARDING PROMOTION OF COMMUNITY HEALTH)</FormAndLineReferenceDesc>
        <ExplanationTxt>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. --------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6 (AFFILIATED HEALTHCARE SYSTEM INFORMATION)</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS ORGANIZATION IS AN AFFILIATE OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM. 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 JERSRY 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 &amp; 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 116 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. - PENN MEDICINE DOYLESTOWN HEALTH - ON APRIL 1, 2025, THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA AND DOYLESTOWN HEALTH ENTERED INTO AN AFFILIATION AGREEMENT WITH DOYLESTOWN HEALTH FOUNDATION (THE "FOUNDATION"), DOYLESTOWN HOSPITAL (THE "HOSPITAL"), AND DOYLESTOWN HEALTH PHYSICIANS ("DH PHYSICIANS TOGETHER WITH THE FOUNDATION AND THE HOSPITAL, "DOYLESTOWN HEALTH"), PURSUANT TO WHICH DOYLESTOWN BECAME A CLINICAL COMPONENT OF PENN MEDICINE THROUGH A MEMBERSHIP SUBSTITUTION IN WHICH THE UNIVERSITY BECAME THE SOLE MEMBER OF THE HOSPITAL, AND THE HOSPITAL BECAME THE SOLE MEMBER OF THE FOUNDATION AND DH PHYSICIANS. --------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7 (STATE FILING OF COMMUNITY BENEFIT REPORT)</FormAndLineReferenceDesc>
        <ExplanationTxt>N/A</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
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        <RecipientBusinessName>
          <BusinessNameLine1Txt>CANCER SUPPORT COMMUNITY OF PHILADELPHIA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4100 CHAMOUNIX DRIVE</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19131</ZIPCd>
        </USAddress>
        <RecipientEIN>232657403</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>45210</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BUCKS COUNTY HEALTH IMPROVEMENT PARTNERSHIP</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>41 UNIVERSITY DRIVE</AddressLine1Txt>
          <CityNm>NEWTOWN</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18940</ZIPCd>
        </USAddress>
        <RecipientEIN>232862339</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>22000</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CENTRAL BUCKS CHAMBER OF COMMERCE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>252 W SWAMP ROAD</AddressLine1Txt>
          <CityNm>DOYLESTOWN</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18901</ZIPCd>
        </USAddress>
        <RecipientEIN>231886403</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>17885</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MSH PRODUCTIONS LLC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1541 MONTGOMERY STREET</AddressLine1Txt>
          <CityNm>READING</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19601</ZIPCd>
        </USAddress>
        <RecipientEIN>832268153</RecipientEIN>
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        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
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          <StateAbbreviationCd>DC</StateAbbreviationCd>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHERYL TALAMO</PersonNm>
        <TitleTxt>VP PROFESSIONAL ANCILLARY SVCS</TitleTxt>
        <BaseCompensationFilingOrgAmt>297683</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>10000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>6550</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10353</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>28457</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>353043</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DONNA ANGOTTI MD</PersonNm>
        <TitleTxt>BRD MEM,PRES ELEC - AS OF 4/25</TitleTxt>
        <BaseCompensationFilingOrgAmt>441609</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2073</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3951</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20908</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>468541</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EDWARD CALLAHAN</PersonNm>
        <TitleTxt>CHRO - AS OF 4/25</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>191134</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>28801</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>155</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>8601</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>228691</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEVIN B MAHONEY</PersonNm>
        <TitleTxt>BRD MEM, PENN REP - AS OF 4/25</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>1880100</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>1029800</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>44887</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>352800</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>21577</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>3329164</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHELE M VOLPE</PersonNm>
        <TitleTxt>BRD MEM, PENN REP - AS OF 4/25</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>861252</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>414596</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>206608</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>12018</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>1494474</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTINE ROUSSEL</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>244960</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>5946</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9219</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>3418</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>263543</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN C CASTNER</PersonNm>
        <TitleTxt>DIR OF FAC DESIGN &amp; CONTSTRUCT</TitleTxt>
        <BaseCompensationFilingOrgAmt>235152</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2880</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4358</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11725</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>254115</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>DETAIL OF ADDITIONAL BENEFITS THE ORGANIZATION'S PRESIDENT/CEO RECEIVED A HOUSING ALLOWANCE DURING THE YEAR WHICH WAS TAXABLE FOR REPORTING PURPOSES. -----------------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>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. ------------------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES CURRENT YEAR VESTING IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN), AS THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2024 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JAMES L. BREXLER - $425,865 SCOTT S. LEVY, M.D. - NO DISTRIBUTION ELIZABETH SEEBER - NO DISTRIBUTION JOHN MITCHELL - NO DISTRIBUTION PATRICIA A. STOVER, RN - NO DISTRIBUTION BARBARA A. HEBEL - NO DISTRIBUTION JOHN B. REISS, JD - NO DISTRIBUTION 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: MICHELLE M. VOLPE - $176,800 THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM (THE "HEALTH SYSTEM" MAINTAINS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") DESIGNED FOR THE CHIEF EXECUTIVE OFFICER OF THE HEALTH SYSTEM. VESTING IN THE SERP OCCURS ON JUNE 30, 2027 OR UPON THE OCCURRENCE OF CERTAIN EVENTS (DEATH, DISABILITY, OR INVOLUNTARY TERMINATION WITHOUT "CAUSE"). 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 HEALTH SYSTEM SERP PLAN DURING THE YEAR AND/OR RECEIVED EMPLOYER PAID AMOUNTS DURING THE YEAR: KEVIN B. MAHONEY - NO DISTRIBUTION --------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVISION OF NON-FIXED PAYMENTS DOYLESTOWN 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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>DOYLESTOWN HOSP AUTHORITY- SERIES 2013A</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>264834726</BondIssuerEIN>
        <CUSIPNum>261333EG9</CUSIPNum>
        <BondIssuedDt>2013-04-01</BondIssuedDt>
        <IssuePriceAmt>29047755</IssuePriceAmt>
        <PurposeDesc>REFUND 1998A/2008B; CAP. IMPROV.</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>DOYLESTOWN HOSP AUTHORITY- SERIES 2016A</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>264834726</BondIssuerEIN>
        <CUSIPNum>261333FB9</CUSIPNum>
        <BondIssuedDt>2016-10-13</BondIssuedDt>
        <IssuePriceAmt>57117007</IssuePriceAmt>
        <PurposeDesc>REFUND 2008A; CAP. IMPROV.</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>DOYLESTOWN HOSP AUTHORITY- SERIES 2019A</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>264834726</BondIssuerEIN>
        <CUSIPNum>261333FR4</CUSIPNum>
        <BondIssuedDt>2019-11-13</BondIssuedDt>
        <IssuePriceAmt>63414596</IssuePriceAmt>
        <PurposeDesc>REFUND 2013A; CAP IMPROV.</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>DOYLESTOWN HOSP AUTHORITY- SERIES 2024</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>264834726</BondIssuerEIN>
        <CUSIPNum>261333HJ0</CUSIPNum>
        <BondIssuedDt>2024-04-25</BondIssuedDt>
        <IssuePriceAmt>58782380</IssuePriceAmt>
        <PurposeDesc>REFUND 2013B; CAP. IMPROV.</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>18956526</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>29047755</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>531900</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>50313</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>28465542</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2013</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>13954928</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>57117007</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>1607734</CapitalizedInterestAmt>
        <RefundingEscrowAmt>9345541</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>729515</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>39414019</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>6020198</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2016</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>true</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <RetiredAmt>7325571</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>64443313</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>2475150</CapitalizedInterestAmt>
        <RefundingEscrowAmt>6076426</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>1018382</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>45659542</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>5487293</OtherSpentProceedsAmt>
        <UnspentAmt>3726520</UnspentAmt>
        <SubstantialCompletionYr>2019</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>false</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <RetiredAmt>81360</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>58782993</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>1139045</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>4170346</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>47643336</OtherSpentProceedsAmt>
        <UnspentAmt>5830266</UnspentAmt>
        <SubstantialCompletionYr>2025</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>false</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>true</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00128</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00128</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SUPPLEMENTAL INFORMATION ON TAX EXEMPT BONDS</FormAndLineReferenceDesc>
        <ExplanationTxt>ADDITIONAL DETAIL FOR PROCEEDS OF ISSUE FORM 990, SCHEDULE K, PART II, LINE 3 FOR DOYLESTOWN HOSP. AUTHORITY SERIES 2019A, THE TOTAL PROCEEDS OF ISSUE REPORTED INCLUDES $1,028,717 IN TOTAL INVESTMENT EARNINGS. FOR DOYLESTOWN HOSP. AUTHORITY SERIES 2024, THE TOTAL PROCEEDS OF ISSUE REPORTED INCLUDES $613 IN TOTAL INVESTMENT EARNINGS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS DOYLESTOWN HOSPITAL WAS FOUNDED BY THE VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN (VIA), ESTABLISHED IN 1895 TO ADDRESS THE HEALTH AND WELFARE NEEDS OF THE DOYLESTOWN COMMUNITY. THE VIA ESTABLISHED A VISITING NURSE SERVICE IN 1916 AND OPENED THE FIRST DOYLESTOWN EMERGENCY AND MATERNITY HOSPITAL IN 1923. THE ORIGINAL 8-BED HOSPITAL WAS EXPANDED TO 14 BEDS AND REPLACED WITH A NEW 25-BED FACILITY IN 1939 THAT WAS SUBSEQUENTLY EXPANDED TO 129 BEDS. THE HOSPITAL MOVED TO ITS CURRENT LOCATION IN 1975 AND OCCUPIES 63 ACRES AND 640,000 SQUARE FEET OF BUILDINGS. IT IS NOW LICENSED FOR 245 BEDS. IN 1986, A CORPORATE RESTRUCTURING ESTABLISHED DOYLESTOWN HOSPITAL AS A SUBSIDIARY CORPORATION OF THE NEWLY CREATED DOYLESTOWN HEALTH FOUNDATION D/B/A DOYLESTOWN HEALTH, WHICH WAS GOVERNED BY THE VIA. ON APRIL 1, 2025, THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA AND DOYLESTOWN HEALTH ENTERED INTO AN AFFILIATION AGREEMENT WITH DOYLESTOWN HEALTH FOUNDATION (THE "FOUNDATION"), DOYLESTOWN HOSPITAL (THE "HOSPITAL"), VILLAGE IMPROVEMENT ASSOCIATED OF DOYLESTOWN D/B/A DOYLESTOWN HEALTH PHYSICIANS ("DH PHYSICIANS TOGETHER WITH THE FOUNDATION AND THE HOSPITAL, "DOYLESTOWN HEALTH"), PURSUANT TO WHICH DOYLESTOWN BECAME A CLINICAL COMPONENT OF PENN MEDICINE THROUGH A MEMBERSHIP SUBSTITUTION IN WHICH THE UNIVERSITY BECAME THE SOLE MEMBER OF THE HOSPITAL, AND THE HOSPITAL BECAME THE SOLE MEMBER OF THE FOUNDATION AND DH PHYSICIANS. DOYLESTOWN HEALTH IS DEVOTED TO THE COMMUNITY IT SERVES, AND IT SPONSORS AND COORDINATES MANY CHARITABLE ACTIVITIES, WHICH, DESCRIBED IN THE NARRATIVE BELOW, IDENTIFIES WHAT IS DONE DAILY BY THE HEALTH SYSTEM'S ASSOCIATES AND VOLUNTEERS. COMMUNITY OUTREACH &amp; BENEFIT ACTIVITIES --------------------------------------- 1) AMERICAN RED CROSS DONATION: THE HOSPITAL PROVIDES SPACE ON A MONTHLY BASIS FOR A BLOOD DONATION PROGRAM CONDUCTED BY THE AMERICAN RED CROSS THAT BENEFITS PATIENTS AND THE COMMUNITY. 2) DOYLESTOWN HEALTH CONTINUES TO OFFER A VARIETY OF CHILD-FRIENDLY EDUCATIONAL PROGRAMS AT THE BUCKS COUNTY CHILDREN'S MUSEUM, INCLUDING PRESENTATIONS ON SUMMER SAFETY, BIKE SAFETY, TEDDY BEAR CLINIC AND MORE. DOYLESTOWN HEALTH'S EXHIBIT OPENED IN MAY 2015 AND CONTINUES TO ATTRACT AREA FAMILIES TO EXPERIENCE A DOCTOR VISIT, EXPLORE AN AMBULANCE AND LEARN ABOUT THE HOSPITAL ENVIRONMENT WITH HANDS-ON ACTIVITIES. 3) BUCKS COUNTY HEALTH IMPROVEMENT PARTNERSHIP: THE BUCKS COUNTY HEALTH IMPROVEMENT PARTNERSHIP (BCHIP) IS A COLLABORATIVE EFFORT AMONG DOYLESTOWN HOSPITAL AND THE OTHER FIVE HOSPITALS IN THE COUNTY, ALSO INCLUDING THE BUCKS COUNTY MEDICAL SOCIETY AND THE BUCKS COUNTY DEPARTMENT OF HEALTH. THIS COLLABORATION WORKS TO IDENTIFY GAPS IN HEALTH SERVICES AND TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY. PROGRAM EFFORTS INCLUDE; ADVANCE CARE PLANNING, AND TOBACCO &amp; VAPING CESSATION AND ADVOCACY. ADDITIONALLY, BCHIP HAS IDENTIFIED MENTAL HEALTH IS A PRIORITY AND SUPPORTS THE BCARES PROGRAM TO IMPROVE SERVICES FOR PATIENTS WITH SUBSTANCE ABUSE DISORDER. 4) CHILDREN'S VILLAGE EARLY EDUCATION AND DAYCARE SUBSIDIES: CHILDREN'S VILLAGE PROVIDES ON-SITE DAYCARE AND WELCOMES CHILDREN FROM LOW-INCOME FAMILIES IN THE AREA THAT ARE ELIGIBLE FOR CHILD-CARE SUBSIDIES. FREE EDUCATION TO PARENTS IS PROVIDED. EXAMPLES INCLUDE HOW TO KEEP KIDS SAFE FROM GROOMING PRACTICES AND NO BULLYING EDUCATION. 5) ANN SILVERMAN COMMUNITY HEALTH CLINIC: THE MISSION OF THE CLINIC IS TO PROVIDE NO COST MEDICAL CARE, DENTAL CARE AND SOCIAL SERVICES TO LOW-INCOME (250% OF POVERTY OR BELOW), UNINSURED MEMBERS OF OUR COMMUNITY. THE CLINIC SERVES ALL AGES AND PROVIDES CARE FOR THE ENTIRE FAMILY THROUGH MORE THAN 270 PROFESSIONAL, MEDICAL, MENTAL HEALTH, DENTAL AND SOCIAL SERVICE VOLUNTEERS AND A SMALL PAID STAFF. THE HOSPITAL PROVIDES THE CLINIC WITH OFFICES AND EXAM ROOMS, AND INCLUDES CLINIC PATIENTS IN THE HOSPITAL FINANCIAL ASSISTANCE PROGRAM. THE FOUNDATION ASSISTED IN SOME OF THE HEALTH NEEDS OF THE PATIENTS THAT GO BEYOND THE RESOURCES OF THE CLINIC WITH CONTRIBUTIONS OF OTHER DONATIONS INCLUDING MEDICAL LAB TESTING, AS WELL AS SENIOR MANAGEMENT'S TIME CONTRIBUTING TO THE CLINIC'S BOARD. 6) COMMUNITY OUTREACH: DOYLESTOWN HOSPITAL PUBLISHES A NEWSLETTER, WHICH IS DISTRIBUTED ELECTRONICALLY. THE NEWSLETTER LISTS COMMUNICATIONS RELATED TO HEALTH EDUCATION PROGRAMS AND CLASSES. ADVERTISEMENTS ARE IN LOCAL NEWSPAPERS WHICH INFORM THE COMMUNITY MEMBERS ABOUT UPCOMING HEALTH EDUCATION CLASSES, PHYSICIAN LECTURES, SUPPORT GROUPS AND OTHER HEALTH EDUCATION ACTIVITIES. IN ADDITION, DOYLESTOWN HOSPITAL PUBLISHES A REGULAR BLOG, INSTAGRAM, LINKEDIN, TWITTER AND FACEBOOK POSTS ON A VARIETY OF TOPICS PROVIDED BY THE HOSPITAL AND OTHERS. 7) CHILD SEX ABUSE PREVENTION TRAINING: DOYLESTOWN HEALTH PROVIDED FREE TRAINING FOR ASSOCIATES AND COMMUNITY ON HOW TO BE A LEADER IN ENDING CHILD SEXUAL ABUSE AND USE BEHAVIOR CHANGE TO PROTECT THE CHILDREN THROUGH THE PARTNERSHIP WITH THE BEAU BIDEN FOUNDATION. 8) MEDICAID APPLICATION PREPARATION FOR ALL UNINSURED PA RESIDENTS: DOYLESTOWN HOSPITAL OFFERS ALL UNINSURED PA RESIDENTS THE OPTION OF FILING A MEDICAID APPLICATION. HRSI IS THE HOSPITAL'S VENDOR AND THEY HELP OUR PATIENTS THROUGH THE PROCESS. THE HOSPITAL IS CHARGED $475/APPLICATION, IF THE APPLICANT OBTAINS ELIGIBILITY. 9) LENAPE VALLEY HEALTH FOUNDATION: THIS ORGANIZATION PROVIDES PSYCHIATRIC COVERAGE AND CLINICAL SUPERVISION FOR CRISIS UNIT PATIENTS AND PSYCHIATRIC CONSULTATION SERVICES IN THE HOSPITAL'S EMERGENCY DEPARTMENT. 10) FOUNDATION FUNDRAISING PROGRAM: AS THE PHILANTHROPIC ARM OF PENN MEDICINE DOYLESTOWN HEALTH, THE DOYLESTOWN HEALTH FOUNDATION RAISES FUNDS TO SUPPORT PATIENT CARE EXCELLENCE AND IMPROVE QUALITY OF LIFE FOR THE PATIENTS AND FAMILIES WE SERVE. CAMPAIGN AND FISCAL YEAR (ANNUAL) FUNDRAISING SUPPORT THE STRATEGIC PLAN AND PRIORITIES OF DOYLESTOWN HOSPITAL. FUNDS DONATED HELP TO EXPAND OUR BEST-IN-CLASS SERVICES WITH NEW AND RENOVATED FACILITIES, ADVANCED TECHNOLOGY AND EQUIPMENT, NEW AND ENHANCE PROGRAMS, COMMUNITY EDUCATION AND OUTREACH, CLINICAL TRAINING AND EDUCATION, AND GROW OUR ENDOWMENT TO CREATE A PERMANENT SOURCE OF REVENUE FOR THE FUTURE. 11) HOSPICE PROGRAM SUPPORT: THE HOSPICE PROGRAM PROVIDES CAREGIVERS FOR RESPITE CARE IN THE HOMES OF TERMINALLY ILL PATIENTS AND CONTACTS BEREAVED PEOPLE OVER THE PHONE THROUGHOUT THE YEAR AFTER THE DEATH OF A LOVED ONE. 12) BEREAVEMENT SUPPORT: THE BEREAVEMENT SUPPORT PROGRAM PROVIDES SUPPORT FOR BEREAVED AND HOSPICE FAMILIES. THERE ARE VARIOUS TYPES OF BEREAVEMENT SUPPORT GROUPS THAT TAKE PLACE MONTHLY IN ORDER TO MEET THE NEEDS OF ALL TYPES OF LOSSES. THESE PROGRAMS ARE OFFERED ALL YEAR ROUND AND HAVE A CHAPLAIN AND OTHER PROFESSIONAL STAFF IN ATTENDANCE. 13) "HOW TO COPE" PROGRAMS: EVENTS WERE HELD AT VARIOUS CHURCHES AND ORGANIZATIONS TO DISCUSS TOPICS OF COPING WITH THE LOSS OF A LOVED ONE AT THE HOLIDAYS, "WHO AM I NOWHAVING CONVERSATIONS BEFORE THE CRISIS. 14) THE DOYLESTOWN HEALTH ELECTRONIC MEDICAL RECORD SYSTEM INCORPORATES A COMPLETE PATIENT RECORD FOR BOTH INPATIENT AND OUTPATIENT CARE AND IS EASILY ACCESSIBLE BY COMMUNITY HEALTHCARE PROVIDERS TO IMPROVE THE QUALITY OF CARE FOR MEMBERS OF THE COMMUNITY. 15) SCHOLARSHIP ASSISTANCE: SCHOLARSHIPS ARE SUPPORTED BY THE FOUNDATION THROUGH RESTRICTED GIFTS. THESE SCHOLARSHIPS ARE AWARDED TO MEN AND WOMEN PURSUING NURSING, ALLIED HEALTH, PARAMEDIC, AND OTHER EDUCATION AND TRAINING. 16) COMMUNITY BUSINESS SPONSORSHIPS: THROUGHOUT THE YEAR, DOYLESTOWN HOSPITAL MADE CASH DONATIONS TO ASSIST LOCAL NON-PROFITS AND CULTURAL ORGANIZATIONS PROVIDING PROGRAMS AND ACTIVITIES THAT IMPROVE AND/OR ENHANCE THE OVERALL QUALITY OF LIFE FOR THE GREATER CENTRAL BUCKS COMMUNITY. WE BELIEVE THAT ONE WAY TO KEEP COMMUNITY MEMBERS SAFE, HEALTHY AND VIBRANT IS BY SUPPORTING THE NUMEROUS COMMUNITY AND NON-PROFIT BUSINESS GROUPS THAT ARE THE FABRIC OF OUR COMMUNITY AND BY PARTICIPATING IN SPECIAL PROGRAMS AND EVENTS THAT BENEFIT A BROAD SPECTRUM OF COMMUNITY RESIDENTS. 17) VISITING NURSE PROGRAM FREE SUPPORT: THE VISITING NURSES MADE VISITS TO FAMILIES WITHOUT INSURANCE. CLINICS WERE HELD AT THE CENTER SQUARE TOWERS, YORKTOWNE MANOR AND BUCKINGHAM SPRINGS, WHICH ARE ALL SENIOR LIVING COMPLEXES. 18) HOSPICE PROGRAMS: MAILINGS AND TELEPHONE CONTACT TO OTHER COMMUNITY SERVICE ORGANIZATIONS, SUCH AS BEELONG ADULT DAY SERVICES, BAYADA NURSES IN THE HATBORO &amp; BUCKS COUNTY OFFICE, THE MANOR AT YORKTOWN, AS WELL AS HEALTHCARE ORGANIZATIONS TO OFFER INFORMATION AND EDUCATION REGARDING "END OF LIFEHOSPICE PROGRAMS. 19) LIBRARY SERVICES OF DOYLESTOWN HOSPITAL: THE HOSPITAL HAS AN EXTENSIVE VIRTUAL LIBRARY THAT IS OPEN TO USERS FROM THE MEDICAL STAFF, ASSOCIATES AND VOLUNTEERS OF THE HOSPITAL. PHYSICIANS THAT HAVE PRIVILEGES AT THE HOSPITAL AS WELL AS HONORARY/EMERITUS MEDICAL STAFF MAKE UP THE LARGEST GROUP OF USERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A (CONT.)</FormAndLineReferenceDesc>
        <ExplanationTxt>20) CLOTHING DONATION: DOYLESTOWN HOSPITAL SET UP A "TREE OF WARMTH" WHICH BROUGHT TOGETHER WARM GLOVES, HATS, SCARVES AND MORE FOR THE WOMEN AND CHILDREN AT "A WOMAN'S PLACE." EDUCATIONAL PROGRAMS -------------------- 1) LIFESTYLE LECTURES: THIS WAS A SERIES OF 300 INFORMAL EDUCATIONAL LECTURES OFFERED TO THE COMMUNITY BY MEMBERS OF THE MEDICAL STAFF, HEALTH EDUCATORS AND DIETICIANS. THE HOSPITAL COORDINATED THE PROGRAM, WHICH HELPED OVER 2,000 COMMUNITY MEMBERS. 2) COMMUNITY LECTURES: THE HOSPITAL PROVIDED SPEAKERS FOR VARIOUS COMMUNITY GROUPS AND ORGANIZATIONS. ORGANIZATIONS INCLUDED LIBRARIES, SENIOR CENTERS, LOCAL PARKS, AND MORE. PRESENTERS FOR EVENTS UTILIZED BOTH STAFF AND PHYSICIANS. THESE PROGRAMS IMPROVED THE COMMUNITY'S HEALTH AND QUALITY OF LIFE THROUGH EDUCATION. 3) PARTICIPATION AT COMMUNITY EVENTS: PROVIDED EDUCATION MATERIALS AND PEOPLE TO STAFF TABLES AT COMMUNITY EVENTS. EVENTS INCLUDE, BUT ARE NOT LIMITED TO, CONGRESS SENIOR EXPOS, COMMUNITY DAY WELLNESS FAIRS, FRATERNAL HEALTH EVENTS, CHAMBER HEALTH EVENTS, AND MORE. 4) MENTAL HEALTH SERIES: DOYLESTOWN HEALTH PROVIDES MENTAL HEALTH EDUCATION AND MONTHLY SERIES TO COMMUNITY MEMBERS TO INCREASE AWARENESS OF MENTAL HEALTH RESOURCES. BY ALLOWING QUESTIONS AND ANSWERS AT THE END, THESE EVENTS PROVIDE FREE TIME WITH PSYCHIATRISTS AND PHYSICIANS WHO TREAT MENTAL HEALTH, WHICH ALLOWS MORE PERSONAL QUESTIONS TO BE ANSWERED. THIS IMPROVES AND MEETS THE COMMUNITY HEALTH NEEDS BY INCREASING KNOWLEDGE AND GETTING COMMUNITY MEMBERS SET UP WITH PROVIDERS TO START TREATMENT. 5) BREAST CANCER SUPPORT GROUP: PROVIDES OPPORTUNITIES FOR EDUCATIONAL AND EMOTIONAL SUPPORT FOR BREAST CANCER SURVIVORS AND THEIR FAMILIES. ADDITIONAL PROGRAMS SPONSORED BY THE HOSPITAL FOR CANCER SUPPORT ARE FOUR CANCER EDUCATIONAL PROGRAMS: PSYCHOLOGICAL SUPPORT PROGRAM, BREAST CANCER AND EMOTIONAL SUPPORT PROGRAM, NUTRITION PROGRAM AND "BASKET BINGO." 6) LOOK GOOD, FEEL BETTER: THIS PROGRAM PROVIDES SUPPORT AND RESOURCES FOR CANCER PATIENTS UNDERGOING CHEMOTHERAPY. 7) NUTRITION PRESENTATIONS: PROGRAMS WERE HELD THROUGHOUT THE YEAR TO PROVIDE EDUCATION ON NUTRITION TO PROMOTE OPTIMAL HEALTH AND DIABETES AWARENESS. LOCATIONS INCLUDED SEVERAL SENIOR COMMUNITIES, VARIOUS WOMEN'S AND MEN'S GROUPS, VETERANS EXPO, WALK WITH A DOC, DELAWARE VALLEY HEALTH TARGET, FRESH CONNECT, AND THE BUCKS COUNTY CHILDREN'S MUSEUM. 8) STROKE SUPPORT GROUP: THIS MONTHLY PROGRAM ADDRESSES the ISSUES AND STRUGGLES THAT FACE STROKE SURVIVORS AND THEIR FAMILIES. A STROKE CAREGIVER SUPPORT GROUP WAS STARTED TO ADDRESS THE NEEDS OF THOSE GIVING DIRECT CARE TO THE STROKE SURVIVOR. 9) JOINT REPLACEMENT PRE-OP EDUCATION: THIS PROGRAM IS PRESENTED NINE TIMES THROUGHOUT THE YEAR. THIS LECTURE ADDRESSES ISSUES AND CONCERNS AS WELL AS WHAT TO EXPECT BOTH PRE-OP, POST OP, AND AFTER DISCHARGE WHEN RECEIVING A JOINT REPLACEMENT. 10) WALK WITH A DOC: COMMUNITY MEMBERS PARTICIPATE IN MONTHLY PROGRAMS THAT INCLUDE SHORT HEALTH LECTURES BY VARIOUS PHYSICIANS FOLLOWED BY AN ENERGIZING WALK AROUND THE DOYLESTOWN HOSPITAL CAMPUS. WALKS CONTINUE YEAR-ROUND, WITH SPECIAL EVENTS IN JANUARY. THE PROGRAMS HELP MOTIVATE INDIVIDUALS TO CONTINUE EXERCISE FOR BETTER HEALTH AND GIVE THE COMMUNITY A CHANCE TO TALK TO THE PHYSICIAN PRESENTING. 11) INTEGRATIVE PROGRAMS: INTEGRATIVE THERAPIES, LIKE ACUPUNCTURE, IN CONJUNCTION WITH TRADITIONAL MEDICINE IN THE TREATMENT OF CANCER, IMPROVE PATIENTS' OVERALL PHYSICAL AND EMOTIONAL WELL BEING AND CAN HELP THEM MANAGE THE SIDE EFFECTS OF CANCER TREATMENT. THESE SERVICES ARE REFERRED TO A LICENSED AND CERTIFIED THERAPIST. 12) STUDENT INTERNSHIP RADIOLOGY PROGRAM: STUDENTS FROM BUCKS &amp; MONTGOMERY COUNTY COMMUNITY COLLEGE'S RADIOLOGIC TECHNOLOGY PROGRAM ATTEND THE HOSPITAL'S DEPARTMENT OF RADIOLOGY ON A ROTATION BASIS. STUDENTS LEARN CLINICAL SKILLS THAT ARE IMPORTANT TO THEIR EDUCATIONAL PROCESS. RADIOGRAPHERS AT THE HOSPITAL SERVE AS CLINICAL INSTRUCTORS FOR THE STUDENTS ON A ONE-TO-ONE RATIO. 13) ALLIED HEALTH RCIS COLLEGE INTERN PROGRAM: STUDENTS WORK WITH A DOYLESTOWN HOSPITAL CARDIAC REHAB ASSOCIATE, DEVELOPING THEIR SKILLS SUCH AS READING PHYSICIAN REPORTS, COLLECTING INFORMATION FOR FIRST VISIT PATIENTS, ASSESSING SKILLS, DOCUMENTING MEDS, EXERCISE EVALUATIONS, EVALUATING OUTCOMES AND DISCHARGING PATIENTS. FOR THE STUDENT COLLEGE TRAINING, THIS IS A MANDATORY CLINICAL EXPERIENCE PROGRAM. 14) SMOKING CESSATION PROGRAM: PROGRAMS WERE HELD IN CONJUNCTION WITH BCHIP AND USED CDC RESOURCES "CLEARING THE AIR." INDIVIDUALS INTERESTED IN HELP QUITTING THE HABIT OF SMOKING CAN CHOOSE TO PARTICIPATE IN-PERSON OR VIRTUALLY. 15) PEDIATRICS OUTREACH PROGRAM: PROGRAMS WERE HELD THROUGHOUT THE COMMUNITY TO EDUCATE AGES RANGING FROM 3-18. SETTINGS INCLUDED DAYCARES, GIRL SCOUT TROOPS, LOCAL LIBRARY PROGRAMS ETC. TOPICS RANGING FROM CHILDREN'S NUTRITION, SUMMER SKIN SAFETY, SUMMER WATER SAFETY, MENTAL HEALTH, MOVEMENT, DENTAL HEALTH, AND HAND HYGIENE WERE DISCUSSED. MATERNITY AND PARENTING ACTIVITIES ---------------------------------- 1) PARENTING AND THE NEWBORN: 2-SESSION CLASS TEACHES PARENTS WHAT TO EXPECT WHEN THEIR BABY IS BORN, HOSPITAL POLICIES AND PROCEDURES, HOME AND CAR SAFETY, AND HOW TO CARE FOR THEIR NEWBORN AT HOME. 2) BREASTFEEDING EDUCATION: THIS CLASS TEACHES THE MANY BENEFITS OF BREASTFEEDING AND HOW TO GET OFF TO A GOOD START BY UNDERSTANDING MILK SUPPLY, PROPER POSITIONING/LATCH AND HOW TO ACCESS RESOURCES FOR ASSISTANCE WHEN NEEDED. WE ALSO HAVE A CLASS SPECIFICALLY FOR PREPARING PARENTS WHO ARE GOING BACK TO THE WORKFORCE ON HOW TO PUMP AND STORE THEIR MILK WHEN THEY ARE AWAY FROM THEIR BABY. 3) CHILDBIRTH 101 CLASSES: 3-SESSION CLASS TEACHES TOOLS TO PREPARE PARENTS FOR LABOR AND BIRTH BOTH MENTALLY AND PHYSICALLY, INCLUDING UNDERSTANDING THE LABOR PROCESS, COMFORT MEASURES, AND PAIN MEDICATION OPTIONS. 4) GRAND-PARENTING CLASSES: THIS CLASS PREPARES GRANDPARENTS-TO-BE TO BE SUPPORTIVE OF THEIR CHILDREN'S NEW FAMILIES BY UNDERSTANDING THE LATEST, UP-TO-DATE RECOMMENDATIONS FOR NEWBORN CARE. 5) POSTPARTUM &amp; YOU-HEALING AFTER BABY: THIS CLASS REVIEWS THE PHYSICAL AND EMOTIONAL CHANGES WOMEN GO THROUGH AFTER GIVING BIRTH AND HOW TO PREPARE YOURSELF TO WORK THROUGH THESES CHANGES AND HAVE A GRATIFYING POSTPARTUM EXPERIENCE. SCHOOL AGE ACTIVITIES --------------------- 1) PARENTING AND BABYSITTING EDUCATION: THIS IS A COOPERATIVE PROGRAM WITH CHILD, HOME AND COMMUNITY, INC. THE HOSPITAL PROVIDED FOR THE EDUCATIONAL COURSE. 2) SCHOOL DISTRICT PROGRAMS: DOYLESTOWN HOSPITAL WORKS WITH CENTRAL BUCKS HIGH SCHOOLS TO WELCOME TOPPS AND WORK-BASED LEARNING SPECIAL NEEDS STUDENTS TO EXPERIENCE JOBS WITHIN THE HOSPITAL'S DINING SERVICES. THE GOAL IS TO PREPARE THE STUDENTS FOR EMPLOYMENT ONCE OUT OF SCHOOL. 3) BEREAVEMENT GROUP MEETINGS: SPACE IS PROVIDED MONTHLY FOR THESE MEETINGS. MEETINGS. PREPARE YOURSELF TO WORK THROUGH THESES CHANGES AND HAVE A GRATIFYING POSTPARTUM EXPERIENCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A (CONT.)</FormAndLineReferenceDesc>
        <ExplanationTxt>LEADERSHIP ACTIVITIES --------------------- THE HOSPITAL PRESIDENT/CEO DEVOTED HIS TIME TO COMMUNITY BENEFIT ACTIVITIES INCLUDING, BUT NOT LIMITED TO, THE BUCKS COUNTY HEALTH IMPROVEMENT PARTNERSHIP, ANN SILVERMAN COMMUNITY HEALTH CLINIC, CHAMBER OF COMMERCE, HOSPITAL ASSOCIATION OF PA, CHRIST'S HOME, AND DELAWARE VALLEY UNIVERSITY. THE VICE-PRESIDENT AND CHIEF ADVANCEMENT OFFICER WAS ALSO INVOLVED IN CONTRIBUTING TIME AND EFFORTS THAT BENEFIT THE COMMUNITY BY SUPPORTING THE FOLLOWING ALIGNED CHARITIES: VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN (VIA), DOYLESTOWN HISTORICAL SOCIETY, MERCER MUSEUM, MICHENER MUSEUM, CENTRAL BUCKS CHAMBER OF COMMERCE, ANN SILVERMAN COMMUNITY HEALTH CLINIC, AND VARIOUS FUNDRAISERS AND COMMUNITY EVENTS ACROSS THE COUNTY. DOYLESTOWN HOSPITAL'S MANAGERS ALSO CONTRIBUTE THEIR LEADERSHIP AND EXPERTISE TO A VARIETY OF COMMUNITY BOARDS, AGENCIES, AND PROJECTS, WHICH INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING: - ADVOCACY SPEECHES - AMERICAN CANCER SOCIETY - AMERICAN HERITAGE FCU - AMERICAN RED CROSS BLOOD DRIVE - ANN SILVERMAN COMMUNITY HEALTH CLINIC - BUCKS CO. HOSPITAL DECON TASK FORCE - BUCKS CO. QUALITY CHILD CARE COALITION - BUCKS CO. MH/MR ADVISORY BOARD - BOYS SCOUTS OF AMERICA - BUCKS COUNTY HOUSING GROUP - BUCKS CO. HEALTH IMPROVEMENT PARTNERSHIP - CANCER SUPPORT COMMUNITY OF GREATER PHILADELPHIA| GILDA'S CLUB - CENTRAL BUCKS CHAMBER OF COMMERCE - CENTRAL BUCKS MINISTERIUM - CENTRAL BUCKS CHRISTIAN WOMEN'S CLUB - CHILD, HOME AND COMMUNITY, INC. - COMMUNITY OUTREACH CENTER - DELAWARE VALLEY UNIVERSITY SENIOR EDUCATION - DISCOVER DOYLESTOWN - DOYLESTOWN ATHLETIC ASSOCIATION - DOYLESTOWN BUSINESS &amp; COMMUNITY ALLIANCE - DVHC BOARD AND COMMITTEES - FAMILY CAREGIVERS OF SENIORS - FRIENDS OF PEACE VALLEY NATURE CENTER - GREATER MONTGOMERY COUNTY CHAMBER OF COMMERCE - GWYNEDD MERCY ADVISORY COMMITTEE - HEALTH AND HOUSING TASK FORCE - HEPATITIS B FOUNDATION - HERITAGE CONSERVANCY - LENAPE VALLEY SHRINER'S CLUB - LEUKEMIA AND LYMPHONA SOCIETY - LITERACY ACADEMY OF BUCKS COUNTY INTERMEDIATE UNIT - MARCH OF DIMES - MIDDLE BUCKS INSTITUTE OF TECHNOLOGY ADVISORY - PROFESSIONALS WORKING WITH SENIORS - RIVER CROSSING YMCA (INCLUDES BUCKS COUNTY) - SENIORS AND FAMILIES COMMITTEE - SPRINGFIELD TOWNSHIP (SUPERVISOR/PLANNING) TEACHING PROGRAMS ----------------- DOYLESTOWN HOSPITAL SUPPORTS MEDICAL, NURSING, ALLIED HEALTH, AND HOSPITAL MANAGEMENT PROGRAMS. THE FOLLOWING IS A LIST OF SCHOOLS THAT SENT STUDENTS TO THE HOSPITAL FOR PRACTICUMS, CLINICAL ROTATIONS, AND/OR PRECEPTORSHIPS: - ARCADIA UNIVERSITY - BUCKS COUNTY COMMUNITY COLLEGE - CEDAR CREST COLLEGE - DELAWARE VALLEY UNIVERSITY - DREXEL UNIVERSITY - GWYNEDD MERCY UNIVERSITY - HARCUM COLLEGE - ITHACA COLLEGE - LASALLE UNIVERSITY - MONTGOMERY COUNTY COMMUNITY COLLEGE - PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE - SALUS UNIVERSITY - TEMPLE UNIVERSITY - THOMAS JEFFERSON UNIVERSITY - UNIVERSITY OF DELAWARE - UNIVERSITY OF PENNSYLVANIA - UNIVERSITY OF THE SCIENCES - UPPER BUCKS COUNTY TECHNICAL SCHOOL - VILLANOVA UNIVERSITY - WEIDNER UNIVERSITY - DELAWARE VALLEY UNIVERSITY - NATIONAL MEDICAL EDUCATION &amp; TRAINING CENTER - LANSDALE SCHOOL OF BUSINESS - WESTERN GOVERNORS - WEST CHESTER UNIVERSITY - EINSTEIN - DUQUESNE DOYLESTOWN HOSPITAL SERVED AS A CLINICAL ROTATION SITE FOR MEDICINE, PHYSICIAN ASSISTANT, ENTRY AND ADVANCED NURSING LEVELS, PHARMACY, RADIOLOGIC TECHNOLOGY, CARDIAC SERVICES AND EXERCISE PHYSIOLOGY. ALL PATIENT CARE AREAS WERE UTILIZED IN THE EDUCATION OF THESE STUDENTS. PRE-MED VOLUNTEER PROGRAM: THIS PROGRAM HAS BEEN DEVELOPED BY THE HOSPITAL MEDICAL STAFF AND VOLUNTEER DEPARTMENT. IT IS A TEN-WEEK PROGRAM STARTING IN LATE MAY. IT IS SUPERVISED BY THE HOSPITAL'S DIRECTOR OF VOLUNTEER SERVICES AND IS COORDINATED WITH A SPECIAL SEMINAR PROGRAM CONDUCTED BY THE DOYLESTOWN HOSPITAL'S MEDICAL STAFF TO INTRODUCE THE STUDENTS TO SELECTED PHASES OF A MEDICAL CAREER. STUDENTS PARTICIPATING IN THE PROGRAM ARE EXPECTED TO GIVE THE HOSPITAL A MINIMUM OF 100 HOURS OF VOLUNTEER TIME IN VARIOUS PATIENT RELATED SERVICES DURING THE COURSE. THE AIM OF THE PROGRAM IS TO GIVE PRE-MEDICAL STUDENTS FIRST-HAND HOSPITAL EXPERIENCE TO ACQUAINT THEM WITH A TOTAL COMMUNITY HOSPITAL PICTURE. THIS PROGRAM BRINGS INTO FOCUS THE WORK AND RESPONSIBILITY OF THE PHYSICIAN IN A MODERN HOSPITAL COMPLEX. OUTSIDE GROUP ROOM USAGE ------------------------ THE HOSPITAL PROVIDES FREE SPACE FOR MEETINGS TO THE FOLLOWING OUTSIDE GROUPS WITH A CHARITABLE MISSION: - CPR/FIRST AID CLASSES - ANN SILVERMAN COMMUNITY HEALTH CLINIC - BUCKS COUNTY HEALTH IMPROVEMENT PARTNERSHIP HEALTH SCREENINGS &amp; IMMUNIZATIONS --------------------------------- THE HOSPITAL CONDUCTS HEALTH SCREENS AND SUPPORTED IMMUNIZATIONS FOR VARIOUS COMMUNITY MEMBERS. 1) HEALTH SCREENINGS: VARIOUS COMMUNITY INDIVIDUALS BENEFITED FROM HEALTH SCREENINGS DOYLESTOWN PROVIDED FOR FREE OR LOW COST. THESE SCREENINGS INCLUDED BLOOD PRESSURE SCREENINGS, CHOLESTEROL AND GLUCOSE SCREENINGS, AND BIOMETRIC SCREENINGS. THESE ACTIVITIES IMPROVES THE HEALTH OF THE COMMUNITY IN GENERAL, SPECIFIC GROUPS OF PEOPLE, HELPS CONTAIN HEALTHCARE COSTS AND/OR IMPROVES THE QUALITY OF LIFE FOR ALL MEMBERS OF OUR COMMUNITY. THEY ALSO PROVIDE THE COMMUNITY AN OPPORTUNITY TO GAIN KNOWLEDGE ON PHYSICIANS WHO MAY BE ABLE TO ASSIST WITH THEIR MEDICAL CARE. 2) SKIN CANCER SCREENING: THIS PROGRAM SCREENED PATIENTS AND WAS STAFFED BY MEDICAL, NURSING AND CLERICAL VOLUNTEERS. 3) LUNG CANCER SCREENINGS: NURSE NAVIGATION MANAGES THE LOW DOSE CT PROGRAM AND INCIDENTAL PULMONARY NODULE ADVISORY BOARD. BOTH SCREENING AND PREVENTION FOR LUNG CANCER. 4) CANCER RISK SCREENINGS: THE MEDICAL, NURSING AND CLERICAL STAFF VOLUNTEERED THEIR TIME TO SCREEN PATIENT FOR THIS PROGRAM. 5) COLORECTAL SCREENINGS: COLORECTAL SCREENING PROGRAM COORDINATED THROUGH CANCER CENTER IN COLLABORATION WITH GI PHYSICIANS. 6) FALL RISK SCREENINGS: THIS PROGRAM SCREENED PATIENTS AND WAS STAFFED BY MEDICAL, NURSING AND CLERICAL VOLUNTEERS. 7) INFLUENZA IMMUNIZATIONS: DOYLESTOWN HOSPITAL PROVIDED MULTIPLE FLU SHOT CLINICS. VACCINES WERE PROVIDED BY DOYLESTOWN STAFF. CORPORATE EMPLOYER LOCATIONS WERE USED. SUPPORT GROUP &amp; SELF-HELP PROGRAMS ---------------------------------- SUPPORT GROUPS ARE OFFERED AT NO CHARGE TO THE COMMUNITY, AND MEMBERS OF THE HOSPITAL STAFF LEAD MANY. THE FOLLOWING IS A LIST OF THE GROUPS THAT HELD REGULAR MEETINGS AT THE HOSPITAL: - AL-ANON - BEREAVEMENT - BREASTFEEDING - CADUCEUS - DIABETES - INSULIN PUMP - HEART FAILURE - ICD (IMPLANTABLE DEFIBRILLATOR) - PARKINSON'S - PREGNANCY LOSS - CANCER SUPPORT GROUPS - NAR-ANON - RESOLVE INFERTILITY - STROKE - STROKE CAREGIVER</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A (CONT.)</FormAndLineReferenceDesc>
        <ExplanationTxt>VOLUNTEER PROGRAMS ------------------ DOYLESTOWN HOSPITAL ENJOYS THE GENEROUS CONTRIBUTION OF TIME AND TALENT FROM COMMUNITY VOLUNTEERS, STARTING AT THE MIMIMUM AGE OF 15. VOLUNTEER OPPORTUNITIES BENEFIT THE COMMUNITY BY PROVIDING, FOR MANY COMMUNITY MEMBERS, A PLACE TO GO OR A WAY TO FEEL NEEDED, THUS PREVENTING A VARIETY OF SOCIAL PROBLEMS. THE VOLUNTEER PROGRAM ALLOWS SOME MEMBERS OF THE COMMUNITY TO HELP OTHERS, NOT THROUGH THEIR DOLLARS BUT THROUGH THEIR DONATED TIME. IN ADDITION, THE HOSPITAL IS A PLACE FOR COMMUNITY MEMBERS TO REACH OUT TO HELP FRIENDS AND NEIGHBORS OR TO FULFILL COURT-MANDATED COMMUNITY SERVICE OBLIGATIONS AS VOLUNTEERS. VOLUNTEERS SIGNIFICANTLY ENHANCE PATIENT AND FAMILY SUPPORT IN THE FOLLOWING SERVICE CATEGORIES: - ADDRESSING AND COLLATING - CANCER INSTITUTE - CHILDREN'S VILLAGE - EMERGENCY DEPARTMENT - GIFT SHOP - HOSPITALITY CART - HOSPICE - INFORMATION DESKS - MAIL OR MESSENGER - PASTORAL CARE - ANIMAL ASSISTED THERAPY - RADIOLOGY INFORMATION DESK - SURGERY WAITING AREA - PATIENT TRANSPORT - CARDIAC REHAB - MEDICAL RESEARCH - VIA MATERNITY CENTER - "NO ONE DIES ALONE" PROGRAM BECAUSE THE HOSPITAL WANTS TO PROVIDE EXCEPTIONAL OPPORTUNITIES FOR COMMUNITY MEMBERS TO OFFER TIME AND TALENT TO SUPPORT THE VIA'S MISSION OF EXCELLENT LOCAL HEALTHCARE, SALARIES WERE BUDGETED FOR RECRUITMENT, ORIENTATION, MANAGEMENT, RETENTION AND RECOGNITION OF VOLUNTEERS IN PATIENT TRANSPORT AND THROUGHOUT THE PATIENT SERVICE AREAS. FINANCIAL ASSISTANCE TO COMMUNITY MEMBERS ----------------------------------------- DOYLESTOWN HOSPITAL PROVIDES FREE MEDICAL CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS FINANCIAL ASSISTANCE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. UNREIMBURSED CHARGES FROM MEDICAL ASSISTANCE PROGRAMS ON BEHALF OF PATIENTS THAT MEET THE HOSPITAL'S FINANCIAL ASSISTANCE CRITERIA ARE ALSO CONSIDERED FINANCIAL ASSISTANCE. ADDENDUM: DOYLESTOWN HOSPITAL PROGRAM AND SERVICES ================================================== - ASSOCIATE HEALTH SERVICES - BEHAVIORAL HEALTH SERVICE (EAP &amp; CRISIS SERVICES) - CARDIAC AND NEUROLOGICAL SERVICES (DIAGNOSTIC CARDIAC CATHETERIZATION, NON-INVASIVE DIAGNOSTIC TESTING SERVICES, INTERVENTIONAL CARDIOLOGY PROCEDURES AND EPS STUDIES: PACEMAKERS, DEVICE IMPLANTATION, AND ABLATION) - CARDIOVASCULAR SURGERY (CABG, VALVE REPLACEMENTS/REPAIRS) - CRITICAL CARE UNITS (MED/SURG CRITICAL CARE, CARDIOVASCULAR CRITICAL CARE) - DIABETES EDUCATION (INPATIENT AND OUTPATIENT): NUTRITION EDUCATION AND COUNSELING - EMERGENCY SERVICES (CRISIS INTERVENTION, OBSERVATION/HOLDING UNIT, SANE (SEXUAL ASSAULT NURSE EXAMINER) PROGRAM, DOMESTIC VIOLENCE) - ENDOSCOPY (GASTROENTEROLOGY, PULMONOLOGY) - ENTEROSTOMAL THERAPY (INPATIENT AND OUTPATIENT, NURSING HOME CONSULTATION, WOUND MANAGEMENT AND CONTINENCE CARE) - FOOD AND NUTRITION SERVICES (WEIGHT MANAGEMENT CLASSES: ADULTS AND CHILDREN, NUTRITIONAL ASSESSMENT AND COUNSELING AND PATIENT MEAL SERVICES) - GENERAL MEDICINE (ALLERGIC DISEASES, CARDIOLOGY, DERMATOLOGY, ENDOCRINOLOGY, FAMILY MEDICINE, GASTROENTEROLOGY, INFECTIOUS DISEASE, INTERNAL MEDICINE, HEMATOLOGY, OBSTETRICS &amp; GYNECOLOGY, NEPHROLOGY, NEUROLOGY, ONCOLOGY, PATHOLOGY, PEDIATRICS, PHYSICAL MEDICINE/REHABILITATION, PSYCHIATRY, PULMONARY AND RHEUMATOLOGY) - HEMODIALYSIS - INFECTION CONTROL - IV THERAPY (PICC - PERIPHERALLY INSERTED CENTRAL CATHETER) - LABORATORY SERVICES (AUTODONATION, BLOOD BANK, CHEMISTRY, CYTOLOGY, HEMATOLOGY, HISTOLOGY/PATHOLOGY, MICROBIOLOGY, URINALYSIS) - MAGNETIC RESONANCE IMAGING (MRI) - MATERNITY SERVICES (ANTENATAL TESTING, BABY BRACELETS: MATERNAL/INFANT VISITING NURSE, LABOR AND DELIVERY, MATERNAL/CHILD CARE, NEONATOLOGY, PRENATAL TESTING, POST-PARTUM CARE, PREPARED CHILDBIRTH EDUCATION, SPECIAL CARE NURSERY (LEVEL II) AND WELL BABY NURSERY) - MEDICAL RESEARCH (CLINICAL TRIALS) - ONCOLOGY (INPATIENT AND OUTPATIENT AND OUTPATIENT INFUSION SERVICES) - PASTORAL CARE SERVICES (LAY CHAPLAIN) - PHARMACY - RADIOLOGY SERVICES (CT SCANNER, PET/CT SCANNER, DIAGNOSTIC RADIOLOGY, INVASIVE AND SPECIAL PROCEDURES, NUCLEAR MEDICINE, AND ULTRASOUND) - REHABILITATION SERVICES (INPATIENT AND OUTPATIENT, BRAIN INJURY, CARDIAC REHABILITATION, COGNITIVE REMEDIATION, ELECTROMYOGRAPHY, LYMPHEDEMA THERAPY, HAND THERAPY, NERVE CONDUCTION STUDIES, OCCUPATIONAL THERAPY, PHYSICAL THERAPY, SPEECH THERAPY AND SWALLOWING TEST) - RESPIRATORY SERVICES (PULMONARY FUNCTION TESTING AND PULMONARY REHAB) - CASE MANAGEMENT/SOCIAL SERVICES (PSYCHOSOCIAL ASSESSMENTS, COUNSELING, COMPLEX DISCHARGE PLANNING, CRISIS INTERVENTION, FINANCIAL COUNSELING, ADOPTION OPTIONS COUNSELING, PATIENT AND FAMILY EDUCATION, INFORMATION AND REFERRAL) - SURGICAL SERVICES (INPATIENT AND OUTPATIENT, ACUPUNCTURE, COSMETIC DENTISTRY, GENERAL NERVE BLOCKS, OB/GYN, OPHTHALMOLOGY, ORAL/MAXILLOFACIAL, ORTHOPEDICS, OTOLARYNGOLOGY, PEDIATRIC DENTISTRY, PLASTIC SURGERY, POST-ANESTHESIA CARE UNIT, PRE-ADMISSION TESTING, SAME DAY SURGERY (NERVE BLOCKS), UROLOGY, VASCULAR) - TELEMETRY / PROGRESSIVE CARE - VISITING NURSE/HOME CARE (ADULT AND INFANTS (UP TO 1 YEAR) SKILLED HOME HEALTH SERVICES, NURSING, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, SOCIAL SERVICES, HOME HEALTH AIDES, BABY BRACELETS (MATERNAL/INFANT VISITING NURSE), COMPREHENSIVE HOSPICE PROGRAM - BREAST IMAGING CENTER (BONE DENSITOMETRY, MAMMOGRAPHY, STEREOTACTIC BREAST BIOPSY) -----------------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART V, LINE 1B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORMS 1099/W-2G THE ORGANIZATION IS AN AFFILIATE WITHIN PENN MEDICINE DOYLESTOWN HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE ORGANIZATION'S FORM 990 REPORTS THAT A FORM 1099 AND TWO FORM W-2G'S WERE FILED WITH THE INTERNAL REVENUE SERVICE ("IRS"). THIS ORGANIZATION PREPARES AND ISSUES FORMS W-2G ON BEHALF OF DOYLESTOWN HEALTH FOUNDATION AND DOYLESTOWN HEALTH PHYSICIANS; RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATIONS, TO INDIVIDUALS FOR GAMBLING WINNINGS, WHERE APPLICABLE, AND FILES THE FORM W-2G WITH THE IRS. -----------------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINES 4, 6 &amp; 7</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGES TO GOVERNING DOCUMENTS/DETAILS OF MEMBERS ON APRIL 1, 2025, THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA AND DOYLESTOWN HEALTH ENTERED INTO AN AFFILIATION AGREEMENT WITH DOYLESTOWN HEALTH FOUNDATION (THE "FOUNDATION"), DOYLESTOWN HOSPITAL (THE "HOSPITAL"), VILLAGE IMPROVEMENT ASSOCIATED OF DOYLESTOWN D/B/A DOYLESTOWN HEALTH PHYSICIANS ("DH PHYSICIANS TOGETHER WITH THE FOUNDATION AND THE HOSPITAL, "DOYLESTOWN HEALTH"), PURSUANT TO WHICH DOYLESTOWN BECAME A CLINICAL COMPONENT OF PENN MEDICINE THROUGH A MEMBERSHIP SUBSTITUTION IN WHICH THE UNIVERSITY BECAME THE SOLE MEMBER OF THE HOSPITAL, AND THE HOSPITAL BECAME THE SOLE MEMBER OF THE FOUNDATION AND DH PHYSICIANS. -----------------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>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 2024 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 2024 FORM 990 WAS THEN MADE AVAILABLE TO EACH BOARD MEMBER PRIOR TO THE FILING DEADLINE. -----------------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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. -----------------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>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). -----------------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>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. -----------------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART X, LINE 32</FormAndLineReferenceDesc>
        <ExplanationTxt>INFORMATION REGARDING THE CURRENT YEAR DECREASE IN NET ASSETS THE ORGANIZATION'S CURRENT YEAR DECREASE IN NET ASSETS WAS THE RESULT OF NORMAL OPERATIONS AND NOT DUE TO THE SALE, EXCHANGE, DISPOSITON OR TRANSFER OF MORE THAT 25% OF THE ORGANIZATION'S NET ASSETS. AS A RESULT, THE COMPLETION OF SCHEDULE N IS NOT APPLICABLE. -----------------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>DETAIL OF OTHER CHANGES IN NET ASSETS OR FUND BALANCE: NET ASSETS RELEASED FOR OPERATIONS: $ 777,360 NET PERIODIC BENEFIT COST: (1,832,348) CHANGE IN VALUE INTEREST RATE: (324,384) NET ASSETS RELEASED FOR PPE: 4,973,959 TRANSFER TO AFFILIATES: (20,306,664) PENSION CHANGES: 2,677,741 OTHER UNRESTRICTED ACTIVITY: (23,027,217) BENEFICIAL INTEREST IN DHF: 135,963 --------------- TOTAL: $ (36,925,590) -----------------------------</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>AFFILIA HOME HEALTH</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>1811 OLDE HOMESTEAD LANE</AddressLine1Txt>
          <CityNm>LANCASTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17601</ZIPCd>
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        <EIN>231352572</EIN>
        <PrimaryActivitiesTxt>HOME HEALTH</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>LG HEALTH</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CARL V S PATTERSON IRR</BusinessNameLine1Txt>
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          <AddressLine1Txt>116 ALLEGHENY CENTER MAIL P8YB3502L</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
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          <ZIPCd>15212</ZIPCd>
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        <EIN>236415355</EIN>
        <PrimaryActivitiesTxt>SUPPORT TRUST</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>4947(A)(1)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>N/A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>CHESTER COUNTY HOSPITAL</BusinessNameLine1Txt>
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          <AddressLine1Txt>701 E MARSHALL STREET</AddressLine1Txt>
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          <ZIPCd>19380</ZIPCd>
        </USAddress>
        <EIN>230469150</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>CCH&amp;HS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHESTER COUNTY HOSPITAL &amp; HEALTH SYSTEM</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>701 E MARSHALL STREET</AddressLine1Txt>
          <CityNm>WEST CHESTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19380</ZIPCd>
        </USAddress>
        <EIN>264233321</EIN>
        <PrimaryActivitiesTxt>MGMT SRVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CLINICAL CARE ASSOCIATES OF UPHS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>250 KING OF PRUSSIA RD 4TH FL</AddressLine1Txt>
          <CityNm>RADNOR</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19087</ZIPCd>
        </USAddress>
        <EIN>232729852</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HAJOCA 3025 INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3451 WALNUT STREET ROOM 737</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19104</ZIPCd>
        </USAddress>
        <EIN>843379653</EIN>
        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12, I</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LANCASTER GENERAL HEALTH</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>555 NORTH DUKE STREET</AddressLine1Txt>
          <CityNm>LANCASTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17602</ZIPCd>
        </USAddress>
        <EIN>232250941</EIN>
        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12, II</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LANCASTER GENERAL HEALTH COLUMBIA CENTER</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>306 NORTH 7TH STREET</AddressLine1Txt>
          <CityNm>COLUMBIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17512</ZIPCd>
        </USAddress>
        <EIN>230485650</EIN>
        <PrimaryActivitiesTxt>FACILITY MGMT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LG HOSPITAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LANCASTER GENERAL HEALTH FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>555 NORTH DUKE STREET</AddressLine1Txt>
          <CityNm>LANCASTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17602</ZIPCd>
        </USAddress>
        <EIN>205767147</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LANCASTER GENERAL HEALTH HOLDINGS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>555 NORTH DUKE STREET</AddressLine1Txt>
          <CityNm>LANCASTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17602</ZIPCd>
        </USAddress>
        <EIN>204943109</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LG HEALTH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LANCASTER GENERAL HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>555 NORTH DUKE STREET</AddressLine1Txt>
          <CityNm>LANCASTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17602</ZIPCd>
        </USAddress>
        <EIN>231365353</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LG HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LANCASTER GENERAL MEDICAL GROUP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1097 COMMERCIAL AVE</AddressLine1Txt>
          <CityNm>EAST PETERSBURG</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17520</ZIPCd>
        </USAddress>
        <EIN>232777286</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LG HEALTH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MORRIS EST LYDIA T DECD TW</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>6325 S RAINBOW BLVD STE 300</AddressLine1Txt>
          <CityNm>LAS VEGAS</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
          <ZIPCd>89118</ZIPCd>
        </USAddress>
        <EIN>236210940</EIN>
        <PrimaryActivitiesTxt>SUPPORT TRUST</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12, III-FI</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NEIGHBORHOOD HEALTH AGENCIES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>795 E MARSHALL STREET</AddressLine1Txt>
          <CityNm>WEST CHESTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19380</ZIPCd>
        </USAddress>
        <EIN>232324782</EIN>
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        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>CCH&amp;HS</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NEIGHBORHOOD LEAGUE HEALTH SERVICES</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>795 E MARSHALL STREET</AddressLine1Txt>
          <CityNm>WEST CHESTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19380</ZIPCd>
        </USAddress>
        <EIN>232324787</EIN>
        <PrimaryActivitiesTxt>HEALTH SRVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>CCH&amp;HS</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NEIGHBORHOOD VISITING NURSE ASSOCIATION</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>795 E MARSHALL STREET</AddressLine1Txt>
          <CityNm>WEST CHESTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19380</ZIPCd>
        </USAddress>
        <EIN>231352243</EIN>
        <PrimaryActivitiesTxt>NURSING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>CCH&amp;HS</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OAP INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>3451 WALNUT STREET ROOM 748</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19104</ZIPCd>
        </USAddress>
        <EIN>231986931</EIN>
        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PENN CENTER FOR REHAB AND CARE</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>3609 CHESTNUT STREET</AddressLine1Txt>
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          <ZIPCd>19104</ZIPCd>
        </USAddress>
        <EIN>232422635</EIN>
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          <BusinessNameLine1Txt>PMC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PENN CLUB OF NEW YORK INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>30 WEST 44TH STREET</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
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          <ZIPCd>10036</ZIPCd>
        </USAddress>
        <EIN>232726687</EIN>
        <PrimaryActivitiesTxt>CLUB</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PENN PRAXIS INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>210 SOUTH 34TH STREET</AddressLine1Txt>
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        <EIN>752974931</EIN>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PENNSYLVANIA HOSPITAL OF UPHS</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>800 SPRUCE STREET</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19107</ZIPCd>
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        <EIN>311538725</EIN>
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          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PGH DEVELOPMENT CORP</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>426 CURIE BLVD</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19104</ZIPCd>
        </USAddress>
        <EIN>232351015</EIN>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PRESBYTERIAN MEDICAL CENTER OF UPHS</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>51 NORTH 39TH STREET</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19104</ZIPCd>
        </USAddress>
        <EIN>232810852</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PRINCETON CAREGIVERS INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>ONE PLAINSBORO ROAD</AddressLine1Txt>
          <CityNm>PLAINSBORO</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>08536</ZIPCd>
        </USAddress>
        <EIN>222842773</EIN>
        <PrimaryActivitiesTxt>HOMECARE SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NJ</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PHCS HOLDING</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PRINCETON HEALTHCARE AFFILIATED PHYS PC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>ONE PLAINSBORO ROAD</AddressLine1Txt>
          <CityNm>PLAINSBORO</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>08536</ZIPCd>
        </USAddress>
        <EIN>264203938</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>PHCS HOLDING</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PRINCETON HEALTHCARE SYSTEM</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>ONE PLAINSBORO ROAD</AddressLine1Txt>
          <CityNm>PLAINSBORO</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>08536</ZIPCd>
        </USAddress>
        <EIN>210635009</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NJ</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PHCS HOLDING</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PRINCETON HEALTHCARE SYSTEM FDN INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>ONE PLAINSBORO ROAD</AddressLine1Txt>
          <CityNm>PLAINSBORO</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>08536</ZIPCd>
        </USAddress>
        <EIN>222225911</EIN>
        <PrimaryActivitiesTxt>SUPPORT PHCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NJ</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PHCS HOLDING</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PRINCETON HLTHCARE SYSTEM HOLDING INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>ONE PLAINSBORO ROAD</AddressLine1Txt>
          <CityNm>PLAINSBORO</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>08536</ZIPCd>
        </USAddress>
        <EIN>223493256</EIN>
        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NJ</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12, I</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PRINCETON MEDICAL PROPERTIES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>ONE PLAINSBORO ROAD</AddressLine1Txt>
          <CityNm>PLAINSBORO</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>08536</ZIPCd>
        </USAddress>
        <EIN>220022702</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NJ</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(2)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>N/A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PHCS HOLDING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE ASC TRUST OF THE UNIV OF PA</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1500 MARKET ST STE 3500E</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19102</ZIPCd>
        </USAddress>
        <EIN>810550464</EIN>
        <PrimaryActivitiesTxt>BUS. TRUST</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>8</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE HEART GROUP OF LANCASTER GEN HEALTH</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>217 HARRISBURG AVENUE</AddressLine1Txt>
          <CityNm>LANCASTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17603</ZIPCd>
        </USAddress>
        <EIN>300634510</EIN>
        <PrimaryActivitiesTxt>CARDIOLOGY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LG HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE LEONARD AND MADLYN ABRAMSON INST</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>421 CURIE BLVD 450 BRB II/III</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19104</ZIPCd>
        </USAddress>
        <EIN>232929823</EIN>
        <PrimaryActivitiesTxt>MED RESEARCH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>4</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>TRUSTEES OF THE UNIVERSITY OF PENN</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3451 WALNUT STREET ROOM 305</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19104</ZIPCd>
        </USAddress>
        <EIN>231352685</EIN>
        <PrimaryActivitiesTxt>EDUCATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>2</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UNIVERSITY CITY ASSOCIATES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3451 WALNUT STREET ROOM 329</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19104</ZIPCd>
        </USAddress>
        <EIN>233021159</EIN>
        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UNIVERSITY CLUB AT PENN INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3611 WALNUT STREET</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19104</ZIPCd>
        </USAddress>
        <EIN>236299508</EIN>
        <PrimaryActivitiesTxt>FAC. CLUB</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12, I</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UPENN INTERNATIONAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3451 WALNUT STREET SUITE 731</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19104</ZIPCd>
        </USAddress>
        <EIN>454985731</EIN>
        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UPENN MASTER RETIREMENT TRUST</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3451 WALNUT STREET ROOM 305</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19104</ZIPCd>
        </USAddress>
        <EIN>043574136</EIN>
        <PrimaryActivitiesTxt>RETIRE TRUST</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(A)</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UPENN RETIREE BENEFITS TRUST</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3451 WALNUT STREET ROOM 329</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19104</ZIPCd>
        </USAddress>
        <EIN>232769744</EIN>
        <PrimaryActivitiesTxt>BENEFITS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WISSAHICKON HOSPICE OF UPHS</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>150 MONUMENT ROAD SUITE 300</AddressLine1Txt>
          <CityNm>BALA CYNWYD</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19004</ZIPCd>
        </USAddress>
        <EIN>232152662</EIN>
        <PrimaryActivitiesTxt>HOSPICE CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PENN MEDICINE-PMA</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>5 ATRIUM 3400 CIVIC CTR BLVD</AddressLine1Txt>
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          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19104</ZIPCd>
        </USAddress>
        <EIN>863800365</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>CCA</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CLINICAL SPECIALTY ASSOCIATES</BusinessNameLine1Txt>
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          <AddressLine1Txt>150 MONUMENT ROAD FL 4TH</AddressLine1Txt>
          <CityNm>BALA CYNWYD</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19004</ZIPCd>
        </USAddress>
        <EIN>331617353</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>PENDING</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>DOYLESTOWN HEALTH FOUNDATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>595 WEST STATE STREET</AddressLine1Txt>
          <CityNm>DOYLESTOWN</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18901</ZIPCd>
        </USAddress>
        <EIN>232368196</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>DH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>DOYLESTOWN HEALTH PHYSICIANS</BusinessNameLine1Txt>
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          <AddressLine1Txt>595 WEST STATE STREET</AddressLine1Txt>
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          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18901</ZIPCd>
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        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>DH</BusinessNameLine1Txt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>AUSTIN 512 LP</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>5914 W COURTYARD DRIVE SUITE 340</AddressLine1Txt>
          <CityNm>AUSTIN</CityNm>
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          <ZIPCd>78730</ZIPCd>
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        <EIN>921329561</EIN>
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      <IdRelatedOrgTxblPartnershipGrp>
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          <BusinessNameLine1Txt>AXIS UKA GP LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>240 NEW YORK DRIVE SUITE 1</AddressLine1Txt>
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          <StateAbbreviationCd>PA</StateAbbreviationCd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BEXP II (PARALLEL) LP</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>5914 W COURTYARD DRIVE</AddressLine1Txt>
          <CityNm>AUSTIN</CityNm>
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        <EIN>873188834</EIN>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CYRUS 1740 FUND LP</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>65 E 55TH STREET 35TH FLOOR</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10022</ZIPCd>
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        <EIN>821211542</EIN>
        <PrimaryActivitiesTxt>INVESTMENT</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CYRUS 1740 MASTER FUND LP</BusinessNameLine1Txt>
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          <AddressLine1Txt>89 NEXUS WAY CAMANA BAY</AddressLine1Txt>
          <CityNm>GRAND CAYMAN</CityNm>
          <ProvinceOrStateNm>GRAND CAYMAN</ProvinceOrStateNm>
          <CountryCd>CJ</CountryCd>
          <ForeignPostalCd>KY1-9009</ForeignPostalCd>
        </ForeignAddress>
        <EIN>981361754</EIN>
        <PrimaryActivitiesTxt>INVESTMENT</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>DVG 1740 FUND LP</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>ONE FAWCETT PLACE</AddressLine1Txt>
          <CityNm>GREENWICH</CityNm>
          <StateAbbreviationCd>CT</StateAbbreviationCd>
          <ZIPCd>06830</ZIPCd>
        </USAddress>
        <EIN>800961539</EIN>
        <PrimaryActivitiesTxt>INVESTMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CT</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>EAST MARSHALL STREET PARTNERSHIP LP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>701 E MARSHALL STREET</AddressLine1Txt>
          <CityNm>WEST CHESTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19380</ZIPCd>
        </USAddress>
        <EIN>232902742</EIN>
        <PrimaryActivitiesTxt>INVESTMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>FERN HILL PARTNERSHIP III LP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>701 E MARSHALL STREET</AddressLine1Txt>
          <CityNm>WEST CHESTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19380</ZIPCd>
        </USAddress>
        <EIN>300409614</EIN>
        <PrimaryActivitiesTxt>RENTAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>FERN HILL LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>701 E MARSHALL STREET</AddressLine1Txt>
          <CityNm>WEST CHESTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19380</ZIPCd>
        </USAddress>
        <EIN>233005147</EIN>
        <PrimaryActivitiesTxt>RENTAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>FORERUNNER BUILDERS F-G LP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>ONE LETTERMAN DR BLDG C SUITE C5</AddressLine1Txt>
          <CityNm>SAN FRANCISCO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>94129</ZIPCd>
        </USAddress>
        <EIN>873427543</EIN>
        <PrimaryActivitiesTxt>INVESTMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GALLOPAVO LP</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>4215 WEST LOVERS LANE SUITE 100</AddressLine1Txt>
          <CityNm>DALLAS</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75209</ZIPCd>
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          <AddressLine1Txt>PO BOX 309</AddressLine1Txt>
          <CityNm>UGLAND HOUSE</CityNm>
          <ProvinceOrStateNm>CAYMAN ISLANDS</ProvinceOrStateNm>
          <CountryCd>CJ</CountryCd>
          <ForeignPostalCd>KY1-1104</ForeignPostalCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>INVESTMENTS</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C-CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PENN MEDICINE LONDON LIMITED</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>VISTRA SUITE 2 FIRST FLOOR 10 TEMPL</AddressLine1Txt>
          <ProvinceOrStateNm>BRISTOL</ProvinceOrStateNm>
          <CountryCd>UK</CountryCd>
          <ForeignPostalCd>BS1 6FL</ForeignPostalCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>NETWORKING</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>UK</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UPENN INT'L</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>LIMITED COMPANY</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PENN WHARTON CONSULTING (BEIJING) CO LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>UNIT 3106 LEVEL 31 YINTAI OFFICE T</AddressLine1Txt>
          <CityNm>CHAOYANG DIST</CityNm>
          <ProvinceOrStateNm>CHINA</ProvinceOrStateNm>
          <CountryCd>CH</CountryCd>
          <ForeignPostalCd>100022</ForeignPostalCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>BUS. CONSULTING</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CH</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UPENN INT'L</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C-CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PRINCETON HEALTH INC &amp; SUBS</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>ONE PLAINSBORO ROAD</AddressLine1Txt>
          <CityNm>PLAINSBORO</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>08536</ZIPCd>
        </USAddress>
        <EIN>223450093</EIN>
        <PrimaryActivitiesTxt>MEDICAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NJ</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PHCS HOLDING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C-CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PHI PHARMACY INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>ONE PLAINSBORO ROAD</AddressLine1Txt>
          <CityNm>PLAINSBORO</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>08536</ZIPCd>
        </USAddress>
        <EIN>223467899</EIN>
        <PrimaryActivitiesTxt>INACTIVE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NJ</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PHCS HOLDING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C-CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>QUAKER INSURANCE COMPANY LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>VICTORIA STREET PO BOX HM 1826</AddressLine1Txt>
          <CityNm>VICTORIA HALL</CityNm>
          <ProvinceOrStateNm>BERMUDA</ProvinceOrStateNm>
          <CountryCd>BD</CountryCd>
          <ForeignPostalCd>HM HX</ForeignPostalCd>
        </ForeignAddress>
        <EIN>300708282</EIN>
        <PrimaryActivitiesTxt>SELF-INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>BD</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C-CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>THE PAM 1740 FUND LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>PO BOX 309</AddressLine1Txt>
          <CityNm>GEORGE TOWN</CityNm>
          <ProvinceOrStateNm>CAYMAN ISLANDS</ProvinceOrStateNm>
          <CountryCd>CJ</CountryCd>
          <ForeignPostalCd>KYI-1104</ForeignPostalCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>INVESTMENTS</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C-CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>TURK'S HEAD HEALTH SERVICES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>701 E MARSHALL STREET</AddressLine1Txt>
          <CityNm>WEST CHESTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19380</ZIPCd>
        </USAddress>
        <EIN>232329753</EIN>
        <PrimaryActivitiesTxt>MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CCH&amp;HS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C-CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>UPENN HOSPITALITY INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3401 WALNUT STREET SUITE 440A</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19104</ZIPCd>
        </USAddress>
        <EIN>233076589</EIN>
        <PrimaryActivitiesTxt>HOTEL/RESTAURANT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C-CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CLINICAL HEALTHCARE ASSOC OF NJ SP PC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>150 MONUMENT ROAD FL 4TH</AddressLine1Txt>
          <CityNm>BALA CYNWYD</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19004</ZIPCd>
        </USAddress>
        <EIN>331946468</EIN>
        <PrimaryActivitiesTxt>PHYS MGMT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CCA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C-CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>DH PHYSICIANS AMBULATORY SERVICES</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>595 WEST STATE STREET</AddressLine1Txt>
          <CityNm>DOYLESTOWN</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18901</ZIPCd>
        </USAddress>
        <EIN>812885619</EIN>
        <PrimaryActivitiesTxt>MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>DHP</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C-CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>COVERED BRIDGE RECIP RISK RETENTION GRP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>146 FAIRCHILD STREET STE 135</AddressLine1Txt>
          <CityNm>CHARLESTON</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29492</ZIPCd>
        </USAddress>
        <EIN>871236417</EIN>
        <PrimaryActivitiesTxt>FINANCIAL VEHICLE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>DH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C-CORP</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>5452184</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>17795904</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>FRANKLIN HOLDINGS 1740 FUND LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>PO BOX 309</AddressLine1Txt>
          <CityNm>GEORGE TOWN</CityNm>
          <ProvinceOrStateNm>GRAND CAYMAN</ProvinceOrStateNm>
          <CountryCd>CJ</CountryCd>
          <ForeignPostalCd>KYI-1104</ForeignPostalCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>INVESTMENTS</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>LIMITED COMPANY</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>true</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>DOYLESTOWN HEALTH FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>1293336</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>