TY 2022 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) KEVIN B MAHONEY...................................................................... EX-OFFICIO MEMBER	1.0 ................. 54.0	X			0	2,872,713	524,230
(2) KEITH KASPER...................................................................... CONTROLLER;EX-OFFICIO MEMBER	1.0 ................. 54.0	X	X		0	1,716,989	24,644
(3) PHILLIP A OKALA...................................................................... EX-OFFICIO MEMBER THRU 8/31/22	1.0 ................. 54.0	X			0	1,201,151	229,198
(4) MICHELE M VOLPE...................................................................... COO UPHS; EX-OFFICIO MBR	1.0 ................. 54.0	X	X		0	1,067,399	101,405
(5) JAMES BALLINGHOFF RNMSNMBA...................................................................... BOARD MEMBER; CNO	55.0 ................. 0.0	X	X		413,921	0	11,193
(6) ANTHONY ZUMPANO...................................................................... ASST. CONT/SEC. THRU 5/25/23	54.0 ................. 1.0	X	X		393,414	0	17,880
(7) JACK ENDE MD...................................................................... BOARD MEMBER	1.0 ................. 54.0	X			0	359,021	45,609
(8) ROBERT J RUSSELL MPANHAFACHE...................................................................... ACTING CEO AS OF 9/1/22;EX-OFF	54.0 ................. 1.0	X	X		358,603	0	20,605
(9) S SIU MD...................................................................... PHYSICIAN ADVISOR	55.0 ................. 0.0			X	325,250	0	20,108
(10) NISHAMINY KASBEKAR...................................................................... CHIEF PHARMACY OFFICER	55.0 ................. 0.0			X	314,773	0	28,351
(11) LORIANN GAGLIARDI...................................................................... CLINICAL DIRECTOR	55.0 ................. 0.0			X	319,203	0	19,387
(12) KIMBERLY A DEPPERT...................................................................... ASSOC. EXEC DIR. CARD SRVCS	55.0 ................. 0.0			X	313,875	0	12,949
(13) GARY GINSBERG...................................................................... ASSISTANT HOSPITAL DIRECTOR	55.0 ................. 0.0			X	293,832	0	21,682
(14) GENE GOFMAN MBA...................................................................... ASST CONT/SEC. AS OF 5/23/23	54.0 ................. 1.0	X	X		263,456	0	28,442
(15) ANNEMARIE WALTER...................................................................... ASST. SECRETARY THRU 9/30/22	1.0 ................. 0.0	X	X		0	70,363	8,541
(16) ANN CONLIN...................................................................... BOARD MEMBER	1.0 ................. 0.0	X			0	0	0
(17) CLARE D'AGOSTINO ESQ...................................................................... BD MEMBER; CHAIR THRU 3/12/23	1.0 ................. 0.0	X	X		0	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
WEXFORD UCSC 3737 LLC, 17190 BERNARDO CENTER DR SAN DIEGO,CA92128	PROPERTY LEASE SRVS	25,054,763
GENERAL HEALTHCARE RESOURCES, STE 240 2250 HICKORY RD PLYMOUTH MEETING,PA19462	OUTSOURCED STAFFING	5,453,502
HSC BUILDERS CONSTRUCTION MGRS, 304 NEW MILL LN EXTON,PA19341	CONSTRUCTION SRVS	3,959,652
ALLIED UNIVERSAL COMPANY, 1561 N TUSTIN AVE SUITE 650 SANTA ANA,CA92705	OUTSOURCED STAFFING	3,060,600
AXIS CONSTRUCTION MANAGEMENT, STE 111 215 W CHURCH RD KING OF PRUSSIA,PA19406	CONSTRUCTION SRVS	1,367,010
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 37

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

Name of the organization

PRESBYTERIAN MEDICAL CENTER OF THE
UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM

Employer identification number

23-2810852

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2022

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2022 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2022. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2021. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2022

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2022 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2021 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2022 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2021 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2022. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2021. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2022

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2022

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2022

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2022

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2022 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2022	(iii) Distributable Amount for 2022
1 Distributable amount for 2022 from Section C, line 6
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2022:
a From 2017.......
b From 2018.......
c From 2019.......
d From 2020.......
e From 2021.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2022 distributable amount
i Carryover from 2017 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2022 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2022 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2022, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2022. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2023. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2018.....
b Excess from 2019.....
c Excess from 2020.....
d Excess from 2021.....
e Excess from 2022.....

Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2022

Name of the organization

PRESBYTERIAN MEDICAL CENTER OF THE
UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM

Employer identification number

23-2810852

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2022)

Schedule B (Form 990) (2022) Page 2

Name of organization PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2022)

Schedule B (Form 990) (2022)

Page 3

Name of organization PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM		Employer identification number 23-2810852

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2022)

Schedule B (Form 990) (2022)

Page 4


Name of organization PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM			Employer identification number 23-2810852
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2022)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

PRESBYTERIAN MEDICAL CENTER OF THE
UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM

Employer identification number

23-2810852

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds
1	Total number at end of year .........	479
2	Aggregate value of contributions to (during year)	1,016,507
3	Aggregate value of grants from (during year)	672,956
4	Aggregate value at end of year ........	49,452,276

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2021

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	172,988,119	182,082,082	135,791,491	137,910,872	136,193,580
b	Contributions ...	520,090	509,122	918,371	3,896	750,547
c	Net investment earnings, gains, and losses	2,413,587	-1,852,385	52,717,110	4,166,132	6,488,517
d	Grants or scholarships ...	0	0	0	0	0
e	Other expenditures for facilities and programs ...	8,264,624	7,750,700	7,344,890	6,289,409	5,521,772
f	Administrative expenses ....	0	0	0	0	0
g	End of year balance ......	167,657,172	172,988,119	182,082,082	135,791,491	137,910,872

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

100.000 %

Term endowment SchDMd Bullet

0 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

Yes

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	4,788,853		4,788,853
b	Buildings ....	456,092,095	205,850,881	250,241,214
c	Leasehold improvements	1,663,742	1,663,742	0
d	Equipment ....	258,987,680	189,873,937	69,113,743
e	Other .....	101,361,197	0	101,361,197
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				425,505,007

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)GOODWILL				24,887,819
(2)DEFERRED FINANCING COSTS				-167
(3)OTHER NON-CURRENT ASSETS				114,800,563
(4)LONG TERM INVESTMENTS				883,005
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				140,571,220

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	105,131,540
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2021

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
SCHEDULE D, PART V, LINE 4	USE OF ENDOWMENT FUNDS ALL ENDOWMENT FUNDS ARE USED FOR A VARIETY OF PURPOSES IN FURTHERANCE OF THE ORGANIZATION'S TAX-EXEMPT PURPOSES. ------------------------------
SCHEDULE D, PART X, LINE 1	DETAIL OF OTHER LIABILITIES THE DUE TO AFFILIATE ACCOUNT REPRESENTS AMOUNTS OWED BY THIS ORGANIZATION TO THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("PENN"), A RELATED ORGANIZATION, BASED UPON PENN'S CENTRAL TREASURY OFFICE MANAGING THE CASH BALANCES OF CERTAIN OF ITS AFFILIATES. ------------------------------
SCHEDULE D, PART X, LINE 2	TEXT OF FIN 48 (ASC 740) FOOTNOTE THIS ORGANIZATION IS AN AFFILIATE OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). THE FIN 48 (ASC 740) FOOTNOTE BELOW DERIVES FROM THE CONSOLIDATED JUNE 30, 2023 FINANCIAL STATEMENTS OF THE UNIVERSITY: THE UNIVERSITY REGULARLY EVALUATES ITS TAX POSITION AND DOES NOT BELIEVE IT HAS ANY UNCERTAIN TAX POSITIONS THAT REQUIRE DISCLOSURE OR ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS.

Schedule D (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

PRESBYTERIAN MEDICAL CENTER OF THE
UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM

Employer identification number

23-2810852

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 300 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	4,592,398	0	4,592,398	0.390 %
b	Medicaid (from Worksheet 3, column a) . . . . .
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	201,048,835	154,567,927	46,480,908	3.950 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	205,641,233	154,567,927	51,073,306	4.340 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).
f	Health professions education (from Worksheet 5) . . .	31,522,027	10,423,053	21,098,974	1.790 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .
j	Total. Other Benefits . .	31,522,027	10,423,053	21,098,974	1.790 %
k	Total. Add lines 7d and 7j .	237,163,260	164,990,980	72,172,280	6.130 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022

Schedule H (Form 990) 2022

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

16,510,662

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

4,204,859

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

195,495,791

Enter Medicare allowable costs of care relating to payments on line 5.....

188,105,544

Subtract line 6 from line 5. This is the surplus (or shortfall)........

7,390,247

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2022

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	PENN PRESBYTERIAN MEDICAL CTR 51 NORTH 39TH STREET PHILADELPHIA,PA19104 WWW.PENNMEDICINE.ORG LICENSE #421101	X	X	X	X	X

Schedule H (Form 990) 2022

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	PENN PRESBYTERIAN MEDICAL CTR
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 21

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE SCH H, PART V, SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE SCH H, PART V, SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2022

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	PENN PRESBYTERIAN MEDICAL CTR
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 300.%
and FPG family income limit for eligibility for discounted care of 300.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SCH H, PART V, SECT. C

The FAP application form was widely available on a website (list url):

SCH H, PART V, SECT. C

A plain language summary of the FAP was widely available on a website (list url):
SCH H, PART V, SECT. C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2022

Page 6

Part VFacility Information (continued)

Billing and Collections

	PENN PRESBYTERIAN MEDICAL CTR
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2022

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	PENN PRESBYTERIAN MEDICAL CTR
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2022

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
PART V, SECTION B, LINES 5, 6A & 6B (INPUT FROM COMMUNITY; JOINT CHNA)	THE PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH ("PDPH") AND HEALTH CARE IMPROVEMENT FOUNDATION ("HFIC") ASSISTED THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("UPHS") AND OTHER PARTICIPATING HOSPITALS AND HEALTH SYSTEMS WITH THE COMPLETION OF THEIR CHNA. PDPH AND HFIC DEVELOPED A COLLABORATIVE, COMMUNITY-ENGAGED APPROACH THAT INVOLVED COLLECTING AND ANALYZING QUANTITATIVE AND QUALITATIVE DATA AND AGGREGATING DATA FROM A VARIETY OF SECONDARY SOURCES TO COMPREHENSIVELY ASSESS THE HEALTH STATUS OF THE REGION. THE ASSESSMENT RESULTED IN A LIST OF PRIORITY HEALTH NEEDS THAT WERE USED BY UPHS AND OTHER PARTICIPATING HOSPITALS AND HEALTH SYSTEMS TO DEVELOP THEIR IMPLEMENTATION PLANS. AMONG OTHERS, THE COLLABORATIVE CHNA INCLUDED THE FOLLOWING PARTNERING UPHS HOSPITAL AFFILIATES: - CHESTER COUNTY HOSPITAL - HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA - PENNSYLVANIA HOSPITAL OF UPHS - PENN PRESBYTERIAN MEDICAL CENTER OF UPHS FOR MORE INFORMATION, PLEASE SEE: https://www.pennmedicine.org/ABOUT/SUPPORTING-OUR-COMMUNITIES --------------------
PART V, SECTION B, LINE 7 & 10- CHNA & IMP. PLAN PUBLIC AVAILABILITY	A COPY OF THE ORGANIZATION'S CHNA REPORT AND COMMUNITY HEALTH IMPROVEMENT PLAN REPORT ("IMPLEMENTATION PLAN") CAN BE ACCESSED AT: https://www.pennmedicine.org/ABOUT/SUPPORTING-OUR-COMMUNITIES OUR CHNA AND IMPLEMENTATION PLAN ARE ALSO AVAILABLE TO THE PUBLIC UPON REQUEST. -------------------- PART V, SECTION B, LINE 9 (TAX YEAR THE MOST RECENT IMPLEMENTATION STRATEGY WAS ADOPTED) THE ORGANIZATION'S MOST RECENT IMPLEMENTATION PLAN WAS ADOPTED BY 11/15/2022, AS PERMITTED UNDER THE REGULATIONS. --------------------
PART V, SECTION B, LINE 11 (ADDRESSING THE NEEDS IDENTIFIED IN THE CHNA)	FOR A COMPLETE DESCRIPTION ON HOW THE ORGANIZATION IS ADDRESSING THE NEEDS IDENTIFIED IN THE MOST RECENTLY COMPLETED CHNA, SEE THE FOLLOWING: https://www.pennmedicine.org/ABOUT/SUPPORTING-OUR-COMMUNITIES --------------------
PART V, SECTION B, LINE 16 (FINANCIAL ASSISTANCE POLICY AVAILABILITY)	A COPY OF THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT: https://www.pennmedicine.org/for-patients-and-visitors/patient-information /insurance-and-billing/financial-assistance ------------------

Schedule H (Form 990) 2022

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?7
Name and address		Type of Facility (describe)
1	PENN CENTER FOR REHABILITATION & CARE 3609 CHESTNUT STREET PHILADELPHIA,PA191042612	SKILLED NURSING FACILITY
2	PENN MEDICINE AT CHERRY HILL 1865 E ROUTE 70 2ND FLOOR CHERRY HILL,NJ08034	OUTPATIENT FACILITY
3	PENN CARDIOLOGY - WILLINGBORO 200 CAMPBELL DRIVE SUITE 115 WILLINGBORO,NJ08046	OUTPATIENT FACILITY
4	PENN CARDIOLOGY CAPE MAY 211 S MAIN STREET SUITE 205 CAPE MAY COURTHOUSE,NJ08210	OUTPATIENT FACILITY
5	PENN CARDIOLOGY - PPMC 39TH AND MARKET STREET - SUITE 400 PHILADELPHIA,PA19104	OUTPATIENT FACILITY
6	PENN CARDIOLOGY MAYFAIR 7133 ROOSEVELT BLVD PHILADELPHIA,PA19149	OUTPATIENT FACILITY
7	PENN CARDIOLOGY - MEDIA 605 W STATE STREET MEDIA,PA19063	OUTPATIENT FACILITY
8
9
10

Schedule H (Form 990) 2022

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization 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 the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 7 (BAD DEBT EXPENSE, COSTING METHODOLOGY USED)	CONSISTENT WITH PRIOR YEAR, DUE TO THE ADOPTION OF ACCOUNTING PRONOUNCEMENT ASC 606, IMPLICIT PRICE CONCESSIONS ARE TREATED AS A CONTRA-REVENUE ITEM ON THE STATEMENT OF REVENUE. THE COSTING METHODOLOGY USED IN CALCULATING THE AMOUNTS REPORTED ON THE LINE 7 TABLE ARE BASED ON A COST TO CHARGE RATIO. THE COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 OF THE FORM 990, SCHEDULE H INSTRUCTIONS. --------------------
PART II (DETAIL OF COMMUNITY BUILDING ACTIVITIES)	DETAILS REGARDING THE VARIOUS COMMUNITY BUILDING ACTIVITIES CONDUCTED BY THE ORGANIZATION IS INCLUDED IN OUR RESPONSE TO FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. --------------------
PART III, SECTION A, LINE 2 (IMPLICIT PRICE CONCESSIONS/BAD DEBT EXPENSE)	THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 ARE BASED ON ACTUAL CHARGES WRITTEN OFF (AMOUNTS THAT ARE DEEMED TO BE UNCOLLECTIBLE AND RECORDED AS IMPLICIT PRICE CONCESSIONS UNDER ACCOUNTING PRONOUNCEMENT ASC 606). -------------------- PART III, SECTION A, LINE 3 (IMPLICIT PRICE CONCESSIONS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY) THIS ORGANIZATION IS A PART OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("UPHS"). UPHS UTILIZES A THIRD-PARTY VENDOR TO POPULATE THE NUMBER OF INDIVIDUALS WITHIN EACH HOUSEHOLD AND THE MEAN HOUSEHOLD INCOME BASED ON THE ACCOUNT ADDRESS. UPHS ESTIMATES THE AMOUNT OF BAD DEBTS (IMPLICIT PRICE CONCESSIONS) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER ITS FINANCIAL ASSISTANCE POLICY BASED UPON 300% OF THE FEDERAL POVERTY GUIDELINES. -------------------- PART III, SECTION A, LINE 4 (IMPLICIT PRICE CONCESSION FOOTNOTE) THE IMPLICIT PRICE CONCESSION (BAD DEBT EXPENSE) FOOTNOTE DISCLOSURE CAN BE FOUND ON PAGE 11 OF THE ELECTRONICALLY ATTACHED CONSOLIDATED FINANCIAL STATEMENTS FOR THE UNIVERSITY OF PENNSYLVANIA. --------------------
PART III, SECTION B, LINE 8 (COSTING METHODOLOGY, MEDICARE SHORTFALL)	THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 6 IS BASED ON A COST TO CHARGE RATIO. CONSISTENT WITH THE CHARTIABLE HEALTHCARE MISSION OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM (UPHS) AND THE COMMUNITY BENEFIT STANDARD SET FORTH IN IRS REVENUE RULING 69-545, UPHS PROVIDES CARE FOR ALL PATIENTS COVERED BY MEDICARE SEEKING MEDICAL CARE AT UPHS. SUCH CARE IS PROVIDED REGARDLESS OF WHETHER THE REIMBURSEMENT PROVIDED FOR SUCH SERVICES MEETS OR EXCEEDS THE COSTS INCURRED BY UPHS TO PROVIDE SUCH SERVICES. --------------------
PART III, LINE 9B (COLLECTION PRACTICES)	THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM PROVIDES URGENT/EMERGENT MEDICAL SERVICES WITHOUT REGARD TO ABILITY TO PAY. WHEN IT HAS BEEN DETERMINED THAT A PATIENT IS NOT ELIGIBLE FOR COVERAGE BY EXTERNAL SOURCES OF FUNDING, FINANCIAL ASSISTANCE MAY BE AVAILABLE FOR BOTH THE UNINSURED AND UNDERINSURED, THE INDIGENT, HARDSHIP AND MEDICALLY INDIGENT AND MAY BE APPROVED AS EITHER FULL OR PARTIAL FREE CARE. PATIENTS WHO DO NOT COOPERATE WITH THE FINANCIAL COUNSELING PROCESS OR WHOSE APPLICATION FOR FINANCIAL ASSISTANCE IS DENIED BY THE HEALTH SYSTEM MAY BE PURSUED BY COLLECTION EFFORTS, INCLUDING REFERRAL TO AN OUTSIDE COLLECTION AGENCY OR ATTORNEY AS DETERMINED BY OUR PATIENT ACCOUNTING DEPARTMENT. ---------------------
PART VI, LINE 2 (NEEDS ASSESSMENT)	THE MISSION OF UPHS IS TO PROVIDE THE MOST ADVANCED AND HIGHEST QUALITY PATIENT CARE POSSIBLE; TO PROVIDE A RICH AND DIVERSE EDUCATIONAL ENVIRONMENT FOR STUDENTS AND TRAINEES; AND TO SUPPORT CLINICAL RESEARCH THAT PUSHES THE BOUNDARIES OF CURRENT HUMAN KNOWLEDGE. TO THESE ENDS, UPHS IS AN ACTIVE PARTICIPANT IN THE WEST PHILADELPHIA NEIGHBORHOOD THAT IS OUR HOME. ON ANY GIVEN DAY, UPHS PHYSICIANS, NURSES, MEDICAL STUDENTS, AND VOLUNTEERS ARE OUT IN THE COMMUNITY SHARING THEIR SKILLS, THEIR TALENTS AND MOST IMPORTANTLY, THEMSELVES FOR THE BETTERMENT OF THE COMMUNITY. - HOW UPHS IDENTIFIES AND TAKES ACTION TO ADDRESS RACIAL, ETHNIC, AND GENDER DISPARITIES IN MEDICAL CARE EVERY DAY IN OUR NEIGHBORHOOD CLINICS, IN OUR EMERGENCY ROOMS AND PHYSICIANS' OFFICES WE SEE THE EFFECTS OF RACIAL, ETHNIC, AND GENDER DISPARITIES IN HEALTH CARE. IN KEEPING WITH OUR CHARITABLE PURPOSE, UPHS ACCEPTS PATIENTS IN NEED OF URGENT MEDICAL CARE REGARDLESS OF THEIR FINANCIAL STATUS OR ANY OTHER SOCIO-ECONOMIC FACTORS. AS THE MAIN PROVIDER IN A SERVICE AREA THAT INCLUDES A NUMBER OF ECONOMICALLY-CHALLENGED NEIGHBORHOODS, UPHS PROVIDES CARE TO MANY PATIENTS WHO DO NOT HAVE HEALTH INSURANCE PROVIDING MORE THAN $100 MILLION IN CHARITY AND UNDERFUNDED CARE EACH YEAR. IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS AND OTHER AREA INSTITUTIONS, UPHS SEEKS TO IDENTIFY AND ADDRESS RACIAL, ETHNIC, AND GENDER DISPARITIES THROUGH SUPPORT FOR PROGRAMS INCLUDING, BUT NOT LIMITED TO: > PUENTES DE SALUD - A WEEKLY FREE CLINIC THAT SEEKS TO ADDRESS THE HEALTH NEEDS OF THE GROWING LATINO POPULATION BY PROVIDING LOW-COST CARE TO PATIENTS ANNUALLY. > THE UNITY CLINIC - A FREE CLINIC THAT PROVIDES PRIMARY CARE SERVICES TO LOW-INCOME ASIAN IMMIGRANTS IN PHILADELPHIA. > WOMEN AND CHILDREN'S HEALTH SERVICES - AN AMBULATORY CARE FACILITY THAT SPECIALIZES IN THE PROVISION OF OBSTETRICAL, FAMILY PLANNING, AND SOCIAL SERVICES THROUGH FREE AND LOW COST PROGRAMS THAT EXTEND WELL BEYOND TRADITIONAL MEDICAL CARE. - HOW THE HEALTH SYSTEM ASSESSES COMMUNITY HEALTH STATUS UPHS PROVIDES VARIOUS COMMUNITY SERVICES WHICH, IN CONJUNCTION WITH PROVIDING PATIENT CARE AND EDUCATIONAL INFORMATION, HELP US ASSESS THE HEALTH STATUS OF OUR COMMUNITY. SOME OF OUR MOST SUCCESSFUL INITIATIVES RESULT FROM APPLYING THE COLLECTIVE RESOURCES OF COMMUNITY RESIDENTS AND ORGANIZATIONS, HEALTH CARE PROFESSIONALS, AND PUBLIC HEALTH AGENCIES WITH THE GOAL OF IDENTIFYING AND ADDRESSING A COMMUNITY PROBLEM. THIS IS ACCOMPLISHED IN MANY WAYS, SUCH AS: FORMAL HEALTH ASSESSMENTS THAT INDIVIDUAL PROGRAMS MAY PERFORM, OPEN DIALOGUE WITH COMMUNITY LEADERS THROUGH PARTICIPATION IN COMMUNITY MEETINGS, OR BY ASSESSING COMMUNITY HEALTH STATUS IN THE WORK WE PERFORM OUT IN THE COMMUNITY. - HOW THE HEALTH SYSTEM COLLABORATES WITH COMMUNITY STAKEHOLDERS, INCLUDING OTHER INSTITUTIONAL PROVIDERS, TO IDENTIFY SPECIFIC COMMUNITY HEALTH NEEDS AND TO DEVELOP AND MEASURE EFFECTIVENESS OF PROGRAMS TO HELP MEET THOSE NEEDS COLLABORATION WITH COMMUNITY STAKEHOLDERS AND OTHER INSTITUTIONAL PROVIDERS IS A PARTICULARLY STRONG AREA FOR UPHS. WORKING IN CONJUNCTION WITH COMMUNITY-BASED NON-PROFIT ORGANIZATIONS, CITY AGENCIES AND OTHER COMMUNITY STAKEHOLDERS, UPHS SEEKS TO IDENTIFY AND ADDRESS COMMUNITY HEALTH NEEDS THROUGH PROGRAMS AND SERVICES, SUCH AS: > SAYRE HEALTH CENTER - RECOGNIZING A NEED FOR PRIMARY CARE SERVICES IN THE NEIGHBORHOOD, PENN JOINED FORCES WITH THE SCHOOL DISTRICT OF PHILADELPHIA TO BRING A STATE-OF-THE-ART HEALTH CARE FACILITY TO SAYRE HIGH SCHOOL IN WEST PHILADELPHIA. IN ADDITION TO PROVIDING PRIMARY CARE SERVICES TO THE COMMUNITY, PENN MEDICINE PHYSICIANS WORK IN PARTNERSHIP WITH SAYRE STUDENTS TO TEACH BASIC MEDICAL SERVICES THAT ONE DAY COULD LEAD TO A CAREER IN THE MEDICAL PROFESSION. > BRIDGING THE GAPS - A PARTNERSHIP OF THE AREA'S FIVE ACADEMIC HEALTH CENTERS, BRIDGING THE GAPS (BTG) LINKS THE TRAINING OF HEALTH PROFESSIONALS WITH THE PROVISION OF CARE TO ECONOMICALLY DISADVANTAGED POPULATIONS. LED BY UPHS PHYSICIANS AND STAFF, BTG GIVES MEDICAL STUDENTS THE OPPORTUNITY TO GAIN FIRST-HAND INSIGHT INTO THE COMPLEX ISSUES AFFECTING UNDERSERVED URBAN COMMUNITIES. IN ADDITION TO THE PROGRAMS OUTLINED ABOVE, UPHS PHYSICIANS AND STAFF PROVIDE EDUCATIONAL PROGRAMS IN CONJUNCTION WITH AREA HIGH SCHOOLS AND VOLUNTEER THEIR EXPERTISE TO NUMEROUS PUBLIC HEALTH COMMITTEES AND AGENCIES AT THE COMMUNITY, STATE AND NATIONAL LEVEL. - HOW THE HEALTH SYSTEM REGULARLY REPORTS TO THE COMMUNITY ON THE ORGANIZATION'S QUALITY PERFORMANCE FOR THE FULL RANGE OF SERVICES IT PROVIDES UPHS HAS IMPLEMENTED OUR "PENN MEDICINE CARES" (COMMUNITY ACTIVITY REPORTING E-INITIATIVE) PROGRAM. THIS REPORTING PROGRAM HAS BEEN DEVELOPED TO ENCOURAGE UPHS EMPLOYEES TO REPORT ALL OF THE COMMUNITY SERVICES THEY PROVIDE SO THAT WE CAN BETTER TRACK COMMUNITY OUTREACH, ENCOURAGE MORE VOLUNTEERISM AND BETTER TARGET OUR EFFORTS TO MEET THE GREATEST COMMUNITY NEEDS. HTTPS://WWW.PENNMEDICINE.ORG/ABOUT/SUPPORTING-OUR-COMMUNITIES -WHETHER AND HOW UPHS IS ADDRESSING THE PER CAPITA COST OF CARE IN THE COMMUNITY. UPHS SUPPORTS EFFORTS TO PROVIDE FREE AND LOW-COST CARE TO THE COMMUNITY THROUGH PARTNERSHIPS WITH BOTH PENN-RELATED AND NON-RELATED PROGRAMS. UPHS PHYSICIANS AND STAFF WORK IN HEALTH CLINICS THROUGHOUT PHILADELPHIA THAT PROVIDE THESE MUCH-NEEDED SERVICES THAT ALSO ADDRESSES THE PER CAPITA COST OF HEALTH CARE IN THE COMMUNITY. IN ADDITION, UPHS HAS A SPECIALTY CARE CONTRACT WITH THE CITY OF PHILADELPHIA THAT ALLOWS PHYSICIANS FROM THE CITY'S DISTRICT HEALTH CENTERS TO REFER PATIENTS INTO THE SYSTEM FOR APPOINTMENTS IN SPECIALTIES SUCH AS CARDIOLOGY, NEUROLOGY AND DERMATOLOGY. THESE SERVICES ARE PROVIDED TO THE CITY AT A SIGNIFICANTLY REDUCED COST - GIVING UNINSURED AND UNDERINSURED PATIENTS ACCESS TO CARE THEY MIGHT NOT OTHERWISE RECEIVE WHILE KEEPING DOWN THE PER CAPITA COST FOR THE CITY AND RESIDENTS OF THE COMMUNITY. AT UPHS, WORKING FOR THE BENEFIT OF THE COMMUNITY IS NOT ONLY A PRIORITY; IT IS ROOTED DEEP IN OUR CULTURE. ALONG WITH OUR ROLE AS A LEADER IN MEDICAL CARE AND RESEARCH, UPHS HAS CULTIVATED A STRONG AFFINITY WITH THE NEIGHBORHOODS WE SERVE- BECOMING INCREASINGLY RESPONSIVE IN IDENTIFYING NEEDS AND PROACTIVE IN FINDING SOLUTIONS. IN ADDITION TO OUR OWN INTERNAL EFFORTS, UPHS ALSO COLLABORATES WITH VARIOUS PUBLIC AND PRIVATE AGENCIES TO HELP DETERMINE COMMUNITY HEALTH NEEDS AND HOW BEST TO ADDRESS THEM. THE SUCCESS OF COMMUNITY OUTREACH REQUIRES A STRONG FOCUS ON SOLUTIONS. AT UPHS, WE CONTINUALLY FIND WAYS TO EXPAND AND STRENGTHEN THE SAFETY NET THAT HELPS ENSURE THE WELL-BEING OF THE COMMUNITIES WE SERVE. IN THAT REGARD, ONE OF OUR MAJOR RESPONSIBILITIES IS TO SHARE KNOWLEDGE. WORKING TOGETHER WITH COMMUNITY PARTNERS ENABLES US TO ACCOMPLISH MORE THAN ANY ONE PERSON COULD INDIVIDUALLY. PLEASE SEE OUR MOST RECENTLY COMPLETED COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN FOR ADDITIONAL INFORMATION. A COPY OF OUR CHNA AND IMPLEMENTATION PLAN CAN BE ACCESSED AT: https://www.pennmedicine.org/ABOUT/SUPPORTING-OUR-COMMUNITIES --------------------
PART VI, LINE 3 (PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE)	UPHS IS COMMITTED TO CARING FOR ALL PATIENTS EQUITABLY, WITH DIGNITY, RESPECT AND COMPASSION WITHOUT REGARD TO AGE, RACE, COLOR, NATIONAL ORIGIN, RELIGIOUS CREED, SEX, PHYSICAL OR MENTAL DISABILITY, MARITAL STATUS OR SEXUAL PREFERENCE. AS PART OF THIS COMMITMENT, UPHS OFFERS FINANCIAL COUNSELING AND ASSISTANCE PROGRAMS TO UNINSURED AND UNDERINSURED PATIENTS TO ASSIST THOSE WHO CANNOT PAY FOR ALL OR PART OF THEIR CARE. PATIENTS WILL BE CONSIDERED FOR FINANCIAL ASSISTANCE ON AN INDIVIDUAL BASIS, TAKING INTO CONSIDERATION TOTAL HOUSEHOLD INCOME AND OTHER RESOURCES. UPHS WILL ALSO CONSIDER OTHER FACTORS IN THE PATIENT/FAMILY FINANCIAL SITUATION, SHOULD THERE BE OTHER CRITICAL EXPENSES, NOT RELATED TO THE PATIENT'S MEDICAL CARE, THAT MAKE PAYMENT OF THE FINANCIAL OBLIGATION IMPOSSIBLE, SUCH AS CARING FOR A DISABLED FAMILY MEMBER. UPHS INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER UPHS'S CHARITY CARE POLICY. PATIENTS ARE INFORMED OF THE AVAILABILITY OF CHARITY CARE IN VARIOUS WAYS (E.G. AT POINT OF REGISTRATION, ON POSTERS THROUGHOUT HOSPITAL, IN PRACTICES, FINANCIAL COUNSELOR INTERVIEW AND WEBSITE). A COPY OF OUR FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT: HTTPS://WWW.PENNMEDICINE.ORG/FOR-PATIENTS-AND-VISITORS/PATIENT-INFORMATION /INSURANCE-AND-BILLING/FINANCIAL-ASSISTANCE --------------------
PART VI, LINE 4 (COMMUNITY INFORMATION)	UPHS IS SENSITIVE TO THE DISPARITY IN THE QUALITY OF HEALTH AND HEALTH CARE AMONG THE PEOPLE OF THE PHILADELPHIA AREA. IN NEIGHBORHOODS THROUGHOUT THE CITY, MANY RESIDENTS, OFTEN THE VERY YOUNG OR THE VERY OLD DO NOT HAVE ACCESS TO ADEQUATE CARE. THE QUALITY OF THEIR LIVES IS DIMINISHED BECAUSE THEY ARE UNABLE TO RECEIVE THE SERVICES AND SUPPORT THEY NEED. AWARE OF THE BARRIERS TO HEALTH CARE FACED BY OUR COMMUNITIES, WE USE OUR RESOURCES TO IMPROVE THE HEALTH AND WELLNESS AMONG THE UNDERSERVED. OUR MORAL IMPERATIVE IS TO LOOK, LISTEN, AND ACT IN WAYS THAT WILL MAKE A DIFFERENCE. IN COLLABORATION WITH OUR PHYSICIANS, NURSES, STUDENTS AND COMMUNITY PARTNERS, WE TAKE ACTION TO ENHANCE THE WELL-BEING OF THE NEIGHBORHOODS WE ALL SHARE. --------------------
PART VI, LINE 5 (INFORMATION REGARDING PROMOTION OF COMMUNITY HEALTH)	DETAILS REGARDING THE VARIOUS COMMUNITY OUTREACH ACTIVITIES CONDUCTED BY THIS ORGANIZATION DESIGNED TO PROMOTE COMMUNITY HEALTH IS INCLUDED IN OUR RESPONSE TO SCHEDULE H, PART VI, LINE 2, AS WELL AS IN FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. --------------------
PART VI, LINE 6 (AFFILIATED HEALTHCARE SYSTEM INFORMATION)	THE MISSION OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM IS EXCELLENCE IN EDUCATION, RESEARCH, AND CLINICAL CARE. WE STRIVE TO ACHIEVE THESE GOALS BY HAVING THE BEST PEOPLE IN MEDICAL EDUCATION, HEALTH-RELATED RESEARCH, AND PATIENT CARE; MAKING USE OF KNOWLEDGE GAINED FROM NEARLY TWO AND A HALF CENTURIES OF LEARNING AND DISCOVERY AS PART OF A WORLD-CLASS UNIVERSITY; DELIVERING HIGH-QUALITY MEDICINE TO PATIENTS ACROSS A FULLY-INTEGRATED ACADEMIC HEALTH SYSTEM; AND FULFILLING A COMMITMENT TO IMPROVE THE HEALTH OF PEOPLE IN THE COMMUNITIES SERVED BY THE HEALTH SYSTEM AND AROUND THE WORLD. AS PART OF AN AFFILIATED HEALTHCARE SYSTEM, THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM CONSISTS OF CERTAIN OPERATING DIVISIONS OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA (THE "UNIVERSITY") AND AFFILIATED ENTITIES, INCLUDING: - THE CHESTER COUNTY HOSPITAL ("CCH"), INCLUDES A 245 BED COMPLEX IN WEST CHESTER, PENNSYLVANIA, AND SATELLITE LOCATIONS IN EXTON, WEST GOSHEN, NEW GARDEN, JENNERSVILLE, AND KENNETT SQUARE, PENNSYLVANIA; - THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA ("HUP"), A 727 LICENSED BED QUATERNARY CARE HOSPITAL AND ACADEMIC MEDICAL CENTER LOCATED ON THE CAMPUS OF THE UNIVERSITY IN THE WEST PHILADELPHIA AREA OF PHILADELPHIA, PENNSYLVANIA; - PENN PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("PRESBYTERIAN"), A 317 LICENSED BED ACUTE CARE HOSPITAL LOCATED ADJACENT TO THE CAMPUS OF THE UNIVERSITY IN THE WEST PHILADELPHIA AREA OF PHILADELPHIA, PENNSYLVANIA; - PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("PENNSYLVANIA HOSPITAL"), A 550 LICENSED BED ACUTE CARE HOSPITAL LOCATED IN THE CENTER CITY AREA OF PHILADELPHIA, PENNSYLVANIA; - THE CLINICAL PRACTICES OF THE UNIVERSITY OF PENNSYLVANIA ("CPUP"), THE APPROVED FACULTY PRACTICE PLAN FOR THE CLINICAL PRACTICES OF MEMBERS OF THE MEDICAL FACULTY OF THE UNIVERSITY'S PERELMAN SCHOOL OF MEDICINE; - CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("CCA"), A PRIMARY CARE PHYSICIAN NETWORK THAT INCLUDES LOCATIONS IN SOUTHEASTERN PENNSYLVANIA AND SOUTHERN NEW JERSEY THROUGH ITS NEW JERSEY AFFILIATE; - LANCASTER GENERAL HEALTH ("LGH") AND ITS AFFILIATES. LGH OPERATES THREE HOSPITALS IN SOUTH CENTRAL PENNSYLVANIA, INCLUDING LANCASTER GENERAL HOSPITAL, A 533-BED GENERAL ACUTE CARE HOSPITAL, WOMEN & BABIES HOSPITAL, A 98-BED FACILITY SPECIALIZING IN WOMEN'S HEALTH AND MATERNITY SERVICES, AND LANCASTER REHABILITATION HOSPITAL, A 59-BED REHABILITATION HOSPITAL, AS WELL AS 14 OUTPATIENT CENTERS, THREE URGENT CARE SITES, AND A PHYSICIAN PRACTICE NETWORK WITH NEARLY 200 PRIMARY CARE AND SPECIALTY PRACTICES AT 40 PRACTICE SITES; - WISSAHICKON HOSPICE, A HOSPICE CARE FACILITY SERVING THE TERMINALLY ILL, LOCATED IN BALA CYNWYD, PENNSYLVANIA; AND - PRINCETON HEALTHCARE SYSTEM ("PRINCETON") AND ITS AFFILIATES. PRINCETON INCLUDES A COMPREHENSIVE HEALTHCARE PROVIDER LOCATED IN CENTRAL NEW JERSEY THAT PRINCIPALLY INCLUDES THE MEDICAL CENTER OF PRINCETON, A GENERAL ACUTE CARE HOSPITAL FACILITY IN PLAINSBORO, NJ, WITH 319 INPATIENT BEDS (PLUS 24 NEWBORN BASSINETS), AND PRINCETON HOUSE BEHAVIORAL HEALTH, WHICH INCLUDES A 110 BED INPATIENT FACILITY IN PRINCETON, NJ, AS WELL AS FOUR ADDITIONAL OUTPATIENT LOCATIONS. PRINCETON INCLUDES APPROXIMATELY 1,200 PHYSICIANS ON STAFF AND EMPLOYS APPROXIMATELY 3,200 PEOPLE. --------------------
PART VI, LINE 7 (STATE FILING OF COMMUNITY BENEFIT REPORT)	N/A

Schedule H (Form 990) 2022

Additional Data

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

PRESBYTERIAN MEDICAL CENTER OF THE
UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM

Employer identification number

23-2810852

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2022

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1JAMES BALLINGHOFF RNMSNMBA BOARD MEMBER; CNO	(i) (ii)	340,539 ------------- 0	73,382 ------------- 0	0 ------------- 0	0 ------------- 0	11,193 ------------- 0	425,114 ------------- 0	0 ------------- 0
2JACK ENDE MD BOARD MEMBER	(i) (ii)	0 ------------- 263,293	0 ------------- 40,794	0 ------------- 54,934	0 ------------- 22,907	0 ------------- 22,702	0 ------------- 404,630	0 ------------- 0
3LORIANN GAGLIARDI CLINICAL DIRECTOR	(i) (ii)	285,272 ------------- 0	32,929 ------------- 0	1,002 ------------- 0	0 ------------- 0	19,387 ------------- 0	338,590 ------------- 0	0 ------------- 0
4GARY GINSBERG ASSISTANT HOSPITAL DIRECTOR	(i) (ii)	254,841 ------------- 0	36,957 ------------- 0	2,034 ------------- 0	0 ------------- 0	21,682 ------------- 0	315,514 ------------- 0	0 ------------- 0
5GENE GOFMAN MBA ASST CONT/SEC. AS OF 5/23/23	(i) (ii)	215,946 ------------- 0	47,197 ------------- 0	313 ------------- 0	0 ------------- 0	28,442 ------------- 0	291,898 ------------- 0	0 ------------- 0
6NISHAMINY KASBEKAR CHIEF PHARMACY OFFICER	(i) (ii)	221,204 ------------- 0	93,077 ------------- 0	492 ------------- 0	0 ------------- 0	28,351 ------------- 0	343,124 ------------- 0	0 ------------- 0
7KEITH KASPER CONTROLLER;EX-OFFICIO MEMBER	(i) (ii)	0 ------------- 984,066	0 ------------- 421,785	0 ------------- 311,138	0 ------------- 0	0 ------------- 24,644	0 ------------- 1,741,633	0 ------------- 275,942
8KIMBERLY A DEPPERT ASSOC. EXEC DIR. CARD SRVCS	(i) (ii)	257,269 ------------- 0	55,509 ------------- 0	1,097 ------------- 0	0 ------------- 0	12,949 ------------- 0	326,824 ------------- 0	0 ------------- 0
9KEVIN B MAHONEY EX-OFFICIO MEMBER	(i) (ii)	0 ------------- 1,716,661	0 ------------- 840,000	0 ------------- 316,052	0 ------------- 504,000	0 ------------- 20,230	0 ------------- 3,396,943	0 ------------- 281,027
10PHILLIP A OKALA EX-OFFICIO MEMBER THRU 8/31/22	(i) (ii)	0 ------------- 884,238	0 ------------- 0	0 ------------- 316,913	0 ------------- 211,200	0 ------------- 17,998	0 ------------- 1,430,349	0 ------------- 299,941
11ROBERT J RUSSELL MPANHAFACHE ACTING CEO AS OF 9/1/22;EX-OFF	(i) (ii)	277,506 ------------- 0	79,305 ------------- 0	1,792 ------------- 0	0 ------------- 0	20,605 ------------- 0	379,208 ------------- 0	0 ------------- 0
12S SIU MD PHYSICIAN ADVISOR	(i) (ii)	280,824 ------------- 0	43,999 ------------- 0	427 ------------- 0	0 ------------- 0	20,108 ------------- 0	345,358 ------------- 0	0 ------------- 0
13MICHELE M VOLPE COO UPHS; EX-OFFICIO MBR	(i) (ii)	0 ------------- 673,726	0 ------------- 262,938	0 ------------- 130,735	0 ------------- 90,150	0 ------------- 11,255	0 ------------- 1,168,804	0 ------------- 90,150
14ANTHONY ZUMPANO ASST. CONT/SEC. THRU 5/25/23	(i) (ii)	317,670 ------------- 0	69,047 ------------- 0	6,697 ------------- 0	0 ------------- 0	17,880 ------------- 0	411,294 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2022

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
SCHEDULE J, PART I, LINE 3	TOP MANAGEMENT COMPENSATION AS PROVIDED IN THE FORM 990, SCHEDULE J INSTRUCTIONS, SINCE THE ORGANIZATION RELIES ON A RELATED ORGANIZATION WHICH USES ONE OR MORE OF THE METHODS DESCRIBED IN LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION, THIS QUESTION HAS BEEN LEFT UNANSWERED. REFER TO SCHEDULE O FOR A DESCRIPTION OF THE COMPENSATION REVIEW AND APPROVAL PROCESS. ------------------------------
SCHEDULE J, PART, I, LINE 4B	SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PARTICIPATION CERTAIN TRUSTEES, OFFICERS AND/OR KEY EMPLOYEES OF THIS ORGANIZATION ARE COMPENSATED BY A RELATED ORGANIZATION, THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("HEALTH SYSTEM") MAINTAINS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") DESIGNED FOR SENIOR ADMINISTRATORS OF THE HEALTH SYSTEM, AS DESIGNATED BY THE BOARD OF TRUSTEES, WHO ARE ACTIVELY EMPLOYED BY THE HEALTH SYSTEM WHEN THE CONTRIBUTIONS ARE MADE. VESTING IN THE SERP OCCURS AFTER EACH THREE YEARS OF PARTICIPATION AND UPON THE OCCURRENCE OF CERTAIN EVENTS (ATTAINMENT OF AGE 65, DEATH, DISABILITY, OR INVOLUNTARY TERMINATION WITHOUT "CAUSE"). CONTRIBUTIONS FOR THOSE WHO HAVE REACHED AGE 65 WILL BE FULLY VESTED WHEN MADE. UPON REACHING A VESTING DATE, PARTICIPANTS WILL AUTOMATICALLY RECEIVE A FULL DISTRIBUTION WHICH IS TAXABLE AS EARNED INCOME. PARTICIPANTS WHO VOLUNTARILY TERMINATE BEFORE VESTING WILL FORFEIT THE BALANCE IN THEIR ACCOUNTS. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN THE UNIVERSITY/HEALTH SYSTEM SERP PLAN DURING THE YEAR AND/OR RECEIVED DISTRIBUTIONS DURING THE YEAR: KASPER, KEITH- $275,942 MAHONEY, KEVIN- $281,027 OKALA, PHILIP- $299,941 VOLPE, MICHELE- $90,150 THE HEALTH SYSTEM ALSO MAINTAINS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN DESIGNED FOR SENIOR FACULTY OF THE SCHOOL OF MEDICINE OF THE UNIVERSITY, AS DESIGNATED BY THE BOARD OF TRUSTEES, WHO ARE ACTIVELY EMPLOYED BY THE UNIVERSITY WHEN THE CONTRIBUTIONS ARE MADE (THE "MED SERP"). VESTING IN THE MED SERP OCCURS AFTER EVERY TEN YEARS OF PARTICIPATION AND UPON THE OCCURRENCE OF CERTAIN EVENTS (ATTAINMENT OF AGE 60, DEATH, DISABILITY, OR INVOLUNTARY TERMINATION WITHOUT "CAUSE"). CONTRIBUTIONS FOR THOSE WHO HAVE REACHED AGE 60 (WITH 2 OR MORE YEARS OF PARTICIPATION) WILL BE FULLY VESTED WHEN MADE. UPON REACHING A VESTING DATE, TAXES OWED WILL BE WITHDRAWN FROM THE PLAN, AND THE REMAINING AFTER-TAX BALANCE WILL REMAIN IN THE PLAN. PARTICIPANTS WILL AUTOMATICALLY RECEIVE A FULL DISTRIBUTION THE SUMMER AFTER THE YEAR IN WHICH THEY TERMINATE EMPLOYMENT, AT WHICH TIME ANY EARNINGS NOT YET TAXED WILL BE TREATED AS TAXABLE INCOME. PARTICIPANTS WHO VOLUNTARILY TERMINATE BEFORE VESTING WILL FORFEIT THE NON-VESTED BALANCE IN THEIR ACCOUNTS. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN THE MED SERP PLAN DURING THE YEAR: JACK ENDE- NO DISTRIBUTION ------------------------------
SCHEDULE J, PART I, LINE 7	PROVISION OF NON-FIXED PAYMENTS PRESBYTERIAN MEDICAL CENTER PROVIDES DISCRETIONARY BONUS AND/OR INCENTIVE COMPENSATION PAYMENTS TO ELIGIBLE EMPLOYEES. PAYMENTS MADE TO ANY DISQUALIFIED PERSON IS APPROVED BY THE COMPENSATION COMMITTEE THROUGH THE PROCESS DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 15. ------------------------------

Schedule J (Form 990) 2022

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization
PRESBYTERIAN MEDICAL CENTER OF THE
UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM

Employer identification number
23-2810852

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............
11 Other spent proceeds .............
12 Other unspent proceeds .............
13 Year of substantial completion .............
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........
16 Has the final allocation of proceeds been made? ..........
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2021

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......
b Exception to rebate? ........
c No rebate due? .........
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....

Schedule K (Form 990) 2021

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?
7 Has the organization established written procedures to monitor the requirements of section 148? ...

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference

Explanation

SUPPLEMENTAL INFORMATION ON TAX EXEMPT BONDS

FORM 990, SCHEDULE K PRESBYTERIAN MEDICAL CENTER HAS BEEN ALLOCATED A PORTION OF THE PA HIGHER ED FACILITIES AUTHORITY- UPHS SERIES A 2015 BOND ISSUE FROM THE UNIVERSITY, A RELATED IRC SECTION 501(C)(3) ORGANIZATION. SINCE THE UNIVERSITY REMAINS AS THE PRIMARY OBLIGOR OF THE BOND, ALL INFORMATION REGARDING THE UPHS SERIES A 2015 BOND ISSUE HAS BEEN REPORTED ON THE FORM 990, SCHEDULE K OF THE UNIVERSITY. THE TOTAL ALLOCATED OUTSTANDING BALANCE FOR PRESBYTERIAN MEDICAL CENTER WAS $33,620,279 AS OF JUNE 30, 2023. PRESBYTERIAN MEDICAL CENTER HAS BEEN ALLOCATED A PORTION OF THE PA HIGHER ED FACILITIES AUTHORITY- UPHS SERIES A&B 2016 BOND ISSUE FROM THE UNIVERSITY, A RELATED IRC SECTION 501(C)(3) ORGANIZATION. SINCE THE UNIVERSITY REMAINS AS THE PRIMARY OBLIGOR OF THE BOND, ALL INFORMATION REGARDING THE UPHS SERIES A&B 2016 BOND ISSUE HAS BEEN REPORTED ON THE FORM 990, SCHEDULE K OF THE UNIVERSITY. THE TOTAL ALLOCATED OUTSTANDING BALANCE FOR PRESBYTERIAN MEDICAL CENTER WAS $2,474,590 AS OF JUNE 30, 2023. PRESBYTERIAN MEDICAL CENTER HAS BEEN ALLOCATED A PORTION OF THE PA HIGHER ED FACILITIES AUTHORITY- UPHS SERIES C 2016 BOND ISSUE FROM THE UNIVERSITY, A RELATED IRC SECTION 501(C)(3) ORGANIZATION. SINCE THE UNIVERSITY REMAINS AS THE PRIMARY OBLIGOR OF THE BOND, ALL INFORMATION REGARDING THE UPHS SERIES C 2016 BOND ISSUE HAS BEEN REPORTED ON THE FORM 990, SCHEDULE K OF THE UNIVERSITY. THE TOTAL ALLOCATED OUTSTANDING BALANCE FOR PRESBYTERIAN MEDICAL CENTER WAS $12,279,337 AS OF JUNE 30, 2023. PRESBYTERIAN MEDICAL CENTER HAS BEEN ALLOCATED A PORTION OF THE PA HIGHER ED FACILITIES AUTHORITY- UPHS SERIES A 2021 BOND ISSUE FROM THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA (EIN: 23-1352685) ("UNIVERSITY"), A RELATED IRC SECTION 501(C)(3) ORGANIZATION. SINCE THE UNIVERSITY REMAINS AS THE PRIMARY OBLIGOR OF THE BOND, ALL INFORMATION REGARDING THE UPHS SERIES A 2021 BOND ISSUE HAS BEEN REPORTED ON THE FORM 990, SCHEDULE K OF THE UNIVERSITY. THE TOTAL ALLOCATED OUTSTANDING BALANCE FOR PRESBYTERIAN MEDICAL CENTER WAS $14,722,178 AS OF JUNE 30, 2023. PRESBYTERIAN MEDICAL CENTER HAS BEEN ALLOCATED A PORTION OF THE PA HIGHER ED FACILITIES AUTHORITY- UPHS SERIES B 2021 BOND ISSUE FROM THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA (EIN: 23-1352685) ("UNIVERSITY"), A RELATED IRC SECTION 501(C)(3) ORGANIZATION. SINCE THE UNIVERSITY REMAINS AS THE PRIMARY OBLIGOR OF THE BOND, ALL INFORMATION REGARDING THE UPHS SERIES B 2021 BOND ISSUE HAS BEEN REPORTED ON THE FORM 990, SCHEDULE K OF THE UNIVERSITY. THE TOTAL ALLOCATED OUTSTANDING BALANCE FOR PRESBYTERIAN MEDICAL CENTER WAS $17,365,024 AS OF JUNE 30, 2023.

Schedule K (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

PRESBYTERIAN MEDICAL CENTER OF THE
UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM

Employer identification number

23-2810852

Return Reference	Explanation
FORM 990, PART III, LINE 4A	DETAIL OF PROGRAM SERVICE ACCOMPLISHMENTS PRESBYTERIAN MEDICAL CENTER (PPMC OR PENN PRESBYTERIAN) IS A 399-BED ACADEMIC MEDICAL CENTER, WHICH IS PART OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM (UPHS). PPMC'S SPECIALTIES INCLUDE ANESTHESIA, DERMATOLOGY, EMERGENCY MEDICINE, MEDICAL IMAGING, MEDICINE, NEUROLOGY, GYNECOLOGY, OPHTHALMOLOGY, SURGERY, ORTHOPEDIC SURGERY AND CARDIOLOGY. IN KEEPING WITH ITS CHARITABLE PURPOSE, UPHS ACCEPTS PATIENTS IN SERIOUS NEED OF MEDICAL CARE REGARDLESS OF THEIR FINANCIAL STATUS. UPHS MAINTAINS RECORDS TO IDENTIFY AND MONITOR LEVELS OF CHARITY CARE PROVIDED, INCLUDING THE AMOUNT OF PAYMENT FORGONE, BASED ON ESTABLISHED RATES, FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. UPHS ALSO PROVIDES CARE TO PATIENTS WHO DO NOT HAVE HEALTH INSURANCE OR MEET THE CRITERIA TO QUALIFY FOR ITS CHARITY CARE POLICY, AND CERTAIN AMOUNTS CHARGED FOR SUCH SERVICES ARE DEEMED TO BE UNCOLLECTIBLE. IN FY2023, UPHS PROVIDED $392.8 MILLION IN CHARITY AND UNDERFUNDED CARE FOR MEDICAID FAMILIES. ADDITIONALLY, FOR THE SAME FISCAL YEAR, PENN PRESBYTERIAN ADMITTED 17,314 ADULT PATIENTS, HAD 310,845 OUTPATIENT VISITS, AND 50,059 EMERGENCY ROOM VISITS. I. COMMUNITY OUTREACH > PENN TRAUMA IS COMMITTED TO THE COMMUNITY IMMEDIATELY SURROUNDING PENN PRESBYTERIAN. REPRESENTATIVES FROM PENN TRAUMA SEEK TO DECREASE TRAUMA THROUGH COMMUNITY EDUCATION AND INTERVENTION. THE FOLLOWING COMMUNITY BENEFIT ACTIVITIES WERE LOGGED FOR FY23. 63 STOP THE BLEED TRAININGS WERE HELD IN THE SURROUNDING REGION WITH THE VAST MAJORITY OF TRAININGS HELD IN THE IMMEDIATE SERVICE AREA OF WEST AND SOUTHWEST PHILADELPHIA.1,064 RESIDENTS WERE TRAINED AT THESE EVENTS HOSTED IN COLLABORATION WITH COMMUNITY-BASED ORGANIZATIONS. 4 OF THESE TRAININGS WERE SKILLS ONLY. PARTICIPATION IN COMMUNITY EVENTS: 7/15/2022: 16TH DISTRICT COMMUNITY DAY, PARTICIPATED IN HEALTH FAIR WITH TABLE-TOP STOP THE BLEED SESSIONS (SKILLS ONLY), AND DISTRIBUTED GUN LOCKS WITH SAFE GUN HANDLING INFORMATION. 7/21/2022 SHOT: WE THE MOTHERS, SAUNDERS PARK, UNVEILED ON 7/21/22 AT SAUNDERS PARK, BEHIND PPMC. PART OF A LARGER MULTIMEDIA PROJECT BRINGING AWARENESS TO GUN VIOLENCE BY SHOWCASING GUN VIOLENCE SURVIVORS AND VICTIMS ACROSS THE U.S. THIS EXHIBIT FEATURED MOTHERS WHO HAVE LOST CHILDREN TO GUN VIOLENCE. 9/30/2022 UPENN: AN OUNCE OF PREVENTION, EDUCATED UPENN STUDENTS AND COMMUNITY ON ALCOHOL CONSUMPTION, STATE AMNESTY LAW PROTECTING UNDERAGE INDIVIDUALS WHEN THEY NEED TO CALL 911 TO HELP AN INDIVIDUAL WITH ALCOHOL INTOXICATION. 11/12/2022: PENN TRAUMA HEALTH CAREERS DAY, PRESENTED TO YOUTH PATRONS FROM W PHILADELPHIA YMCA ABOUT CAREER OPTIONS IN HEALTH CARE, INCLUDING PERSONAL STORIES OF THEIR NON-TRADITIONAL PATHS TAKEN TO GET TO WHERE THEY ARE TODAY. 1/16/2023: LANCASTER AVE CORRIDOR MLK DAY HEALTH FAIR, PARTICIPATED IN HEALTH FAIR WITH TABLE-TOP STOP THE BLEED SESSIONS (SKILLS ONLY), AND DISTRIBUTED GUN LOCKS WITH SAFE GUN HANDLING INFORMATION. 1/16/2023: 52ND AND MARKET STREETS WITH THE PHILADELPHIA POLICE 18TH DISTRICT, PARTICIPATED IN HEALTH FAIR WITH TABLE-TOP STOP THE BLEED SESSIONS (SKILLS ONLY), AND DISTRIBUTED GUN LOCKS WITH SAFE GUN HANDLING INFORMATION. 3/23/2023: MARCH FOR OUR LIVES: PENNSYLVANIA ADVOCACY DAY, MEMBERS OF OUR TRAUMA TEAM, INCLUDING TRAUMA PROGRAM MANAGER, INJURY PREVENTION COORDINATOR, AND SURGEONS WENT TO HARRISBURG AS PART OF THE MARCH FOR OUR LIVES. WE MET WITH LAWMAKERS ASKING FOR THE CO-SPONSORING OF BILLS THAT WILL SAVE LIVES: 1. LOST AND STOLEN GUN REPORTING; 2. SAFE FIREARM STORAGE; 3. EXTREME RISK PROTECTION ORDERS; 4. UNIVERSAL BACKGROUND CHECKS. 5/6/2023: PENN MED NURSES WEEK COMMUNITY DAY AT MALCOLM X PARK, DEMONSTRATED STOP THE BLEED TO 130 INDIVIDUALS AND ENCOURAGED PARTICIPATION IN FULL CLASSES. PROVIDED BIKE SAFETY INFORMATION, REFLECTORS, AND HELMETS WITH FITTING TO 26 INDIVIDUALS. 5/18/2023: HIGH SCHOOL CAREER DAY, HOSTED A CAREER DAY FOR 30 HIGH SCHOOL STUDENTS, INTRODUCING TO SEVERAL ROLES IN HEALTH CARE, TOURED THE TRAUMA CENTER AND PROVIDED TOURNIQUET TRAINING. PROVIDED EACH STUDENT WITH A TOURNIQUET. 5/25/2023: NATIONAL STOP THE BLEED DAY, TABLED AT BOTH PPMC AND PCAM REACHING 263 INDIVIDUALS WITH BRIEF STB SKILLS AND ENCOURAGED SIGN UP FOR FULL CLASSES FOR INDIVIDUALS AND GROUPS. 6/17/2023: HOPEPHL MEN'S WELLNESS DAY, PARTICIPATED IN HEALTH FAIR WITH TABLE-TOP STOP THE BLEED SESSIONS (SKILLS ONLY), AND DISTRIBUTED GUN LOCKS WITH SAFE GUN HANDLING INFORMATION. IN TOTAL: PROVIDED 41 INDIVIDUALS WITH WOUND PACKING SKILLS AND REMINDER TOWELS, DISTRIBUTED 21 GUN LOCKS. EVERYONE WHO STOPPED BY WAS PROVIDED INFO ON ATTENDING A FULL STOP THE BLEED CLASS. 6/23/2023: PROMISE ZONE COMMITTEE WIDE MEETING, REACHED 33 COMMUNITY LEADERS WITH BRIEF STB SKILLS AND PROVIDED INFORMATION ON SCHEDULING FOR INDIVIDUAL AND GROUP STB CLASSES. 6/30/2023: JUNETEENTH WELLNESS SUMMIT, MEMBERS OF TRAUMA TEAM JOINED OTHERS FROM PPMC TO TABLE IN SAUNDERS PARK. TOPICS ADDRESSED: YOUTH SPORTS SAFETY, CONCUSSION AND TBI. FINALLY, PENN TRAUMA REMAINS IN PARTNERSHIP WITH THE FOLLOWING COMMUNITY ACTION GROUPS THROUGHOUT THE YEAR: YOUTH GUN VIOLENCE DISCUSSION GROUP, BIWEEKLY MEETING COORDINATED BY ANTIVIOLENCE PARTNERSHIP OF PHILADELPHIA: MULTIDISCIPLINARY TEAM OF PROVIDERS WHO CARE FOR THOSE INJURED BY GUN VIOLENCE, STRATEGIZING ON WAYS TO ADVOCATE FOR CHANGE ON THE CITY LEVEL TO ADDRESS THE GUN VIOLENCE CRISIS. PHILADELPHIA HOSPITAL-BASED INTERVENTION PROGRAM COLLABORATIVE, MONTHLY COLLABORATIVE MEETING WITH HVIPS FROM THE CHOP, TEMPLE, JEFFERSON, EINSTEIN, ST. CHRISTOPHER'S AND THE CHESTER COALITION (DELCO), AS WELL AS LEADERSHIP FROM THE PHILADELPHIA DEPT. OF HEALTH TO WORK COLLABORATIVELY IN SUPPORTING VICTIMS OF GUN VIOLENCE WHO HAVE BEEN TREATED AT OUR TRAUMA CENTERS. MOUNT VERNON MANOR CDC, SUPPORTING IN THE EFFORTS THROUGH RESOURCES, MENTORSHIP, AND SUPPORT LETTERS FOR GRANT FUNDING TO DEVELOP A CREDIBLE MESSENGER TEAM, BASED ON THE CEASEFIRE MODEL.
FORM 990, PART III, LINE 4A (CONTINUED)	FAST (FIRST AID FOR SEVERE TRAUMA), SUPPORTING THE RED CROSS AND THE UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES TO BRING FAST TRAINING TO SCHOOLS IN PHILADELPHIA. BIKE HELMETS, PROVIDED TO PATIENTS WHO WERE INJURED DUE TO BICYCLE CRASH WHO EITHER DID NOT OWN A HELMET, OR WHO'S HELMET WAS DAMAGED IN THE CRASH. ALSO PROVIDED WITH REFLECTORS, WATER BOTTLE, AND BIKE SAFETY INFORMATION. PENN TRAUMA VIOLENCE RECOVERY PROGRAM, STARTED IN 2021, THE PENN TRAUMA VIOLENCE RECOVERY PROGRAM (PTVRP) IS A HOSPITAL-BASED VIOLENCE INTERVENTION PROGRAM (HVIP), CREATED TO PROVIDE INJURED INDIVIDUALS WITH THE SUPPORT THEY NEED TO THRIVE AFTER A VIOLENT INJURY THROUGH PSYCHOSOCIAL SUPPORT AND CONNECTION TO WRAPAROUND SERVICES IN THE COMMUNITY. THE GOAL IS TO IMPROVE WELL-BEING, REDUCE REINJURY, AND SAVE COSTS. THE VIOLENCE RECOVERY SPECIALISTS (VRS) ON OUR TEAM REACH PATIENTS EARLY IN THEIR RECOVERY AND EXTENDING SUPPORT PAST THEIR ACUTE HOSPITALIZATION, BRIDGING THE GAP FROM INJURY TO HOLISTIC HEALING AND BY ADDRESSING STRUCTURAL AND SOCIAL DETERMINANTS OF HEALTH INCLUDING EMPLOYMENT, EDUCATION, AND SOCIAL SUPPORT. 2023 SAW OUR TEAM EXPAND FROM ONE TO FOUR VRSS AND WE ADDED 4 PART-TIME PSYCHOLOGISTS TO THE TEAM FROM PENN'S CENTER FOR THE TREATMENT OF ANXIETY TO PROVIDE NO-COST THERAPY SERVICES TO PATIENTS OF THE PROGRAM. WE ALSO BEGAN A CLOTHING CLOSET TO ALL STAFF HOSPITAL WIDE TO GET INVOLVED BY DONATING NEW AND GENTLY USED CLOTHING ITEMS TO PATIENTS IN OUR PROGRAM. IN 2023, WE PROVIDED BEDSIDE SUPPORT TO 423 PATIENTS AND ENROLLED 70 NEW PATIENTS TO THE PROGRAM. THE TOP SERVICES PROVIDED TO THESE PATIENTS WERE FOR BEHAVIORAL HEALTH SUPPORT, MATERIAL AND LOGISTICAL SUPPORT, AND LEGAL ADVOCACY. WE DISTRIBUTED OVER $20,000 IN FUNDS FOR EMERGENT NEEDS. THIS YEAR WE CELEBRATED THE HIGH SCHOOL GRADUATION OF TWO OF OUR PROGRAM PARTICIPANTS. VIRTUAL TAI CHI FOR FALL PREVENTION, THIS YEAR WE LAUNCHED OUR VIRTUAL TAI CHI FOR FALL PREVENTION PROGRAM. THIS PROGRAM WAS DESIGNED WITH THE STRENGTHS AND WEAKNESSES IN OUR COMMUNITY IN MIND. WE WERE COMING OUT OF THE COVID-19 PANDEMIC, WHERE MEETING IN PERSON WAS NOT POSSIBLE. ADDITIONALLY, TRANSPORTATION AND FEELING UNSAFE IN THE COMMUNITY IS A CONCERN FOR OUR MOST VULNERABLE COMMUNITY MEMBERS. UTILIZING THE TECH SKILLS GAINED BY OUR AGING POPULATION DURING THE PANDEMIC, AND LOW-COST INTERNET AVAILABLE THROUGHOUT THE CITY, A VIRTUAL PROGRAM FOR FALL PREVENTION WAS A GOOD FIT. THIS PROGRAM IS AVAILABLE VIA THE INTERNET TO BE FOLLOWED ON AN INDIVIDUAL'S OWN TIME, FROM THEIR OWN HOME. IT IS LED BY A SPECIALIZED GERIATRIC PHYSICAL THERAPIST WHO IS A CERTIFIED TAI CHI FOR ARTHRITIS AND FALLS INSTRUCTOR. INFORMATION IS DISTRIBUTED TO THE COMMUNITY AT HEALTH FAIRS AND PROVIDED TO PATIENTS VIA THEIR AFTER-VISIT SUMMARY. SAFE FIREARM STORAGE, IN 2023, WE WERE NAMED THE RECIPIENT OF A $300,000 3-YEAR GRANT FROM THE PA DEPARTMENT OF HEALTH TO DEVELOP A PROGRAM TO PROMOTE SAFE FIREARM STORAGE IN PHILADELPHIA. WITH THE FUNDING WE ARE PLANNING TO DISTRIBUTE GUN SAFES IN THE COMMUNITY WITH ACCOMPANYING VIDEO AND WEB RESOURCES. KINGSESSING COMMUNITY RESILIENCY CENTER, PARTICIPANT ON THE BOARD FOR THE KINGSESSING COMMUNITY RESILIENCY CENTER, WHICH CAME ABOUT AFTER THE 7/3/2023 MASS SHOOTING. THE EVENT QUALIFIES FOR FEDERAL ANTI-TERRORISM FUNDING. THE BOARD IS TASKED WITH SETTING UP A COMMUNITY RESILIENCY CENTER TO SERVE THOSE AFFECTED BY THE SHOOTING. PTSF INJURY PREVENTION COORDINATORS COMMITTEE PARTICIPATES IN THE COMMITTEE WHERE COLLABORATION OF IP COORDINATIONS FROM PA TRAUMA CENTERS OCCURS. ADDITIONALLY, ON SUBGROUPS FOR GUN VIOLENCE AND FIREARM RESEARCH. > PRESBYTERIAN OUTREACH COUNCIL: COMPRISED OF REPRESENTATIVES FROM EVERY HOSPITAL UNIT, THE COUNCIL STRATEGIZES OUTREACH IN THE IMMEDIATE SERVICE AREA AIMING FOR THE BEST AND HEALTHIEST OUTCOMES. THE COUNCIL PARTICIPATED IN THE FOLLOWING EVENTS AND PROJECTS IN FY23: CUPP 5E 9TH ANNUAL SERVE THE COMMUNITY HOLIDAY DINNER WITH URSTORYTELLERS FOUNDATION INC. 11/16/2022: THANKSGIVING MEAL ITEMS FOR HOMELESS. COLLECTED 25 FROZEN TURKEYS, A HAM, AND A WIDE ARRAY OF FIXINGS FOR THE COMMUNITIES/FAMILIES WITHIN THE GREATER PHILADELPHIA AREA. ITEMS WERE DELIVERED TO CHOSEN 300 MINISTRIES. 11/12/2022: CAREER DAY AT PPMC 20 CHILDREN IN ATTENDANCE. GUN VIOLENCE COMMITTEE WAS PRESENT AS A RESOURCE. VOLUNTEERS FROM THE BELOW DEPARTMENTS PRESENTED ON THEIR CAREER: - RESPIRATORY - TRAUMA - VOLUNTEER COORDINATOR - TRAUMA ADMINISTRATION ASSISTANT - SOCIAL WORK - SECURITY - 2 RNS EMERGENCY DEPARTMENT 12/2022: HOLIDAY DRIVE PEOPLE'S EMERGENCY CENTER 12/2023: CUPP 3S COORDINATED MONETARY DONATIONS TO PURCHASE HOLIDAY GIFTS FOR 2 FAMILIES 4/2023: CITY'S SPRING CLEAN-UP DAY 4/20/2023: NETTER CENTER'S 30TH ANNIVERSARY EVENT AT WEST PHILADELPHIA HIGH SCHOOL 4/2023: YMCA HEALTHY KIDS DAY 4/28/2023: PROM DRESS DRIVE 5/5/2023: MALCOLM X COMMUNITY HEALTH FAIR 6/2023: JUNETEENTH WELLNESS SUMMIT 4/28/2023: PROM DRESS DRIVE 5/5/2023: MALCOLM X COMMUNITY HEALTH FAIR 6/2023: JUNETEENTH WELLNESS SUMMIT ADDITIONALLY, STROKE EDUCATION AND AWARENESS WAS OFFERED BY KARRIMA OWENS, PRESBYTERIAN'S STROKE OUTREACH COORDINATOR, FOR THE FOLLOWING EVENTS: - JULY 16, 2022: LANCASTER AVE. JAZZ FESTIVAL (100 ATTENDEES; 2 HOURS) - OCTOBER 14, 2022: 16TH POLICE DISTRICT AND WEST PHILADELPHIA READING CAPTAINS (80 ATTENDEES; 2.5 HOURS) - OCTOBER 25, 2022: 16TH POLICE DISTRICT TOWN HALL (10 ATTENDEES; .1 HOUR) - JANUARY 16, 2023: 16TH POLICE DISTRICT MLK DAY JOB FAIR AT LUCIEN E. BLACKWELL CTR. 761 N. 47TH ST. (25 ATTENDEES; 4 HOURS) - FEBRUARY 18, 2023: ALPHA KAPPA ALPHA SORORITY, INCORPORATED OMEGA OMEGA CHAPTER AT CHRISTIAN STRONG HOLD CHURCH LANCASTER AVENUE (75 ATTENDEES; 4 HOURS) - APRIL 20, 2023: NETTER CENTER'S 30TH ANNIVERSARY EVENT: WEST PHILADELPHIA HIGH SCHOOL 4901 CHESTNUT ST. (100 ATTENDEES; 2 HOURS) - APRIL 22, 2023: 1MILE WALK/5K RUN AND HEALTHY LIVING EXPO. MT. ZION BAPTIST CHURCH 50TH AND WOODLAND (50 ATTENDEES; 4.5 HOURS) - MAY 6, 2023: PENN MEDICINE NURSES WEEK COMMUNITY DAY. MALCOM X PARK 52ND & PINE (100 ATTENDEES; 4 HOURS) AND MOTIVATED COMMUNITY RESOURCE CENTER SHERWOOD PARK 57TH & BALTIMORE AVE.(50 ATTENDEES; 3 HOURS) - JUNE 17, 2023: 16TH DISTRICT FATHER'S DAY, MEN'S HEALTH, JUNETEENTH CELEBRATION (90 ATTENDEES; 4 HOURS) - JUNE 27, 2023: CAPTAINS TOWNHALL MEETING (20 ATTENDEES; .2 HOURS) - JUNE 30, 2023: JUNETEENTH WELLNESS SUMMIT AT SAUNDERS PARK (50 ATTENDEES; 2 HOURS)
FORM 990, PART III, LINE 4A (CONTINUED)	PENN MEDICINE CARES GRANT: IN COLLABORATION WITH THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM, PRESBYTERIAN AWARDS PENN MEDICINE CARES GRANTS TO COMMUNITY-BASED PROGRAMS ON BEHALF OF EMPLOYEES WHO VOLUNTEER THEIR TIME AND EFFORT AT THE INITIATIVES. BY FUNDING THESE PROGRAMS, PENN MEDICINE HELPED SUPPLY HEALTH SERVICES, FOOD, MEDICINE, CLOTHING, AND PLACES TO LIVE FOR THOUSANDS OF UNDERSERVED IN THE REGION EVERY YEAR. SINCE THE FIRST ROUND OF RECIPIENTS WAS ANNOUNCED IN JANUARY 2012, PENN MEDICINE HAS SUPPORTED OVER 1,000 SERVICE PROJECTS WITH OVER ONE MILLION DOLLARS IN FUNDING. FOLLOWING, PLEASE FIND PRESBYTERIAN EMPLOYEES WHO RECEIVED THE CARES GRANT FOR THE 2023 FISCAL YEAR: URSTORYTELLERS, SHAWN ANDERSON: URSTORYTELLERS FOCUSES ON THE HOMELESS POPULATION AND THOSE AFFECTED BY SUBSTANCE ABUSE, AND MEMBERS OFFER PEER-TO-PEER SUPPORT AND TRAINING. SHAWN ANDERSON SR.'S GRANT GOES TOWARD THE PURCHASE OF TOILETRIES TO GIVE TO THIS SPECIAL POPULATION AT A FOOD PANTRY EVENT, WHICH RUNS EVERY FIRST MONDAY OF THE MONTH BY COMMUNITY SERVICE AT VISITATION (CATHOLIC SOCIAL SERVICE). THE TOILETRIES INCLUDE SHAMPOO AND BODY WASH, ANTI-CAVITY TOOTHPASTE, STICK DEODORANT, AND TOOTHBRUSHES. STUDENTS IN PENN NURSING'S MASTERS PROGRAM ALSO PARTNER WITH THE PROGRAM TO OFFER FIRST AID. PROVIDER ACCESS FOR LOW INCOME WOMEN IN CHESTER COUNTY TO LARCS AT LCH HEALTH AND COMMUNITY SERVICES, BETHANY ATKINSON: LCH IS A COMMUNITY HEALTH CENTER IN CHESTER COUNTY WITH A TARGET POPULATION OF LOW-INCOME RESIDENTS. 86% OF ITS PATIENTS ARE LATINO, WHO OFTEN FACE SEVERAL BARRIERS TO HEALTH CARE. BETHANY, WHO HAS SERVED AT LCH FOR THE PAST FIVE YEARS, WILL DIRECT HER FUNDING TOWARD THE PURCHASE OF LONG-ACTING REVERSIBLE CONTRACEPTIVES(LARCS). THESE ARE POPULAR BECAUSE OF THEIR DURABILITY, CONVENIENCE, MINIMAL SIDE EFFECTS, AND REVERSIBILITY. THE HEALTH CENTER ESTIMATES THAT IT PROVIDED LARCS TO APPROXIMATELY 340 WOMEN IN THE 2023 CALENDAR YEAR. NO LACKIN LIFESTYLE, DANAE FAISON: NO LACKIN LIFESTYLE USES PHYSICAL FITNESS TO CONTRIBUTE TO THE LIVES OF 30 YOUTH, AGED 12 TO 18 YEARS LIVING IN WEST AND SOUTHWEST PHILADELPHIA AND DELAWARE COUNTY. YOUTH MEET EVERY WEEKEND AND 1 TO 2 DAYS DURING THE WEEK. THE PROGRAM USES SPORTS AND PHYSICAL FITNESS TO HIGHLIGHT POSITIVE NUTRITION, MENTAL HEALTH, AND EDUCATIONAL EXPOSURE WITH AN OVERARCHING GOAL TO CREATE HEALTHIER ENVIRONMENTS, MINDS, LIFESTYLES, COLLEGE AWARENESS AND ASPIRATION, AND DECREASE VIOLENCE FOR EACH MEMBER. STOP THE BLEED (STB) TOURNIQUET DISTRIBUTION, SUNNY JACKSON: AS PART OF HER POSITION WITHIN PENN TRAUMA, SUNNY JACKSON CONDUCTS STOP THE BLEED TRAININGS FOR THE WEST AND SOUTHWEST PHILADELPHIA COMMUNITY, ESPECIALLY THOSE GREATLY AFFECTED BY GUN VIOLENCE. EARLY ON, THE STAFF RECEIVED FEEDBACK THAT THE SKILLS LEARNED WERE VALUABLE, BUT THEY WERE NOT PROVIDING THE TOOLS -- TOURNIQUETS -- NECESSARY TO SAVE A LIFE. HIGH-QUALITY TOURNIQUETS COST $30 EACH, WHICH IS NOT AFFORDABLE FOR MANY MEMBERS OF THE COMMUNITIES MOST STRICKEN BY GUN VIOLENCE. SUNNY'S GRANT ALLOWS THE PURCHASE OF 89 TOURNIQUETS. CULTIVATING SCIENTIFIC MOTIVATIONS, CORNELIA KO: FOR MORE THAN FIVE YEARS, CORNELIA KO HAS SERVED WITH THE DELAWARE SCIENCE OLYMPIAD'S ELEMENTARY DIVISION. ITS GOAL IS TO INTEREST WILMINGTON'S UNDERPRIVILEGED ELEMENTARY STUDENTS IN SCIENCE THROUGH HANDS-ON ACTIVITIES. AN EARLIER PILOT PROGRAM SHOWED THAT THE LONGER STUDENTS ARE EXPOSED TO SCIENCE ACTIVITIES, THE MORE THEY ARE INTERESTED. KNOWING THESE RESULTS, KO WILL PUT HER GRANT TO USE BY PROVIDING ADDITIONAL SCIENCE KITS TO SCHOOLS. COMMUNITY CPR/BLS, BRIDGET MERENDA: MIRANDA'S HOME UNIT AT PENN PRESBYTERIAN HAS BEEN THE CARDIAC STEP-DOWN FLOOR. THERE SHE HAS LEARNED HOW CRUCIAL A ROLE OUR HEARTS PLAY, AND SHE HAS USED CARDIOPULMONARY RESUSCITATION AND BASIC LIFE SUPPORT TECHNIQUES TO HELP RESUSCITATE NUMEROUS PATIENTS. HER FUNDING WILL GO TOWARD TEACHING SUCH TECHNIQUES TO MEMBERS OF THE COMMUNITY. HER GOAL IS TO GET AS MANY PEOPLE AS POSSIBLE TO START TALKING, LEARNING, AND SHARING ABOUT CPR. THE GRANT WILL HELP PAY FOR ADULT AND INFANT MANIKINS, AUTOMATED EXTERNAL DEFIBRILLATORS, A BASIC LIFE SUPPORT (BLS) INSTRUCTOR PACKAGE, AND OTHER NECESSITIES. INCORPORATING MINDFUL CARE FOR U, RASHEDA PEOPLES-STARLING: WHILE SERVING IN PPMC'S MEDICAL CARE UNIT, RASHEDA PEOPLES-STARLING HAS HAD MANY PATIENTS WITH A WIDE RANGE OF MEDICAL AND MENTAL DIAGNOSES. MANY OF THEM HAVE REQUESTED OTHER ACTIVITY OPTIONS THAN WATCHING TELEVISION DURING THEIR HOSPITAL STAYS. RASHEDA'S GRANT GOES TOWARD PURCHASING PUZZLES, CROCHET KITS, PLAYING CARDS, COLORING BOOKS, AND JOURNALS, SO THAT PATIENTS WILL HAVE MORE STIMULATING CHOICES TO HELP ENHANCE HEALING. FAST HEMORRHAGE CONTROL TRAINING FOR PHILADELPHIA HIGH SCHOOLS, KRISTIN QUINLAN: PPMC'S TRAUMA CENTER IS PARTNERING WITH CHILDREN'S HOSPITAL OF PHILADELPHIA, THE UNIFORMED SERVICES UNIVERSITY, AND THE AMERICAN RED CROSS TO MAKE PHILADELPHIA AMONG THE FIRST CITIES IN THE UNITED STATES TO ROLL OUT AGE-APPROPRIATE STOP THE BLEED (STB) TRAINING FOR HIGH-SCHOOL STUDENTS WITH FIRST AID FOR SEVERE TRAUMA (FAST). FAST TEACHES LIFE-SAVING HEMORRHAGE CONTROL FROM PENETRATING TRAUMA: PACKING THE WOUND, APPLYING PRESSURE, AND USING TOURNIQUETS. THIS INITIATIVE ALIGNS WITH THE CITY'S AND UPHS'S RENEWED FOCUS ON CURBING GUN VIOLENCE, ENHANCES SCHOOL SAFETY AND EMERGENCY PREPAREDNESS, AND BUILDS COMMUNITY RESILIENCE. KRISTIN QUINLAN'S GRANT WILL COVER THE PURCHASE OF 30 TOURNIQUETS, TWO WALL-MOUNTED BLEEDING CONTROL MEDICAL SUPPLY KITS, AND OTHER ITEMS. PENN TRAUMA VIOLENCE RECOVERY PROGRAM, JAMIE SONG: PENN TRAUMA'S VIOLENCE RECOVERY PROGRAM AIMS TO REACH PHILADELPHIANS OF ALL AGES WHO HAVE SURVIVED VIOLENT INJURIES (SUCH AS GUNSHOT AND STAB WOUNDS), MANY OF WHOM ARE BLACK BOYS AND MEN. THE PROGRAM SEEKS TO PROVIDE PEER COUNSELING AND CONNECT PATIENTS TO COMMUNITY AGENCIES. JAMIE SONG'S CARES FUNDS WILL GO TO HELP PATIENTS MEET PERSONAL GOALS AS THEY RECOVER FROM VIOLENT INJURIES AND WOULD ALSO HELP WITH TRANSPORTATION, ACCESS TO CELL SERVICE, AND EMERGENCY HOUSING. II. COMMUNITY HEALTH NEEDS ASSESSMENT & IMPLEMENTATION PLAN: PENNSYLVANIA HOSPITAL IS AN ENTITY OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM (UPHS) WHICH ALONG WITH THE PERELMAN SCHOOL OF MEDICINE (PSOM) COMPRISE PENN MEDICINE. THE HOSPITALS AND MEDICAL SCHOOL OF PENN MEDICINE INTEGRATES PROGRAMS IN EDUCATION, RESEARCH, AND PATIENT CARE TO SUSTAIN INSTITUTIONAL LEADERSHIP IN THE ERA OF TRANSLATIONAL MEDICINE. THROUGH UNDERGRADUATE MEDICAL EDUCATION, BROAD RANGING GRADUATE, RESIDENCY, FELLOWSHIP PROGRAMS, AND CONTINUING MEDICAL EDUCATION COURSES, THE SCHOOL TRAINS THE FUTURE LEADERS OF AMERICAN MEDICINE. AMBITIOUS BIOMEDICAL RESEARCH, CARRIED OUT IN 28 BASIC SCIENCE AND CLINICAL DEPARTMENTS AND IN NUMEROUS MULTIDISCIPLINARY CENTERS AND INSTITUTES, IS CLOSELY LINKED TO TEACHING AND PATIENT CARE, CONTRIBUTING TO OVERALL EXCELLENCE IN ALL THREE MISSION AREAS AND TO PENN MEDICINE'S PREEMINENCE AS AN INTEGRATED ACADEMIC MEDICAL CENTER. WHILE UPHS IS KNOWN FOR ADVANCED TREATMENTS THAT DRAW PATIENTS INTERNATIONALLY, THE HEALTH SYSTEM ALSO SERVES THOUSANDS OF LOW-INCOME PHILADELPHIANS. IN FY2023, UPHS PROVIDED $392.8 MILLION IN CHARITY AND UNDERFUNDED CARE FOR MEDICAID FAMILIES. THIS INCLUDES COVERING $17.8M IN UNREIMBURSED CARE IN OUR EMERGENCY DEPARTMENTS, AND $11.2M IN UNREIMBURSED COSTS OF CARE AT THE HUP HELEN O. DICKENS CENTER FOR WOMEN, WHICH SERVES MAINLY MEDICARE, MEDICAID, AND UNINSURED PATIENTS AND OFFERS UNCOMPENSATED AND UNDERCOMPENSATED CARE FOR THOSE WHO QUALIFY, BASED ON FINANCIAL COUNSELING. PENN MEDICINE PROVIDES INFRASTRUCTURE TO MANAGE CARE FOR OVER 500 SICKLE CELL ANEMIA PATIENTS.THIS IS AMONG THE LARGEST PROGRAMS IN THE NATION, PROVIDING CARE MANAGEMENT TO HALF OF THE SICKLE CELL PATIENTS IN PHILADELPHIA, WHO ARE PREDOMINANTLY INSURED BY MEDICAID.
FORM 990, PART III, LINE 4A (CONTINUED)	IN ADDITION, $93 MILLION HAS BEEN INVESTED TO CAPITALIZE AND OPERATE THE PUBLIC HEALTH CAMPUS OPERATIONS AT HUP CEDAR, IN THE HEART OF WEST PHILADELPHIA (INCLUDING AN EMERGENCY DEPARTMENT AND CRISIS RESPONSE CENTER AT THE FACILITY). THE PHMC PUBLIC HEALTH CAMPUS ON CEDAR, WHICH OPENED IN MARCH 2021, TRANSITIONED THE BUILDING FROM THE FORMER MERCY PHILADELPHIA HOSPITAL INTO A CAMPUS OFFERING EMERGENCY AND INPATIENT CARE AS WELL AS PRIMARY CARE AND COMMUNITY-DRIVEN SOCIAL SUPPORTS. THESE FUNDING ALLOWS CLINICAL CARE TO REMAIN AT A FACILITY THAT WAS AT RISK OF CLOSURE. IN FURTHERANCE OF ITS EXEMPT PURPOSE TO BENEFIT THE COMMUNITY, UPHS, IN COLLABORATION WITH OTHER REGIONAL HEALTH SYSTEMS, COMPLETED ITS FOURTH COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) - THROUGH QUANTITATIVE AND QUALITATIVE RESEARCH, INCLUDING FEEDBACK FROM COMMUNITY AND KEY STAKEHOLDERS - TO IDENTIFY THE MOST PRESSING HEALTH NEEDS IN OUR SERVICE AREA AND DETERMINE HOW BEST TO ADDRESS THOSE NEEDS. THE PHILADELPHIA HOSPITALS OF UPHS, PENNSYLVANIA HOSPITAL, PENN PRESBYTERIAN MEDICAL CENTER, AND HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA INCLUDING THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA AT CEDAR CONDUCTED A JOINT CHNA DUE TO THE SIMILAR SERVICE AREAS. OUR COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) IS AN OUTGROWTH OF THE CHNA PROCESS AND PROVIDES INFORMATION ABOUT THE PROGRAMS AND INVESTMENTS PENN MEDICINE CURRENTLY MAKES TO ADDRESS HEALTH NEEDS IDENTIFIED IN THE CHNA AND ACTS AS A GUIDE FOR INVESTMENT IN FUTURE PROGRAMS. GOOD HEALTH IS DETERMINED BY MORE THAN THE CLINICAL CARE IN OUR HOSPITALS, AND SO THE PROGRAMS AND INITIATIVES OUTLINED IN OUR CHIP FOCUS ON OUR WORK OUTSIDE OF OUR HEALTH SYSTEM WALLS AND IN THE ENVIRONMENTS WHERE WE LIVE, WORK, AND PLAY. PENN MEDICINE IS STRONGLY COMMITTED TO CREATING HEALTHIER, FAIRER, AND MORE JUST COMMUNITIES THROUGH BROAD, INSTITUTIONAL INITIATIVES INCLUDING THE FUND FOR HEALTH, PENN MEDICINE CARES GRANT PROGRAM, CENTER FOR HEALTH EQUITY AND ADVANCEMENT, AND ACCELERATE HEALTH EQUITY, AND THROUGH NUMEROUS, PROGRAMMATIC EFFORTS FOCUSED ON 12 HEALTH PRIORITY AREAS OF THE CHNA, AS OUTLINED IN OUR CHIP. BEGINNING IN SUMMER OF 2021, THROUGH A PARTNERSHIP BETWEEN PENN MEDICINE AND THE WHARTON SOCIAL IMPACT INITIATIVE, THE FUND FOR HEALTH PUSHED FOR MEASURABLE PROGRESS IN SOCIO-ECONOMIC FACTORS THAT CAN HAVE LIFELONG EFFECTS, BY BEGINNING A $5 MILLION INVESTMENT THAT HAS CONTINUED THROUGH 2023. INVESTING AND SUPPORTING INNOVATIVE, FORWARD-THINKING VENTURES HAVE MADE GREAT STRIDES TOWARD MEANINGFUL IMPACT ON OUR CITY'S HEALTH, WHILE HELPING TO BUILD SUSTAINABLE AND PROFITABLE COMPANIES IN FOR THE REGION THAT PROVIDE PATHS TO JOBS AND ECONOMIC OPPORTUNITIES FOR MORE CITY RESIDENTS. THE ACTION FOR CULTURAL TRANSFORMATION (ACT) INITIATIVE, WHICH WAS LAUNCHED IN THE SUMMER OF 2020, HAS CATALYZED FORMATION OF A STRUCTURE AND PROCESSES FOR ENDURING CHANGE. GUIDED BY THE OFFICE OF INCLUSION, DIVERSITY, AND EQUITY (OIDE), SIX WORK GROUPS (FOCUSED RESPECTIVELY ON CLINICAL, RESEARCH, EDUCATION, COMMUNITY, CULTURE, AND PEOPLE) ARE DRIVING BROAD-BASED CHANGE. OVER 70 ACTION ITEMS WERE SUGGESTED BY FACULTY, STUDENTS, AND STAFF AS BUILDING BLOCKS FOR A MORE INCLUSIVE COMMUNITY. TO DATE, THREE-QUARTERS OF THESE HAVE BEEN FULLY IMPLEMENTED. A FLAGSHIP AMONG PENN MEDICINE'S COMMUNITY BENEFIT, THE PENN MEDICINE CARES GRANTS SUPPORT EMPLOYEE VOLUNTEERISM, PROMOTE COMMUNITY ENGAGEMENT, AND IMPROVE HEALTH. SINCE 2012, MORE THAN A MILLION DOLLARS HAS FUNDED OVER 1,000 SERVICE INITIATIVES. EACH GRANT PROVIDES MONETARY AND INSTITUTIONAL SUPPORT TO ORGANIZATIONS AND PROGRAMS DEDICATED TO IMPROVING HEALTH AND ERADICATING SOCIAL DETERMINANTS OF HEALTH NOT ONLY IN PENN MEDICINE'S SERVICE AREA, BUT ALSO GLOBALLY. THE CENTER FOR HEALTH EQUITY AND ADVANCEMENT (CHEA) IS THE CORNERSTONE AT PENN MEDICINE FOR ADVANCING HIGH QUALITY PATIENT AND FAMILY-CENTERED CARE FOR ALL, REGARDLESS OF PERSONAL CHARACTERISTICS, SUPPORTING COMMUNITY PARTNERSHIPS TO TACKLE BARRIERS TO ACHIEVING OPTIMAL HEALTH FOR ALL COMMUNITIES WE SERVE, AND PROVIDING EQUITABLE HEALTHCARE WITHIN INCLUSIVE ENVIRONMENTS THAT SUPPORT A DIVERSE WORKFORCE AND STUDENT BODY. IN ORDER TO BUILD SUPPORT FOR AND ALIGN MUTUALLY REINFORCING EQUITY INITIATIVES ACROSS THE ENTERPRISE, PENN MEDICINE INCORPORATES ITS CENTER FOR HEALTH EQUITY ADVANCEMENT BLUEPRINT FOR EQUITY AND INCLUSION WITHIN THE FOLLOWING INITIATIVE AREAS: CARE TRANSFORMATION, COMMUNITY ENGAGEMENT, WORKFORCE, RESEARCH AND EVALUATION, AND EDUCATION AND TRAINING. THE PENN MEDICINE CENTER FOR DIGITAL HEALTH AND THE PENN CENTER FOR HEALTH INCENTIVES AND BEHAVIORAL ECONOMICS WORKED STRATEGICALLY WITH LOCAL HEALTH SYSTEMS, PAYORS, AND THE CITY OF PHILADELPHIA TO LAUNCH THE ACCELERATE HEALTH EQUITY PROGRAM IN 2020. THIS BROAD INITIATIVE DEPLOYS TOOLS FROM BEHAVIORAL ECONOMICS, DIGITAL HEALTH, INNOVATION SCIENCE, URBAN HEALTH, COMMUNICATIONS SCIENCE, AND PUBLIC HEALTH TO ADDRESS PHYSICAL, BEHAVIORAL, SOCIAL, ECONOMIC, AND CLINICAL BARRIERS TO SUSTAINABLE HEALTH EQUITY. PRIORITY AREA #1: MENTAL HEALTH PENN MEDICINE RECOGNIZES THAT HIGH-QUALITY MENTAL HEALTH CARE IS THE TOP HEALTH NEED IN PHILADELPHIA. MENTAL HEALTH PROBLEMS ARE SERIOUS AND WIDESPREAD AND HAVE WORSENED IN RECENT YEARS DUE TO THE ISOLATION AND STRESS OF THE COVID-19 PANDEMIC. PENN MEDICINE IS COMMITTED TO CREATING MORE ACCESSIBLE, HIGH-QUALITY, INTEGRATED MENTAL HEALTH CARE, PARTICULARLY FOR VULNERABLE POPULATIONS. PENN MEDICINE STRIVES TO INCREASE THE BEHAVIORAL HEALTH WORKFORCE CAPACITY AND DIVERSITY, EMPHASIZING A CULTURALLY FOCUSED APPROACH TO IMPROVE COMMUNITY ENGAGEMENT AND COMMUNITY UTILIZATION OF SERVICES. > HALL-MERCER COMMUNITY MENTAL HEALTH CENTER OF PENNSYLVANIA HOSPITAL IS DEDICATED TO ENRICHING THE LIVES OF PEOPLE AFFECTED BY MENTAL ILLNESS OR DEVELOPMENTAL DISABILITIES, PROVIDING A RANGE OF SERVICES FOR YOUNG CHILDREN TO ADULTS. THE CENTER HAS PLAYED A SIGNIFICANT ROLE IN BROADENING ACCEPTANCE AND ADVANCING CARE FOR PEOPLE WITH PSYCHIATRIC DISORDERS OR INTELLECTUAL DISABILITIES. SPECIFICALLY, THE CENTER PROVIDES COMPREHENSIVE OUTPATIENT SERVICES TO PHILADELPHIA RESIDENTS IN NEED. AS PART OF PHILADELPHIA'S BEHAVIORAL HEALTH SYSTEM, IT IS ONE OF 11 COMMUNITY MENTAL HEALTH CENTERS IN THE CITY. > THE STEVEN A. COHEN MILITARY FAMILY CLINIC AT THE UNIVERSITY OF PENNSYLVANIA DELIVERS CONFIDENTIAL MENTAL HEALTH CARE FOR VETERANS, SERVICE MEMBERS, AND THEIR FAMILIES AT NO COST. THE CLINIC USES TELEHEALTH TO BRING PENN MEDICINE'S WORLD-CLASS TREATMENT AND CARE TO VETERAN AND MILITARY COMMUNITIES ACROSS THE REGION. THE CLINIC SPECIALIZES IN PERSONALIZED, EVIDENCE-BASED MENTAL HEALTH CARE THAT IS PROVEN TO RESULT IN LONG-TERM OUTCOMES. THE CLINIC OFFERS EARLY MORNING AND EVENING HOURS, TRANSPORTATION ASSISTANCE, AND TELEHEALTH TO HELP VETERANS, SERVICE MEMBERS, AND MILITARY FAMILIES EASILY ACCESS THE CARE THEY DESERVE.
FORM 990, PART III, LINE 4A (CONTINUED)	> PRIMARY CARE SERVICE LINE INTEGRATED BEHAVIORAL HEALTH: IN 2018, THE PENN MEDICINE PRIMARY CARE SERVICE LINE PARTNERED WITH THE PERELMAN SCHOOL OF MEDICINE'S DEPARTMENT OF PSYCHIATRY TO DEVELOP AND IMPLEMENT AN INTEGRATED MODEL OF BEHAVIORAL HEALTH CARE CALLED THE COLLABORATIVE CARE BEHAVIORAL HEALTH (CCBH) PROGRAM. CCBH PUTS LICENSED CLINICAL SOCIAL WORKERS SPECIALLY TRAINED IN MENTAL HEALTH CARE INTO PRIMARY CARE OFFICES. FIVE SOCIAL WORKERS WORK IN EIGHT PENN MEDICINE PRIMARY CARE PRACTICES IN WEST PHILADELPHIA AND CENTER CITY AND ARE AVAILABLE TO MORE THAN 100,000 PATIENTS. THESE EXPERTS WORK WITH PRIMARY CARE PROVIDERS AND A PSYCHIATRIST TO ASSESS AND TREAT PATIENTS AS NEEDED DURING OR AFTER THEIR PRIMARY CARE APPOINTMENTS. SERVICES RANGE FROM SCREENING FOR DEPRESSION TO SUPPORTING THOSE WHO ARE STRUGGLING WITH ADDICTION. > PENN MEDICINE INVESTS IN THE PENN CENTER FOR YOUTH AND FAMILY TRAUMA RESPONSE AND RECOVERY, WHICH PROVIDES A RANGE OF INTERVENTIONS FOR CHILDREN AND FAMILIES TO ADDRESS THE PHYSICAL AND PSYCHOLOGICAL SYSTEMS ASSOCIATED WITH TRAUMA. AS THE ONLY PROVIDER IN THE PHILADELPHIA AREA THAT OFFERS EFFECTIVE EARLY INTERVENTION FOR YOUTH, THE CENTER IS AN ESSENTIAL POINT OF ACCESS TO SPECIALIZED BEHAVIORAL HEALTH SERVICES FOR THOSE IN OUR COMMUNITY. > PENN PSYCHIATRY'S FELLOWSHIP IN COMMUNITY PSYCHIATRY: THIS IS A 1-YEAR NON-ACGME TRAINING PROGRAM RUN BY THE DEPARTMENT OF PSYCHIATRY. THROUGH THIS PROGRAM, PENN PSYCHIATRY CONTRACTS OUT THE SERVICES OF UP TO FOUR COMMUNITY FELLOWS TO PARTNERING COMMUNITY-BASED AGENCIES. COMMUNITY FELLOWS ARE BOARD-ELIGIBLE PSYCHIATRISTS THAT HAVE COMPLETED THEIR ADULT PSYCHIATRY TRAINING, AND THUS PROVIDE ATTENDING-LEVEL PSYCHIATRIC SERVICES TO THESE COMMUNITY AGENCIES DURING THEIR 1-YEAR TRAINING PROGRAM. > PUENTES DE SALUD WORKS TO ENSURE THE WELLNESS OF THE LATINO IMMIGRANT POPULATION IN SOUTH PHILADELPHIA BY OFFERING MEDICAL CARE, EDUCATION, AND SOCIAL SERVICES. MENTAL HEALTH SERVICES AT PUENTES DE SALUD AIM TO PROVIDE THE COMMUNITY WITH EVIDENCE-BASED APPROACHES TO EMPOWERMENT AND SOCIAL ISSUES. > UNITY HEALTH CLINIC IS A FREE CLINIC PRIMARILY SERVING UNINSURED INDONESIAN IMMIGRANTS OF CHINESE DESCENT. MEDICAL STUDENT VOLUNTEERS ASSIST AND SHADOW PENN FACULTY AND RESIDENTS. EACH WEEK, UNITY HEALTH CLINIC SEEKS TO PROVIDE HIGH-QUALITY, CULTURALLY COMPETENT MEDICAL CARE TO UNINSURED AND UNDERINSURED ADULTS, INCLUDING BEHAVIORAL HEALTH CARE. THE CLINIC OFFERS FREE PRIMARY AND PREVENTIVE CARE SERVICES, FREE OR REDUCED-COST MEDICATIONS, AND FREE INTERPRETER SERVICES. > PHILADELPHIA HUMAN RIGHTS CLINIC THE PHILADELPHIA HUMAN RIGHTS CLINIC (PHRC) IS A STUDENT-RUN ORGANIZATION WITH A MISSION TO PROVIDE NO-COST PSYCHIATRIC AND PHYSICAL EVALUATIONS OF SURVIVORS OF PERSECUTION SEEKING ASYLUM IN THE UNITED STATES. THIS IS NOT A PENN ORGANIZATION; HOWEVER, PENN MEDICAL STUDENTS ARE PART OF THE LEADERSHIP TEAM; AND THE FOUNDER AND MEDICAL DIRECTOR OF THE CLINIC IS ON PENN PSYCHIATRY'S FACULTY. > PENN MEDICINE CENTER FOR COMMUNITY HEALTH WORKERS IMPACT: COMMUNITY HEALTH WORKERS (CHWS) ARE UNIQUELY POISED TO SUPPORT COMMUNITY MEMBERS' MENTAL HEALTH NEEDS AND SUPPORT CONNECTIONS WITH HEALTH CARE. THE PENN MEDICINE CENTER FOR COMMUNITY HEALTH WORKERS' EVIDENCE-BASED IMPACT MODEL CHWS ARE SKILLED IN SYSTEM NAVIGATION AND CONNECTING WITH PATIENTS WITH COMPLEX HEALTH AND SOCIAL NEEDS. PRIORITY AREA #2: ACCESS TO PRIMARY AND SPECIALTY CARE PENN MEDICINE STRIVES TO IMPROVE HEALTH CARE ACCESS ACROSS THE COMMUNITIES WE SERVE. WE RECOGNIZE THE NEED TO PROVIDE LINKAGES BETWEEN MEDICAL SPECIALTIES AND THE COMMUNITY. OUR CARE IS DISTINGUISHED BY A HOLISTIC APPROACH TO TREATING THE ENTIRE FAMILY AND ADDRESSING THE CONTINUUM OF CARE. PENN MEDICINE RECOGNIZES THE STRONG RELATIONSHIP BETWEEN PRIMARY CARE ACCESS AND IMPROVED HEALTH OUTCOMES AND IS COMMITTED TO PROVIDING A PRIMARY CARE MEDICAL HOME FOR PATIENTS THROUGHOUT PHILADELPHIA. THE COVID-19 PANDEMIC EXACERBATED PATIENT ACCESS, WITH LONGER WAIT TIMES AND GAPS IN BASIC SERVICES BECOMING MORE ACUTE. GIVEN THESE CHALLENGES, PENN MEDICINE IS CONTINUOUSLY EVALUATING AND CREATING NEW ACCESS POINTS FOR PRIMARY AND SPECIALTY CARE IN ORDER TO MEET THE NEEDS OF OUR COMMUNITY AND ELIMINATE DISPARITIES IN ACCESS TO CARE. WE ENGAGE IN DIVERSE COMMUNITIES TO INFORM STRATEGIES TO IMPROVE ACCESS AND FACILITATE CARE CONNECTIONS. THESE STRATEGIES INCLUDE PARTNERSHIPS WITH FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) AND OTHER SAFETY NET PROVIDERS THAT PROVIDE A KEY STRATEGIC PATHWAY. > THROUGH PENN'S NEW HOSPITAL FACILITY, THE PAVILION, WHICH OPENED IN 2021, PENN MEDICINE IS INCREASING ACCESS TO SPECIALTY CARE FOR PATIENTS AND ENHANCING OPPORTUNITIES FOR COLLABORATIVE CARE DELIVERY. WE HAVE TRANSFORMED HOW WE ORGANIZE AND DELIVER CARE, USING STATE-OF-THE-ART TECHNOLOGY AND NEW WAYS OF THINKING TO ENSURE THE PATIENT EXPERIENCE IS AT THE VERY CENTER OF EVERYTHING WE DO. WITH INNOVATION AND TECHNOLOGY AT THE HEART OF ITS DESIGN, THE HOSPITAL IS EQUIPPED TO DELIVER BOTH THE TREATMENTS OF TODAY AND THE MEDICAL ADVANCES OF TOMORROW. FOR EXAMPLE, THE "REINVENTED" EMERGENCY DEPARTMENT WAS DESIGNED TO DECREASE WAIT TIMES, SPEED DIAGNOSIS, AND IMPROVE THE CARE EXPERIENCE. FURTHER, CUTTING-EDGE TECHNOLOGY HELPS ADVANCE TELEMEDICINE FUNCTIONALITY, WHICH IN ALLOWS FOR MORE REMOTE MONITORING AND CONSULTATIONS BETWEEN PATIENTS-INCLUDING THOSE WHO FACE TRANSPORTATION OR SIMILAR BARRIERS-AND THEIR CARE TEAMS. > THE PENN MEDICINE PRIMARY CARE SERVICE LINE (PCSL) WAS CREATED TO ADVANCE PENN MEDICINE-WIDE COLLABORATION BETWEEN FAMILY AND INTERNAL MEDICINE CLINICAL SERVICES. > PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH PARTNERSHIP: THE DIVISION OF GENERAL INTERNAL MEDICINE FACULTY AND RESIDENTS PROVIDE PRIMARY CARE AT TWO OF THE CITY'S AMBULATORY HEALTH CENTERS IN WEST PHILADELPHIA. THIS UNIQUE PARTNERSHIP INCREASES THE POOL OF PRIMARY CARE PROVIDERS WHO ARE ABLE TO SERVE PHILADELPHIA RESIDENTS, REGARDLESS OF INSURANCE STATUS OR THEIR ABILITY TO PAY. > FEDERALLY QUALIFIED HEALTH CENTER (FQHC) PRENATAL CARE PARTNERSHIP: THE DEPARTMENT OF FAMILY MEDICINE AND COMMUNITY HEALTH FACULTY AND RESIDENTS PROVIDE PRENATAL CARE AT FOUR LOCAL WEST PHILLY FQHCS AND THESE PATIENTS DELIVER ON THE FAMILY MEDICINE SERVICE AT OUR UNIVERSITY HOSPITAL. THIS INNOVATIVE MODEL OF CARE EXPANDS THE ACCESS TO HIGH QUALITY PRIMARY CARE, ENSURES CONTINUITY OF CARE, AND IMPROVES HEALTH OUTCOMES. FACULTY FROM FAMILY MEDICINE AND COMMUNITY HEALTH PROVIDE PRIMARY AND PRENATAL CARE AT SEVERAL SITES THAT ARE PART OF THE GREATER PHILADELPHIA HEALTH ACTION FQHC SYSTEM. > PUENTES DE SALUD AIMS TO IMPROVE COMMUNITY AND INDIVIDUAL HEALTH AND WELL-BEING NOT ONLY BY PROVIDING IMMEDIATE SERVICES, BUT ALSO BY RECOGNIZING AND CHALLENGING SOCIAL INEQUITIES AND INJUSTICES. PUENTES DE SALUD WORKS IN PARTNERSHIP WITH COMMUNITY MEMBERS, LOCAL AND PUBLIC SCHOOLS, UNIVERSITIES, AND COMMUNITY ORGANIZATIONS. PENN MEDICINE PHYSICIANS, STAFF, AND STUDENTS PARTNER WITH PUENTES DE SALUD TO PROVIDE CLINICAL SERVICES INCLUDING ADULT PRIMARY CARE AND WOMEN'S HEALTH SERVICES. ON A MONTHLY BASIS, PENN ALSO OFFERS SPECIALIZED CARE IN THE FOLLOWING AREAS: CARDIOLOGY, DERMATOLOGY, NEUROLOGY, OPHTHALMOLOGY, PEDIATRICS, PHYSIOTHERAPY AND PODIATRY AT PUENTES.
FORM 990, PART III, LINE 4A (CONTINUED)	> STDS CLINIC AT HEALTH CENTER #1: ALONG WITH THE CITY'S DEPARTMENT OF PUBLIC HEALTH, PENN DERMATOLOGY FACULTY AND RESIDENTS STAFF A FREE, BIWEEKLY STD CLINIC. THE CLINIC ACCEPTS WALK-INS AND PROVIDES TESTING AND TREATMENT SERVICES AT NO COST. > PERELMAN SCHOOL OF MEDICINE COMMUNITY CLINICS: PENN MEDICINE PHYSICIANS AND STAFF PROVIDE PRIMARY AND SPECIALTY CARE ACCESS IN A NETWORK OF COMMUNITY-BASED, STUDENT-LED CLINICS IN UNDERSERVED COMMUNITIES THROUGHOUT PHILADELPHIA. THESE CLINICS PROVIDE SUPPORT TO COMMUNITIES THAT FACE SIGNIFICANT ACCESS BARRIERS TO CARE INCLUDING GEOGRAPHY, CITIZENSHIP STATUS, AND LANGUAGE. > THE CENTER FOR SURGICAL HEALTH (CSH) IS A MULTIDISCIPLINARY CENTER, HOUSED IN THE DEPARTMENT OF SURGERY. CSH PROVIDES A NEW ACCESS POINT INTO SUSTAINABLE, HIGH-VALUE SURGICAL CARE FOR PATIENTS WHO TYPICALLY RELY ON THE EMERGENCY ROOM FOR TREATMENT. THE CSH PROVIDES SURGICAL AND CARE NAVIGATION SERVICES TO PATIENTS, MANY REFERRED THROUGH PUENTES DE SALUD AND THE UNIVERSITY CITY HOSPITALITY COALITION AND WILL GROW THE NUMBER OF PATIENTS SERVED AS THE CSH EXPANDS. WITH PENN MEDICINE NOW MANAGING THE INPATIENT CLINICAL SERVICES AT THE HUP CEDAR, PATIENTS FROM WEST AND SOUTHWEST PHILADELPHIA WILL HAVE AN ADDITIONAL ACCESS POINT TO RECEIVE CARE THROUGH CSH. > UNITED COMMUNITY CLINIC (UCC) IS A FREE HEALTH CLINIC COORDINATED WEEKLY BY UNIVERSITY OF PENNSYLVANIA STUDENTS FROM THE SCHOOLS OF MEDICINE, DENTISTRY, NURSING, AND SOCIAL WORK. IT COLLABORATES WITH RESIDENTS AND COMMUNITY PARTNERS TO ADDRESS THE MEDICAL AND SOCIAL HEALTH NEEDS, WITH THE GOAL OF BUILDING A STRONGER AND HEALTHIER COMMUNITY. SERVICES INCLUDE HEALTH PHYSICALS, ACUTE CARE, DENTAL CARE, EYE CARE, SOCIAL WORK RESOURCES, AND HEALTH INSURANCE ASSISTANCE. THIS PAST YEAR, UCC EXPANDED TO A SECOND CLINICAL SITE IN SOUTHWEST PHILADELPHIA SERVICING COMMUNITY MEMBERS OF THE AFRICAN AND CARIBBEAN DIASPORA. > ICNA RELIEF'S SOCIAL HEALTH AND MEDICAL SERVICE CLINIC (SHAMS CLINIC) IS A NONPROFIT ORGANIZATION THAT ENDEAVORS TO IMPROVE THE HEALTH AND SOCIAL WELL-BEING OF UNDERSERVED COMMUNITIES IN PHILADELPHIA. IN 2022 PHYSICIANS FROM THE DEPARTMENT OF FAMILY MEDICINE AND COMMUNITY HEALTH BEGAN TO PROVIDE PRIMARY CARE SERVICES AT THE SHAMS CLINIC WEST PHILADELPHIA LOCATION, EXPANDING ACCESS TO CARE FOR THAT COMMUNITY. > THE REFUGEE CLINIC AT THE PENN CENTER FOR PRIMARY CARE IS A COLLABORATIVE EFFORT BETWEEN THE PRIMARY CARE AND GLOBAL HEALTH TRACKS OF THE INTERNAL MEDICINE RESIDENCY PROGRAM IN PENN MEDICINE, AND OUR PARTNER RESETTLEMENT AGENCY, HIAS PENNSYLVANIA. THE PENN MEDICINE REFUGEE CLINIC IS A MEMBER OF THE PHILADELPHIA REFUGEE HEALTH COLLABORATIVE (PRHC), A REGIONAL COALITION CONSISTING OF PHILADELPHIA'S THREE REFUGEE RESETTLEMENT AGENCIES AND EIGHT REFUGEE HEALTH CLINICS. THE CORE MISSION OF THE COLLABORATIVE IS TO CREATE AN EQUITABLE SYSTEM OF REFUGEE HEALTH CARE IN THE PHILADELPHIA REGION THAT ENSURES A CONSISTENTLY HIGH STANDARD OF CARE FOR ALL NEWLY ARRIVED REFUGEES. EACH YEAR, PRHC PROVIDES DOMESTIC HEALTH SCREENINGS, PRIMARY CARE (INCLUDING NEWBORN, PEDIATRICS, ADULT MEDICINE, GERIATRIC, OBSTETRIC AND GYNECOLOGIC CARE) AND ACCESS TO LABORATORY, RADIOLOGY, AND SUBSPECIALTY SERVICES TO 800 NEWLY ARRIVED REFUGEES. PRHC ALSO PROVIDES ONGOING PRIMARY CARE AND WOMEN'S HEALTH SERVICES TO ESTABLISHED REFUGEE PATIENTS. THE PENN MEDICINE REFUGEE CLINIC CURRENTLY OPERATES EVERY MONDAY AFTERNOON WITH OVER 20 RESIDENT PHYSICIANS AND SEES OVER 75 NEW ARRIVALS EACH YEAR. FIVE ATTENDING PHYSICIANS' PRECEPT IN THE CLINIC, ALL OF WHOM ARE EXPERIENCED IN GLOBAL HEALTH, TRAVEL MEDICINE OR INFECTIOUS DISEASES. OVER THIRTY DIFFERENT LANGUAGES ARE SPOKEN IN CLINIC BY REFUGEE POPULATIONS FROM BHUTAN, BURMA, ERITREA, LIBERIA, DARFUR, SOUTH SUDAN, RUSSIA, UKRAINE, THE DEMOCRATIC REPUBLIC OF THE CONGO, AND MANY OTHER COUNTRIES. THE CLINIC HOSTS A ONCE-MONTHLY WOMEN'S HEALTH CLINIC SPECIFICALLY FOCUSING ON THE HEALTH NEEDS OF REFUGEE WOMEN AND A WEEKLY LATENT TUBERCULOSIS INFECTION (LTBI) CLINIC, RUN BY A PHARMACIST AND PHARMACY STUDENTS, FOCUSING ON LTBI DIAGNOSIS AND TREATMENT. > ACCESS TO CANCER CARE: PREVENTATIVE SCREENINGS CAN SAVE LIVES. THIS IS WHY ABRAMSON CANCER CENTER FOCUSED ITS EFFORTS ON ELIMINATING BARRIERS AND ENSURING OUR COMMUNITY TAKES ADVANTAGE OF SCIENCE'S BEST TOOLS FOR CANCER PREVENTION AND EARLY DIAGNOSIS. ADDITIONALLY, IF CANCER IS DIAGNOSED WITHIN COMMUNITY SCREENINGS, THE TREATMENT IS COVERED. PRIORITY AREA #3: CHRONIC DISEASE PREVENTION AND MANAGEMENT THE US CENTERS FOR DISEASE CONTROL AND PREVENTION DEFINES A CHRONIC DISEASE AS A CONDITION THAT LASTS AT LEAST ONE YEAR AND REQUIRES ONGOING MEDICAL ATTENTION, LIMITS DAILY ACTIVITIES, OR BOTH. SOME EXAMPLES INCLUDE HEART DISEASE, CANCER, STROKE, DIABETES, CHRONIC KIDNEY DISEASE, AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD)-CONDITIONS THAT ARE LEADING CAUSES OF DEATH IN THE PENN MEDICINE SERVICE AREA. PHILADELPHIA COUNTY HAS A SUBSTANTIALLY HIGHER RATE OF PREMATURE CARDIOVASCULAR DEATH AND ABOVE-AVERAGE RATES OF CANCER MORTALITY WHEN COMPARED WITH OTHER COUNTIES IN THE SERVICE AREA. FOR MANY REASONS, CHRONIC DISEASE CAN BE DIFFICULT TO MANAGE-DUE TO THE COMPLEXITY OF MEDICAL AND LIFESTYLE CHANGE REGIMENS AND THE RELATED DAY-TO-DAY CHALLENGES. THESE CHALLENGES ARE EVEN MORE CONCERNING FOR PEOPLE WHO HAVE LIMITED ACCESS TO NECESSARY MEDICAL CARE, RESOURCES, AWARENESS, AND SUPPORT. THE FOLLOWING PROGRAMS ARE EXEMPLARY INITIATIVES AT PENN MEDICINE THAT HAVE HELPED PATIENTS AND COMMUNITY MEMBERS TO PREVENT AND/OR MANAGE CHRONIC DISEASES. THIS LIST IS NOT EXHAUSTIVE, AND THERE ARE MANY MORE RELEVANT PROGRAMS ACROSS THE HEALTH SYSTEM. > COMMUNITIES CONQUERING CANCER: BLACK INDIVIDUALS HAVE THE HIGHEST INCIDENCE OF AND MORTALITY FROM MANY OF THE MOST COMMON CANCERS. THE OVERARCHING GOAL OF COMMUNITIES CONQUERING CANCER (C3) IS TO INCREASE CANCER SCREENINGS IN THE BLACK COMMUNITIES OF WEST PHILADELPHIA BY DECENTRALIZING CANCER SCREENINGS OUT OF THE CLINICS AND INTO COMMUNITIES. THIS IS DONE BY OFFERING NO-COST CANCER SCREENINGS TO SCREENING ELIGIBLE RESIDENTS AND NAVIGATION OF INDIVIDUALS WITH POSITIVE SCREENINGS TO DIAGNOSTIC PROCEDURES. FOR FISCAL YEAR 2023, THE C3 TEAM DISPERSED 293 FECAL IMMUNOCHEMICAL TESTS (FIT) - USED AS A SCREENING TEST FOR COLON CANCER. 89 WERE RETURNED, 6 WITH POSITIVE RESULTS. 602 INDIVIDUALS WERE EDUCATED ABOUT COLON CANCER AND PREVENTABLE MEASURES. > PENN MEDICINE BREAST HEALTH INITIATIVE: IN RECOGNITION OF THE BARRIERS THAT CAN EXIST FOR WOMEN SEEKING BREAST CANCER SCREENING AND TREATMENT, PENN MEDICINE OFFERS BREAST SCREENINGS AS WELL AS DIAGNOSTIC AND TREATMENT SERVICES TO UNDERSERVED AND UNINSURED WOMEN IN PARTNERSHIP WITH MORE THAN A DOZEN NONPROFITS AND CLINICS IN THE REGION. SINCE ITS INCEPTION IN 2014, THE INITIATIVE HAS PROVIDED FREE MAMMOGRAMS TO MORE THAN 4,500 WOMEN. OF THESE, 50 PERCENT OF THE WOMEN WERE LATINA, 28 PERCENT WERE BLACK, AND 57 PERCENT DID NOT SPEAK ENGLISH. TO DATE, 99 CASES OF BREAST CANCER HAVE BEEN IDENTIFIED AND TREATED THROUGH THE INITIATIVE. > PENN MEDICINE BREAST AND CERVICAL CANCER EARLY DETECTION PROGRAM: THIS BREAST AND CERVICAL CANCER SCREENING NAVIGATION PROGRAM PROVIDES FREE BREAST SCREENING AND DIAGNOSTIC SERVICES TO ELIGIBLE WOMEN WHO ARE UNINSURED OR UNDERINSURED. > THE CUT HYPERTENSION PROJECT: THIS INNOVATIVE PROGRAM TURNS THE CORNER BARBERSHOP- WELL-KNOWN AS INFORMAL GATHERING PLACES IN MANY BLACK AND LATINO COMMUNITIES-INTO A HEALTH HUB AS WELL AS A SOCIAL HUB. IN LOCAL BARBERSHOP, PHILLY CUTS, VOLUNTEERS CONDUCT BLOOD PRESSURE SCREENINGS AND SPREAD INFORMATION ON HOW TO COMBAT HYPERTENSION IN THE BLACK COMMUNITY. PROJECT LEADERS AND VOLUNTEERS ALSO PROVIDE EDUCATION ON HEALTHY DIETING AND EXERCISE, AND THIS YEAR BEGAN HANDING OUT COVID-19 TESTS AT THE BARBERSHOP. THE PROGRAM NOT ONLY HELPS ADDRESS HYPERTENSION BUT BUILDS TRUST BETWEEN HEALTH CARE PROVIDERS AND THE BLACK RESIDENTS OF WEST PHILADELPHIA. > CAN PREVENT CANCER: PENN MEDICINE OFFERS AN ANNUAL, COMMUNITY-BASED CONFERENCE FOCUSED ON SPREADING KNOWLEDGE AND AWARENESS OF DIFFERENT FORMS OF CANCER, INCLUDING KIDNEY, PROSTATE, NEUROENDOCRINE TUMORS, MELANOMA AND LUNG CANCERS. THIS YEAR, 5,125 PATIENTS AND CAREGIVERS PARTICIPATED IN THE EVENT. > STROKE COMMUNITY EDUCATION PROGRAM: IN RECOGNITION THAT STROKE IS THE NUMBER-ONE PREVENTABLE CAUSE OF DISABILITY, PENN MEDICINE OFFERS COMMUNITY-BASED, STROKE-RELATED EDUCATIONAL PROGRAMMING AT EVERY HOSPITAL IN THE SYSTEM. RISK FACTORS ARE IDENTIFIED THROUGH COMMUNITY HEALTH NEEDS ASSESSMENT, WITH PROGRAM STAFF STRIVING TO HELP RESIDENTS COMBAT ANY RISK FACTORS THAT EMERGE, WHILE WORKING TO INCREASE AWARENESS OF STROKE AND ITS SYMPTOMS.
FORM 990, PART III, LINE 4A (CONTINUED)	> WALK WITH A FUTURE DOC: WWFD AIMS TO PROMOTE PHYSICAL ACTIVITY AND WELL-BEING IN PHILADELPHIA NEIGHBORHOODS, FOCUSING ON USING EXERCISE TO BETTER MANAGE OBESITY, HYPERTENSION, AND DIABETES. THE PENN CENTER FOR PUBLIC HEALTH, IN PARTNERSHIP WITH MEDICAL STUDENTS FROM THE PERELMAN SCHOOL OF MEDICINE, CREATED ONE OF THE FIRST WWFD CHAPTERS IN THE COUNTRY. EACH BIWEEKLY WALK STARTS WITH A SHORT TALK FROM A MEDICAL STUDENT ON A RELEVANT HEALTH TOPIC, FOLLOWED BY A BRIEF Q&A SESSION. AN INFORMAL, ONE-HOUR WALK FOLLOWS, WITH TALKS ON CHRONIC DISEASE AND OTHER RELEVANT HEALTH TOPICS CONTINUING DURING THE WALK. SCHOOL OF MEDICINE FACULTY MENTORS PROVIDE OVERSIGHT FOR ALL EDUCATIONAL CONTENT. > BASSER CENTER FOR BRCA: THE CENTER'S MISSION IS TO SEE A WORLD FREE OF THE DEVASTATING EFFECTS OF BRCA-RELATED CANCERS. MEN AND WOMEN WITH MUTATIONS IN EITHER THE BRCA1 OR BRCA2 GENES ARE AT HEIGHTENED RISK FOR CERTAIN CANCERS, INCLUDING BREAST, OVARIAN, PROSTATE, AND PANCREATIC CANCERS. THESE GENE MUTATIONS CAN BE PASSED ON TO CHILDREN BY EITHER MEN OR WOMEN. THE BASSER CENTER CONDUCTS CUTTING-EDGE REPORT AND ALSO CONDUCTS OUTREACH AND EDUCATION IN COMMUNITIES. THE BASSER CENTER IS A PLACE WHERE FAMILIES CAN TURN FOR EDUCATION AND GENETIC COUNSELING. THE CENTER AND ITS LEADERS ARE DEDICATED TO RAISING AWARENESS, WHICH IS CURRENTLY THE MOST EFFECTIVE WAY TO SAVE LIVES AND PROVIDE OPTIONS TO THOSE AFFECTED BY A BRCA MUTATION. THE CENTER'S EDUCATIONAL INITIATIVES FOCUS ON RAISING AWARENESS AND PROVIDING EDUCATION AND RESOURCES TO COMMUNITIES THROUGHOUT PHILADELPHIA, INCLUDING TARGETED OUTREACH TO BLACK, LATINO, AND LGBTQ POPULATIONS. > HEART HEALTH BRIDGE TO CARE: HEART HEALTH BRIDGE TO CARE CLINIC PROVIDES LONG-TERM CARE TO UNDERINSURED INDIVIDUALS IN THE PARKSIDE SECTION OF PHILADELPHIA. UNDER FACULTY SUPERVISION, MEDICAL, NURSING, PHARMACY, AND SOCIAL WORK STUDENTS WORK TOGETHER TO DEVELOP CARE PLANS FOR PATIENTS WITH HEART DISEASE. SERVICES INCLUDE FREE MEDICATIONS, SUPPORT FOR DIET AND LIFESTYLE CHANGES, PATIENT EDUCATION, AND REGULAR FOLLOW-UP VISITS. > NATIONAL DIABETES PREVENTION PROGRAM (NDPP): THIS YEAR-LONG, RESEARCH-BASED PROGRAM USES CURRICULUM PUBLISHED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION TO PROMOTE HEALTHY EATING AND PHYSICAL ACTIVITY IN INDIVIDUALS AT RISK FOR DEVELOPING TYPE 2 DIABETES. PROVIDED AT MOST PENN MEDICINE DIABETES EDUCATION CENTERS, THE NDPP ENCOURAGES HEALTHY LIFESTYLE CHANGES TO DELAY OR PREVENT A DIAGNOSIS OF TYPE 2 DIABETES. > DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT PROGRAMS (DSMES): DIABETES IS A COMPLEX CONDITION THAT INVOLVES MANY DAILY SELF-MANAGEMENT HABITS. DSMES PROGRAMS PROVIDE INDIVIDUALS LIVING WITH DIABETES WITH THE TOOLS AND SUPPORT NEEDED TO ADDRESS THE BEHAVIORAL, EDUCATIONAL, MEDICAL, AND MENTAL ASPECTS OF DIABETES MANAGEMENT.THESE SKILLS CAN HELP PEOPLE WITH DIABETES ENHANCE THEIR DAILY SELF-CARE, DECREASE COMPLICATIONS OF DIABETES, AND IMPROVE OVERALL HEALTH OUTCOMES. IN THE PAST FISCAL YEAR, OVER 500 INDIVIDUALS HAVE ATTENDED DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT SESSIONS OFFERED AT THE ACCREDITED PENN MEDICINE DIABETES EDUCATION CENTERS, INCLUDING PENNSYLVANIA HOSPITAL. > LAZAREX CANCER FOUNDATION REIMBURSES FOR CANCER TRIALS PARTICIPANTS: THE LAZAREX FOUNDATION WORKS TO IMPROVE CANCER HEALTH OUTCOMES AND DIVERSITY IN CLINICAL TRIALS. THE ABRAMSON CANCER CENTER TAKES PART IN THE FOUNDATION'S PATIENT FINANCIAL ASSISTANCE PROGRAM, WHICH PROVIDES LOWER-INCOME PEOPLE WITH SLIDING-SCALE REIMBURSEMENT FOR THE OUT-OF-POCKET COSTS, SUCH AS TRAVEL AND LODGING, THAT ARE OFTEN VIEWED AS BARRIERS TO PARTICIPATING IN CANCER CLINICAL TREATMENT TRIALS. PRIORITY AREA #4: SUBSTANCE USE AND RELATED DISORDERS THE OPIOID CRISIS CONTINUES TO TAKE ITS TOLL ON PHILADELPHIA, WITH AN ALARMING IMPACT DURING COVID-19, INCLUDING A 30 PERCENT INCREASE IN OVERDOSE DEATHS THROUGHOUT PENN MEDICINE'S PHILADELPHIA SERVICE AREA, AND A 30 PERCENT INCREASE IN OVERDOSE DEATHS SPECIFICALLY AMONG BLACK PATIENTS IN THE CITY, BOTH SINCE 2019. PENN MEDICINE IS WORKING TO CHANGE THOSE STATISTICS, PROVIDING HIGH-QUALITY CARE TO THOSE IN NEED, WORKING IN HARD-HIT NEIGHBORHOODS TO HELP PEOPLE STRUGGLING WITH ADDICTION, ADVOCATING FOR POSITIVE CHANGE, AND TRAINING PHYSICIANS AND OTHER HEALTH PROFESSIONALS IN ADDICTION MEDICINE. PENN MEDICINE PROGRAMS FOR SUBSTANCE USE AND RELATED DISORDERS INCLUDE THE FOLLOWING. > PENN MEDICINE CENTER FOR ADDICTION MEDICINE AND POLICY FOUNDED IN 2019, CAMP IS A MULTIDISCIPLINARY INITIATIVE THAT HELPS ADVANCE PENN MEDICINE AS A LEADER IN ADDICTION MEDICINE EDUCATION AND SUBSTANCE USE TREATMENT AND RESEARCH. A RANGE OF PROFESSIONALS, FROM NURSING TO SOCIAL WORK TO SURGERY, WORK IN PARTNERSHIP WITH RECOVERY SPECIALISTS TO IMPROVE EVIDENCE-BASED AND STIGMA-FREE CARE FOR PATIENTS WITH OPIOID USE AND/OR ANY OTHER SUBSTANCE USE DISORDER. CAMP STAFF WORK TO RAISE AWARENESS THAT OPIOID USE DISORDER (OUD) IS TREATABLE, WHILE STRATEGIZING TO FACILITATE ENHANCED CARE IN THE EMERGENCY DEPARTMENT, PRIMARY CARE, AND HOSPITAL SETTINGS. CAMP ALSO PROVIDES HARM REDUCTION AND OVERDOSE EDUCATION AND RESOURCES IN THE COMMUNITY. > PRIMARY CARE MEDICATION FOR MOUD: PRIMARY CARE IS A CRITICAL PART OF ANY RESPONSE TO THE OPIOID EPIDEMIC. PRIMARY CARE PHYSICIANS FROM THE PERELMAN SCHOOL OF MEDICINE'S DEPARTMENT OF FAMILY MEDICINE AND COMMUNITY HEALTH AND DIVISION OF GENERAL INTERNAL MEDICINE LED EFFORTS TO BUILD AND EXPAND ACCESS TO MEDICATIONS FOR OPIOID USE DISORDERS (MOUDS) AND HARM REDUCTION SERVICES AT PENN MEDICINE. INCORPORATING MOUD CARE INTO PRIMARY CARE HAS DECREASED STIGMA, EXPANDED ACCESS, EMPHASIZED HARM REDUCTION, AND PROVIDED CRITICAL HEALTH CARE SERVICES. FIVE PENN MEDICINE PRACTICES IN DOWNTOWN PHILADELPHIA OFFER HIGH-QUALITY MOUD CARE WITHIN THEIR CLINICAL OPERATIONS. IN COMBINATION, MORE THAN 440 PATIENTS WITH SUBSTANCE USE DISORDERS PASSED THROUGH THEIR DOORS THE LAST YEAR. > PREVENTION POINT PHILADELPHIA (PPP) IS A NONPROFIT PUBLIC HEALTH ORGANIZATION PROVIDING HARM REDUCTION SERVICES TO PHILADELPHIA AND THE SURROUNDING AREA. PENN MEDICINE HAS CONTINUED ITS PARTNERSHIP WITH THE ORGANIZATION, PROVIDING COUNSELING SERVICES, CASE MANAGEMENT, NEEDLE EXCHANGES, LEGAL SERVICES, AND OVERDOSE PREVENTION AND REVERSAL TRAINING. FACULTY AND RESIDENTS FROM THE PERELMAN SCHOOL OF MEDICINE'S DEPARTMENT OF FAMILY MEDICINE AND COMMUNITY HEALTH ARE PART OF THE CARE TEAM AT PPP AND HAVE CONTINUED TO PROVIDE CARE FOR INDIVIDUALS WITH SUBSTANCE USE DISORDERS. > PERINATAL RESOURCE FOR OPIOID USE DISORDER: THROUGH ITS PROUD INITIATIVE, PENN FAMILY CARE IN DOWNTOWN PHILADELPHIA PROVIDES COMPREHENSIVE, MULTIDISCIPLINARY CARE TO PATIENTS WITH A HISTORY OF OPIOID USE DISORDER DURING AND AFTER PREGNANCY. PATIENTS ARE SEEN IN DEDICATED SESSIONS BY PROVIDERS TRAINED IN MANAGING OPIOID USE DISORDERS AS WELL AS PRENATAL/INTRAPARTUM/POSTPARTUM CARE. THE PROUD TEAM ALSO INCLUDES CERTIFIED RECOVERY SPECIALISTS, A CLINICAL PHARMACIST, AN HIV AND VIRAL HEPATITIS SPECIALIST, AND ACCESS TO PSYCHIATRIC SERVICES. > MOBILE OVERDOSE SURGE BUS PROJECT IN COLLABORATION WITH PREVENTION POINT PHILADELPHIA AND THE PHILADELPHIA DEPARTMENT OF BEHAVIORAL HEALTH AND INTELLECTUAL DISABILITY SERVICES, EXPERT CAREGIVERS DELIVER SERVICES AND RESOURCES TO COMMUNITIES THAT ARE ESPECIALLY VULNERABLE TO OVERDOSE. THIS INCLUDES DISTRIBUTING NARCAN, DELIVERING TRAININGS ON HARM REDUCTION AND OVERDOSE REVERSAL, CASE MANAGEMENT, AND COVID-19 VACCINES, AMONG OTHER SERVICES. THE PROJECT PAIRS HARM REDUCTION SERVICES WITH MOBILE MOUD TREATMENT IN OVERDOSE "HOTSPOTS" IN PHILADELPHIA. MANY OF THESE PATIENTS ARE THEN REFERRED TO PENN MEDICINE PRIMARY CARE SITES FOR ONGOING TREATMENT, THUS CREATING A CRITICAL LINK FOR MANY PATIENTS WHO HAD NOT PREVIOUSLY ACCESSED CARE. > PHILLY RESPOND TO RAISE PUBLIC AWARENESS OF OVERDOSE PREVENTION, PERELMAN SCHOOL OF MEDICINE FACULTY, STAFF, AND STUDENTS PARTNERED WITH EXPERTS FROM PENN'S CENTER FOR PUBLIC HEALTH INITIATIVES AND THE PHILADELPHIA INQUIRER TO FORM PHILLY RESPOND, A PROJECT THAT USES COMMUNITY STORYTELLING, VISUAL IMAGES, AND DATA ANALYSIS TO SHIFT SOCIAL NORMS AND REDUCE THE STIGMA SURROUNDING SUBSTANCE USE DISORDERS. THE PROJECT'S MISSION IS TO REDUCE THE TOLL OF THE OVERDOSE CRISIS BY EMPOWERING PHILADELPHIA CITIZENS TO CARRY NALOXONE, A DRUG THAT CAN REVERSE AN OPIOID OVERDOSE. PHILLY RESPOND MAINTAINS A PUBLICLY AVAILABLE CALENDAR OF NALOXONE TRAININGS, MAINTAINS AN FAQ PAGE ON NALOXONE, AND PROVIDES INFORMATION ON WHERE TO GET NALOXONE. THE PROJECT ALSO FEATURES STORY SLAM, A SERIES OF STORYTELLING EVENTS WHERE PARTICIPANTS SHARE STORIES ABOUT THEIR PERSONAL EXPERIENCES WITH NALOXONE IN PHILADELPHIA, WITH THE GOAL OF ENCOURAGING PHILADELPHIANS TO BE PART OF THE COMMUNITY'S EFFORTS TO HALT OVERDOSE DEATHS IN THE CITY.
FORM 990, PART III, LINE 4A (CONTINUED)	> PENN MEDICINE OPIOID TASK FORCE: THE PENN MEDICINE OPIOID STEWARDSHIP TASK FORCE IS A HEALTH-SYSTEM WIDE INITIATIVE THAT AIMS TO SIGNIFICANTLY STANDARDIZE AND IMPROVE PATIENT CARE FOR ALL IRRESPECTIVE OF THEIR CULTURE OR BACKGROUND, REDUCE OPIOID-RELATED HARM TO PATIENTS, DECREASE RATES OF LEAVING AGAINST MEDICAL ADVICE (AMA) IN PATIENTS WITH OUD, AND REDUCE THE NUMBER OF UNUSED OPIOIDS IN THE COMMUNITY. > CENTER FOR OPIOID RECOVERY AND ENGAGEMENT: CORE PROVIDES COMPREHENSIVE PEER SUPPORT FOR INDIVIDUALS STRUGGLING WITH OPIOID USE, AS WELL AS THEIR LOVED ONES. THE CENTER'S MISSION IS TO SUPPORT ALL PATHWAYS TO RECOVERY AND REMOVE BARRIERS FOR PATIENTS THROUGHOUT THE PENN HEALTH SYSTEM. > SCHOOL OF MEDICINE ADDICTION MEDICINE FELLOWSHIP: THE PERELMAN SCHOOL OF MEDICINE'S DEPARTMENT OF FAMILY MEDICINE AND COMMUNITY HEALTH WAS APPROVED TO PROVIDE TRAINING FOR TWO FELLOWSHIP POSITIONS IN ADDICTION MEDICINE. TWO CLINICIANS WILL BE TRAINED ANNUALLY IN ONE-YEAR POSITIONS TO BECOME CLINICAL EXPERTS IN ADDICTION MEDICINE. THIS FELLOWSHIP WILL CREATE AN ADDICTION MEDICINE CONSULT SERVICE IN TO PROVIDE GUIDANCE TO CLINICIANS TREATING PATIENTS WITH SUBSTANCE USE DISORDER. THE FELLOWSHIP WILL ADD TO THE PIPELINE OF PROVIDERS WHO CAN PROVIDE CLINICAL ADDICTION SERVICES AND EDUCATION IN PHILADELPHIA. > CARE CONNECT WARM LINE THIS TELEHEALTH ADDICTION BRIDGE SERVICE IS AN INNOVATION DESIGNED TO IMPROVE SAME-DAY ACCESS TO TREATMENTS. THE PROJECT EMERGED FROM THE EARLY PHASES OF THE COVID-19 PANDEMIC, WHEN THE NEED FOR SAFER, REMOTE SOLUTIONS LIKE TELEHEALTH LED TO A SWIFT TRANSFORMATION OF MANY ASPECTS OF OUTPATIENT AND INPATIENT CARE. > PEER FELLOWSHIP PROGRAM FOR CERTIFIED RECOVERY SPECIALISTS (CRS): THE CRS IS AN IMPORTANT PROFESSIONAL IN ADDICTION AND RECOVERY CARE TEAMS. PENN MEDICINE PROVIDES TRAINING OPPORTUNITIES FOR CRS ON IMPROVING PATIENT TRANSITIONS FROM ACUTE CARE BACK INTO THE COMMUNITY. PRIORITY AREA #5: HEALTH CARE AND HEALTH RESOURCES NAVIGATION PENN MEDICINE RECOGNIZES THAT BARRIERS TO NAVIGATING THE HEALTH CARE SYSTEM CONTRIBUTE TO INEQUITIES AND POOR HEALTH OUTCOMES. COMMUNITY HEALTH WORKERS, SOCIAL WORKERS, CLINICIANS, STUDENTS, AND A HOST OF OTHER PENN MEDICINE PROFESSIONALS ARE HELPING PATIENTS MORE EASILY NAVIGATE THE SYSTEM. PENN MEDICINE IS A PART OF A REGIONAL COLLABORATIVE THAT INVESTS IN RESOURCE CONNECTS AND WORKS TOGETHER TO IMPROVE HEALTH CARE AND HEALTH RESOURCE NAVIGATION FOR PHILADELPHIA. THE BELOW PROGRAMS WORK TO LINK PATIENTS DIRECTLY TO HEALTH RESOURCES AND ASSISTANCE PROGRAMS, COORDINATING OFFICE VISITS, AND HEALTH RELATED SOCIAL NEED RESOURCES. > PENN CENTER FOR COMMUNITY HEALTH WORKERS (PCCHW): FOR MORE THAN A DECADE, THIS NATIONAL CENTER OF EXCELLENCE HAS CONDUCTED, APPLIED, AND DISSEMINATED IMPORTANT RESEARCH ON COMMUNITY HEALTH WORK AND COMMUNITY HEALTH WORKERS. THE CENTER'S CORNERSTONE INITIATIVE IS IMPACT, WHICH HELPS COMMUNITY HEALTH WORKERS STRIKE THE RIGHT BALANCE BETWEEN THE COMMUNITY AND CLINIC. COMMUNITY HEALTH WORKERS INTEGRATE WITH OTHER CARE TEAMS TO OPTIMIZE PROCESSES AROUND PATIENT REFERRALS, DATA INFRASTRUCTURE, TEAM INTERACTION, AND COMMUNICATION VIA THE ELECTRONIC MEDICAL RECORD. SKILLED IN SYSTEM NAVIGATION AND PROBLEM-SOLVING, COMMUNITY HEALTH WORKERS ASSIST CLIENTS WITH EVERYTHING FROM FINDING THE RIGHT CARE TO BATTLING EVICTION NOTICES. > PHMC PUBLIC HEALTH CAMPUS ON CEDAR ANCHORED BY THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA - CEDAR AVENUE, THE PHMC PUBLIC HEALTH CAMPUS ON CEDAR IS FOUNDED ON THE GUIDING PRINCIPLE OF PROVIDING HIGH-QUALITY, COMMUNITY-INFORMED, PATIENT-CENTERED HEALTH CARE AND SOCIAL SERVICES SUPPORTING THE NEEDS OF THE FACILITY'S WEST AND SOUTHWEST PHILADELPHIA NEIGHBORS. THE COALITION'S GOALS FOR THE PUBLIC HEALTH CAMPUS FOCUS ON HEALTH EQUITY AND AIM TO PROVIDE THE COMMUNITY WITH ACCESS TO PRIMARY AND BEHAVIORAL HEALTH CARE, EMERGENCY SERVICES, ACUTE CARE SERVICES, SUBSTANCE USE TREATMENT, AND OTHER SOCIAL SUPPORT SERVICES. PHMC PUBLIC HEALTH CAMPUS ON CEDAR IS A PARTNERSHIP CONSISTING OF PUBLIC HEALTH MANAGEMENT CORPORATION (PHMC) AS THE OWNER AND OPERATOR OF THE PROPERTY, WITH PENN MEDICINE MANAGING THE HOSPITAL EMERGENCY DEPARTMENT, INPATIENT SERVICES, AND HOSPITAL-BASED BEHAVIORAL HEALTH PROGRAMMING AS A REMOTE LOCATION FOR THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA (HUP), KNOWN AS HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA - CEDAR AVENUE. CHILDREN'S HOSPITAL OF PHILADELPHIA (CHOP) AND THE INDEPENDENCE BLUE CROSS FOUNDATION JOIN PHMC AND PENN MEDICINE AS COALITION PARTNERS FOR THE TRANSFORMATION. > COMMUNITY RESOURCE CONNECTS: WHEN PENNCHART'S HEALTH SCREENER IDENTIFIES SOMEONE WITH POTENTIALLY UNMET SOCIAL NEEDS, PENN MEDICINE TAKES ACTION, WORKING WITH HEALTH CARE PROVIDERS, COMMUNITY-BASED ORGANIZATIONS, THE PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH, AND ENTITIES LIKE FIND HELP, A CLOSED-LOOP REFERRAL NETWORK FOR SOCIAL SERVICES. PENN MEDICINE PROVIDERS AND STAFF CAN THEN CONNECT THE PATIENT WITH RESOURCES THAT CAN HELP THEM AFTER THEY LEAVE THE HOSPITAL. > SOCIAL NEEDS RESPONSE TEAM (SNRT): THIS PROGRAM WAS CREATED BY THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA'S DEPARTMENT OF SOCIAL WORK WITH SUPPORT FROM THE CENTER FOR HEALTH EQUITY ADVANCEMENT, IN ORDER TO ENSURE ALL PENN MEDICINE PATIENTS AND EMPLOYEES HAVE THE SUPPORT THEY NEED TO BE SAFE AND WELL. SNRT IS A VIRTUAL CALL CENTER ESTABLISHED IN APRIL 2020 THAT SUPPORTS PENN PATIENTS AND THE WIDER PHILADELPHIA COMMUNITY WITH ACCESS TO RESOURCES TO ADDRESS SOCIAL NEEDS. SNRT IS A CLINICAL SOCIAL WORKER-SUPERVISED VIRTUAL INTERDISCIPLINARY TEAM OF GRADUATE-LEVEL HEALTH PROFESSIONALS (MEDICINE, NURSING, SOCIAL WORK) WHO ADDRESS PATIENT SAFETY, DISTRESS, AND A MYRIAD OF OTHER UNMET SOCIAL NEEDS IN ORDER TO EFFECTIVELY MITIGATE THEIR COMPOUNDING NEGATIVE EFFECTS ON HEALTH. PENN MEDICINE WILL GROW THE SNRT WITH A FULL-TIME LICENSED CLINICAL SOCIAL WORKER TO OVERSEE THE GROWTH OF THE TEAM. > PENN MEDICINE CONTACT CENTER: THE PENN MEDICINE CONTACT CENTER (1-800-789-PENN) PROVIDES HEALTH SYSTEM NAVIGATION SERVICES TO NEW AND ESTABLISHED PATIENTS WHO ARE SEEKING CLINICAL CARE AT PENN MEDICINE. THE CONTACT CENTER EMPLOYS CUSTOMER SERVICE REPRESENTATIVES AND REGISTERED NURSES WHO ARE AVAILABLE MONDAY THROUGH FRIDAY TO THE GENERAL PUBLIC. CONTACT CENTER AGENTS ARE FAMILIAR WITH THE COMPLETE SCOPE OF PENN MEDICINE CLINICAL CARE, INCLUDING PHYSICIANS, DEPARTMENTS, PROGRAMS, CENTERS, SERVICES, AND LOCATIONS. AGENTS HELP CALLERS FIND AN APPROPRIATE HEALTH CARE PROVIDER BASED ON THE CALLER'S NEEDS, SYMPTOMS, OR DIAGNOSIS. ONCE APPROPRIATE CARE HAS BEEN IDENTIFIED, SCHEDULING SPECIALISTS HELP CALLERS SET UP THEIR APPOINTMENT. ANNUAL CONTACT CENTER VOLUME CURRENTLY AVERAGES APPROXIMATELY 800,000 CALLS. > GOVAXX PHILLY IS A TEAM CREATED WITH FUNDING THROUGH THE HEALTH RESOURCES AND SERVICES ADMINISTRATION AND SUPPORTED BY THE DEPARTMENT OF FAMILY MEDICINE AND COMMUNITY HEALTH TO BUILD COVID-19 VACCINE OUTREACH INFRASTRUCTURE. SPECIFICALLY, THIS TEAM OF OUTREACH AND EDUCATION AMBASSADORS PROVIDES CRITICAL PUBLIC HEALTH INFORMATION TO WEST AND SOUTHWEST PHILADELPHIA, WHICH ARE AMONG THE NEIGHBORHOODS HARDEST HIT BY COVID-19. THROUGH DOOR-TO-DOOR COMMUNITY OUTREACH, GOVAXX AND ITS AMBASSADORS PROVIDE LONGITUDINAL SUPPORT TO ADDRESS BARRIERS TO VACCINE ACCESS, VACCINE HESITANCY, ESTABLISHING TRUST, AND ACHIEVING HEALTH EQUITY. GIVEN RECENT DISEASE OUTBREAKS LIKE MONKEYPOX AND POLIO IN ADDITION TO COVID-19, PENN MEDICINE WILL SUPPORT AN EXPANDED SCOPE OF WORK FOR ITS VACCINE EDUCATION AND OUTREACH AMBASSADORS. > PUENTES DE SALUD WORKS TO IMPROVE THE HEALTH AND WELLNESS OF UNINSURED SPANISH SPEAKERS IN PHILADELPHIA THROUGH PROVISION OF CARE AND SOCIAL PROGRAMS. THE PROGRAM CONNECTS STUDENTS WITH PATIENTS WITH COMPLEX HEALTH NEEDS AND HELPS THEM NAVIGATE THE HEALTH CARE SYSTEM BY ASSISTING IT WITH FINDING APPROPRIATE CARE AND SCHEDULING APPOINTMENTS, AMONG OTHER SERVICES.
FORM 990, PART III, LINE 4A (CONTINUED)	PRIORITY AREA #6: RACISM AND DISCRIMINATION IN HEALTH CARE PENN MEDICINE IS COMMITTED TO ENSURING EQUITY AND ELIMINATING RACISM FOR ITS EMPLOYEES AND PATIENTS ALIKE. RACISM IS AN URGENT HEALTH CRISIS DRIVING POOR HEALTH OUTCOMES FOR BLACK AND BROWN COMMUNITIES. DISTRUST IN HEALTH CARE INSTITUTIONS AND PROVIDERS, AND SYSTEMIC RACISM WITHIN THESE SYSTEMS LEAD TO INCREASED MORTALITY. THERE ARE HUGE GAPS IN CARE AND CARE OUTCOMES FOR POORER COMMUNITIES OF COLOR WHEN COMPARED WITH MORE RESOURCED AREAS. IN THE CITY OF PHILADELPHIA'S 2020 HEALTH OF THE CITY REPORT, BLACK AND HISPANIC/LATINO COMMUNITIES WERE MORE LIKELY TO DESCRIBE THEIR HEALTH AS "FAIR"POOR" COMPARED TO THEIR WHITE COUNTERPARTS. THE DISPARITIES ARE WELL-DOCUMENTED AND ONLY WORSENED DURING THE COVID-19 PANDEMIC. DURING THE PANDEMIC, BLACK COMMUNITIES EXPERIENCED HIGHER RATES OF COVID-19 INFECTION, HOSPITALIZATION, AND MORTALITY. PENN MEDICINE IS COMMITTED TO ELIMINATING STRUCTURAL INJUSTICE ACROSS OUR ORGANIZATION AND THE COMMUNITIES WE SERVE TO ACHIEVE A VISION FOR THE FUTURE: PENN MEDICINE IS UNITED AS AN ANTI-RACIST, EQUITABLE, DIVERSE, AND INCLUSIVE ORGANIZATION. > DIVERSITY, EQUITY, AND INCLUSION FORUMS: THE ACTION FOR CULTURAL TRANSFORMATION (ACT) STRATEGY IDENTIFIED A NEED TO DESIGN FORUMS AT MULTIPLE LEVELS OF PENN MEDICINE DEDICATED TO DIVERSITY, EQUALITY, AND INCLUSION (DEI)-AND TO ENSURING EMPLOYEES AND LEADERS ARE ENGAGED IN DEI LEARNING AND DEEPENING UNDERSTANDING. THE FORUMS FOSTER ANTI-RACIST TRAINING, LEARNING MODULES INCLUDING THOSE PROVIDED TO NEW HIRES, PARTICIPATION IN SURVEYS AND TOWN HALLS, DEI GROUPS, AND OTHER RESOURCES LIKE BOOK CLUBS. > THE HUP CLINICAL NURSE MENTORSHIP PROGRAM PAIRS CLINICAL NURSES WITH HUP NURSE LEADERS IN A YEARLONG MENTORSHIP. LEADERS SEEK TO GUIDE AND SHAPE CLINICAL NURSE MENTEES BY PROVIDING INFORMATION, ADVICE, SUPPORT, AND IDEAS. AS PART OF THE PROGRAM, MENTORS AND MENTEES READ A LIST OF RECOMMENDED READINGS INCLUDE ARTICLES AIMED TO FOCUS ON CREATING DIVERSITY, EQUITY AND INCLUSIVITY. > PENN-CHOP ALLIANCE OF MINORITY PHYSICIANS BRINGS TOGETHER FACULTY, RESIDENTS, FELLOWS AND MEDICAL STUDENTS FROM ACROSS BOTH INSTITUTIONS FOR SOCIAL AND PROFESSIONAL NETWORKING AND CAREER DEVELOPMENT. INITIATIVES INCLUDE THE VISITING CLERKSHIP FOR URIM MEDICAL STUDENTS AS A PIPELINE PROGRAM FROM MEDICAL SCHOOL TO MEDICAL RESIDENCY, A MENTORSHIP PROGRAM, PROFESSIONAL DEVELOPMENT WORKSHOPS AND SOCIAL EVENTS. > ACTION FOR CULTURAL TRANSFORMATION (ACT) IS PENN MEDICINE'S STRATEGIC PLAN AND COMMITMENT TO ANTI-RACISM. ACT'S MISSION IS TO ELIMINATE STRUCTURAL INJUSTICE ACROSS PENN MEDICINE AND THE COMMUNITIES IT SERVES. ACT'S STRATEGIC PRIORITIES SPAN ALL INSTITUTIONAL FUNCTIONS AND TOUCHPOINTS, INCLUDING CLINICAL CARE, RESEARCH, EDUCATION, COMMUNITY, CULTURE, AND PEOPLE. SINCE ACT'S CREATION IN 2020, MORE THAN 5,500 VOICES IN A STRATEGIC PLANNING PROCESS PRODUCED A STRATEGIC ROADMAP, GOVERNANCE, AND INFRASTRUCTURE. PARTICIPANTS IDENTIFIED 71 'JUST DO ITS,IMMEDIATE ACTION STEPS TO ADDRESS SYSTEMIC ISSUES OF BIAS AND DISCRIMINATION. SINCE 2020, ACT HAS ENGAGED 44,000 EMPLOYEES, STUDENTS, FACULTY, AND TRAINEES IN UNCONSCIOUS BIAS EDUCATION. > LIFT EVERY VOICE IS AN ANONYMOUS DIGITAL PLATFORM DESIGNED TO COLLECT EXPERIENCES AND OBSERVATIONS OF RACISM IN THE HEALTH CARE WORKPLACE AND PROVIDE LEADERS WITH THE ON-THE-GROUND INFORMATION THEY NEED TO DISMANTLE RACISM. LIFT EVERY VOICE ALSO LEVERAGES THE POWER OF STORIES TO SPARK CONVERSATION. PENN MEDICINE STAFF SUBMIT STORIES TO THE PLATFORM, WHICH ARE THEN REVIEWED, ILLUSTRATED, AND POSTED PUBLICLY. DEPARTMENTAL LEADERS REGULARLY REVIEW SUBMISSIONS AND DEVELOP ACTION PLANS. SPECIAL SECTION: ADDRESSING MATERNAL MORTALITY WITHIN RACISM AND DISCRIMINATION IN HEALTH CARE FOR YEARS, PENN MEDICINE HAS BEEN TAKING BOLD STEPS TO BETTER UNDERSTAND AND REDUCE MATERNAL MORTALITY. AS MATERNAL MORTALITY WAS IDENTIFIED AS A COMMUNITY HEALTH PRIORITY IN THE PREVIOUS CHNA, IT REMAINS AN IMPORTANT PART OF OUR EFFORTS TO TACKLE RACISM AND DISCRIMINATION ACROSS THE ENTIRE HEALTH CARE ENTERPRISE-ONE OF PENN MEDICINE'S HEALTH PRIORITIES. THE DEATH OF A NEW OR EXPECTANT MOTHER BECAUSE OF COMPLICATIONS RELATED TO PREGNANCY OR CHILDBIRTH IS ONE OF THE GREATEST TRAGEDIES A FAMILY AND A COMMUNITY CAN FACE. IN PHILADELPHIA AS IN MUCH OF THE REST OF THE COUNTRY, THESE DEVASTATING EVENTS AFFECT BLACK WOMEN AND NEIGHBORHOODS OF COLOR MOST ACUTELY. A STUDY FROM THE CITY OF PHILADELPHIA'S MATERNAL MORTALITY REVIEW COMMITTEE, WHICH ANALYZED 110 PREGNANCY-ASSOCIATED DEATHS, FOUND THAT 73 PERCENT OF THESE DEATHS OCCURRED AMONG BLACK WOMEN, EVEN AS BLACK WOMEN ACCOUNTED FOR LESS THAN HALF OF ALL LIVE BIRTHS. BLACK WOMEN ALSO ARE MORE LIKELY THAN THEIR WHITE COUNTERPARTS TO EXPERIENCE POSTPARTUM HEMORRHAGING, WHICH CAN REQUIRE BLOOD TRANSFUSIONS OR EVEN A HYSTERECTOMY TO CONTROL. AS PART OF A MULTI-STEP APPROACH TO ADDRESSING THIS PRIORITY, PENN MEDICINE SET AMBITIOUS SYSTEM-WIDE HEALTH EQUITY GOALS AND UNDERTAKING EFFORTS TO ENSURE OUR PEOPLE ARE ACCOUNTABLE AND EMPOWERED TO HELP WOMEN IN NEED AND REDUCE MATERNAL MORTALITY AND PREGNANCY COMPLICATIONS IN PHILADELPHIA. WE ARE ACHIEVING IMPORTANT CLINICAL BREAKTHROUGHS, CARING FOR PREGNANT WOMEN ACROSS THE CITY REGARDLESS OF THEIR ABILITY TO PAY, AND TYING EXECUTIVE COMPENSATION TO PROGRESS ON MATERNAL MORTALITY AND SERIOUS COMPLICATIONS. PRIORITY AREA #7: FOOD ACCESS FOOD SECURITY IS DEFINED AS HAVING RELIABLE ACCESS TO ENOUGH AFFORDABLE, NUTRITIOUS FOOD. FOOD INSECURITY OCCURS WHEN COMMUNITIES EXPERIENCE CHALLENGES OBTAINING ENOUGH FOOD. THE FINANCIAL CHALLENGES BROUGHT ON BY THE COVID-19 PANDEMIC HAVE LED TO HIGHER RATES OF FOOD INSECURITY ACROSS THE PENN MEDICINE SERVICE AREA-AND, BY EXTENSION, A GREATER NEED FOR FOOD ASSISTANCE. NEARLY A QUARTER OF PHILADELPHIA HOUSEHOLDS RECEIVE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) BENEFITS. BLACK, HISPANIC/LATINO, AND IMMIGRANT COMMUNITIES, AS WELL AS OLDER ADULTS, ARE ALL DISPROPORTIONATELY AFFECTED BY FOOD INSECURITY. THROUGH FOOD PANTRIES, COMMUNITY EDUCATION, AND ITS OWN NUTRITION POLICIES, PENN MEDICINE IS PUSHING TO ADDRESS FOOD SECURITY WITHIN PHILADELPHIA AND SERVING AS A POSITIVE EXAMPLE FOR HEALTHY BEHAVIORS. > THE AGASTON URBAN NUTRITION INITIATIVE WAS CREATED TO HELP BUILD AND SUSTAIN HEALTHY COMMUNITIES IN WEST PHILADELPHIA. THE INITIATIVE STRIVES TO PROMOTE AND FACILITATE GOOD NUTRITION AND EXERCISE PRACTICES AND WORKS CLOSELY WITH PENN MEDICINE'S STUDENT-RUN HEALTH CLINICS AND HUP CEDAR'S FEDERALLY QUALIFIED HEALTH CENTER. OTHER PARTNERS INCLUDE PENN FARM AS PART OF THE PENN FOOD AND WELLNESS COLLABORATIVE. > HUP HARVEST (FORMERLY HUP FOOD PANTRY) BEGAN IN MAY 2020, SHORTLY AFTER THE ONSET OF THE COVID-19 PANDEMIC. CREATED AND LED BY HUP NURSING STAFF, AND WITH GUIDANCE FROM HOSPITAL NUTRITION PROFESSIONALS, PANTRY VOLUNTEERS ASSEMBLE BAGS OF FOOD TO FEED A FAMILY OF FOUR FOR A DAY. BAGS ARE DISTRIBUTED EVERY WEDNESDAY. MANY RECIPIENTS ARE PENN MEDICINE EMPLOYEES, WHO MAY RECEIVE ONE BAG OF FOOD WITH NO QUESTIONS ASKED. HUP FOOD PANTRY PARTNERS WITH PHILABUNDANCE TO RECEIVE A MINIMUM OF 500 POUNDS OF FOOD EACH WEEK. THE PROGRAM HAS SINCE EXPANDED, OFFERING BAGS OF FOOD TO FOOD-INSECURE, DIABETIC PRENATAL AND POSTPARTUM PATIENTS AT PENN'S HELEN O. DICKENS CENTER FOR WOMEN'S HEALTH. LEADERS HAVE ALSO WORKED TO EXPAND HUP HARVEST TO HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA - CEDAR AVENUE. > HUNGRY HARVEST IS A COMMUNITY-BASED ORGANIZATION THAT "RESCUES" FRESH PRODUCE THAT OTHERWISE WOULD HAVE BEEN FARM WASTE AND DISTRIBUTES IT TO INDIVIDUALS AND FAMILIES IN NEED. CURRENTLY HUNGRY HARVEST BRINGS FRESH FRUIT AND PRODUCE BOXES TO FOOD-INSECURE POSTPARTUM PATIENTS AT THE DICKENS CENTER FOR WOMEN'S HEALTH. > CHOSEN 300 DISTRIBUTES HOT, NUTRITIOUS MEALS SIX DAYS PER WEEK AT THREE PHILADELPHIA LOCATIONS. PENN MEDICINE SUPPORTS THE ORGANIZATION BY DONATING $6,000 PER YEAR AND COORDINATING DINNER SERVICE AT THE ORGANIZATION'S WEST PHILADELPHIA LOCATION ON THE FIRST MONDAY OF EACH MONTH AND AT THE SPRING GARDEN LOCATION EVERY WEDNESDAY. BLOOD PRESSURE SCREENINGS ARE OFFERED ON NIGHTS OF SERVICE, ALONG WITH INFORMATION ON HOW AND WHERE TO ACCESS PRIMARY CARE, INCLUDING WITHIN THE PENN MEDICINE SYSTEM. > HALL MERCER FOOD PANTRY IS A NON-PERISHABLE FOOD PANTRY ESTABLISHED EIGHT YEARS AGO TO SERVE PENNSYLVANIA HOSPITAL PATIENTS AND, STARTING IN 2020, ITS EMPLOYEES. THE PANTRY WAS ESTABLISHED AND IS MAINTAINED BY TWO EMPLOYEES: DONNA CAMPO AND MAUREEN DECARLO. PATIENTS ARE REFERRED TO PANTRY THROUGH CASE MANAGERS, WHO WORK WITH THE INDIVIDUAL TO IMPROVE HIS OR HER FOOD SECURITY.
FORM 990, PART III, LINE 4A (CONTINUED)	> FOLLOWING A MAJOR INITIATIVE OF THE PENNSYLVANIA DEPARTMENT OF HEALTH, PENN MEDICINE MADE SEVERAL INSTITUTIONAL CHANGES AIMED AT TRANSFORMING ITS HOSPITAL FOOD ENVIRONMENTS BY LAUNCHING THE GOOD FOOD, HEALTHY HOSPITAL INITIATIVE: POLICY AND OPERATIONAL CHANGES INCLUDE: - REMOVAL OF ALL SUGAR-SWEETENED BEVERAGES FROM VENDING MACHINES. - VENDING MACHINE POLICIES HAVE BEEN UPDATED TO REFLECT NEW HEALTH REQUIREMENTS AND OFFER HEALTHIER SNACK OPTIONS. - CATERING SERVICES POLICY CONTAINS HEALTHY RECOMMENDATIONS AND SUGAR-FREE BEVERAGE RULES. > FOOD ACCESS SUPPORT TECHNOLOGY (FAST) APP IS A CENTRALIZED ONLINE PLATFORM CONNECTING FOOD-INSECURE PATIENTS WITH PANTRIES AND OTHER COMMUNITY RESOURCES. CREATED BY THE PENN MEDICINE CENTER FOR HEALTH EQUITY AND ADVANCEMENT, THE FAST APP HAS BEEN ADOPTED BY OTHER LOCAL ORGANIZATIONS INCLUDING ANOTHER HEALTH SYSTEM. PRIORITY AREA #8: CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES ACCORDING TO CENSUS DATA, NEARLY 10% OF PHILADELPHIAN'S SPEAK ENGLISH LESS THAN "VERY WELL." IN THE PENN MEDICINE SERVICE REGION, THIS RANGES FROM 5% TO 14% OF THE POPULATION. MANY OF THESE ARE ENGLISH LANGUAGE LEARNERS WITH VARYING DEGREES OF ENGLISH PROFICIENCY. THERE IS A NEED IN PHILADELPHIA FOR HIGH-QUALITY, WIDELY AVAILABLE ORAL AND WRITTEN TRANSLATIONS, INCLUDING INTERPRETATION SERVICES. IN HEALTH CARE SETTING, LANGUAGE SERVICES STRENGTHEN ACCESS TO CARE AND THE QUALITY OF THAT CARE, AS EFFECTIVE CLINICIAN-PATIENT COMMUNICATION IS CRITICAL FOR SUCCESS. BEYOND LANGUAGE, PATIENTS' IDENTITIES, CULTURAL AND RELIGIOUS NORMS ALSO INFLUENCE INDIVIDUAL BELIEFS ABOUT HEALTH AS WELL AS EXPERIENCES IN THE HEALTH CARE SYSTEM. PENN MEDICINE IS WORKING TO ENSURE EVERY PATIENT WHO WALKS THROUGH PENN MEDICINE'S DOORS RECEIVES CARE IN A CULTURALLY RESPONSIVE WAY THAT INCLUDES AND VALUES ALL ASPECTS OF A PATIENT'S IDENTITY, EXPERIENCES AND BACKGROUND. > MY ACCESSIBLE REAL-TIME TRUSTED INTERPRETER (MARTTI): CLINICIANS AND STAFF ACROSS PENN MEDICINE ARE ABLE TO USE MARTTI UNITS FOR QUICK AND EFFECTIVE INTERPRETATION IN A RANGE OF LANGUAGES. THE EASY-TO-USE MOBILE TABLETS ARE HIPPA-APPROVED AND CREATE A VIRTUAL CONNECTION BETWEEN PATIENTS AND CERTIFIED MEDICAL INTERPRETERS. ALONG WITH NON-NATIVE ENGLISH SPEAKERS, MARTTI CAN SERVE THE NEEDS OF PEOPLE WHO ARE DEAF AND HARD OF HEARING. SPANISH, ARABIC, AMERICAN SIGN LANGUAGE, AND RUSSIAN-FOUR OF THE MOST COMMONLY SPOKEN NON-ENGLISH LANGUAGES AMONG HOSPITAL PATIENTS-ARE READILY AVAILABLE, BUT USERS CAN ACCESS A NUMBER OF OTHER LANGUAGES THROUGH THE TOOL. > THE REFUGEE CLINIC AT PENN PRESBYTERIAN MEDICAL CENTER PROVIDES INITIAL HEALTH ASSESSMENTS FOR REFUGEES UPON ARRIVAL TO THE CITY, AS WELL AS FOLLOW-UP HEALTH SERVICES FOR WOMEN'S HEALTH CARE. THE CLINIC PROVIDES CULTURALLY SENSITIVE CARE BY PARTNERING WITH REFUGEE RESETTLEMENT AGENCIES, TRANSLATORS, AND PHYSICIANS' FAMILIAR WITH REFUGEE HEALTH. > THE LGBTQ HEALTH PROGRAM IS PENN MEDICINE'S PROGRAM TO SUPPORT ACCESS TO CARE, QUALITY OF CARE AND PATIENT EXPERIENCE FOR LGBTQ+ PATIENTS ACROSS THE SYSTEM. CARE IS DELIVERED BY COMPASSIONATE AND SKILLED PROVIDERS ACROSS THE HEALTH SYSTEM WHO OFFER CULTURALLY COMPETENT CARE IN A JUDGMENT-FREE SETTING. THE PROGRAM ALSO WORKS TO SUPPORT CHANGE TO POLICIES, WORKFLOWS AND OPERATIONS TO AFFIRM LGBTQ+ PEOPLE. THE PROGRAM ALSO RUNS THE TRANSGENDER PATIENT ADVOCATE PROGRAM WHICH CONNECTS PATIENTS IDENTIFYING ANYWHERE ALONG THE TRANSGENDER SPECTRUM TO FACILITATE OUTPATIENT OR SPECIALTY CARE AT PENN MEDICINE. ADVOCATES HELP PEOPLE FIND APPROPRIATE PROVIDERS, MAKE IT TO APPOINTMENTS, AND COMMUNICATE GENDER IDENTITY AND PRONOUNS IN USE TO STAFF AND PROVIDERS. > PENN MEDICINE PASTORAL CARE AND EDUCATION: AVAILABLE AT ALL DOWNTOWN HOSPITALS, PASTORAL CARE IS AN IMPORTANT PART OF PENN MEDICINE'S HEALING MISSION. CHAPLAINS, AS A VALUED PART OF THE HEALTH CARE TEAM, HELP PATIENTS DRAW UPON SPIRITUAL RESOURCES, VALUES, AND TRADITIONS TO COPE WITH ILLNESS AND TRAGEDY. CARE IS CULTURALLY COMPETENT, FOLLOWING AN INTERFAITH MODEL AND RESPECTING THE FULL RANGE OF PATIENT FAITHS AND SPIRITUAL EXPRESSIONS. PENN MEDICINE PASTORAL CARE AND EDUCATION IS NATIONALLY ACCREDITED THROUGH ACPE, AN ORGANIZATION PROVIDING THE HIGHEST QUALITY CLINICAL PASTORAL EDUCATION PROGRAMS FOR SPIRITUAL CARE PROFESSIONALS OF ANY FAITH AND IN ANY SETTING. > PENN MEDICINE DIETARY SERVICES PROVIDES CUSTOM DIETARY OPTIONS THAT RESPECT RELIGIOUS AND CULTURAL DIVERSITY. THIS INCLUDES KOSHER, HALAL, VEGETARIAN, AND OTHER OPTIONS, ALL OF WHICH ARE AVAILABLE UPON REQUEST. PRIORITY AREA #9: COMMUNITY VIOLENCE THERE IS AN EPIDEMIC IN THE PHILADELPHIA COMMUNITY AND THE STATISTICS ARE UNPRECEDENTED. VIOLENT INJURY AND HOMICIDE RATES DISPROPORTIONATELY IMPACT THE NEIGHBORHOODS AND COMMUNITIES PENN MEDICINE SERVES. IN A SINGLE YEAR (2022), PHILADELPHIA LOST 516 PEOPLE TO GUN VIOLENCE. FIREARM HOMICIDE IS THE LEADING CAUSE OF DEATH FOR BLACK MEN AGES 15-43 AND HISPANIC/LATINO MEN AGES 15-31. RISING RATES OF VIOLENCE AFFECT INDIVIDUALS, FAMILIES, COMMUNITIES, HEALTH SYSTEMS, AND OUR CITY AS A WHOLE. DIRECT AND INDIRECT EXPOSURE TO VIOLENCE CONTRIBUTES TO DEPRESSION, ANXIETY, PTSD, SUICIDE, ABUSE, AND NEGLECT. MANY SURVIVORS OF VIOLENCE ENCOUNTER BARRIERS TO FOLLOW UP CARE AND RECOVERY. WITHOUT SOMEONE TO HELP NAVIGATE, THE LABYRINTH OF SYSTEMS CAN SEEM AN IMPOSSIBLE HURDLE. WE UNDERSTAND THAT WE MUST COLLABORATE WITH THE COMMUNITIES WE SERVE TO PREVENT VIOLENT INJURY IN THE FIRST PLACE. BECAUSE THE ROOT CAUSES OF VIOLENCE INCLUDE STRUCTURAL RACISM AND SYSTEMATIC UNDERINVESTMENT IN COMMUNITIES OF COLOR, THE ECONOMIC IMPACT OF PENN MEDICINE AS AN EMPLOYER AND AN ANCHOR INSTITUTION IS ESSENTIAL. WE MUST ALSO EXPAND OUR COLLABORATIONS WITH THE COMMUNITY-BASED ORGANIZATIONS THAT ARE USING EVIDENCE-BASED STRATEGIES TO INTERRUPT VIOLENCE AND TO IMPROVE ENVIRONMENTAL CONDITIONS TO PREVENT VIOLENCE. > AS A LEVEL 1 TRAUMA CENTER, PENN PRESBYTERIAN MEDICAL CENTER TREATS OVER 3,000 INJURED PATIENTS ANNUALLY. APPROXIMATELY 33% ARE THE VICTIMS OF INTERPERSONAL VIOLENCE. IN ADDITION TO CONTINUING TO PROVIDE THE HIGHEST LEVEL OF ACUTE CARE FOR INJURED INDIVIDUALS, THE MISSION OF PENN MEDICINE INCLUDES BOTH SUPPORTING HOLISTIC HEALING OF THOSE INJURED THROUGH VIOLENCE AND PREVENTING VIOLENT INJURY IN THE FIRST PLACE. TO IMPROVE HEALING FROM VIOLENCE PENN MEDICINE HAS THE OPPORTUNITY TO MAKE MENTAL HEALTH CARE READILY AVAILABLE TO SURVIVORS OF VIOLENT INJURY AND TO MEMBERS OF COMMUNITIES DISPROPORTIONATELY AFFECTED BY VIOLENCE. HOSPITAL-BASED VIOLENCE INTERVENTION PROGRAMS (HVIPS) PROVIDE ESSENTIAL RESOURCES TO RECOVERING PATIENTS, BUT OFTEN STRUGGLE TO REACH PATIENTS IN NEED DUE TO LIMITED FUNDING OPPORTUNITIES. PENN MEDICINE CAN DIRECTLY SUPPORT THESE ESSENTIAL SERVICES AND CAN ALSO ADVOCATE FOR SUSTAINABLE SOURCES OF FUNDING AT THE MUNICIPAL, STATE, AND FEDERAL LEVEL. THE NEED TO SUPPORT OUR COMMUNITIES IS EVIDENT. HOWEVER, WE SHOULD NOT FORGET THAT THE COMMUNITY ALSO INCLUDES THOSE WHO WORK WITHIN PENN MEDICINE. BY ADDING ADDITIONAL LAYERS OF SUPPORT BOTH INTERNALLY AND EXTERNALLY, WE CAN MAKE A REAL DIFFERENCE. > PENN TRAUMA VIOLENCE RECOVERY PROGRAM: THE PENN TRAUMA VIOLENCE RECOVERY PROGRAM AIMS TO ACCELERATE AND OPTIMIZE HOLISTIC RECOVERY FROM VIOLENT INJURY. HOSPITAL-BASED VIOLENCE INTERVENTION PROGRAMS ARE MULTIDISCIPLINARY COLLABORATIONS BETWEEN CLINICAL TEAMS, COMMUNITY ORGANIZATIONS, AND TRAINED VIOLENCE PREVENTION PROFESSIONALS WHO BUILD CONNECTIONS WITH INJURED PATIENTS, PROVIDE PSYCHOSOCIAL SUPPORT, AND HELP PATIENTS NAVIGATE THE HEALTHCARE AND SOCIAL SERVICES LANDSCAPES. TWO DECADES OF EVIDENCE SHOW THAT THESE PROGRAMS CAN IMPROVE OUTCOMES, PREVENT RE-INJURY, AND SAVE COSTS. OUR NEW PROGRAM BEGAN ENROLLING PATIENTS IN AUGUST 2021, AND HAS BEEN VERY WELL RECEIVED. THIS PROGRAM WORKS TO CONNECT INDIVIDUALS AT RISK FOR INVOLVEMENT WITH VIOLENCE TO KEY RESOURCES AND SUPPORTS. THIS INTERVENTION ALSO HELPS THESE VICTIMS BETTER MANAGE THEIR HEALTH, WORK, HOUSING, AND OTHER BARRIERS. THIS GRANT-FUNDED PROGRAM IS SUPPORTED BY THE PENNSYLVANIA COMMISSION ON CRIME AND DELINQUENCY (PCCD) AND THE PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH. THE TRAUMA PROGRAM ALSO RECEIVED SMALL GRANTS TO FUND TRAUMA INJURY PREVENTION PROGRAMING WHICH INCLUDED EDUCATING THE PUBLIC ON SAFE GUN HANDLING AND IN SOME CASES PROVIDED GUN LOCKS TO PROMOTE SAFE STORAGE.
FORM 990, PART III, LINE 4A (CONTINUED)	> PENN COMMUNITY VIOLENCE PREVENTION PROGRAM: PRIMARILY GRANT FUNDED BY PCCD, THIS NEW PROGRAM AIMS TO DEVELOP A COLLECTIVE IMPACT PARTNERSHIP TO SUPPORT COMMUNITY-ENGAGED, EVIDENCE-BASED VIOLENCE PREVENTION IN WEST/SOUTHWEST PHILADELPHIA. TO DO THIS, WE WILL CONVENE A NETWORK OF STAKEHOLDERS IN THE PHIGHT NETWORK (PHILADELPHIA'S HUB TO REDUCE INTERPERSONAL VIOLENCE, GUN VIOLENCE, HOMICIDE AND TRAUMA) TO PROVIDE WRAP AROUND SERVICES; IDENTIFY A COHORT OF 40-65 ADULT AND YOUNG ADULTS AT HIGHEST RISK FOR FUTURE INVOLVEMENT IN GUN VIOLENCE FOR FOCUSED INTERVENTION;AND IMPLEMENT AND EVALUATE TRAUMA-INFORMED VIOLENCE INTERRUPTION SERVICES AND TAILORED SUPPORT FROM COMMUNITY-BASED ORGANIZATIONS INCLUDING SHORT AND LONG-TERM CONFLICT RESOLUTION AND TAILORED SUPPORT. THIS IS A COMMUNITY-RELEVANT EXPANSION AND ADAPTATION OF THE GLOBAL CURE VIOLENCE MODEL. > STOP THE BLEED (STB) TEACHES COMMUNITY MEMBERS, INCLUDING TEACHERS AND YOUTH, TO ADMINISTER HEMORRHAGE CONTROL. RESIDENTS WITH NO FORMAL TRAINING LEARN TO APPLY PRESSURE TO WOUNDS-AND MAYBE SAVE A LIFE-UNTIL FIRST RESPONDERS ARRIVE. MAKING THESE PROGRAMS, INCLUDING EQUIPMENT FOR EDUCATION AND DISTRIBUTION, MORE READILY AVAILABLE, EVEN EXPANDING INTO SCHOOLS, HELP INCREASE THE SAFETY AND PREPAREDNESS OF UNDER-RESOURCED COMMUNITIES. SINCE JANUARY 2023, PENN TRAUMA HAS TRAINED 576 INDIVIDUALS IN STB; 240 OF THESE PARTICIPANTS ARE NOW INSTRUCTORS THEMSELVES. 245 CLASS PARTICIPANTS RECEIVED EITHER FULL BLEEDING CONTROL KITS OR TOURNIQUETS. ADDITIONAL 393 RECEIVED HANDS ON SKILLS ONLY AT A TABLING EVENT. > PENN INJURY SCIENCE CENTER (PISC): FUNDED BY A GRANT FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION, THE PENN INJURY SCIENCE CENTER BRINGS TOGETHER UNIVERSITY, COMMUNITY, AND GOVERNMENT PARTNERS TO DEVELOP INTERVENTION PROGRAMS FOR INJURIES AND VIOLENCE. THE CENTER PROMOTES AND PERFORMS THE HIGHEST-QUALITY RESEARCH, TRAINING, AND TRANSLATION OF SCIENTIFIC DISCOVERIES INTO PRACTICE AND POLICY FOR PEOPLE IN PHILADELPHIA AND AROUND THE WORLD. > ADMINISTRATORS FOR PENN MEDICINE CARES GRANT UNDERSTAND THE DEVASTATING IMPACT OF VIOLENCE ON COMMUNITIES. CONTINUING FROM FISCAL YEAR 2022, THE HIGHEST PRIORITY WAS GIVEN TO PROJECTS THAT AIMED TO CURB VIOLENCE WITHIN PHILADELPHIA. PROJECTS THAT IMPROVED NEIGHBORHOOD REC CENTERS, GREENED VACANT LOTS AND OUTSIDE COMMUNITY SPACES, AND MENTORED AND ENGAGED YOUTH AFTER SCHOOL AND ON WEEKENDS WERE FUNDED. PRIORITY AREAS #10 & #12: HOUSING & NEIGHBORHOOD CONDITIONS SAFE, STABLE HOUSING AND LIVABLE NEIGHBORHOODS ARE INDISPENSABLE TO PHYSICAL AND MENTAL HEALTH AND WELL-BEING. ACCORDING TO A 2020 STUDY FROM PEW CHARITABLE TRUSTS, 40 PERCENT OF PHILADELPHIA RESIDENTS REPORTED DIFFICULTY PAYING THEIR MORTGAGE OR RENT. CITYWIDE, 54 PERCENT OF RENTERS ARE COST-BURDENED, MEANING THEY SPEND MORE THAN 30 PERCENT OF THEIR INCOME ON HOUSING. AMONG RESIDENTS EARNING LESS THAN $30,000 PER YEAR, THAT FIGURE JUMPS TO 88 PERCENT, WITH WEST, SOUTHWEST, AND NORTH PHILADELPHIA HAVING PARTICULARLY HIGH RATES OF HOUSING COST BURDEN. FURTHER, ACCESS TO OUTDOOR GREENSPACES AND RECREATION AREAS LIKE PARKS AND TRAILS HAVE BEEN SHOWN TO IMPROVE PHYSICAL AND MENTAL HEALTH. BUT THESE AMENITIES ARE LESS FAMILIAR IN HIGH-POVERTY AREAS, WHERE ABANDONED HOMES AND VACANT LOTS ARE MORE THE NORM. NEIGHBORHOOD BLIGHT HAS BEEN LINKED TO INCREASED COMMUNITY VIOLENCE, WHICH IN TURN HAS A NEGATIVE IMPACT ON PHYSICAL ACTIVITY AS YOUTH AVOID GOING OUTSIDE TO EXERCISE DUE TO FEARS OF VIOLENCE. WITH ITS WIDE BREADTH OF PROGRAMS TO IMPROVE HOUSING AND MAKE NEIGHBORHOODS MORE LIVABLE, PENN MEDICINE HAS COMMITTED SIGNIFICANT INVESTMENT OVER THE NEXT THREE YEARS TO IMPROVE QUALITY OF LIFE ACROSS THE CITY AND MEET THESE PRESSING AND COMPLEX PROBLEMS HEAD ON. > DEEPLY ROOTED IS A COMMUNITY-ACADEMIC COLLABORATIVE LED BY PENN URBAN HEALTH LAB THAT USES THE HEALING POWER OF NATURE TO PROMOTE HEALTH AND WELL-BEING IN BLACK AND OTHER MINORITY PHILADELPHIA NEIGHBORHOODS. THE COLLABORATION IS FORGED BETWEEN HEALTH SYSTEMS, NON-PROFITS, AND COMMUNITY GROUPS AND IS DRIVEN BY A $6 MILLION INVESTMENT FROM PENN MEDICINE AND CHOP. AMONG ITS FUNCTIONS, DEEPLY ROOTED: - EMPOWER COMMUNITIES TO CREATE NEW GREEN SPACE INCLUDING PLANTING TREES, GREENING VACANT LOTS, AND BUILDING COMMUNITY GARDENS AND MINI PARKS. - PROVIDES GRANTS TO COMMUNITY ORGANIZATIONS AND RESIDENTS TO PUT ON EVENTS AND RUN ACTIVITIES IN PARKS AND OTHER GREENSPACES. - CREATES CAREER DEVELOPMENT OPPORTUNITIES FOR YOUTH, FORMERLY INCARCERATED CITIZENS, AND OTHER COMMUNITY MEMBERS THROUGH LEADERSHIP AND NATURE-BASED JOB TRAINING. - ADVOCATES FOR POLICIES AND INVESTMENTS THAT PROMOTE ENVIRONMENTAL JUSTICE IN PHILADELPHIA'S NEIGHBORHOODS. > CENTER FOR EXCELLENCE IN ENVIRONMENTAL TOXICOLOGY (CEET): THE CEET IS A REGIONAL RESOURCE AND THE ONLY ENVIRONMENTAL HEALTH SCIENCES CORE CENTER IN PENNSYLVANIA, THOUGH IT ALSO SERVES DELAWARE, MARYLAND, VIRGINIA, WEST VIRGINIA, AND WASHINGTON, DC. THE CENTER WORKS DIRECTLY WITH COMMUNITIES TO IDENTIFY ENVIRONMENTAL HEALTH QUESTIONS AND CONCERNS, THEN MOBILIZES ITS RESEARCH EXPERTISE TO RESOLVE THOSE QUESTIONS. ONE COMMON AND IMPORTANT THEME IN THE CENTER'S WORK IS AIR POLLUTION AND LUNG HEALTH. CEET TEAM MEMBERS ARE ALWAYS TAKING ACTION IN THIS AREA. FOR EXAMPLE, THE CENTER WORKED WITH DAY-CARE FACILITIES IN PHILADELPHIA COMMUNITIES TO DECREASE AIR POLLUTION EXPOSURE BY MAPPING THE RELEASES OF AIRBORNE TOXINS WITH AIR MANAGEMENT SERVICES PROFESSIONALS. TO FURTHER CEET IMPACT, PENN MEDICINE'S OFFICE OF GOVERNMENT AND COMMUNITY RELATIONS SUPPORT ADVOCACY EFFORT WITH LOCAL, STATE AND FEDERAL REGULATORS AND LEGISLATORS. PRIORITY AREA #11: SOCIOECONOMIC DISADVANTAGE PENN MEDICINE RECOGNIZES THAT PEOPLE LIVING AT OR NEAR THE POVERTY LINE FACE POOR HEALTH OUTCOMES. POVERTY RATES ARE NEARLY FOUR TIMES HIGHER IN PHILADELPHIA THAN ITS NEIGHBORING SUBURBS, ALTHOUGH POCKETS OF POVERTY EXIST ACROSS ALL FIVE COUNTIES IN THE PENN MEDICINE SERVICE AREA. RATES IN WEST AND SOUTHWEST PHILADELPHIA, WHICH COMPRISE PENN MEDICINE'S PRIMARY SERVICE AREA, ARE 32.8% AND 29.6% RESPECTIVELY - SIGNIFICANTLY EVEN HIGHER THAN THE CITY'S 23.1%. AS A LEADING EMPLOYER AND ACADEMIC MEDICAL AND RESEARCH INSTITUTION, PENN MEDICINE IS COMMITTED TO ELIMINATING ECONOMIC INJUSTICE AND INEQUITY ACROSS OUR ORGANIZATION AND THE COMMUNITIES WE SERVE THROUGH EDUCATION, SUSTAINABLE EMPLOYMENT, ECONOMIC INCLUSION, AND EFFICIENT PATHWAYS TO RESOURCES. > BRIDGING THE GAPS (BTG) LINKS THE PROVISION OF HEALTH-RELATED SERVICE FOR UNDER-RESOURCES COMMUNITIES WITH THE INTER-PROFESSIONAL TRAINING OF HEALTH AND SOCIAL SERVICE PROFESSIONALS. STARTING AT PENN IN 1991, WITHIN 5 YEARS BTG INCLUDED ALL OF PHILADELPHIA ACADEMIC HEALTH CENTERS AND HAS SINCE BEEN ADOPTED AS A PROGRAM MODEL IN ORGANIZATIONS ACROSS PENNSYLVANIA AND IN NEW JERSEY. FOR FISCAL YEAR 2022, 46 HEALTH SERVICE STUDENTS SPECIFICALLY FROM PENN PROVIDED 1,152 DAYS OF SERVICE TO OVER 25 COMMUNITY-BASED PROJECTS. > DROSOPHILA IS A HIGH SCHOOL-LEVEL, CLASSROOM-BASED NEUROSCIENCE PROGRAM DEVELOPED IN PARTNERSHIP WITH THE BASHAW LAB AT PENN MEDICINE. STUDENTS GO THROUGH A RANGE OF EXPERIMENTS, INCLUDING FLIES ON ICE, WHICH USES THE SCIENTIFIC METHOD AND NEUROSCIENCE PRINCIPLES TO STUDY THE EFFECTS OF COLD TEMPERATURES ON FRUIT FLIES. ANNUALLY, FIVE PENN MEDICINE LAB MEMBERS COLLECTIVELY VOLUNTEER NEARLY 100 HOURS OF TIME. IN 2023, A FULL-TIME OUTREACH STAFF MEMBER JOINED THE TEAM TO MEET THE HIGH DEMAND AND DELIVER THE PROGRAM TO OVER 750+ PHILADELPHIA HIGH SCHOOL STUDENTS. > PATHWAY PROGRAM ASSOCIATES: IN PARTNERSHIP WITH PENN'S NETTER CENTER FOR COMMUNITY PARTNERSHIPS, THE WEST PHILADELPHIA SKILLS INITIATIVE (WPSI), AND JEVS HUMAN SERVICES, THE PENN MEDICINE PATHWAYS PROGRAM CREATES WORKFORCE DEVELOPMENT AND ECONOMIC OPPORTUNITIES WITH A FOCUS ON RECENT HIGH SCHOOL GRADUATES. PENN MEDICINE HAS IDENTIFIED FULL-TIME ROLES WITHIN ITS SYSTEM WHERE ASSOCIATES CAN GAIN EMPLOYMENT, RECEIVE CAREER TRAINING, DEVELOP A CAREER PATHWAY, AND ENJOY COMPREHENSIVE BENEFITS PACKAGES. AS OF OCTOBER 2023, 2 COHORTS HAVE GRADUATED. > PATHWAYS TO PROMOTION: FACILITATING CAREER ADVANCEMENT FOR INTERNAL FRONTLINE STAFF WHILE WORKING TO IMPROVE DIVERSITY IN SUPERVISORY AND MANAGEMENT ROLES. TO DATE, THE PROGRAM'S FIRST COHORT HAS COLLECTIVELY RECEIVED 15 OFFERS FOR ADVANCEMENT. A TOTAL OF 25 EMPLOYEES ARE PARTICIPATING IN THE SECOND COHORT, WHICH BEGAN IN SPRING 2022. COHORT 4 IS UNDERWAY WITH GRADUATION SET FOR DECEMBER 2023. WHEN GRADUATION OCCURS, 100 EMPLOYEES WOULD HAVE COMPLETED THIS PROGRAM.
FORM 990, PART III, LINE 4A (CONTINUED)	> PENN FUTURES: IDENTIFYING PENN MEDICINE EMPLOYEES WHO HAVE HIGH POTENTIAL BUT ARE NOT CURRENTLY IN A MANAGEMENT OR SUPERVISORY ROLE. THE PROGRAM GUIDES PARTICIPANTS TO IDENTIFY STRENGTHS AND PLAN THEIR OWN CAREER DEVELOPMENT. > HUP GATEWAY PROGRAM: NEW-TO-PRACTICE NURSES HAVE AN OPPORTUNITY TO BE PAID WHILE PARTICIPATING IN AN ACCELERATED, IMMERSIVE CLINICAL EXPERIENCE THAT PREPARES THEM FOR HIGHER-LEVEL SURGICAL AND CRITICAL CARE NURSING ROLES. > PROJECT BIOEYES IS A K-12 SCIENCE EDUCATION PROGRAM WHERE STUDENTS BECOME THE SCIENTIST, NOT JUST LEARN FROM OR ABOUT THEM. DURING WEEKLONG EXPERIMENTS, STUDENTS USE LIVE ZEBRAFISH TO STUDY LIFE CYCLES, HABITATS, GENETICS, AND THE MANY BENEFITS OF RESEARCH. BIOEYES IS DESIGNED TO INCORPORATE TEACHER EMPOWERMENT AND PROVIDES PROFESSIONAL DEVELOPMENT SEMINARS AND CO-TEACHING EXPERIENCE WITH TRAINED SCIENCE CONSULTANTS, CALLED OUTREACH EDUCATORS. IN 2023, 3,652 STUDENTS BECAME SCIENTISTS IN THEIR VERY OWN CLASSROOMS. > PENN PRESBYTERIAN MEDICAL CENTER STERILE PROCESSING CANDIDATE PIPELINE: STARTING IN 2018, THIS MEDICAL CENTER HAS WORKED WITH THE JAMES INSTITUTE FOR LEARNING AND CENTRAL SOURCE TO DEVELOP AND PLACE STUDENTS IN JOBS IN THE STERILE PROCESSING FIELD. STUDENTS RECEIVE THE INSTRUCTION AND INTERNSHIPS NEEDED TO BECOME A CERTIFIED REGISTERED CENTRAL SERVICE TECHNICIAN (CRCST), AS WELL AS HANDS-ON EXPERIENCES IN A BUSY HEALTH CARE ENVIRONMENT. > PENN ACADEMY FOR REPRODUCTIVE SCIENCE (PARS) IS A WORKSHOP FOR HIGH SCHOOL STUDENTS LED BY CLINICIANS, SCIENTISTS, AND MEDICAL STUDENTS. THE FREE PROGRAM IS DESIGNED FOR STUDENTS INTERESTED IN HEALTH CARE AND MEDICINE, WITH AN EMPHASIS ON REPRODUCTIVE SCIENCE. THE ACADEMY RUNS TWICE PER YEAR FOR FOUR CONSECUTIVE SATURDAYS AND INVOLVES HANDS-ON ACTIVITIES SUCH AS THE IN-VITRO FERTILIZATION OF A MOUSE EGG. THE PROGRAM ALSO OFFERS SESSIONS DEDICATED TO COLLEGE APPLICATIONS, RESUMES, AND NETWORKING. SINCE ITS INCEPTION IN 2010, PARS HAS EDUCATED 274 STUDENTS FROM ACROSS THE PHILADELPHIA AREA. > PENN ACADEMY FOR SKIN HEALTH (PASH) IS A FREE PROGRAM OFFERED TO PHILADELPHIA PUBLIC SCHOOL STUDENTS INTERESTED IN A CAREER IN DERMATOLOGY. OVER FOUR SATURDAYS, PASH TEACHES STUDENTS ABOUT THE SCIENCE BEHIND THEIR SKIN. SINCE ITS INCEPTION IN 2017, PASH HAS EDUCATED 81 STUDENTS FROM PHILADELPHIA PUBLIC SCHOOLS. > OFFICE OF OUTREACH, EDUCATION AND RESEARCH SUMMER RESEARCH: THIS OFFICE WAS CREATED TO HELP PARS AND PASH ALUMNAE CONTINUE THEIR STEM CAREER PATHS THROUGH ADDITIONAL INSTRUCTION AND EVEN EMPLOYMENT OPPORTUNITIES. IN 2023, PENN MEDICINE HIRED 25 ALUMNAE ACROSS FIVE PENN MEDICINE DEPARTMENTS, AS TEMPORARY RESEARCHERS. ALL STUDENTS IN THE PROGRAM WORK SIDE-BY-SIDE WITH PENN MEDICINE MENTORS, WITH 28 GRADUATE STUDENTS AND POST-DOCS VOLUNTEERING OVER 210 HOURS EACH TO INSPIRE THE NEXT GENERATION OF RESEARCHERS. > AS PART OF PENN'S ECONOMIC INCLUSION INITIATIVES, THE PENN MEDICINE CAMPUSES CONTINUE TO FIND ECONOMIC OPPORTUNITIES FOR LOCAL RESIDENTS. OPPORTUNITIES COVER VARIOUS EMPLOYMENT TYPES, FROM CONSTRUCTION TO PROCUREMENT OF GOODS AND SERVICES. CURRENTLY, PENN MEDICINE HOLDS $40.7 MILLION IN VALIDATED CONTRACTING AGREEMENTS - IN PARTICULAR, SERVICE AGREEMENTS - WITH MINORITY-, WOMAN-, AND DISABLED-OWNED BUSINESSES WITH A GOAL OF A 3% INCREASE. > VENDOR FRIDAYS: LAUNCHED BY HUP FOOD SERVICES CONTRACTOR, THIS EVENT SERIES FEATURES LOCAL SMALL BUSINESSES. MANY PARTICIPANTS COME FROM THE DORRANCE H. HAMILTON CENTER FOR CULINARY ENTERPRISES AT THE ENTERPRISE CENTER, A LONGSTANDING MINORITY BUSINESS ACCELERATOR IN WEST PHILADELPHIA. > PENN MEDICINE COMMUNITY EVENTS CALENDARS: THIS TOOL LINKS VOLUNTEER OPPORTUNITIES WITH PENN MEDICINE EMPLOYEES SEEKING TO DONATE THEIR TIME OR OTHER SUPPORT TO CHARITABLE EFFORTS OUTSIDE THE HOSPITAL WALLS. IN FISCAL 2023, THE CALENDAR FEATURED 98 EVENTS REPRESENTING 573 EMPLOYEES VOLUNTEERING ALMOST 2,000 HOURS OF VOLUNTEER SERVICE IN PHILADELPHIA. > COMMUNITY RESOURCE CONNECTS: WHEN PENNCHART'S HEALTH SCREENER IDENTIFIES SOMEONE WITH POTENTIALLY UNMET SOCIAL NEEDS, PENN MEDICINE TAKES ACTION, WORKING WITH HEALTH CARE PROVIDERS, COMMUNITY-BASED ORGANIZATIONS, THE PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH, AND ENTITIES LIKE FIND HELP, A CLOSED-LOOP REFERRAL NETWORK FOR SOCIAL SERVICES. PENN MEDICINE PROVIDERS AND STAFF CAN THEN CONNECT THE PATIENT WITH RESOURCES THAT CAN HELP THEM AFTER THEY LEAVE THE HOSPITAL. > REGIONAL HEALTH EQUITY DASHBOARD: THIS WEB-BASED TOOL CENTRALIZES AND BENCHMARKS CRITICAL METRICS ACROSS KEY HEALTH CARE NEED AREAS SUCH AS MATERNAL AND INFANT MORTALITY AND MORBIDITY, CANCER SCREENING AND PREVENTION, ACCESS TO SPECIALTY CARE, AND SOCIOECONOMIC DISADVANTAGE, HELPING TO INFORM A WIDE VARIETY OF PROJECTS AND INQUIRIES. ------------------------------
FORM 990, PART V, LINE 1A FORM 990, PART V, LINE 1A	DETAIL OF FORMS 1099 FILINGS THIS ORGANIZATION IS AN AFFILIATE OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("TRUSTEES"). THE FORMS 1099 DISTRIBUTED AS PART OF THIS ENTITY'S ACTIVITIES ARE DONE SO THROUGH THE UNIVERSITY HEALTH SYSTEM AND CONSOLIDATED WITH THE TRUSTEES. ------------------------------
FORM 990, PART VI, SECTION B, LINE 11	FORM 990 REVIEW PROCESS INFORMATION RELATED TO THIS ORGANIZATION'S FORM 990 FILING IS GATHERED BY FINANCE STAFF AND PROVIDED TO PWC US TAX LLP FOR REVIEW AND RETURN PREPARATION. A DRAFT COPY OF THE 2022 FORM 990 WAS REVIEWED BY VARIOUS SENIOR FINANCIAL MANAGEMENT OFFICIALS BEFORE IT WAS SUBMITTED TO THE BOARD FOR THEIR REVIEW. A COPY OF THE FINAL 2022 FORM 990 WAS THEN MADE AVAILABLE TO EACH BOARD MEMBER PRIOR TO THE FILING DEADLINE. ------------------------------
FORM 990, PART VI, SECTION A, LINE 12C	CONFLICT OF INTEREST POLICY THIS ORGANIZATION IS AN AFFILIATE OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). EACH COVERED PERSON* ANNUALLY SHALL COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE PROVIDED BY THE UNIVERSITY AND SHALL UPDATE SUCH QUESTIONNAIRE PROMPTLY AS NECESSARY TO REFLECT CHANGES DURING THE COURSE OF THE YEAR. FORMER BOARD MEMBERS WHO ARE NOT TRUSTEE EMERITI ARE ENCOURAGED BUT NOT REQUIRED TO COMPLETE THE QUESTIONNAIRE DURING THE FIVE-YEAR PERIOD FOLLOWING COMPLETION OF THEIR TERMS. COMPLETED QUESTIONNAIRES SHALL BE RETURNED TO THE OFFICE OF THE SECRETARY AND SHALL BE SUBJECT TO REVIEW BY SUCH OFFICE AND THE OFFICE OF THE GENERAL COUNSEL, AS WELL AS BY ANY OUTSIDE LEGAL COUNSEL AND/OR AUDITORS WHO MAY BE APPOINTED TO ADVISE THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES APPOINTED TO OVERSEE THIS POLICY. COMPLETED QUESTIONNAIRES ALSO SHALL BE AVAILABLE FOR INSPECTION BY ANY BOARD MEMBER. *COVERED PERSONS INCLUDE: (1) VOTING MEMBERS OF THE BOARD OF TRUSTEES (INCLUDING CHARTER TRUSTEES, TERM TRUSTEES, ALUMNI TRUSTEES, AND COMMONWEALTH TRUSTEES); (2) TRUSTEE EMERITI WHO HAVE SERVED IN THAT CAPACITY FOR FIVE YEARS OR LESS; (3) OTHER FORMER VOTING TRUSTEES FOR A PERIOD OF FIVE YEARS FROM THE END OF THEIR TERM AS SUCH; (4) OFFICERS AS DEFINED IN THE STATUTES; AND (5) MEMBERS OF THE INVESTMENT BOARD. EACH COVERED PERSON (EXCEPT FORMER BOARD MEMBERS WHO ARE NOT TRUSTEE EMERITI) SHALL BE REQUIRED TO ACKNOWLEDGE, NOT LESS THAN ANNUALLY, THAT HE OR SHE HAS READ AND IS IN COMPLIANCE WITH THIS POLICY. ------------------------------
FORM 990 PART VI, SECTION B, LINE 15	COMPENSATION PROCESS THIS ORGANIZATION IS AN AFFILIATE OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). COMPENSATION ARRANGEMENTS INVOLVING ANY OF OUR OFFICERS AND/OR KEY EMPLOYEES ARE ESTABLISHED BY THE UNIVERSITY PURSUANT TO A PROCESS THAT SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR SECTION 4958 EXCESS BENEFIT TRANSACTION TAX PURPOSES (WHICH REQUIRES A REVIEW OF COMPENSATION DETERMINATIONS BY DISINTERESTED PERSONS, USE OF APPROPRIATE COMPARABILITY DATA, AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS). ------------------------------
FORM 990, PART VI, SECTION C, LINE 19	DOCUMENTS AVAILABILITY TO PUBLIC OUR FORMS 1023 AND 990, GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. ------------------------------
FORM 990, PART XI, LINE 9	DETAIL OF OTHER CHANGES IN NET ASSETS NET UNREALIZED INC. IN NET ASSETS $(5,244,671) TRANSFER TO CHCA-NJ PPMC DIVISIONS (5,232,500) TRANSFER/OTHER ADJUSTMENTS (163,543) ----------- TOTAL OTHER CHANGES IN NET ASSETS $(10,640,714)

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

PRESBYTERIAN MEDICAL CENTER OF THE
UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM

Employer identification number

23-2810852

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) 3737 FEE OWNER LLC 17190 BERNARDO CENTER DRIVE SAN DIEGO,CA92128 61-1692432	RENTAL	CA	0	71,280,519	PMC

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)AFFILIA HOME HEALTH 1811 OLDE HOMESTEAD LANE LANCASTER,PA17601 23-1352572	HOME HEALTH	PA	501(c)(3)	7	LG HEALTH		No
(2)CARL V S PATTERSON 19 UN OF PA C/O PNC BANK 620 LIBERTY AVE 10FL PITTSBURGH,PA15222 23-6415355	SUPPORT TRUST	PA	4947(A)(1)	N/A	NA		No
(3)CHESTER COUNTY HOSPITAL 701 E MARSHALL STREET WEST CHESTER,PA19380 23-0469150	HEALTHCARE	PA	501(C)(3)	3	CCH&HS		No
(4)CHESTER COUNTY HOSPITAL & HEALTH SYSTEM 701 E MARSHALL STREET WEST CHESTER,PA19380 26-4233321	MGMT SRVCS	PA	501(C)(3)	12, I	TRUSTEES		No
(5)CLINICAL CARE ASSOCIATES OF UPHS 250 KING OF PRUSSIA RD 4TH FL RADNOR,PA19087 23-2729852	HEALTHCARE	PA	501(c)(3)	10	TRUSTEES		No
(6)HAJOCA 3025 INC 3451 WALNUT STREET ROOM 737 PHILADELPHIA,PA19104 84-3379653	SUPPORT ORG	PA	501(c)(3)	12, I	TRUSTEES		No
(7)LAISE CA TUW FBO UNIV OF PENN 3451 WALNUT STREET SUITE 305 PHILADELPHIA,PA19104 82-3434615	SUPPORT TRUST	PA	4947(A)(1)	N/A	NA		No
(8)LANCASTER GENERAL HEALTH 555 NORTH DUKE STREET LANCASTER,PA17602 23-2250941	SUPPORT ORG	PA	501(C)(3)	12, II	TRUSTEES		No
(9)LANCASTER GENERAL HEALTH COLUMBIA CENTER 306 NORTH 7TH STREET COLUMBIA,PA17512 23-0485650	FACILITY MGMT	PA	501(C)(3)	3	LG HOSPITAL		No
(10)LANCASTER GENERAL HEALTH FOUNDATION 555 NORTH DUKE STREET LANCASTER,PA17602 20-5767147	FUNDRAISING	PA	501(C)(3)	7	NA		No
(11)LANCASTER GENERAL HEALTH HOLDINGS 555 NORTH DUKE STREET LANCASTER,PA17602 20-4943109	HEALTHCARE	PA	501(C)(3)	3	LG HEALTH		No
(12)LANCASTER GENERAL HOSPITAL 555 NORTH DUKE STREET LANCASTER,PA17602 23-1365353	HEALTHCARE	PA	501(C)(3)	3	LG HEALTH		No
(13)LANCASTER GENERAL MEDICAL GROUP 1097 COMMERCIAL AVE EAST PETERSBURG,PA17520 23-2777286	HEALTHCARE	PA	501(C)(3)	3	LG HEALTH		No
(14)MORRIS EST LYDIA T DECD TW 6325 S RAINBOW BLVD STE 300 LAS VEGAS,NV89118 23-6210940	SUPPORT TRUST	NV	501(C)(3)	12, III-FI	NA		No
(15)NEIGHBORHOOD HEALTH AGENCIES INC 795 E MARSHALL STREET WEST CHESTER,PA19380 23-2324782	NURSING	PA	501(C)(3)	12, I	CCH&HS		No
(16)NEIGHBORHOOD LEAGUE HEALTH SERVICES 795 E MARSHALL STREET WEST CHESTER,PA19380 23-2324787	HEALTH SRVCS	PA	501(C)(3)	10	CCH&HS		No
(17)NEIGHBORHOOD VISITING NURSE ASSOCIATION 795 E MARSHALL STREET WEST CHESTER,PA19380 23-1352243	NURSING	PA	501(C)(3)	7	CCH&HS		No
(18)OAP INC 3451 WALNUT STREET ROOM 748 PHILADELPHIA,PA19104 23-1986931	SUPPORT ORG	PA	501(c)(3)	12, I	TRUSTEES		No
(19)PENN CENTER FOR REHAB AND CARE 3609 CHESTNUT STREET PHILADELPHIA,PA19104 23-2422635	HEALTHCARE	PA	501(c)(3)	3	PMC	Yes
(20)PENN CLUB OF NEW YORK INC 30 WEST 44TH STREET NEW YORK,NY10036 23-2726687	CLUB	NY	501(c)(7)	N/A	NA		No
(21)PENN PRAXIS INC 210 SOUTH 34TH STREET PHILADELPHIA,PA19104 75-2974931	SUPPORT ORG	PA	501(c)(3)	12, I	TRUSTEES		No
(22)PENN PRESS INC 3905 SPRUCE STREET PHILADELPHIA,PA19107 23-1876142	PUBLISHING	PA	501(c)(3)	12, I	TRUSTEES		No
(23)PENNSYLVANIA COLLEGE OF HEALTH SCIENCES 850 GREENFIELD ROAD LANCASTER,PA17601 06-1645496	HEALTH EDU	PA	501(C)(3)	2	LG HOSPITAL		No
(24)PENNSYLVANIA HOSPITAL OF UPHS 800 SPRUCE STREET PHILADELPHIA,PA19107 31-1538725	HEALTHCARE	PA	501(C)(3)	3	TRUSTEES		No
(25)PGH DEVELOPMENT CORP 426 CURIE BLVD PHILADELPHIA,PA19104 23-2351015	SUPPORT ORG	PA	501(c)(3)	12, I	NA		No
(26)PHOENIXVILLE HOSPITAL OF UPHS 3001 MARKET STREET 3RD FLOOR PHILADELPHIA,PA19104 23-2901089	SUPPORT ORG	PA	501(c)(3)	3	TRUSTEES		No
(27)PRINCETON CAREGIVERS INC ONE PLAINSBORO ROAD PLAINSBORO,NJ08536 22-2842773	HOMECARE SVCS	NJ	501(C)(3)	3	PHCS HOLDING		No
(28)PRINCETON HEALTHCARE AFFILIATED PHYS PC ONE PLAINSBORO ROAD PLAINSBORO,NJ08536 26-4203938	HEALTHCARE	NJ	501(C)(3)	10	PHCS HOLDING		No
(29)PRINCETON HEALTHCARE SYSTEM ONE PLAINSBORO ROAD PLAINSBORO,NJ08536 21-0635009	HEALTHCARE	NJ	501(C)(3)	3	PHCS HOLDING		No
(30)PRINCETON HEALTHCARE SYSTEM FDN INC ONE PLAINSBORO ROAD PLAINSBORO,NJ08536 22-2225911	SUPPORT PHCS	NJ	501(C)(3)	7	PHCS HOLDING		No
(31)PRINCETON HLTHCARE SYSTEM HOLDING INC ONE PLAINSBORO ROAD PLAINSBORO,NJ08536 22-3493256	SUPPORT ORG	NJ	501(C)(3)	12, I	TRUSTEES		No
(32)PRINCETON MEDICAL PROPERTIES INC ONE PLAINSBORO ROAD PLAINSBORO,NJ08536 22-0022702	REAL ESTATE	NJ	501(C)(2)	N/A	PHCS HOLDING		No
(33)THE ASC TRUST OF THE UNIV OF PA 1500 MARKET ST STE 3500E PHILADELPHIA,PA19102 81-0550464	BUS. TRUST	PA	501(c)(3)	8	NA		No
(34)THE HEART GROUP OF LANCASTER GEN HEALTH 217 HARRISBURG AVENUE LANCASTER,PA17603 30-0634510	CARDIOLOGY	PA	501(C)(3)	3	LG HEALTH		No
(35)THE LEONARD AND MADLYN ABRAMSON INST 421 CURIE BLVD 450 BRB II/III PHILADELPHIA,PA19104 23-2929823	MED RESEARCH	PA	501(c)(3)	4	NA		No
(36)TRUSTEES OF THE UNIVERSITY OF PENN 3451 WALNUT STREET ROOM 305 PHILADELPHIA,PA19104 23-1352685	EDUCATION	PA	501(c)(3)	2	NA		No
(37)UNIVERSITY CITY ASSOCIATES INC 3451 WALNUT STREET ROOM 329 PHILADELPHIA,PA19104 23-3021159	SUPPORT ORG	PA	501(c)(3)	12, I	TRUSTEES		No
(38)UNIVERSITY CLUB AT PENN INC 3611 WALNUT STREET PHILADELPHIA,PA19104 23-6299508	FAC. CLUB	PA	501(c)(3)	12, I	TRUSTEES		No
(39)UPENN INTERNATIONAL 3451 WALNUT STREET SUITE 731 PHILADELPHIA,PA19104 45-4985731	SUPPORT ORG	PA	501(C)(3)	12, I	TRUSTEES		No
(40)UPENN MASTER RETIREMENT TRUST 3451 WALNUT STREET ROOM 305 PHILADELPHIA,PA19104 04-3574136	RETIRE TRUST	PA	501(A)	N/A	TRUSTEES		No
(41)UPENN RETIREE BENEFITS TRUST 3451 WALNUT STREET ROOM 329 PHILADELPHIA,PA19104 23-2769744	BENEFITS	PA	501(c)(3)	12, I	TRUSTEES		No
(42)WISSAHICKON HOSPICE OF UPHS 150 MONUMENT ROAD SUITE 300 BALA CYNWYD,PA19004 23-2152662	HOSPICE CARE	PA	501(c)(3)	10	TRUSTEES		No
(43)WOMEN'S AND CHILDREN'S HEALTH SERVICES 700 SPRUCE STREET PHILADELPHIA,PA19106 23-2248956	HEALTHCARE	PA	501(c)(3)	3	PA HOSPITAL		No
(44)PENN MEDICINE-PMA 5 ATRIUM 3400 CIVIC CTR BLVD PHILADELPHA,PA19104 86-3800365	HEALTHCARE	PA	501(C)(3)	10	CCA		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2021

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) PDCP 1740 FUND LP 311 S WACKER DR STE 2620 CHICAGO,IL60601 32-0472404	INVESTMENT	IL	NA							No
(2) CYRUS 1740 FUND LP 65 E 55TH STREET 35TH FLOOR NEW YORK,NY10022 82-1211542	INVESTMENT	NY	NA							No
(3) CYRUS 1740 MASTER FUND LP 89 NEXUS WAY CAMANA BAY GRKY1-9009 CJ 98-1361754	INVESTMENT	CJ	NA							No
(4) DVG 1740 FUND LP ONE FAWCETT PLACE GREENWICH,CT06830 80-0961539	INVESTMENT	CT	NA							No
(5) EAST MARSHALL STREET PARTNERSHIP LP 701 E MARSHALL STREET WEST CHESTER,PA19380 23-2902742	INVESTMENT	PA	NA							No
(6) FERN HILL PARTNERSHIP III LP 701 E MARSHALL STREET WEST CHESTER,PA19380 30-0409614	RENTAL	PA	NA							No
(7) FERN HILL LLC 701 E MARSHALL STREET WEST CHESTER,PA19380 23-3005147	RENTAL	PA	NA							No
(8) GALLOPAVO LP 2000 McKINNEY AVE STE 2125 DALLAS,TX75201 46-4621967	INVESTMENT	TX	NA							No
(9) JOG V C LIMITED PARTNERSHIP STE 2370 440 2ND AVE SW CALGARY,ALT2P5E9 CA	INVESTMENT	CA	NA							No
(10) JOG VI C LIMITED PARTNERSHIP STE 2370 440 2ND AVE SW CALGARY,ALT2P5E9 CA	INVESTMENT	CA	NA							No
(11) KINGSTOWN 1740 FUND LP 167 MADISON AVE ST 205 1033 NEW YORK,NY10016 84-3119908	INVESTMENT	NY	NA							No
(12) LANCASTER PET PARTNERSHIP LLP PO BOX 4216 LANCASTER,PA17604 23-3102793	MEDICAL SERVICES	PA	NA							No
(13) LG HEALTH COMM CARE COLLAB II 555 NORTH DUKE STREET LANCASTER,PA17602 82-3809581	ACO	PA	NA							No
(14) LG HEALTH COMMUNITY CARE COLLABORATIVE 555 NORTH DUKE STREET LANCASTER,PA17602 45-5542179	ACO	PA	NA							No
(15) MRI GROUP LLP PO BOX 4216 LANCASTER,PA17604 33-1011386	MEDICAL SERVICES	PA	NA							No
(16) NEIGHBRHD PRES & DEV FUND LP 240 NEW YORK DR STE 1 FORT WASHINGTON,PA19034 23-3037919	RENTAL	PA	NA							No
(17) OAKLANDS WAY MEDICAL BUILDING ASSOCIATES 701 E MARSHALL STREET WEST CHESTER,PA19380 83-0490251	RENTAL	PA	NA							No
(18) SRP INVESTORS FUND A LP 2001 ROSS AVE SUITE 400 DALLAS,TX75201 61-1748291	INVESTMENT	TX	NA							No
(19) TURK'S HEAD SURGERY CENTER 915 OLD FERN HILL ROAD BLDG B STE WEST CHESTER,PA19380 20-0184603	MEDICAL SERVICES	PA	NA							No
(20) ST-TO RIBBIT OPPORTUNITY V LLC 364 UNIVERSITY AVENUE PALO ALTO,CA94301 84-1814102	INVESTMENT	CA	NA							No
(21) UNIVERSA BLACK SWAN PROTECTION PROTOCOL 2601 S BAYSHORE DR SUITE 2030 MIAMI,FL33133 85-2143048	INVESTMENT	FL	N/A							No
(22) AXIS UKA GP LLC 240 NEW YORK DRIVE SUITE 1 FORT WASHINGTON,PA19034 27-3617178	INVESTMENT	PA	N/A							No
(23) LIFT REAL ESTATE PARTNERS FUND II LP 180 SUTTER STREET SUITE 400 SAN FRANCISCO,CA94104 84-4983190	INVESTMENT	CA	NA							No
(24) BEXP II (PARALLEL) LP 5914 W COURTYARD DRIVE AUSTIN,TX78730 87-3188834	INVESTMENT	TX	NA							No
(25) FORERUNNER BUILDERS F-G LP ONE LETTERMAN DR BLDG C SUITE C5 SAN FRANCISCO,CA94129 87-3427543	INVESTMENT	CA	NA							No
(26) GCM CARRIAGE SPV LP 250 WEST 55TH STREET 36TH FLOOR NEW YORK,NY10019 87-2075062	INVESTMENT	NY	NA							No
(27) INITIALIZED CBH SPV LLC 464 TEHAMA STREET SAN FRANCISCO,CA94103 87-1123527	INVESTMENT	CA	NA							No
(28) SALLINGSTONE GLOBAL NATURAL RESOURCES 100 WAUGH DRIVE SUITE 600 HOUSTON,TX77007 37-1770014	INVESTMENT	TX	NA							No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) ARCM 1740 LTD 27 HOSPITAL ROAD GRAND CAYMANKY1-9008 CJ	INVESTMENTS	CJ	TRUSTEES	C-CORP					No
(2) CIRCLE MEDICAL ASSURANCE CO 2929 WALNUT STREET STE 460 PHILADELPHIA,PA19104 83-3556286	INSURANCE	PA	TRUSTEES	C-CORP					No
(3) CLINICAL HEALTH CARE ASSOC OF NJ PC 250 KING OF PRUSSIA RD 4TH FL RADNOR,PA19087 23-2865181	PHYS MGMT	PA	CCA	C-CORP					No
(4) DELANCEY CORPORATION 800 SPRUCE STREET PHILADELPHIA,PA19106 23-2060159	RENTAL	PA	PA HOSPITAL	C-CORP					No
(5) FRANKLIN CASUALTY INSURANCE CO PO BOX 530 BURLINGTON,VT05402 04-3378984	INSURANCE	VT	TRUSTEES	C-CORP					No
(6) LANCASTER GENERAL 457 DEFERRED COMP PLAN 555 NORTH DUKE STREET LANCASTER,PA17602 23-2250941	TRUST	PA	LG HEALTH	TRUST					No
(7) LANCASTER GENERAL INSURANCE COMPANY PO BOX 1109 GT GRAND CAYMAN KYI-1102 CJ 98-0176655	INSURANCE	CJ	LG HEALTH	C-CORP					No
(8) LANCASTER GENERAL SERVICES INC 555 NORTH DUKE STREET LANCASTER,PA17602 23-2250128	PROPERTY SVCS	PA	LG HEALTH	C-CORP					No
(9) NAYA 1740 FUND LTD PO BOX 309 UGLAND HOUSE KY1-1104 CJ	INVESTMENTS	CJ	TRUSTEES	C-CORP					No
(10) PENN MEDICINE LONDON LIMITED VISTRA STE 2 FIRST FLOOR 10 TEMPLE BRISTOL BS1 6FL UK	NETWORKING	UK	UPENN INT'L	LIMITED COMPANY					No
(11) PENN WHARTON CONSULTING (BEIJING) CO LTD CHINA WORLD TOWER 1 14F CHAOYANG DIST 100004 CH	BUS. CONSULTING	CH	UPENN INT'L	C-CORP					No
(12) PHI PHARMACY INC ONE PLAINSBORO ROAD PLAINSBORO,NJ08536 22-3467899	INACTIVE	NJ	PHCS HOLDING	C-CORP					No
(13) PRINCETON HEALTH INC & SUBS ONE PLAINSBORO ROAD PLAINSBORO,NJ08536 22-3450093	MEDICAL	NJ	PHCS HOLDING	C-CORP					No
(14) QUAKER INSURANCE COMPANY LTD VICTORIA STREET PO BOX HM 1826 VICTORIA HALL,HAMILTONHM HX BD 30-0708282	SELF-INSURANCE	BD	TRUSTEES	C-CORP					No
(15) THE PAM 1740 FUND LTD PO BOX 309 GEORGE TOWN,GRAND CAYMANKYI-1104 CJ	INVESTMENTS	CJ	TRUSTEES	C-CORP					No
(16) TURK'S HEAD HEALTH SERVICES INC 701 E MARSHALL STREET WEST CHESTER,PA19380 23-2329753	MEDICAL SERVICES	PA	CCH&HS	C-CORP					No
(17) CYRUS 1740 FUND LTD 89 NEXUS WAY CAMANA BAY GRAND CAYMAN KY1-9009 CJ 98-1361907	INVESTMENTS	CJ	TRUSTEES	LIMITED COMPANY					No
(18) UPENN HOSPITALITY INC 3401 WALNUT STREET SUITE 440A PHILADELPHIA,PA19104 23-3076589	HOTEL/RESTAURANT		TRUSTEES	C-CORP					No

Schedule R (Form 990) 2021

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2021

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2021

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2021

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: PROVISION OF CHARITABLE HEALTHCARE SERVICES.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	7
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	4
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	4,440
6	Total number of volunteers (estimate if necessary) .............	6	39
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	7,288,461	8,711,110
9	Program service revenue (Part VIII, line 2g) .........	1,084,540,232	1,196,897,808
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	4,305,916	909,616
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	48,102,231	21,862,856
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,144,236,840	1,228,381,390
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	477,985,687	493,833,706
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 245,860
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	617,529,963	682,121,032
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,095,515,650	1,175,954,738
19	Revenue less expenses. Subtract line 18 from line 12.......	48,721,190	52,426,652
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	931,405,283	947,222,243
21	Total liabilities (Part X, line 26).............	284,795,533	258,752,421
22	Net assets or fund balances. Subtract line 21 from line 20.....	646,609,750	688,469,822

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,084,600,564 including grants of $ 0 ) (Revenue $ 1,212,510,294 )
	SEE SCHEDULE O

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses1,084,600,564

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	2,996,327	7,287,636	1,114,224

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)		(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) JUDGE RENEE CARDWELL HUGHES........................................................................ BRD MBR; CHAIR AS OF 5/11/23	1.0 .......................0.0	X	X	0	0	0
(19) REV DR WILLIAM J SHAW........................................................................ BOARD MEMBER	1.0 .......................0.0	X		0	0	0
(20) BENJAMIN C SUN MD MPP........................................................................ BOARD MEMBER AS OF 5/4/2023	1.0 .......................0.0	X		0	0	0

1a	Federated campaigns..		1a	10,007
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	8,701,103

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		8,711,110

		Business Code
2a	NET PATIENT SERVICE REVENUES	621110	991,668,325	991,668,325
b	MEDICAL SUPPLIES/DRUG SALES	900099	205,229,483	205,229,483
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		1,196,897,808

3 Investment income (including dividends, interest, and othersimilar amounts) ......			1,820,154			1,820,154
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		6,250,370	6a
b	Less: rental expenses			6b
c	Rental income or (loss)	0	6,250,370	6c
d	Net rental income or (loss).......			6,250,370			6,250,370
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	-910,538		7a
b	Less: cost or other basis and sales expenses			7b
c	Gain or (loss)	-910,538		7c
d	Net gain or (loss).........			-910,538			-910,538
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a	0
b	Less: direct expenses ...		8b	0
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a	0
b	Less: direct expenses ...		9b	0
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
			10a	0
b	Less: cost of goods sold ..		10b	0
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a	IET PURCHASE SVCS		900099	4,261,875	4,261,875
b	MAPS EQUALIZATION		900099	3,920,304	3,920,304
c	CAFETERIA REVENUES		900099	2,058,358	2,058,358
d	All other revenue ....			5,371,949	5,371,949
e	Total. Add lines 11a–11d ......			15,612,486
12	Total revenue. See instructions.....			1,228,381,390	1,212,510,294		7,159,986

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	0
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	0
4	Benefits paid to or for members .......	0
5	Compensation of current officers, directors, trustees, and key employees ...........	2,114,574	1,880,914	233,660	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	0
7	Other salaries and wages........	380,639,829	338,579,128	41,870,381	190,320
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	0
9	Other employee benefits .......	95,562,036	85,002,431	10,511,824	47,781
10	Payroll taxes ...........	15,517,267	13,802,609	1,706,899	7,759
11	Fees for services (non-employees):
a	Management ......	175,688,993	154,606,314	21,082,679	0
b	Legal .........	1,867	1,643	224	0
c	Accounting ...........	0
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	27,261,533	23,990,149	3,271,384	0
12	Advertising and promotion ....	34,895	30,708	4,187	0
13	Office expenses .......	24,294,335	21,379,015	2,915,320	0
14	Information technology ......	685,428	603,177	82,251	0
15	Royalties ..	0
16	Occupancy ...........	14,451,375	12,717,210	1,734,165	0
17	Travel ............	268,527	236,304	32,223	0
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	102,401	90,113	12,288	0
20	Interest ...........	2,820,567	2,482,099	338,468	0
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	33,659,899	33,659,899	0	0
23	Insurance ...	5,369,885	4,725,499	644,386	0
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	341,914,887	341,914,887	0	0
b	TAXES & ASSESSMENTS	26,903,499	23,675,079	3,228,420	0
c	REPAIRS AND MAINTENANCE	10,886,410	9,580,041	1,306,369	0
d	DUES & LICENSES	433,931	381,859	52,072	0
e	All other expenses	17,342,600	15,261,486	2,081,114	0
25	Total functional expenses. Add lines 1 through 24e	1,175,954,738	1,084,600,564	91,108,314	245,860
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			37,213	1	9,500
2	Savings and temporary cash investments .........			43,053,522	2	16,861,615
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			143,374,163	4	139,296,862
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........			0	7	0
8	Inventories for sale or use ............			15,637,612	8	19,663,558
9	Prepaid expenses and deferred charges ......			15,084,559	9	14,893,041
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	822,893,567
b	Less: accumulated depreciation	10b	397,388,560	389,675,103	10c	425,505,007
11	Investments—publicly traded securities .			196,050,129	11	190,421,440
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 ..			0	13	0
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			128,492,982	15	140,571,220
16	Total assets. Add lines 1 through 15 (must equal line 33)...			931,405,283	16	947,222,243

17	Accounts payable and accrued expenses .....	75,805,265	17	73,898,486
18	Grants payable ...	0	18	0
19	Deferred revenue .........	1,166,667	19	1,166,667
20	Tax-exempt bond liabilities .........	88,055,055	20	78,555,728
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	119,768,546	25	105,131,540
26	Total liabilities. Add lines 17 through 25..	284,795,533	26	258,752,421

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	450,214,806	27	497,319,550
28	Net assets with donor restrictions ...........	196,394,944	28	191,150,272
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	646,609,750	32	688,469,822
33	Total liabilities and net assets/fund balances ........	931,405,283	33	947,222,243