2024-05-13T11:09:16-05:00 2023-06-30 PwC US Tax LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2022-07-01 311538725 PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM % CYNTHIA A GALLO PENN 2158297723 800 SPRUCE STREET PHILADELPHIA PA 191073501 KEITH KASPER CONTROLLER 6104315000 2024-05-07 true KEITH KASPER 999009999 ANTONIO C RUSSO P00858539 2673303000 2024-05-02 2 2022 2023-04-26 12:10:37Z FRANK A ANASTASI 800 SPRUCE STREET PHILADELPHIA PA 19107 816599476 false X WWW.PENNMEDICINE.ORG/PAHOSP X 1751 PA PROVISION OF CHARITABLE HEALTHCARE SERVICES 11 6 3889 226 587471 66288 8624567 2931490 731147837 784457427 24464871 11051235 20675027 18159324 784912302 816599476 0 0 0 0 351416855 359596259 0 0 882813 427987182 437800063 779404037 797396322 5508265 19203154 826767681 813366817 152892943 129402444 673874738 683964373 X PROVISION OF CHARITABLE HEALTHCARE SERVICES false false 720736553 0 799713494 SEE SCHEDULE O 720736553 true true false false false false true true false true true true false true true true false true false false false false false false false false true true false false true true false false false false false false true false false false true false false false false true true false false false true X 0 0 true 3889 true true true false false false false true true false false false false false false false false false X 11 6 false false false false false false false true true false false true true true true true true true true false PA X CYNTHIA A GALLO 2158297351 210 WEST WASHINGTON SQUARE PHILADELPHIA PA 191063501 X KEVIN B MAHONEY EX-OFFICIO MEMBER 1.0 54.0 X 0 2872713 524230 KEITH KASPER EX-OFFICIO MEMBER, CONTROLLER 1.0 54.0 X X 0 1716989 24644 PHILLIP A OKALA EX-OFFICIO MEMBER UNTIL 8/22 1.0 54.0 X 0 1201151 229198 MICHELLE M VOLPE EX-OFFICIO MEM, COO AS OF 9/22 1.0 54.0 X X 0 1067399 101405 THERESA M LARIVEE BOARD MEMBER, CEO UNTIL 1/23 1.0 54.0 X X 0 904588 110830 JODY J FOSTER CHAIR DEPT. PSYCHIATRY 55.0 0.0 X 558428 0 26044 FRANK A ANASTASI FHFMA CFO, ASST CONTROLLER,SECRETARY 55.0 0.0 X X 372998 0 20538 DANIEL WILSON MEM. AS OF 2/23,CEO AS OF 1/23 55.0 0.0 X X 314516 0 28396 LINDSAY AYLING VP PERIOP SERVICES 55.0 0.0 X 280173 0 17641 TRACY WU-TRAM NURSE RN 55.0 0.0 X 270534 0 18176 KERRI HARTNETT ASSOCIATE CFO 55.0 0.0 X 237654 0 19168 SAITA A DAVIS NURSE RN 55.0 0.0 X 238274 0 5958 ELIZABETH J CRAIG DNP RN FACHE BOARD MEMBER UNTIL 8/22 55.0 0.0 X X 219345 0 19415 KATHY BOSTON ASST. SECRETARY 55.0 0.0 X X 80421 0 8848 ALLEN H BAR MD BOARD MEMBER 1.0 0.0 X 0 18789 0 JILL ROBERTS BOARD MEMBER 1.0 0.0 X 0 0 0 KATHY KILLIAN BOARD MEMBER 1.0 0.0 X 0 0 0 MELISSA L ZAK DNP MBA RN BOARD MEMBER AS OF 6/23 1.0 0.0 X 0 0 0 SUEYUN LOCKS MFA BOARD MEMBER 1.0 0.0 X 0 0 0 THOMAS J SHARBAUGH JD BOARD MEMBER, CHAIR 1.0 0.0 X X 0 0 0 WILLIAM H LIPSHUTZ MD BOARD MEMBER 1.0 0.0 X 0 0 0 2572343 7781629 1154491 821 false true false GENERAL HEALTHCARE RESOURCES 2250 HICKORY RD STE 240 PLYMOUTH MEETING PA 19462 OUTSOURCED STAFFING 30217806 SOCIETY HILL ANESTHESIA CONSULTANTS PO BOX 414853 BOSTON MA 022414853 MEDICAL SERVICES 9596328 LF DRISCOLL COMPANY LLC 401 CITY AVE STE 500 BALA CYNWYD PA 19004 CONSTRUCTION 4781734 SUPPLEMENTAL HEALTH CARE 1640 W REDSTONE CENTER DR STE 200 PARK CITY UT 84098 OUTSOURCED STAFFING 4054376 MEDICAL SOLUTIONS LLC 1010 N 102ND ST STE 300 OMAHA NE 68114 OUTSOURCED STAFFING 3794521 35 35000 2896490 67637 2931490 NET PATIENT SERVICE REVENUES 621110 737636833 737636833 OUTPATIENT BEHAVIORAL HEALTH REVENUES 621400 2580550 2580550 MEDICAL SUPPLIES/DRUG SALES 900099 44240044 44240044 784457427 11051235 11051235 0 0 1726971 1726971 0 1726971 1726971 0 0 0 0 0 0 0 0 0 0 PARKING REVENUES 812930 6507853 5965382 542471 CAFETERIA SALES 900099 2384458 2384458 SPONSORED PROGRAMS 900099 614516 614516 6925526 6880526 45000 16432353 816599476 800302309 587471 12778206 0 0 0 0 718337 639320 79017 0 0 280895352 249350804 30701862 842686 0 58692290 51514223 7160459 17608 19290280 16931079 2353414 5787 124165269 108179654 15968883 16732 44386 38438 5948 0 34720 30068 4652 0 0 0 0 35577963 30810516 4767447 0 39260 34784 4476 0 15855200 13869457 1985743 0 507858 439805 68053 0 0 11620162 8471098 3149064 0 442884 0 442884 0 0 0 2825056 2477574 347482 0 0 26734047 23178419 3555628 0 7676971 6755734 921237 0 MEDICAL SUPPLIES 174901640 174901640 0 0 MISC. EXPENSES 22034429 19522506 2511923 0 STATE ASSESSMENTS 14408550 12765975 1642575 0 DUES & LICENSES 595508 527621 67887 0 336160 297838 38322 797396322 720736553 75776956 882813 3900 3900 -102488 -60906 0 0 89484490 98199592 0 0 0 0 0 0 9614485 9725507 10257950 11099237 673948127 458740644 221785085 215207483 0 0 350906349 342755745 0 0 0 0 144817910 136436259 826767681 813366817 41156140 32461951 0 0 0 0 94653129 88966280 0 0 0 0 0 0 0 0 17083674 7974213 152892943 129402444 X 325139308 342962663 348735430 341001710 673874738 683964373 826767681 813366817 X 19203154 -1125605 -7987914 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 1 1 1 false true X X X false 419248304 4665760 7228079 0 19962598 0 411179545 440690694 4534002 -7492915 0 18483477 0 419248304 327925670 4040242 124536512 0 15811730 0 440690694 331668307 3606954 8456336 0 15805927 0 327925670 321410504 2881801 17023620 0 9647618 0 331668307 0.23640 0.76360 0.00000 true false 134140 134140 365934965 224430084 141504881 3573602 3522956 50646 297855641 230787604 67068037 6449779 6449779 215207483 INVESTMENTS - PLANT FUND 140720 F DONOR RESTRICTED FUNDS 341001710 F SPECIAL PURPOSE FUNDS 1613315 F 342755745 DUE FROM AFFILIATES 37743644 BOARD DESIGNATED FUNDS 97221343 3RD PARTY RECEIVABLE 1471272 136436259 0 ACCOUNTS PAYABLE -8077 ESTIMATED 3RD PARTY PAYABLES 6636607 WORKERS COMPENSATION 199252 DUE TO FOUNDATION 1146431 7974213 X SCHEDULE D, PART II, LINE 9 DETAIL OF CONSERVATION EASEMENTS PENNSYLVANIA HOSPITAL ("PAH") HAS A CONSERVATION EASEMENT IN PLACE WITH THE PARK COMMISSION IN REGARD TO PENNSYLVANIA HOSPITAL'S PINE BUILDING. THE CONSERVATION EASEMENT STATES THAT DUE TO ITS HISTORICAL NATURE, PENNSYLVANIA HOSPITAL CANNOT CHANGE OR MODIFY IN ANY WAY THE EXTERIOR OF THIS BUILDING. SINCE THERE ARE NO REVENUES OR EXPENSES ASSOCIATED WITH THIS CONSERVATION EASEMENT, IT IS NOT REFLECTED ON PENNSYLVANIA HOSPITAL'S FINANCIAL STATEMENTS. ------------------------------ SCHEDULE D, PART III, LINE 1A DETAIL OF COLLECTIONS ALTHOUGH PAH MAINTAINS COLLECTIONS OF WORKs OF ART, HISTORICAL TREASURES, AND/OR OTHER SIMILAR ASSETS, SINCE THE ORGANIZATION AND SUCH COLLECTIONS HAVE BEEN IN EXISTENCE FOR SEVERAL DECADES, THE COST OF CAPITALIZING THESE COLLECTIONS WOULD EXCEED THE INCREMENTAL BENEFIT OF THE INFORMATION GAINED. AS A RESULT, PAH DOES NOT CAPITALIZE THESE TYPES OF ASSETS. NOTE THAT SINCE PAH IS INCLUDED IN A CONSOLIDATED AUDIT, THE CONSOLIDATED FINANCIAL STATEMENTS DO NOT CONTAIN ANY FOOTNOTE DISCLOSURE RELATING TO THIS ITEM. ------------------------------ SCHEDULE D, PART III, LINE 4 DESCRIPTION OF COLLECTIONS LIBRARY COLLECTIONS - THE LIBRARIES AT PAH ARE LOCATED ON THE 2ND AND 3RD FLOOR OF THE HISTORIC PINE BUILDING. THE MODERN LIBRARY IS AN ON-SITE, EASILY ACCESSIBLE, VITAL REFERENCE CENTER INCORPORATING MODERN INFORMATION TECHNOLOGY. THE COLLECTIONS INCLUDE THE CLINICAL LIBRARY AND THE PSYCHIATRIC LIBRARY. THE HISTORIC LIBRARY AND HISTORIC COLLECTIONS CONTAIN MANUSCRIPTS, RARE BOOKS, ART, AND ARTIFACTS RELATED TO THE HISTORY OF MEDICINE AND PAH. THESE COLLECTIONS ARE USED BY LOCAL, REGIONAL, NATIONAL, AND INTERNATIONAL RESEARCHERS. THE LIBRARY OFFERS AN ARRAY OF SERVICES, INCLUDING PROFESSIONAL SEARCHING OF THE MEDICAL LITERATURE. IN ADDITION TO SERVING THE INFORMATION NEEDS OF CLINICIANS, THE LIBRARY IS OPEN TO OUR PATIENTS, FAMILIES, AND THE GENERAL PUBLIC. HISTORIC COLLECTIONS - PAH IS THE NATION'S FIRST HOSPITAL AND A DESIGNATED NATIONAL HISTORIC LANDMARK. FOUNDED BY DR. THOMAS BOND AND BENJAMIN FRANKLIN, THE HOSPITAL WAS CHARTERED IN 1751 BY THE COLONIAL GOVERNMENT AS THE FIRST INSTITUTION IN AMERICA ORGANIZED EXCLUSIVELY FOR THE TREATMENT AND CARE OF THE SICK, POOR AND MENTALLY ILL. PAH OFFERS THE PUBLIC A VIEW OF THE HISTORY OF MEDICINE IN A WAY UNLIKE ANY OTHER INSTITUTION IN THE UNITED STATES, PROVIDING BOTH GUIDED AND SELF-GUIDED TOURS OF THE NATION'S FIRST MEDICAL LIBRARY AND SURGICAL AMPHITHEATRE. WE ARE A BLUE STAR MUSEUM, PROVIDING FREE TOURS FOR MILITARY PERSONNEL AND THEIR FAMILIES. THE HISTORIC COLLECTIONS, HOUSED IN THE ORIGINAL EAST WING OF THE PINE BUILDING, HOLDS A COLLECTION OF RECORD THAT REFLECTS THE DEVELOPMENT OF HEALTHCARE AND MEDICAL EDUCATION FROM THE EIGHTEENTH TO THE TWENTY-FIRST CENTURIES. OUR COLLECTIONS ARE HIGHLIGHTED IN OUR CHANGING EXHIBITIONS, WHICH HAVE INCLUDED THE HISTORY OF EARLY MEDICAL EDUCATION AND COLONIAL MEDICINE. A FREE LECTURE SERIES, OPEN TO THE PUBLIC, BRINGS IN SCHOLARS TO DISCUSS A VARIETY OF TOPICS RELATED TO THE CURRENT EXHIBITION. ADDITIONALLY, THE HISTORIC COLLECTIONS HOSTS RESEARCHERS WHO UTILIZE THESE IMPORTANT MANUSCRIPTS, AS WELL AS HOSTING AN ANNUAL CONFERENCE ON THE HISTORY OF WOMEN'S HEALTH, BRINGING TOGETHER HISTORICAL SCHOLARS AND MEDICAL PRACTITIONERS FROM ACROSS THE COUNTRY. HISTORIC TOURS - PAH PROVIDES TOURS OF ITS HISTORIC BUILDINGS AND HISTORIC COLLECTIONS. ------------------------------ SCHEDULE D, PART V, LINE 4 USE OF ENDOWMENT FUNDS ALL ENDOWMENT FUNDS ARE USED FOR A VARIETY OF PURPOSES IN FURTHERANCE OF THE ORGANIZATION'S TAX-EXEMPT PURPOSES. ------------------------------ SCHEDULE D, PART IX, LINE 1 DETAIL OF OTHER ASSETS THE DUE FROM AFFILIATES ACCOUNT REPRESENTS AMOUNTS OWED TO THIS ORGANIZATION BY THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("PENN"), A RELATED ORGANIZATION, BASED UPON PENN'S CENTRAL TREASURY OFFICE MANAGING THE CASH BALANCES OF CERTAIN OF ITS AFFILIATES. ------------------------------ SCHEDULE D, PART X, LINE 2 TEXT OF FIN 48 (ASC 740) FOOTNOTE THIS ORGANIZATION IS AN AFFILIATE OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). THE FIN 48 (ASC 740) FOOTNOTE BELOW DERIVES FROM THE CONSOLIDATED JUNE 30, 2023 FINANCIAL STATEMENTS OF THE UNIVERSITY: THE UNIVERSITY REGULARLY EVALUATES ITS TAX POSITION AND DOES NOT BELIEVE IT HAS ANY UNCERTAIN TAX POSITIONS THAT REQUIRE DISCLOSURE OR ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS. true true X true X true false true 3059306 0 3059306 0.00380 179318665 140494754 38823911 0.04870 182377971 140494754 41883217 0.05250 28061968 9027500 19034468 0.02390 3430319 413734 3016585 0.00380 31492287 9441234 22051053 0.02770 213870258 149935988 63934270 0.08020 true 17041695 3679495 130130835 142333811 -12202976 X true true 1 1 PENNSYLVANIA HOSPITAL OF UPHS 800 SPRUCE STREET PHILADELPHIA PA 19107 www.pennmedicine.org LICENSE# 162701 X X X X X PENNSYLVANIA HOSPITAL OF UPHS 1 false false true X X X X X X X X X 21 true true true true X SEE SCHEDULE H, PART V, SECTION C X true 22 true SEE SCHEDULE H, PART V, SECTION C false true X 300. 300. X X X X true true X X X X true X SCH H, PART V, SECT. C X SCH H, PART V, SECT. C X SCH H, PART V, SECT. C X X X X X X true X false X X X X true X false false PART V, SECTION B, LINES 5, 6A & 6B (INPUT FROM COMMUNITY; JOINT CHNA) THE PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH ("PDPH") AND HEALTH CARE IMPROVEMENT FOUNDATION ("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 PAH IS INCLUDED IN A REGIONAL CHNA. 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 IMP. STRATEGY WAS ADOPTED) THE ORGANIZATION'S MOST RECENT IMPLEMENTATION STRATEGY 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-INFORMA TION/INSURANCE-AND-BILLING/FINANCIAL-ASSISTANCE ------------------ 1 PENN MEDICINE AT RITTENHOUSE 1840 SOUTH STREET PHILADELPHIA PA 19146 OUTPATIENT FACILITY PART I, LINE 7 (BAD DEBT EXPENSE, COSTING METHODOLOGY USED) 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) 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 ---------------------------------------- > 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 ELIGBILITY FOR ASSISTANCE) UPHS IS COMMITTED TO CARING FOR ALL PATIENTS EQUITABLY, WITH DIGNITY, RESPECT AND COMPASSION WITHOUT REGARD TO AGE, RACE, COLOR, NATIONAL ORIGIN, 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) THIS ORGANIZATION IS AN AFFILIATE OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM. THE MISSION OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM IS EXCELLENCE IN EDUCATION, RESEARCH, AND CLINICAL CARE. WE STRIVE TO ACHIEVE THESE GOALS BY HAVING THE BEST PEOPLE IN MEDICAL EDUCATION, HEALTH-RELATED RESEARCH, AND PATIENT CARE; MAKING USE OF KNOWLEDGE GAINED FROM NEARLY TWO AND A HALF CENTURIES OF LEARNING AND DISCOVERY AS PART OF A WORLD-CLASS UNIVERSITY; DELIVERING HIGH-QUALITY MEDICINE TO PATIENTS ACROSS A FULLY-INTEGRATED ACADEMIC HEALTH SYSTEM; AND FULFILLING A COMMITMENT TO IMPROVE THE HEALTH OF PEOPLE IN THE COMMUNITIES SERVED BY THE HEALTH SYSTEM AND AROUND THE WORLD. AS PART OF AN AFFILIATED HEALTHCARE SYSTEM, THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM CONSISTS OF CERTAIN OPERATING DIVISIONS OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA (THE "UNIVERSITY") AND AFFILIATED ENTITIES, INCLUDING: - THE CHESTER COUNTY HOSPITAL ("CCH"), INCLUDES A 245 BED COMPLEX IN WEST CHESTER, PENNSYLVANIA, AND SATELLITE LOCATIONS IN EXTON, WEST GOSHEN, NEW GARDEN, JENNERSVILLE, AND KENNETT SQUARE, PENNSYLVANIA; - THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA ("HUP"), A 727 LICENSED BED QUATERNARY CARE HOSPITAL AND ACADEMIC MEDICAL CENTER LOCATED ON THE CAMPUS OF THE UNIVERSITY IN THE WEST PHILADELPHIA AREA OF PHILADELPHIA, PENNSYLVANIA; - PENN PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("PRESBYTERIAN"), A 317 LICENSED BED ACUTE CARE HOSPITAL LOCATED ADJACENT TO THE CAMPUS OF THE UNIVERSITY IN THE WEST PHILADELPHIA AREA OF PHILADELPHIA, PENNSYLVANIA; - PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("PENNSYLVANIA HOSPITAL"), A 550 LICENSED BED ACUTE CARE HOSPITAL LOCATED IN THE CENTER CITY AREA OF PHILADELPHIA, PENNSYLVANIA; - THE CLINICAL PRACTICES OF THE UNIVERSITY OF PENNSYLVANIA ("CPUP"), THE APPROVED FACULTY PRACTICE PLAN FOR THE CLINICAL PRACTICES OF MEMBERS OF THE MEDICAL FACULTY OF THE UNIVERSITY'S PERELMAN SCHOOL OF MEDICINE; - CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("CCA"), A PRIMARY CARE PHYSICIAN NETWORK THAT INCLUDES LOCATIONS IN SOUTHEASTERN PENNSYLVANIA AND SOUTHERN NEW JERSRY THROUGH ITS NEW JERSEY AFFILIATE; - LANCASTER GENERAL HEALTH ("LGH") AND ITS AFFILIATES. LGH OPERATES THREE HOSPITALS IN SOUTH CENTRAL PENNSYLVANIA, INCLUDING LANCASTER GENERAL HOSPITAL, A 533-BED GENERAL ACUTE CARE HOSPITAL, WOMEN & 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; AND - WISSAHICKON HOSPICE, A HOSPICE CARE FACILITY SERVING THE TERMINALLY ILL, LOCATED IN BALA CYNWYD, PENNSYLVANIA. - PRINCETON HEALTHCARE SYSTEM ("PRINCETON") AND ITS AFFILIATES. PRINCETON INCLUDES A COMPREHENSIVE HEALTHCARE PROVIDER LOCATED IN CENTRAL NEW JERSEY THAT PRINCIPALLY INCLUDES THE MEDICAL CENTER OF PRINCETON, A GENERAL ACUTE CARE HOSPITAL FACILITY IN PLAINSBORO, NJ, WITH 319 INPATIENT BEDS (PLUS 24 NEWBORN BASSINETS), AND PRINCETON HOUSE BEHAVIORAL HEALTH, WHICH INCLUDES A 110 BED INPATIENT FACILITY IN PRINCETON, NJ, AS WELL AS FOUR ADDITIONAL OUTPATIENT LOCATIONS. PRINCETON INCLUDES APPROXIMATELY 1,200 PHYSICIANS ON STAFF AND EMPLOYS APPROXIMATELY 3,200 PEOPLE. -------------------- PART VI, LINE 7 (STATE FILING OF COMMUNITY BENEFIT REPORT) N/A false true false false false false false true false ELIZABETH J CRAIG DNP RN FACH BOARD MEMBER UNTIL 8/22 218398 0 0 0 947 0 0 0 19415 0 238760 0 0 0 FRANK A ANASTASI FHFMA CFO, ASST CONTROLLER,SECRETARY 313323 0 55572 0 4103 0 0 0 20538 0 393536 0 0 0 KEITH KASPER EX-OFFICIO MEMBER, CONTROLLER 0 984066 0 421785 0 311138 0 0 0 24644 0 1741633 0 275942 KEVIN B MAHONEY EX-OFFICIO MEMBER 0 1716661 0 840000 0 316052 0 504000 0 20230 0 3396943 0 281027 MICHELLE M VOLPE EX-OFFICIO MEM, COO AS OF 9/22 0 673726 0 262938 0 130735 0 0 0 0 0 1067399 0 90150 PHILLIP A OKALA EX-OFFICIO MEMBER UNTIL 8/22 0 884238 0 0 0 316913 0 211200 0 17998 0 1430349 0 299941 THERESA M LARIVEE BOARD MEMBER, CEO UNTIL 1/23 0 540356 0 227220 0 137012 0 81150 0 29680 0 1015418 0 112592 DANIEL WILSON MEM. AS OF 2/23,CEO AS OF 1/23 265314 0 48061 0 1141 0 0 0 28396 0 342912 0 0 0 JODY J FOSTER CHAIR DEPT. PSYCHIATRY 448514 0 107829 0 2085 0 0 0 26044 0 584472 0 0 0 KERRI HARTNETT ASSOCIATE CFO 237416 0 182 0 56 0 0 0 19168 0 256822 0 0 0 LINDSAY AYLING VP PERIOP SERVICES 231461 0 48493 0 219 0 0 0 17641 0 297814 0 0 0 TRACY WU-TRAM NURSE RN 269422 0 550 0 562 0 0 0 18176 0 288710 0 0 0 SAITA A DAVIS NURSE RN 238196 0 0 0 78 0 0 0 5958 0 244232 0 0 0 SCHEDULE J, PART I, LINE 3 TOP MANAGEMENT COMPENSATION AS PROVIDED IN THE FORM 990, SCHEDULE J INSTRUCTIONS, SINCE THE ORGANIZATION RELIES ON A RELATED ORGANIZATION WHICH USES ONE OR MORE OF THE METHODS DESCRIBED IN LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION, THIS QUESTION HAS BEEN LEFT UNANSWERED. REFER TO SCHEDULE O FOR A DESCRIPTION OF THE COMPENSATION REVIEW AND APPROVAL PROCESS. ------------------------------ SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PARTICIPATION VESTING IN THE SERP OCCURS AFTER EACH THREE YEARS OF PARTICIPATION AND UPON THE OCCURRENCE OF CERTAIN EVENTS (ATTAINMENT OF AGE 65, DEATH, DISABILITY, OR INVOLUNTARY TERMINATION WITHOUT "CAUSE"). CONTRIBUTIONS FOR THOSE WHO HAVE REACHED AGE 65 WILL BE FULLY VESTED WHEN MADE. UPON REACHING A VESTING DATE, PARTICIPANTS WILL AUTOMATICALLY RECEIVE A FULL DISTRIBUTION WHICH IS TAXABLE AS EARNED INCOME. PARTICIPANTS WHO VOLUNTARILY TERMINATE BEFORE VESTING WILL FORFEIT THE BALANCE IN THEIR ACCOUNTS. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN THE UNIVERSITY/HEALTH SYSTEM SERP PLAN DURING THE YEAR: KEITH KASPER - $275,942 KEVIN B. MAHONEY - $281,027 MICHELLE M. VOLPE - $90,150 PHILLIP A. OKALA - $299,941 THERESA M. LARIVEE- $112,592 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: ALAN BAR - NO DISTRIBUTION ------------------------------ SCHEDULE J, PART I, LINE 7 PROVISION OF NON-FIXED PAYMENTS PENNSYLVANIA HOSPITAL PROVIDES DISCRETIONARY BONUS AND/OR INCENTIVE COMPENSATION PAYMENTS TO ELIGIBLE EMPLOYEES. PAYMENTS MADE TO ANY DISQUALIFIED PERSON IS APPROVED BY THE COMPENSATION COMMITTEE THROUGH THE PROCESS DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 15. ------------------------------ SUPPLEMENTAL INFORMATION ON TAX-EXEMPT BONDS FORM 990, SCHEDULE K PENNSYLVANIA HOSPITAL HAS BEEN ALLOCATED A PORTION OF THE PA HIGHER ED FACILITIES AUTHORITY- UPHS SERIES A OF 2008 BOND ISSUE FROM THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA (EIN: 23-1352685) ("UNIVERSITY"), A RELATED IRC SECTION 501(C)(3) ORGANIZATION. SINCE THE UNIVERSITY REMAINS AS THE PRIMARY OBLIGOR OF THE BOND, ALL INFORMATION REGARDING THE UPHS SERIES A OF 2008 BOND ISSUE HAS BEEN REPORTED ON THE FORM 990, SCHEDULE K OF THE UNIVERSITY. THE TOTAL ALLOCATED OUTSTANDING BALANCE FOR PENNSYLVANIA HOSPITAL WAS $15,483,147 AS OF JUNE 30, 2023. PENNSYLVANIA HOSPITAL HAS BEEN ALLOCATED A PORTION OF THE PA HIGHER ED FACILITIES AUTHORITY- UPHS SERIES A&B 2016 BOND ISSUE FROM THE UNIVERSITY, A RELATED IRC SECTION 501(C)(3) ORGANIZATION. SINCE THE UNIVERSITY REMAINS AS THE PRIMARY OBLIGOR OF THE BOND, ALL INFORMATION REGARDING THE UPHS SERIES A&B 2016 BOND ISSUE HAS BEEN REPORTED ON THE FORM 990, SCHEDULE K OF THE UNIVERSITY. THE TOTAL ALLOCATED OUTSTANDING BALANCE FOR PENNSYLVANIA HOSPITAL WAS $31,553,718 AS OF JUNE 30, 2023. PENNSYLVANIA HOSPITAL HAS BEEN ALLOCATED A PORTION OF THE PA HIGHER ED FACILITIES AUTHORITY- UPHS SERIES C 2016 BOND ISSUE FROM THE UNIVERSITY, A RELATED IRC SECTION 501(C)(3) ORGANIZATION. SINCE THE UNIVERSITY REMAINS AS THE PRIMARY OBLIGOR OF THE BOND, ALL INFORMATION REGARDING THE UPHS SERIES C 2016 BOND ISSUE HAS BEEN REPORTED ON THE FORM 990, SCHEDULE K OF THE UNIVERSITY. THE TOTAL ALLOCATED OUTSTANDING BALANCE FOR PENNSYLVANIA HOSPITAL WAS $13,771,860 AS OF JUNE 30, 2023. PENNSYLVANIA HOSPITAL HAS BEEN ALLOCATED A PORTION OF THE PA HIGHER ED FACILITIES AUTHORITY- UPHS SERIES A 2021 BOND ISSUE FROM THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA (EIN: 23-1352685) ("UNIVERSITY"), A RELATED IRC SECTION 501(C)(3) ORGANIZATION. SINCE THE UNIVERSITY REMAINS AS THE PRIMARY OBLIGOR OF THE BOND, ALL INFORMATION REGARDING THE UPHS SERIES A 2021 BOND ISSUE HAS BEEN REPORTED ON THE FORM 990, SCHEDULE K OF THE UNIVERSITY. THE TOTAL ALLOCATED OUTSTANDING BALANCE FOR PENNSYLVANIA HOSPITAL WAS $3,966,203 AS OF JUNE 30, 2023. PENNSYLVANIA HOSPITAL HAS BEEN ALLOCATED A PORTION OF THE PA HIGHER ED FACILITIES AUTHORITY- UPHS SERIES B 2021 BOND ISSUE FROM THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA (EIN: 23-1352685) ("UNIVERSITY"), A RELATED IRC SECTION 501(C)(3) ORGANIZATION. SINCE THE UNIVERSITY REMAINS AS THE PRIMARY OBLIGOR OF THE BOND, ALL INFORMATION REGARDING THE UPHS SERIES B 2021 BOND ISSUE HAS BEEN REPORTED ON THE FORM 990, SCHEDULE K OF THE UNIVERSITY. THE TOTAL ALLOCATED OUTSTANDING BALANCE FOR PENNSYLVANIA HOSPITAL WAS $25,008,007 AS OF JUNE 30, 2023. FORM 990, SCHEDULE L, PART III GRANTS OR ASSISTANCE BENEFITING INTERESTED PERSONS CERTAIN OFFICERS AND/OR KEY EMPLOYEES OF PENNSYLVANIA HOSPITAL MAY RECEIVE TUITION ASSISTANCE FROM THE ORGANIZATION. THE AMOUNT OF SUCH ASSISTANCE HAS BEEN ACCOUNTED FOR AS A COMPONENT OF OVERALL COMPENSATION REPORTED FOR EACH APPLICABLE OFFICER/KEY EMPLOYEE ON FORM 990, PART VII. AS A RESULT, PURSUANT TO THE FORM 990, SCHEDULE L INSTRUCTIONS, SUCH AMOUNTS HAVE NOT BEEN ALSO REPORTED ON SCHEDULE L, PART III. X 3 67637 FMV false true false FORM 990, PART III, LINE 4A DETAIL OF PROGRAM SERVICE ACCOMPLISHMENTS PENNSYLVANIA HOSPITAL IS A 475 BED, COMMUNITY BASED, TERTIARY CARE TEACHING HOSPITAL PROVIDING A FULL RANGE OF DIAGNOSTIC AND THERAPEUTIC MEDICAL SERVICES. THE HOSPITAL'S SPECIALTIES INCLUDE OBSTETRICS AND GYNECOLOGY, NEUROSCIENCES, ORTHOPEDICS, BEHAVIORAL HEALTH, CANCER TREATMENT, CARDIAC CARE, AND BLOODLESS MEDICINE AND SURGERY. SINCE ITS FOUNDING IN 1751, THE MISSION OF PENNSYLVANIA HOSPITAL HAS BEEN TO PROVIDE THE HIGHEST LEVEL OF HEALTH CARE FOR ALL, REGARDLESS OF ABILITY TO PAY. THE HOSPITAL SUBSIDIZES THE COST OF TREATING PATIENTS WHO ARE UNINSURED AND UNABLE TO PAY, OR WHEN GOVERNMENT ASSISTANCE REIMBURSEMENT FALLS BELOW COST. PENNSYLVANIA HOSPITAL ACCEPTS PATIENTS IN SERIOUS NEED OF PROFESSIONAL MEDICAL CARE, INDEPENDENT OF THEIR FINANCIAL STATUS. THIS DEFINITION INCLUDES THOSE PATIENTS SUFFERING FROM A MEDICAL CONDITION MANIFESTING ITSELF BY ACUTE SYMPTOMS OF SUFFICIENT SEVERITY (INCLUDING SEVERE PAIN) SUCH THAT THE ABSENCE OF IMMEDIATE MEDICAL ATTENTION COULD REASONABLY BE EXPECTED TO RESULT IN (1) PLACING THE HEALTH OF THE INDIVIDUAL (OR, WITH RESPECT TO A PREGNANT WOMAN, THE HEALTH OF THE WOMAN OR HER UNBORN CHILD) IN SERIOUS JEOPARDY, OR (2) SERIOUS IMPAIRMENT TO BODILY FUNCTIONS. ACCORDINGLY, PENNSYLVANIA HOSPITAL PROVIDES SERVICES TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY, WITHOUT CHARGE OR AT AMOUNTS LESS THAN PENNSYLVANIA HOSPITAL'S ESTABLISHED RATES. BECAUSE PENNSYLVANIA HOSPITAL DOES NOT PURSUE COLLECTIONS, SUCH AMOUNTS HAVE BEEN EXCLUDED FROM NET PATIENT SERVICE REVENUE. PENNSYLVANIA HOSPITAL ESTIMATED $3,059,306 OF COSTS WERE INCURRED DURING FY23. THE ESTIMATED COSTS OF PROVIDING CHARITY SERVICES ARE BASED ON DATA DERIVED FROM A COMBINATION OF THE PENNSYLVANIA HOSPITAL (UPHS) ACCOUNTING SYSTEM AND THE RATIO OF COSTS TO CHARGES. PENNSYLVANIA HOSPITAL ALSO PROVIDES CARE TO PATIENTS WHO DO NOT HAVE HEALTH INSURANCE OR MEET THE CRITERIA TO QUALIFY FOR ITS CHARITY CARE POLICY. PENNSYLVANIA HOSPITAL PURSUES COLLECTION OF THESE AMOUNTS, HOWEVER CERTAIN AMOUNTS ARE DEEMED TO BE UNCOLLECTIBLE. FOR FY23, $17,041,695 WAS CLASSIFIED AS AN IMPLICIT PRICE CONCESSION WHICH REDUCES NET PATIENT SERVICE REVENUE. ADDITIONALLY, THE COSTS OF PROVIDING SERVICES TO ELIGIBLE WELFARE RECIPIENTS, WHO PARTICIPATE IN THE PENNSYLVANIA MEDICAL ASSISTANCE AND LOCAL MANAGED MEDICAID PROGRAMS EXCEEDED REIMBURSEMENT BY $43,887,232 IN FY23. IN ADDITION TO PROVIDING DIRECT PATIENT CHARITY CARE AND IN FURTHERANCE OF ITS EXEMPT PURPOSE TO BENEFIT THE COMMUNITY, THE HOSPITAL OPERATES AN EMERGENCY DEPARTMENT OPEN TO THE PUBLIC 24 HOURS PER DAY, 7 DAYS PER WEEK, MAINTAINS RESEARCH FACILITIES FOR THE STUDY OF DISEASE AND INJURIES, PROVIDES FACILITIES FOR TEACHING AND TRAINING VARIOUS MEDICAL PERSONNEL, AND FACILITATES THE ADVANCEMENT OF MEDICAL AND SURGICAL EDUCATION. THE HOSPITAL ALSO PROVIDES VARIOUS COMMUNITY SERVICES SUCH AS SCREENINGS FOR THE DETECTION OF BREAST, COLORECTAL, AND SKIN CANCER, CANCER SUPPORT GROUPS, A TOLL-FREE NUMBER FOR CANCER INFORMATION, FREE IMMUNIZATION SHOTS, TRAINING PROGRAMS FOR THE CITY FIRE AND POLICE DEPARTMENTS, HEALTH EDUCATION CLASSES, SPEECHES AND REGULARLY PROVIDES HEALTH RELATED INFORMATION TO TELEVISION AND RADIO NEWS PROGRAMS AND TO REPORTERS AT NEWSPAPERS AND MAGAZINES. PENNSYLVANIA HOSPITAL PROVIDES A CONTINUUM OF HEALTH CARE SERVICES, INCLUDING EMERGENCY SERVICES, INPATIENT SERVICES, PRIMARY AND SPECIALTY CARE OUTPATIENT SERVICES, AND BEHAVIORAL HEALTH SERVICES. HEALTH SERVICES ARE PROVIDED FOR PERSONS WITHOUT REGARD TO RACE, COLOR, RELIGIOUS BELIEF, ANCESTRY, GENDER, HANDICAP, AGE, OR NATIONAL ORIGIN. IN FY23, PENNSYLVANIA HOSPITAL ADMITTED 18,959 ADULT PATIENTS; AND RECORDED 5,245 BIRTHS. THERE WERE ALSO 337,911 OUTPATIENT VISITS. IN ADDITION, 59,894 PSYCHIATRY PATIENTS WERE TREATED. THE EMERGENCY DEPARTMENT TREATED 40,618 PATIENTS IN FY23. THE PENNSYLVANIA HOSPITAL EMERGENCY DEPARTMENT IS STAFFED AND EQUIPPED TO PROVIDE EXCELLENT EMERGENCY MEDICAL CARE 24 HOURS A DAY, SEVEN DAYS A WEEK. ALL PATIENTS ARE EVALUATED REGARDLESS OF THEIR ABILITY TO PAY. THE PENNSYLVANIA HOSPITAL EMERGENCY DEPARTMENT IS RECOGNIZED BY THE EMERGENCY NURSES ASSOCIATION AS A LANTERN-RECOGNIZED EMERGENCY DEPARTMENT. THIS AWARD DISTINGUISHES EMERGENCY DEPARTMENTS FOR EXCELLENCE IN EXCEPTIONAL PRACTICE AND INNOVATIVE PERFORMANCE IN THE CORE AREAS OF LEADERSHIP, PRACTICE, EDUCATION, ADVOCACY AND RESEARCH. ONLY 1% OF EMERGENCY DEPARTMENTS NATIONWIDE HAVE RECEIVED THIS ESTEEMED RECOGNITION. COMMUNITY SERVICES & PROGRAMS PENN MEDICINE, LED BY THE RADIOLOGY DEPARTMENT OF PENNSYLVANIA HOSPITAL, IN COLLABORATION WITH SIEMENS HEALTHINEERS, HAS OFFERED THREE MOBILE MAMMOGRAPHY EVENTS SINCE 2001. AT THE MOST RECENT EVENT, WITH THE CHURCH OF CHRISTIAN COMPASSION IN WEST PHILADELPHIA, 355 PATIENTS HAD SCREENING MAMMOGRAPHY, AND 6 CANCERS WERE IDENTIFIED. THIS RESULTED IN A 16/1000 PATIENT CANCER DETECTION RATE, WHICH IS FAR HIGHER THAN THE STANDARD PUBLISHED CANCER DETECTION RATES. THE PROGRAM WAS ABLE TO PROVIDE SERVICES FOR A MAJORITY OF UN- AND UNDERINSURED PATIENTS, INCLUDING PHYSICIAN FOLLOW-UP, IN A POPULATION THAT HAS BEEN WELL ESTABLISHED TO HAVE HIGH CANCER RATES, HIGH MORBIDITY AND MORTALITY WITH BREAST CANCER, AND LOWER RATES OF FOLLOW-UP AND TRUST IN HEALTHCARE. IN ADDITION TO PROVIDING FREE SCREENINGS AND FOLLOW UP CARE, IF NEEDED, THIS EVENT DELETED BARRIERS TO CARE THAT THIS POPULATION ROUTINELY FACES, RESULTING IN TRUE, EQUITY-BUILDING ACTIONS. MOVING FORWARD, PENNSYLVANIA HOSPITAL IS OBTAINING ITS OWN MOBILE MAMMOGRAPHY SYSTEM FOR THIS PURPOSE. HALL-MERCER COMMUNITY MENTAL HEALTH CENTER OFFERS OUTPATIENT SERVICES RANGING FROM PSYCHOTHERAPY TO COUNSELING THROUGH A VARIETY OF SPECIALIZED PROGRAMS FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES, CHRONIC MENTAL ILLNESS, AND RELATED PROBLEMS. THE CENTER RECEIVES THE MAJORITY OF ITS SUPPORT FROM THE CITY AND STATE, BUT PENNSYLVANIA HOSPITAL SUBSIDIZES A SIGNIFICANT PORTION OF ITS SERVICES. MANY OUTPATIENT SERVICES ARE AVAILABLE ON A SLIDING SCALE FEE BASIS. SPECIAL PROGRAMS WITHIN HALL-MERCER INCLUDE: ACCESS INTENSIVE CASE MANAGEMENT IS A TARGETED CASE MANAGEMENT PROGRAM WHICH SERVES ADULTS RECOVERING FROM SEVERE MENTAL ILLNESS WITH POSSIBLE CO-OCCURRING SUBSTANCE ABUSE ISSUES. MANY PARTICIPANTS AUTHORIZED TO THIS PROGRAM ARE HOMELESS OR MAY HAVE A HISTORY OF BEING HOMELESS. A TEAM APPROACH AND RECOVERY-BASED MODEL IS USED TO CONNECT PARTICIPANTS WITH SUPPORTIVE SERVICES WHICH ENCOURAGE DAILY STABILITY AND REDUCED PSYCHIATRIC HOSPITALIZATIONS. ADULT MENTAL HEALTH SERVICES PROVIDES COMPREHENSIVE OUTPATIENT MENTAL HEALTH SERVICES IN CENTER CITY, SOUTH PHILADELPHIA AND SURROUNDING AREAS. SPECIFIC SERVICES INCLUDE EVALUATIONS, PSYCHOTHERAPY, PHARMACOTHERAPY, AND SOCIAL REHABILITATION. EMPHASIS IS ON PROVIDING ALL PERSONS WHO HAVE SEVERE AND CHRONIC MENTAL ILLNESS WITH OUTSTANDING CARE IN A PLEASANT ENVIRONMENT AND RESPECTFUL MANNER. BEHAVIORAL HEALTH SERVICES AT THE PHILADELPHIA JUVENILE JUSTICE SERVICES CENTER (PJJSC) HALL-MERCER PROVIDES BEHAVIORAL HEALTH SERVICES AT THE PHILADELPHIA JUVENILE JUSTICE SERVICES CENTER (PJJSC). THE CLINICAL TEAM AT THE PJJSC PROVIDES ADJUSTMENT/CRISIS SERVICES, INDIVIDUAL THERAPY FOR YOUTH WITH EXTENDED LENGTH OF STAY, AND PSYCHIATRIC EVALUATION AND MEDICATION MANAGEMENT. BLENDED CASE MANAGEMENT (BCM) IS A TARGETED CASE MANAGEMENT PROGRAM WHICH SERVES ADULTS RECOVERING FROM SEVERE MENTAL ILLNESS WITH POSSIBLE CO-OCCURRING SUBSTANCE ABUSE ISSUES. MANY PARTICIPANTS IN THE PROGRAM MAY HAVE A HISTORY OF HOMELESSNESS. BCM PARTICIPANTS REQUIRE LESS INTENSIVE CASE MANAGEMENT SERVICES THAN THOSE ENROLLED IN ACCESS. A TEAM APPROACH AND RECOVERY-BASED MODEL IS USED TO CONNECT PARTICIPANTS WITH SUPPORTIVE SERVICES WHICH ENCOURAGE DAILY STABILITY AND REDUCED PSYCHIATRIC HOSPITALIZATIONS. HALL MERCER ALSO OFFERS A SOUTHEAST ASIAN BLENDED CASE MANAGEMENT PROGRAM WHICH PROVIDES BCM TO ADULTS WHO SPEAK CANTONESE, MANDARIN, VIETNAMESE, KHMER, OR LAO. CASE MANAGERS IN THIS PROGRAM PROVIDE ENGLISH INTERPRETATION TO HELP PARTICIPANTS CONNECT TO PUBLIC BENEFITS AND OTHER COMMUNITY SUPPORTS. CHILD AND FAMILY MENTAL HEALTH SERVICES PROVIDES MENTAL HEALTH EVALUATIONS AND TREATMENT TO CHILDREN AND ADOLESCENTS AGE 3-18 AND THEIR FAMILIES, WHO ARE RESIDENTS OF PHILADELPHIA. SPECIALIZES IN TRAUMA-INFORMED CARE. FORM 990, PART III, LINE 4A (CONT.) CHILDREN'S COMMUNITY BASED SERVICE DEPARTMENT WAS ESTABLISHED TO BRING TOGETHER THE COMMUNITY BASED CHILDREN'S SERVICE PROGRAMS THAT PROVIDE CLINICAL AND CASE MANAGEMENT SERVICES IN THE COMMUNITY TO CHILDREN AND THEIR FAMILIES. THE DEPARTMENT IS MADE UP OF CHILDREN'S BLENDED CASE MANAGEMENT AND HOME-SCHOOL CONNECTION. THE RANGE OF SERVICES PROVIDED INCLUDES CLINICAL EVALUATIONS AND REFERRALS, INDIVIDUAL AND GROUP THERAPY, FAMILY MEETINGS, CRISIS INTERVENTION AND CASE MANAGEMENT SERVICES. THESE PROGRAMS SERVICE CHILDREN AND ADOLESCENTS. THE RANGE OF SERVICES PROVIDED IN THE SCHOOL INCLUDE CLINICAL EVALUATIONS AND REFERRALS, CASE MANAGEMENT SERVICES, BEHAVIORAL THERAPEUTIC SERVICES AND GROUPS. THESE PROGRAMS TARGET CHILDREN AND ADOLESCENTS. EARLY CHILDHOOD PROGRAM HALL-MERCER RECENTLY PARTNERED WITH THE PENN CENTER FOR MENTAL HEALTH TO BRING AUTISM SERVICES TO CHILDREN 3-5 YEARS OLD. THE EARLY CHILDHOOD PROGRAM SERVES AS A THERAPEUTIC PRESCHOOL FOR CHILDREN WHO STRUGGLE WITH EMOTIONAL AND BEHAVIORAL REGULATION, SOCIAL COMMUNICATION SKILLS, AND PLAY SKILLS - MAKING IT DIFFICULT FOR THEM TO LEARN IN A TRADITIONAL SCHOOL ENVIRONMENT. THE PROGRAM HAS THE CAPACITY TO SERVE 32 CHILDREN ON A DAILY BASIS, IN OUR NATURALIST CHILD-LED LEARNING SPACE. HOMELESS OUTREACH PROGRAM PROVIDES ENGAGEMENT TO PEOPLE WHO ARE LIVING ON THE STREET. HALL MERCER WORKS IN CONJUNCTION WITH DBHIDS AND OTHER HOMELESS OUTREACH PROGRAMS TO ASSIST THE HOMELESS COMMUNITY WITH CONNECTING TO SHELTER, URGENT MEDICAL OR PSYCHIATRIC TREATMENT, OR TO SIMPLY PROVIDE RESOURCES THAT HELP PEOPLE MEET THEIR IMMEDIATE SURVIVAL NEEDS. THE GOAL OF OUTREACH IS TO BUILD TRUSTING RELATIONSHIPS WITH THE HOMELESS COMMUNITY SO THAT THE OUTREACH WORKER CAN HELP SOMEONE ADDRESS THE BARRIERS WHICH PREVENT THEM FROM SEEKING SHELTER. HALL MERCER IS STAFFED WITH AN OUTREACH TEAM 365 DAYS A YEAR. INTELLECTUAL DISABILITIES PROGRAMS PROVIDE AN ARRAY OF SERVICES TO ADULTS WITH INTELLECTUAL DISABILITIES AND THEIR FAMILIES TO SUPPORT INDIVIDUAL CHOICE, COMMUNITY INVOLVEMENT, AND USE OF TRADITIONAL AND NATURAL RESOURCES. THESE INCLUDE THE INTENSIVE SERVICES CASE MANAGEMENT PROGRAM (ISCM). THE ISCM PROGRAM IS A CITY-WIDE PROGRAM WHICH WORKS IN COLLABORATION WITH THE PHILADELPHIA OFFICE OF INTELLECTUAL DISABILITIES (IDS) TO PROVIDE EMERGENCY SUPPORTS COORDINATION TO ADULTS WITH INTELLECTUAL DISABILITIES LIVING IN ALL CATCHMENT AREAS. THE PROGRAM OPERATES 24 HOURS A DAY, 7 DAYS PER WEEK AND RESPONDS TO EMERGENCY SITUATIONS SUCH AS EMERGENCY PLACEMENT DUE TO ABUSE, NEGLECT OR DEATH OF A CAREGIVER, MOVING INDIVIDUALS FROM SUBSTANDARD LIVING CONDITIONS INTO A SAFE LIVING ENVIRONMENT. THE ISCM PROGRAM ALSO ASSISTS UNDERSERVED INDIVIDUALS IN THE COMMUNITY TO BECOME REGISTERED AND RECEIVE SERVICES THROUGH IDS. PHIICAPS (PHILADELPHIA INTENSIVE IN-HOME CHILD AND ADOLESCENT PSYCHIATRY SERVICE) PROVIDE INTENSIVE FAMILY TREATMENT AND CASE MANAGEMENT TO 48 FAMILIES AT A TIME. THE CHILD OR ADOLESCENT IS IDENTIFIED TO BE SEVERELY EMOTIONALLY DISTURBED AND AT RISK OF HOSPITALIZATION OR OUT OF HOME PLACEMENT. MODALITIES INCLUDE INDIVIDUAL AND FAMILY THERAPY, TF-CBT, CBT WITH EXPOSURE THERAPY FOR SEVERE ANXIETY DISORDERS, ADVOCACY AND CASE MANAGEMENT IN THE CHILD, FAMILY, ENVIRONMENT AND SCHOOL DOMAINS. PHIICAPS HAS SIX TEAMS, EACH MADE UP OF ONE MASTER'S LEVEL CLINICIAN AND ONE BACHELORS LEVEL MENTAL HEALTH WORKER. ALL ARE DESIGNATED AS TRAUMA SPECIALTY TEAMS, PER CBH. TWO TEAMS ARE SPANISH-SPEAKING. ONE TEAM IS A PILOT ANXIETY-DISORDER SPECIALTY TEAM. PREVENTION AND RECOVERY SERVICES (PARS) IS A 90-DAY TARGETED CASE MANAGEMENT SERVICE WHICH SERVES ADULTS RECOVERING FROM SEVERE MENTAL ILLNESS WITH POSSIBLE CO-OCCURRING SUBSTANCE ABUSE ISSUES. MANY PARTICIPANTS IN THIS PROGRAM MAY HAVE A HISTORY OF HOMELESSNESS. CASE MANAGERS, THROUGH A TEAM APPROACH AND RECOVERY-BASED MODEL, PROVIDE RAPID INTERVENTION TO ASSIST INDIVIDUALS WITH CONNECTING TO SUPPORTS WHICH WILL ALLOW THEM TO REACH THE HIGHEST LEVEL OF INDEPENDENT FUNCTIONING POSSIBLE. OTHER HALL-MERCER ACTIVITIES - IN COLLABORATION WITH PAH HOSTED AN ANNUAL FOOD DRIVE. (ANNUAL) - HALL MERCER DEVELOPED A CLOTHES ROOM TO ASSIST CONSUMERS IN NEED. (ONGOING) - HALL MERCER DEVELOPED A FOOD PANTRY TO ASSIST CONSUMERS IN NEED. (ONGOING) - COLLABORATED WITH PAH TO DEVELOP A FOOD PANTRY FOR UPHS STAFF IN NEED. (ONGOING) - TEAMING WITH PAH SW DEPARTMENT'S SHARED GOVERNANCE COMMITTEE TO PROVIDE TOILETRIES AND OTHER ESSENTIAL ITEMS FOR PARTICIPANTS IN OUR HALL MERCER OUTREACH PROGRAM. - STAFF MEMBERS OF THE PHILADELPHIA MEDICAL RESERVE CORPS IS A COMMITTED GROUP OF VOLUNTEERS, WITH AND WITHOUT MEDICAL BACKGROUNDS, WHO HELP KEEP PHILADELPHIA SAFE BY RESPONDING TO PUBLIC HEALTH EMERGENCIES. THE PHILADELPHIA MRC HELPS ENSURE THAT ALL PHILADELPHIANS, ESPECIALLY THE MOST VULNERABLE, RECEIVE THE CARE THEY NEED DURING A PUBLIC HEALTH CRISIS. (ONGOING) - MEMBERS OF THE PHILADELPHIA MRC. A GROUP OF MEDICAL, PUBLIC HEALTH, AND OTHER VOLUNTEERS WHO ARE READY TO SERVE PHILADELPHIA DURING PUBLIC HEALTH EMERGENCIES OR OTHER TIME OF NEED. (ONGOING) - STAFF MEMBER VOLUNTEERS TO RESPOND DURING LARGE AND SMALL-SCALE EMERGENCIES, SUCH AS AN INFLUENZA PANDEMIC, A BIOTERRORISM EVENT, A SEVERE STORM THAT REQUIRES THE CITY TO OPEN MASS SHELTERS, OR OTHER EVENT THAT OVERWHELMS COMMUNITY RESOURCES. (ONGOING) - THE THERAPIST IN THE DUAL DIAGNOSIS OUTPATIENT PROGRAM HAS ENGAGED THE AA INTERGROUP TO ACCEPT OUR CONSUMERS TO WORK AT THEIR CENTER CITY OFFICES, AIDING IN THEIR RECOVERY. (ONGOING) - HALL MERCER IMPLEMENTED A PATIENT RECOVERY MENTAL HEALTH AND HEALTH AND WELLNESS PROGRAM. (ONGOING) - STAFF VOLUNTEERS WITH LOCAL ANIMAL RESCUE ORGANIZATION. (ONGOING) - HALL MERCER PROVIDES BEHAVIORAL HEALTH TRAINING AND EDUCATION TO THE STAFF OF AREA COMMUNITY RESIDENTIAL PROGRAMS AND HOMELESS SHELTERS. (ONGOING) - HALL MERCER PARTNERED WITH PAH FOOD AND NUTRITION DEPARTMENT TO SPONSOR A FAMILY AT CHRISTMAS. - HALL MERCER PROGRAMS ADOPTED FAMILIES TO PROVIDE HOLIDAY GIFTS DURING THE HOLIDAY SEASON. - STAFF MEMBERS VOLUNTEERED TO HOST MENTAL HEALTH SCREENING EVENTS IN COLLABORATION WITH THE PHILADELPHIA, DEPARTMENT OF BEHAVIORAL HEALTH - HALL MERCER FACILITATES A NICOTINE ANONYMOUS GROUP. THE DIABETES EDUCATION CENTER PROVIDES COMPREHENSIVE OUTPATIENT EDUCATION AND TRAINING FOR PEOPLE LIVING WITH DIABETES, THEIR FAMILY MEMBERS, AND MEMBERS OF THE COMMUNITY. OUR TEAM CURRENTLY CONSISTS OF THREE REGISTERED DIETITIANS, TWO OF WHOM ARE CERTIFIED DIABETES CARE AND EDUCATION SPECIALISTS. THE CENTER PROVIDES ITS SERVICES, REGARDLESS OF INSURANCE STATUS OR ABILITY TO PAY FOR SERVICES. SERVICES PROVIDED IN FY23 INCLUDED: - COMPREHENSIVE DIABETES SELF-MANAGEMENT EDUCATION IN GROUPS OR INDIVIDUAL SETTING. THE PROGRAM HOLDS RECOGNITION FOR MEETING NATIONAL STANDARDS FROM THE AMERICAN DIABETES ASSOCIATION. - THE NATIONAL DIABETES PREVENTION PROGRAM (DPP). THE CENTER IS FULLY RECOGNIZED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) FOR PROVIDING THE DPP. THIS YEAR-LONG PROGRAM HELPS PARTICIPANTS PREVENT OR DELAY A DIAGNOSIS OF TYPE 2 DIABETES. - INDIVIDUAL EDUCATION FOR SPECIFIC DIABETES MANAGEMENT NEEDS SUCH AS SELF BLOOD-GLUCOSE MONITORING, CONTINUOUS GLUCOSE SENSOR USE, AND MEDICATION ADMINISTRATION - DIABETES AWARENESS EDUCATION FOR LOCAL AND NATIONAL CIVIC, BUSINESS, AND SOCIAL GROUPS - PROFESSIONAL EDUCATION FOR NURSES, ADVANCE PRACTICE PRACTITIONERS, PHARMACISTS, DIETITIANS, AND OTHER HEALTHCARE PROVIDERS. HOSTING UNDERGRADUATE DIETETICS AND PUBLIC HEALTH STUDENTS TO PROVIDE EXPERIENTIAL LEARNING TOWARDS DEGREE REQUIREMENTS PROGRAM STATISTICS FOR FY23 ARE AS FOLLOWS: - GROUP CLASS PARTICIPANTS: 514 TOTAL VISITS (IN-OFFICE & VIRTUAL); 102 PARTICIPANTS COMPLETED THE CLASSES - INDIVIDUAL CONSULTATIONS: 313 VISITS (IN-OFFICE & VIRTUAL) - MNT SESSIONS: 1,473 VISITS (IN-OFFICE & VIRTUAL) - DIABETES PREVENTION PROGRAM: 126 VISITS (IN-OFFICE ONLY) - GESTATIONAL DIABETES: 118 PATIENTS - TOTAL NUMBER OF BILLABLE VISITS: 2,116 VISITS - HEALTH PROFESSIONAL STUDENTS: 6 ABRAMSON CANCER CENTER AT PENNSYLVANIA HOSPITAL: AS PART OF THE ABRAMSON CANCER CENTER AT PENNSYLVANIA HOSPITAL, THE JOAN KARNELL SUPPORTIVE CARE PROGRAM OFFERS SUPPORT TO HELP CANCER PATIENTS AND THEIR FAMILIES COPE WITH THE DIAGNOSIS OF CANCER. LED BY TRAINED PROFESSIONALS, THESE GROUPS OFFER EMOTIONAL SUPPORT, EDUCATION, OPPORTUNITIES TO LEARN WAYS OF COPING WITH UNCERTAINTY AND CHANGE, AND A CHANCE TO MEET OTHERS WHO FACE SIMILAR ISSUES. THE CENTER ALSO SUPPORTS ADVOCACY GROUPS WHO PROVIDE PROGRAMS AND SUPPORT TO MUTUAL PATIENTS, THROUGH SHARING OF RESOURCES AND STAFF VOLUNTEERING. FORM 990, PART III, LINE 4A (CONT.) WEEKLY SUPPORT GROUPS: - PATIENT SUPPORT GROUPS: PARTNERSHIP WITH PERELMAN ABRAMSON CANCER CENTER PATIENT SUPPORT GROUPS. ALL SUPPORT GROUPS ARE FACILITATED VIRTUALLY BY A SOCIAL WORKER OR PSYCHOLOGIST. - WELLNESS YOGA PROVIDED VIRTUALLY VIA ZOOM BY MICHELLE STORTZ. WEEKLY CLASSES PROVIDED TO CANCER PATIENTS AND CAREGIVERS. 1/2023 - 12/2023 91 SESSIONS WITH TOTAL ATTENDANCE OF 447. ANNUAL SERIES (INCLUDING SCREENINGS, AWARENESS PROGRAMS, WALKS AND RACES, AND FUNDRAISERS) - COOKING NUTRITIOUS & DELICIOUS FOOD, A SERIES OF VIRTUAL MEETINGS FROM OUR NUTRITION COUNSELORS: - 6/27/2023, 21 ATTENDEES - 10/4/2023, 11 ATTENDEES - EXERCISE AND NUTRITION PROGRAM FOR ALL CANCER SURVIVORS. A SUPPORT AND EDUCATIONAL PROGRAM FOR ALL CANCER SURVIVORS WITH A TOTAL OF 26 PARTICIPANTS. A MULTIDISCIPLINARY TEAM FACILITATED THIS SERIES INCLUDING A LCSW COUNSELOR, NUTRITION COUNSELOR, AND AN ONCOLOGY LYMPHEDEMA PHYSICAL THERAPIST: 6/7/23 - CANCER SURVIVORS DAY EVENT: VIRTUAL EVENT FOCUSING ON CANCER SURVIVORSHIP. SPEAKERS INCLUDED SPEAKER AND AUTHOR, KIMBERLY S. REED, AND FORMER PHILADELPHIA FLYERS PLAYER, OSKAR LINDBLOM: 6/13/23 - 20TH ANNUAL FOCUS ON MELANOMA, VIRTUAL EDUCATION PROGRAM: 5/12/23 - DRESS IN BLUE DAY: STAFF FROM THE ENDOSCOPY CENTER AND PAH ABRAMSON CANCER CENTER LED AN EVENT TO HIGHLIGHT COLON CANCER AWARENESS MONTH. AN EDUCATION TABLE WAS SET UP AT THE CAFETERIA WITH INFORMATION ABOUT COLON CANCER PREVENTION, RISK FACTORS, AND SIGNS AND SYMPTOMS: 3/3/23 - WORLD SICKLE CELL DAY: AWARENESS TABLE FOR PATIENTS LOCATED IN THE CANCER CENTER. RAISED AWARENESS FOR AMERICAN RED CROSS BLUE TAG PROGRAM AND WALTER E. BRANDON SICKLE CELL 5K: 6/19/23 - FAMILY HEALTH HISTORY DAY: STAFF FROM THE CANCER RISK EVALUALTION PROGRAM SET UP AN EDUCATIONAL TABLE IN THE CAFETERIA WITH INFORMATION ABOUT THE IMPORTANCE OF UNDERSTANDING CANCER RISK AND HOW TO SET UP AN APPOINTMENT WITH A GENETIC COUNSELOR: 11/15/23 - PENN MEDICINE MAMMOTHON: STAFF FROM THE CANCER CENTER AND RADIOLOGY PARTNERED TOGETHER TO PROMOTE BREAST CANCER AWARENESS AND THE IMPORTANCE OF REGULAR MAMMOGRAMS. PATIENTS WERE ABLE TO SCHEDULE ON THE SPOT, AND THE EVENTS RESULTED IN 42 MAMMOGRAM APPOINTMENTS: 2/16/23 & 10/19/23 - CAREGIVER AWARENESS MONTH: AWARENESS TABLE WITH CAREGIVER RESOURCES SET UP IN THE CANCER CENTER: 11/1/23 - 11/30/23 OTHER SUPPORT/COMMUNITY EVENTS: - UNITE FOR HER WELLNESS VIRTUAL WORKSHOP: PARTNERSHIP BETWEEN PENN MEDICINE/ACC AND UFH TO HOST A VIRTUAL WELLNESS DAY, PROVIDING COMPLEMENTARY THERAPY TREATMENT FOR BREAST AND OVARIAN CANCER PATIENTS. THIS PARTNERSHIP BENEFITS 400 PATIENTS/YEAR ACROSS THE HEALTH SYSTEM. PROGRAMS WERE OFFERED ON 3/11/23 & 6/14/23. - PATIENTS AND STAFF ATTENDED 8th ANNUAL STEPS TO CURE SARCOMA 5K EVENT: 5/21/23 NEWBORN CARE: THE SECTION ON NEWBORN MEDICINE, THE INTENSIVE CARE NURSERY, AND THE ASSOCIATED DELIVERY AND TERM NURSERIES SERVE MORE THAN 5,000 INFANT-MOTHER PAIRS ANNUALLY. OF THESE, ROUGHLY 40 TO 60 PER YEAR ARE WITHOUT ANY MEANS OF SUPPORT. FREQUENTLY, THERE ARE VARYING PSYCHOSOCIAL REASONS THAT IMPAIR THE MOTHER'S ABILITY TO TAKE THEIR BABIES HOME. IN ALL OF THESE CASES THE PHYSICIAN AND NURSING SUPPORT AND HOSPITAL CARE ARE GIVEN WITHOUT COMPENSATION. THESE SITUATIONS, BECAUSE OF THEIR INEVITABLE PSYCHOSOCIAL COMPLEXITY, CONSUME A GREATER SHARE OF RESOURCES THAN DO MOST COMPENSATED CASES. THE AMOUNT OF CARE RENDERED VARIES, BUT BASED UPON LENGTH OF STAY; CHARGES CAN BE CALCULATED TO APPROXIMATELY $100,000 PER YEAR. THIS FIGURE DOES NOT INCLUDE DONATED PHYSICIAN TIME. THE INTENSIVE CARE NURSERY (ICN) PROVIDES COMPREHENSIVE INTENSIVE CARE TO CRITICALLY ILL AND SICK NEONATES AND THEIR FAMILIES. THE UNIT SPECIALIZES IN PROVIDING CARE TO INFANTS WHO ARE BORN LESS THAN 36 WEEKS GESTATIONAL AGE, AS WELL AS TO INFANTS OF ALL GESTATIONAL AGES WHO REQUIRE INTENSIVE CARE DUE TO CONDITIONS SUCH AS HYPOXIC-ISCHEMIC INJURY; CARDIAC DYSFUNCTION; RESPIRATORY DISTRESS; SEPSIS; HYPOGLYCEMIA; HYPERBILIRUBINEMIA; NEONATAL ABSTINENCE SYNDROME; SEIZURES; OR CONGENITAL ANOMALIES. AFTER DISCHARGE FROM THE INTENSIVE CARE NURSERY, THE DEVELOPMENTAL FOLLOW-UP PROGRAM AT PENNSYLVANIA HOSPITAL PROVIDES OUTPATIENT NEURODEVELOPMENTAL ASSESSMENTS TO ALL INFANTS WHO WERE BORN AT < 32 WEEKS GESTATION, AND/OR THOSE WITH BIRTH WEIGHT < 1500 GRAMS, AS WELL AS OLDER INFANTS WITH HYPOXIC ISCHEMIC ENCEPHALOPATHY, NEONATAL ABSTINENCE SYNDROME, OR SEVERE RESPIRATORY FAILURE. THIS PROGRAM OFFERS SERIAL ASSESSMENTS THROUGH 2 YEARS OF AGE. THE INTENSIVE CARE NURSERY FAMILY ADVISORY COUNCIL, FORMED IN 2014, HAS CONTINUED TO BE VERY ACTIVE AND SUPPORTIVE TO ICN FAMILIES. THIS COUNCIL OF APPROXIMATELY 20 FORMER ICN PARENTS AND STAFF MEETS REGULARLY TO FUNDRAISE AND PROVIDE SUPPORT TO CURRENT ICN PARENTS. WORKING WITH ICN MEDICAL AND NURSING PARTNERS, THIS GROUP IDENTIFIED A NEED FOR ONGOING PSYCHOSOCIAL SUPPORT FOR ICN PARENTS, MANY OF WHOM STRUGGLE WITH DEPRESSION AND ANXIETY DURING THE OFTEN PROLONGED HOSPITALIZATION OF THEIR SICK AND PREMATURE INFANTS. PSYCHOLOGY SUPPORT SERVICES WERE PROVIDED DURING FY23 TO ICN FAMILIES WITH STAFFING FROM THE DEPARTMENT OF PSYCHIATRY. PSYCHOLOGY INTERNS PROVIDE 10 HOURS OF CLINICAL TIME FOR THE SUPPORT OF ICN PARENTS WEEKLY. CURRENTLY, THE DEPARTMENT OF NURSING PROVIDES THE FUNDING FOR THIS PROGRAM. NURSE-MIDWIFERY: PENN OB/GYN AND MIDWIFERY CARE, A PRACTICE OF PENNSYLVANIA HOSPITAL, INCLUDES 17 MIDWIVES WHO WORK COLLABORATIVELY WITH PHYSICIANS IN THE DEPARTMENT OF OBSTETRICS AND GYNECOLOGY TO PROVIDE CARE TO LOW-INCOME WOMEN WITH AND WITHOUT MEDICAL RISK FACTORS. A FULL SPECTRUM OF INDIVIDUALIZED, FAMILY-CENTERED REPRODUCTIVE AND GYNECOLOGIC HEALTHCARE IS PROVIDED BASED ON THE PHILOSOPHY OF MUTUAL RESPECT, CLIENT PARTICIPATION, AND EDUCATION. SERVICES ARE PROVIDED WITHIN THE HOSPITAL AS WELL AS IN THE OUTPATIENT OFFICE SETTING. THE MIDWIVES PROVIDE FREE COMMUNITY EDUCATION WITH SPEAKING ENGAGEMENTS TO BREASTFEEDING AND PARENTING GROUPS, NURSING AND UNDERGRADUATE STUDENTS, AND THE GENERAL COMMUNITY. THE MIDWIVES ARE ACTIVE PARTICIPANTS IN THE TRAINING OF MIDWIFERY AND MEDICAL STUDENTS, AS WELL AS OBGYN RESIDENTS AT PENNSYLVANIA HOSPITAL. ADDITIONALLY, MICHELLE LA-MARR-SUGGS, A MIDWIFE AT PENNSYLVANIA HOSPITAL HOSTS A COMMUNITY BABY SHOWER ANNUALLY THROUGH HER NONPROFIT, ROYAL GENERATION. THIS YEAR'S SHOWER WAS HELD ON JUNE 24, 2023 AT CLARA MUHAMMAD SQUARE, 4700 LANCASTER AVENUE IN WEST PHILADELPHIA. 100 EXPECTANT FAMILIES ATTENDED AND RECEIVED EDUCATION, RESOURCES, ENCOURAGEMENT AND BABY SUPPLIES SUCH AS DIAPERS, WIPES, FORMULA, CAR SEATS, BATHING SUPPLIES (LOTION/SOAP), STROLLERS, CRIBS, BOOKS, SAFETY KITS, BABY CLOTHING, AND GIFT CERTIFICATES, AND WERE OFFERED A FOOD BOX THAT INCLUDED FRESH PRODUCE. IN ADDITION TO NEEDED BABY ESSENTIALS, FAMILIES RECEIVED EDUCATION AND COMMUNITY RESOURCES. PENN PARENTING RESOURCE CENTER: OUR PRACTICE OFFERS CHILDBIRTH EDUCATION, PARENTING EDUCATION, BREASTFEEDING SUPPORT, INFANT FEEDING AND SWALLOWING EVALUATION AND TREATMENT, AND PSYCHOSOCIAL SUPPORT THROUGHOUT PREGNANCY AND BEYOND. WE ALSO PARTNER WITH COMMUNITY ORGANIZATIONS TO SUPPORT AND EDUCATE FAMILIES THROUGHOUT THE CITY OF PHILADELPHIA. WAYS WE WERE ADDITIONALLY INVOLVED IN THE COMMUNITY: - WE WERE A HOST OF GLOBAL LATCH EVENT THAT WAS OPEN TO ANYONE IN THE COMMUNITY (FOOD, RESOURCES, GIVEAWAYS) - WE PARTICIPATED IN SEVERAL COMMUNITY BABY SHOWERS AND COMMUNITY FAMILY EVENTS WHERE WE BROUGHT FREE SUPPLIES AND RESOURCES AND PROVIDED EDUCATION. - WE PARTNERED WITH HALL MERCER AND PROVIDED FAMILY SAFETY CLASSES FOR THEIR CLIENTS (EACH PARTICIPANT WAS GIVEN A FIRST AID KIT, A GUN LOCK, A WATER BOTTLE, AMAZON GIFT CARD, BIKE HELMET, ETC.) - WE CELEBRATED WORLD BREASTFEEDING WEEK WITH AN OPEN HOUSE FOR COMMUNITY MEMBERS (FREE CLASSES, RAFFLE ITEMS, EDUCATION) WE HAVE A LINK ON OUR WEBSITE FOR THOSE WHO WISH TO SUBMIT A LACTATION QUESTION ELECTRONICALLY. THOSE QUESTIONS ARE PASSED ON TO OUR CERTIFIED LACTATION CONSULTANTS WHO ARE ABLE TO PROVIDE RESOURCES AND SCHEDULE A 1:1 APPOINTMENT. OUR PRACTICE RENTS HOSPITAL-GRADE BREAST PUMPS AND BABY SCALES, AND STOCKS PUMPING SUPPLIES FOR NEW PARENTS. LACTATING INDIVIDUALS ALSO BENEFIT FROM A PROFESSIONAL BRA AND FLANGE FITTING BY OUR STAFF WHO ARE SPECIALLY TRAINED IN THESE SKILLS. THE OUTPATIENT LACTATION CARE PROVIDES PATIENTS WITH A 1:1 CONSULTATION AND SUPPORT WITH AN INTERNATIONAL BOARD CERTIFIED LACTATION CONSULTANT. AREAS OF SUPPORT INCLUDE PRENATAL ASSESSMENT AND PLANNING, LATCHING, PUMPING, MILK SUPPLY, BREAST CARE, AND MORE. OUR PRACTICE OFFERS REGULAR SUPPORT GROUPS. THE SOCIAL/EMOTIONAL SUPPORT FOR PREGNANCY AND BEYOND IS FACILITATED BY STAFF TRAINED TO FACILITATE SUPPORT GROUPS. FORM 990, PART III, LINE 4A (CONT.) IN FY23, 1,338 PATIENTS CAME IN FOR OUTPATIENT LACTATION CARE. IN FY23, 1,882 INDIVIDUALS PARTICIPATED IN A MIXTURE OF VIRTUAL AND IN-PERSON CLASSES TITLED: - BABY CARE BASICS - BECOMING GRAND - BEGINNING BREASTFEEDING - CHILDBIRTH PREP 101 - EXPLORING PARENTHOOD - SOCIAL BABY - LABOR LAB - INFANT/CHILD CPR - PARENTING YOUR TODDLER - PARENTING YOUR 2ND OR 3RD CHILD - PEDIATRIC FIRST AID - SWEET SLEEP PHARMACY: THE HARRISON SPECIALTY GRANT PROVIDES COPAY ASSISTANCE IN SITUATIONS WHERE THE COPAY IS THE ONLY BARRIER TO OBTAINING THE MEDICATIONS. THE GRANT ALSO PROVIDES FOR MEDICATION WHEN THE ONLY BARRIER TO DISCHARGE IS THAT COST. FOR FY23, 501 PATIENTS RECEIVED 712 PRESCRIPTIONS IN THE AMOUNT OF $36,896.58. PATIENT AND GUEST RELATIONS WORKS TO ENSURE EVERY PATIENT RECEIVES THE BEST POSSIBLE CARE AND TREATMENT AT PENNSYLVANIA HOSPITAL. REPRESENTATIVES OF THE PATIENT AND GUEST RELATIONS DEPARTMENT SERVE AS A SOURCE OF INFORMATION AND RESOURCES TO HELP PATIENTS, FAMILIES, AND VISITORS. PLEASE SEE THE FOLLOWING QUALITATIVE DATA RELATED TO PATIENT AND GUEST RELATIONS FOR FY23: - PATIENT CONCERN/COMPLAINT RESOLUTION: 695 - INTERPRETER SERVICES: 25,379 - MEAL VOUCHERS: 725 - PARKING VOUCHERS: 816 - NOTARY SERVICE: 68 - CHAPLAIN VISITS: 1,220 PIPELINE PROGRAM: IN PARTNERSHIP WITH THE MAST COMMUNITY CHARTER SCHOOLS AND THE POINT BREEZE PREPARATORY CHARTER SCHOOL, ALONG WITH THE WEST PHILADELPHIA SKILLS INITIATIVE AND PHILAWORKS, PENN MEDICINE CREATED PENN PATHWAYS, A PIPELINE TO PROFESSIONAL PLACEMENT AT PENNSYLVANIA HOSPITAL. THIS CONTINUOUS WORKFORCE DEVELOPMENT PROGRAM FOCUSED ON PROVIDING ECONOMIC OPPORTUNITIES FOR RECENT HIGH SCHOOL GRADUATES WHILE DEVELOPING THE LEADERS OF TOMORROW. PENNSYLVANIA HOSPITAL INTRODUCED 15 GRADUATES FROM PHILADELPHIA CHARTER SCHOOLS' CLASS OF 2023 TO 7 KEY ROLES WITHIN THE HEALTH SYSTEM. DURING THIS 4-MONTH PROGRAM, THESE INDIVIDUALS RECEIVED ON-SITE CAREER TRAINING, DIDACTIC EDUCATION SESSIONS, FULL-TIME COMPETITIVE COMPENSATION, ACCESS TO PENN MEDICINE'S COMPREHENSIVE BENEFITS PACKAGE, AND AN INVITATION TO CONTINUE THEIR CAREER DEVELOPMENT AS STAFF UPON THE PROGRAM'S COMPLETION IN NOVEMBER 2023. TWELVE MEMBERS OF THIS PILOT COHORT WERE PLACED INTO LONG TERM POSITIONS TO WHICH THEY APPLIED. DIVERSITY, EQUITY, AND INCLUSION: THROUGHOUT 2023, IN SUPPORT OF OUR ONGOING COMMITMENT TO BEING AN ANTIRACIST ORGANIZATION, PENNSYLVANIA HOSPITAL'S DIVERSITY, EQUITY, AND INCLUSION (DEI) WORKGROUPS MADE CONTINUED PROGRESS TOWARD EMBRACING AND CELEBRATING DIVERSITY IN FOUR KEY WORK SPACES: CLINICAL, COMMUNITY, CULTURE, AND EDUCATION. THE IMPORTANT WORK UNDERTAKEN BY THESE GROUPS ALIGNS WITH OUR ACTION FOR CULTURAL TRANSFORMATION GOALS AND HELPS US MAKE A REAL AND LASTING DIFFERENCE. I AM PROUD TO SHARE KEY OUTCOMES FROM EACH OF OUR WORKGROUPS. WE HAVE MADE STRIDES, BUT THERE IS STILL WORK TO DO. CLINICAL: THE CLINICAL DEI WORKGROUP AT PENNSYLVANIA HOSPITAL HAS SPENT THE YEAR DEVELOPING AN ALGORITHM AND GUIDELINES TO HELP GUIDE CARE TEAMS IN RESPONDING TO DISCRIMINATORY PATIENT REQUESTS. THE WORK IS DESIGNED TO: (A) MEET THE APPROPRIATE CULTURAL NEEDS OF PATIENTS AND VISITORS, RESPECTING DESIRES FOR MODESTY AND HISTORIES OF TRAUMA; (B) PROTECT MEMBERS OF THE CARE TEAM EXPERIENCING HARMFUL DISCRIMINATORY REQUESTS FROM PATIENTS BASED ON A CARE TEAM MEMBER'S INNATE OR PROTECTED CHARACTERISTICS AND (C) PROVIDE A SHARED FRAMEWORK TO BRING CONSISTENCY TO HOW SUCH SITUATIONS ARE HANDLED AND HOW SUPPORT IS OFFERED TO STAFF EXPERIENCING SUCH DISCRIMINATION. WE ARE CURRENTLY SHARING THE WORK WITH OUR DEI GROUPS ACROSS THE ENTERPRISE TO EARN BROAD SUPPORT FOR - AND STRENGTHEN - THE WORK PRODUCT. COMMUNITY/PEOPLE: IN SUMMER 2023, THE WORKGROUP SPEARHEADED PAH'S JUNETEENTH DAY OF REMEMBRANCE. CULTURE: LAST YEAR, THE CULTURE WORKGROUP HONED-IN ON THE GENDER AFFIRMATION POLICY, BY UPDATING THE PREFERRED NAME AND RENEWING THE IDENTIFICATION BADGE POLICY. THIS MEANT THAT EMPLOYEES INTERESTED IN UPDATING THEIR PREFERRED NAME IN THE PENNFORPEOPLE PROFILE DISPLAYED WITHIN PENNCHART AS WELL AS THEIR EMAILS AND BADGES. CULTURE CONTINUED EFFORTS FROM 2022 FACILITATED TRAINING SESSIONS IN 2023 BETWEEN TEAM MEMBERS/UNITS/DEPARTMENTS ON HOW TO FACILITATE TOUGH CONVERSATIONS TO MITIGATE CONFLICT THROUGH CONFLICT RESOLUTIONS. CULTURE EXPLORES OPPORTUNITIES TO UPDATE POLICIES RELEVANT TO PATIENTS AND STAFF STEADFAST ON FOSTERING A PSYCHOLOGICAL SAFE SPACE PENNSYLVANIA HOSPITAL. EDUCATION: THE PAH MLK JR. 2023 EVENT WAS HELD IN PERSON IN XUBROW AUDITORIUM. OUR SERVICE PROJECT WAS PURCHASING BOOKS FOR A LOCAL ELEMENTARY SCHOOL CLASSROOM FROM PHILADELPHIA INDEPENDENT BOOKSTORE HARRIETT'S BOOKSHOP. 10 BOOKS WERE DONATED DIRECTLY FROM THE CLASSROOM WISH LIST AND AN ADDITIONAL $170 IN CONTRIBUTIONS WERE USED TO PURCHASE ADDITIONAL TITLES. THE THEME OF PAH DEI SUMMIT 2023 WAS LGBTQ+ HEALTH. WE HAD AN ENGAGED PANEL DISCUSSION WITH THREE PAH COLLEAGUES WHO SHARED THEIR LIVED EXPERIENCES AS PART OF THE LGBTQ COMMUNITY AND THE IMPACT ON HEALTH. DR. KEVIN KLINE, MEDICAL DIRECTOR LGBTQ+ HEALTH, UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM, WAS THE KEYNOTE SPEAKER. HE SPOKE ON THE NEED FOR FOCUSED CARE FOR LGBTQ+ PEOPLE AS WELL AS THE CURRENT STATE OF PENN MEDICINE'S LGBTQ+ HEALTH PROGRAM. HE ALSO SHARED GROWTH OPPORTUNITIES FOR THE PROGRAM. ADDITIONALLY, A NEW DEI RESOURCE GUIDE USING THE LIBAPPS PLATFORM FROM PENN LIBRARIES WAS CREATED: HTTPS://GUIDES.LIBRARY.UPENN.EDU/PAHDEI CURATED BY MICHELLE BASS, CLINICAL INFORMATION LIBRARIAN AT PAH AND MEMBER OF THE DEI EDUCATION WORKING GROUP. THE GUIDE HAD 1,065 VIEWS DURING THE 2023 CALENDAR YEAR. NEW RESOURCES ARE ADDED PERIODICALLY THROUGHOUT THE CALENDAR YEAR. TO ENHANCE COMMUNICATION AND OUTREACH OF DEI WORKING GROUP EFFORTS, THE EDUCATION WORKING GROUP PUBLISHED MONTHLY NEWSLETTERS. THIS INITIATIVE WAS SUNSET IN DECEMBER 2023 AS WE SHIFT OUR OUTREACH AND COMMUNICATION FOCUS TO THE PAH DEI INTRANET WEBSITE. DEPARTMENT OF NURSING HOSTS A ROBUST LIST OF OUTREACH EFFORTS FOR THE COMMUNITY. BELOW IS A LIST OF ACTIONS FROM FY23: QUALITY AND SAFETY CONTROL: COLLECTED TOILETRIES AND HYGIENE PROJECTS FOR PREVENTION POINT PHILADELPHIA 7 CATHCART: FOR THE ANNUAL "THANKSGIVING PROJECTS", TRAVEL SIZE TOILETRIES WERE COLLECTED AND OVER 50 KITS ASSEMBLED AND GIVEN TO A LOCAL SHELTER, SACRED HEART HOME. ADDITIONALLY, STAFF HELPED SERVE DINNER TO THE HOMELESS AT CHOSEN 300 THROUGH PENN MEDICINE CARES. OPERATING ROOM STAFF PARTICIPATED IN THE FOLLOWING ACTIVITIES: OCTOBER 2022 SOUTH PHILADELPHIA COMMUNITY FRIDGE FOOD DRIVE; NOVEMBER 2022 BATTERY COLLECTION (HOLIDAY TOYS) FOR THE COMMUNITY CENTER AT VISITATION IN KENSINGTON; DECEMBER HOLIDAY COLLECTION FOR HALL MERCER; JANUARY 2023 TOILETRY COLLECTION FOR HOMELESS; APRIL 2023 PLANNED, PURCHASES, AND SERVED BRUNCH AT GIFT OF LIFE; JUNE 2023 PLANNED, PURCHASES, AND SERVED BRUNCH AT GIFT OF LIFE. 5 CATHCART/SHIEDT GOVERNANCE COMMITTEE HOSTED SEVERAL VOLUNTEER ACTIVITIES THIS YEAR. FIRST, STAFF HELPED TO MAKE HUNDREDS OF SANDWICHES AND LUNCH BAGS FOR COMMUNITY SJP (SOUTH JERSEY/PHILADELPHIA) TO DISTRIBUTE TO AREA SHELTERS AND THE HOMELESS. ALSO, THE UNIT PARTICIPATED IN THE HALL MERCER ADOPT A FAMILY, BUYING GIFTS FOR A FAMILY OF 4 FOR CHRISTMAS. FINALLY, THE UNIT RECEIVED A PENN MEDICINE CARES GRANT TO FUND THE WE CARE BAGS, WHICH HOLDS SUPPLIES, SUCH AS SOCKS AND GLOVES, FOR OUR HOMELESS PATIENTS. NURSING FLOAT POOL: ADOPTED A FAMILY OF 8 THROUGH THE BREATHING ROOM FOUNDATION IN ELKINS PARK, PROVIDING A THANKSGIVING DINNER AND CHRISTMAS GIFTS. ADDITIONALLY, FROM A GRANT SECURED BY PATTY LAMOREUX, THE GROUP - LED BY BILL FALONE AND ELLEN MCPARTLAND - IS ASSEMBLING DRESSING CHANGE DISCHARGER KITS FOR OUR OPIOID-USE DISORDER PATIENTS. 4 CATHCART: PROVIDED HEART FAILURE BAGS TO OUR INPATIENT HEART FAILURE PATIENTS, FOR USE AT HOME. THE BAGS INCLUDED DURABLE MEDICAL EQUIPMENT, ALONG WITH HEART FAILURE EDUCATION AND DIET INFORMATION. NIGHT COUNCIL: COORDINATED A PRETZEL SALE IN MARCH 2023 RAISING OVER $500 DOLLARS FOR AMERICAN FOUNDATION OF SUICIDE PREVENTION. ALICIA HUSSEY VOLUNTEERS ON THE BOARD OF TRUSTEES FOR FRIENDS CHILD CARE CENTER. ADDITIONALLY, SHE VOLUNTEERS AT THE LIBRARY OF A PHILADELPHIA ELEMENTARY SCHOOL THAT RELIES ON VOLUNTEERS TO BRING LIBRARY SERVICES TO THE STUDENTS. INTENSIVE CARDIAC CARE UNIT: CREATED MORE THAN THIRTY "GIVE BAGS" IN DECEMBER 2022 FOR HOUSING INSECURE PATIENTS. THE BAGS WERE DONATED BACKPACKS AND PURSES COLLECTED BY THE ICCU STAFF. THE ICCU STAFF THEN FILLED THESE BAGS WITH NON-PERISHABLE FOOD ITEMS, WATER BOTTLES, PERSONAL HYGIENE ITEMS, CLEAN T-SHIRTS, AND CLEAN PAIRS OF SOCKS. THESE BAGS ARE MAINTAINED IN THE ICCU BREAK ROOM AND GIVEN OUT TO PATIENTS UPON DISCHARGE AS NEEDED. FOOD & NUTRITION: - CONDUCTED HOSPITAL-WIDE FOOD DRIVE FOR MARCH, NATIONAL NUTRITION MONTH FOR LOW-ECONOMIC FAMILIES OF HALL MERCER FORM 990, PART III, LINE 4A (CONT.) - PARTNERED WITH COMMON MARKET, A NONPROFIT LINKING LOCAL FARMS AND THEIR FRESH, HEALTHY PRODUCTS WITH CUSTOMERS THROUGH CAF 1715, THE CAFETERIA AT PENNSYLVANIA HOSPITAL. THE LIBRARIES AT PENNSYLVANIA HOSPITAL ARE LOCATED ON THE 2ND AND 3RD FLOOR OF THE HISTORIC PINE BUILDING. THE MODERN LIBRARY IS AN ON-SITE, VITAL REFERENCE CENTER INCORPORATING MODERN INFORMATION TECHNOLOGY. THE COLLECTIONS INCLUDE THE CLINICAL LIBRARY AND THE PSYCHIATRIC LIBRARY. THE HISTORIC LIBRARY AND HISTORIC COLLECTIONS CONTAIN MANUSCRIPTS, RARE BOOKS, ART, AND ARTIFACTS RELATED TO THE HISTORY OF MEDICINE AND PENNSYLVANIA HOSPITAL. THESE COLLECTIONS ARE USED BY LOCAL, REGIONAL, NATIONAL, AND INTERNATIONAL RESEARCHERS. THE HISTORIC LIBRARY AND HISTORIC COLLECTIONS ARE OPEN BY APPOINTMENT ONLY. HISTORIC COLLECTIONS AND TOURS: THE PENNSYLVANIA HOSPITAL IS THE NATION'S FIRST HOSPITAL AND A DESIGNATED NATIONAL HISTORIC LANDMARK. FOUNDED BY DR. THOMAS BOND AND BENJAMIN FRANKLIN, THE HOSPITAL WAS CHARTERED IN 1751 BY THE COLONIAL GOVERNMENT AS THE FIRST INSTITUTION IN AMERICA ORGANIZED EXCLUSIVELY FOR THE TREATMENT AND CARE OF THE SICK, POOR, AND MENTALLY ILL. THE PENNSYLVANIA HOSPITAL OFFERS THE PUBLIC A VIEW OF THE HISTORY OF MEDICINE IN A WAY UNLIKE ANY OTHER INSTITUTION IN THE UNITED STATES, PROVIDING PRE-ARRANGED GUIDED TOURS OF THE NATION'S FIRST MEDICAL LIBRARY AND SURGICAL AMPHITHEATRE. THE HISTORIC COLLECTIONS, HOUSED IN THE ORIGINAL EAST WING OF THE PINE BUILDING, HOLDS A COLLECTION OF RECORDS THAT REFLECTS THE DEVELOPMENT OF HEALTHCARE AND MEDICAL EDUCATION FROM THE EIGHTEENTH TO THE TWENTY-FIRST CENTURIES. OUR COLLECTIONS ARE HIGHLIGHTED IN OUR CHANGING EXHIBITIONS, WHICH HAVE INCLUDED THE HISTORY OF EARLY MEDICAL EDUCATION AND COLONIAL MEDICINE, AS WELL AS THE HISTORY OF NURSING AT PENNSYLVANIA HOSPITAL. THE HISTORIC COLLECTIONS HOSTS RESEARCHERS WHO UTILIZE THESE IMPORTANT MANUSCRIPTS, AS WELL AS PROVIDING PRESENTATIONS ON A VARIETY OF MEDICAL HISTORY TOPICS. FOR FY23 WE WELCOMED 1,560 INDIVIDUALS FOR TOURS OF THE HISTORIC PINE BUILDING. PENN MEDICINE CARES GRANT: THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM 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 ORGANIZATIONS AND PROJECTS WITH OVER ONE MILLION DOLLARS IN FUNDING. FOLLOWING PLEASE FIND PENNSYLVANIA HOSPITAL EMPLOYEES WHO RECEIVED THE CARES GRANT FOR FY23: SOUTH PHILADELPHIA COMMUNITY FRIDGE, ANDREW CARROLL: THIS IS THE SECOND CONSECUTIVE YEAR THAT ANDREW'S FUNDING WILL SUPPORT THE SOUTH PHILADELPHIA COMMUNITY FRIDGE, WHICH WILL GO TO STOCK THE NETWORK'S FIVE REFRIGERATORS WITH CULTURALLY APPROPRIATE FRUITS AND VEGETABLES, NON-DAIRY MILK, RICE, AND VEGETABLE PROTEINS. STUDIES HAVE SHOWN THAT NEARLY 1 IN 5 PHILADELPHIA FAMILIES STRUGGLE WITH HUNGER. THE VOLUNTEER-BASED ORGANIZATION SEEKS TO GIVE ALL PHILADELPHIANS ACCESS TO FRESH AND HEALTHY FOOD AND TO COMBAT FOOD INSECURITY. ST. WILFRID'S CLINIC, MELINDA LAMB: MELINDA LAMB HAS BEEN SERVING AT ST. WILFRID'S CLINIC IN CAMDEN, N.J., FOR 12 YEARS. HER CURRENT GRANT HELPS SUPPORT THE CLINIC'S FOOD AND TOILETRY PANTRY, WHICH HAS BEEN OPEN WEEKLY SINCE THE COVID PANDEMIC STARTED AND HAS ALSO BEEN SUPPORTED BY THE SOUTH JERSEY FOOD BANK. MELINDA'S GRANT COVERS THE PURCHASE OF ITEMS THAT THE CLINIC CANNOT OTHERWISE OBTAIN FROM THE BANK OR OTHER DONATIONS. THESE INCLUDE DIAPERS, WIPES, WOMEN'S FEMININE HYGIENE PRODUCTS, TOILETRIES, AND OTHER FOOD FOR THE FOOD BAGS. SAVAGE SISTERS RECOVERY, KRISTIN LAWTON: FOR FOUR YEARS, KRISTIN HAS VOLUNTEERED WITH SAVAGE SISTERS RECOVERY, INC. THE NONPROFIT RUNS A DROP-IN CENTER IN KENSINGTON THAT PROVIDES SERVICES TO THE UNHOUSED AND THOSE AFFECTED WITH OPIOID USE DISORDER. THERE, IT OFFERS THEM WOUND CARE, CLOTHING, AND OTHER RESOURCES AND MATERIALS. KRISTIN'S GRANT HELPS COVER THE COSTS OF SUPPLIES, SUCH AS BANDAGES, ANTIBIOTIC OINTMENTS, AND GAUZE; FOOD AND DRINK FOR THOSE IN NEED; UNDERGARMENTS AND SOCKS; AND HYGIENE ITEMS. OPERATION KLEAN KENSINGTON, YOLANDA MURRAY-BEY: ON SATURDAYS, THE OUTREACH TEAM FROM KINGDOM LIFE CHRISTIAN CENTER, KNOWN AS "OPERATION KLEAN KENSINGTON," PREPARES MEALS AND PROVIDES VISITORS WITH WOUND CARE, CLOTHING, AND PERSONAL ITEMS. THE NEIGHBORHOOD DEPENDS ON THESE SERVICES, AND SOME PEOPLE USE THE CHANCE TO ENROLL IN REHABILITATION CENTERS OR EVEN JUST COME FOR ENCOURAGEMENT AND PRAYER. YOLANDA MURRAY-BEY IS DIRECTING HER GRANT TO HELP THOSE AFFECTED BY OPIOID USE IN KENSINGTON. SHE WILL PROVIDE WATER, SMALL SNACKS, COLD-WEATHER ITEMS, AND HEALTH AND HYGIENE SUPPLIES TO THIS POPULATION. CARING CLOSET, STELIA NAPPI: AS STELIA POINTS OUT, MANY OF PENNSYLVANIA HOSPITAL'S PATIENTS EXPERIENCE SOCIOECONOMIC DISADVANTAGES SUCH AS POVERTY, UNEMPLOYMENT, AND A LIMITED SOCIAL NETWORK TO ACCESS RESOURCES. THE CARING CLOSET -- WHICH HAS BEEN OPEN FOR A DECADE - IS A WAY THAT HOSPITAL EMPLOYEES CAN PROVIDE FOR PATIENTS AT DISCHARGE. EMPLOYEES VOLUNTEER TO HOST BAKE SALES THROUGHOUT THE YEAR THAT RAISE FUNDS TO PURCHASE ADEQUATE CLOTHING FOR THE CLOSET. STELIA'S GRANT WILL SUPPORT SUCH EFFORTS, ALLOWING THEM TO PURCHASE JACKETS, SWEATERS, SWEAT PANTS, UNDERWEAR, FOOTWEAR, AND OTHER ITEMS. HARM REDUCTION AND PREVENTION, DONNA PHILIP: DONNA'S GRANT WILL GO TO SUPPORT OPERATION IN MY BACK YARD, IN PHILADELPHIA'S KENSINGTON NEIGHBORHOOD. IT WAS FOUNDED IN 2017 IN RESPONSE TO THE INCREASE IN DEATHS DUE TO OVERDOSES AND THE INCREASE IN HOMELESSNESS BECAUSE OF THE INCREASED AVAILABILITY OF FENTANYL. THE PROJECT'S GOALS ARE TO PURCHASE WOUND-CARE SUPPLIES AND EQUIPMENT AND TO ALLOW VOLUNTEERS AND MEDICAL PROFESSIONALS TO PROVIDE BASIC FIRST AID SERVICES TO THOSE WHO DO NOT WANT TO VISIT THE HOSPITAL. DONNA'S FUNDING WILL HELP COVER THE COST OF GAUZE ROLLS, NONSTICK PADS FOR WOUNDS, SALINE SOLUTION BOTTLES, AND OTHER NECESSITIES. HAIRS 2U WIG BANK, JENNIFER SLIPAKOFF: JENNIFER WORKS WITHIN THE CANCER PROGRAM AT PENNSYLVANIA HOSPITAL. SHE HAS SEEN THE IMPACT OF HAIR LOSS ON THE PROGRAM'S PATIENTS: IT'S SOMETHING THEY CANNOT EASILY HIDE AND ARE REMINDED OF WHENEVER THEY LOOK IN A MIRROR. FOR PATIENTS EXPERIENCING HAIR LOSS ASSOCIATED WITH THEIR TREATMENT, SHE REFERS THEM TO HAIRS 2U WIG BANK, A NONPROFIT/FREE WIG BANK. HER GRANT ALLOWS HER TO PURCHASE WIGS AND DISTRIBUTE THEM TO PATIENTS IN NEED. SUNSHINE MERL, TRINA WALKER-SAVAGE: TRINA, WHO WORKS AS A SOCIAL WORKER FOR HALL MERCER, IS ALSO THE FOUNDER OF SUNSHINE MARTHA EVERETTE RUTH LAMAR CORPORATION. SMERL SERVES AS A SOUP KITCHEN AND PANTRY FOR FAMILIES IN THE NORTH CENTRAL PHILADELPHIA COMMUNITY, AND IT ALSO ASSISTS WITH TRANSITIONAL HOUSING AS A PART OF PROJECT HOME. COVID 19 SIGNIFICANTLY AFFECTED THAT COMMUNITY, MAKING IT HARDER FOR MANY FAMILIES WHO HAVE A DISABILITY, HAVE CHILDREN TO SUPPORT, OR ARE ON A PENSION AND OTHERS WHO HAVE BEEN SEVERELY AFFECTED TO QUALIFY FOR NUTRITION ASSISTANCE. TRINA'S GRANT WILL ALLOW SMERL TO DISTRIBUTE FOOD BOXES FOR SINGLES AND FOR FAMILIES. ADULT SEWING CLASS, BRIANNA WILLIAMSON: SINCE 2019, BRIANNA HAS VOLUNTEERED WITH KENSINGTON'S COMMUNITY CENTER AT VISITATION, WHICH PRIMARILY SERVES LATINX AND AFRICAN AMERICAN PEOPLE WHO ARE MOSTLY UNEMPLOYED OR EMPLOYED YET ELIGIBLE FOR GOVERNMENT ASSISTANCE. HER GRANT SUPPORTS THE CENTER'S NEW ADULT SEWING CLASS. SEWING IS A FORM OF ART AND THERAPY FOR MANY PEOPLE, AND A SEWING CLASS CAN TEACH NEW SKILLS AND ENCOURAGE THE RESIDENTS TO HAVE POSITIVE INTERACTIONS WITH THEIR PEERS AND CLASS FACILITATOR. ONE OF THE GOALS IS TO HELP RESIDENTS OBTAIN EMPLOYMENT WITH THEIR NEW SKILLS OR TO SELL THEIR CREATIONS. BRIANNA BECAME A MEMBER OF THE CENTER'S BOARD IN 2022. PAWS PET FOOD PANTRY, MOLLY WOLFF: DURING THE COVID-19 CRISIS, PHILADELPHIA ANIMAL WELFARE SOCIETY (PAWS) CREATED THE PET FOOD PANTRY PROGRAM TO SUPPORT PET OWNERS WHO FOUND THEMSELVES HAVING TO DECIDE WHETHER TO FEED THEMSELVES OR THEIR PETS. BECAUSE OF THIS NEED, PAWS PARTNERED WITH 31 HUMAN SERVICE ORGANIZATIONS, ADDING PET FOOD TO THE FOOD PANTRY EFFORTS FOR HUMANS. MOLLY WOLFF, WHO HAS BEEN VOLUNTEERING WITH PAWS FOR FOUR YEARS, WILL USE HER GRANT TO BUY ITEMS THAT WILL BE DISPERSED AT FOUR PET FOOD PANTRY EVENTS. PET FOOD SUPPLIES DECREASE THE MONETARY STRESS LOW-INCOME FAMILIES FEEL. FORM 990, PART III, LINE 4A (CONT.) 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. 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. THIS 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 WILL CONTINUE THROUGH 2023. INVESTING AND SUPPORTING INNOVATIVE, FORWARD-THINKING VENTURES HAVE MADE GREAT STRIDES TOWARD A MEANINGFUL IMPACT ON OUR CITY'S HEALTH WHILE HELPING TO BUILD SUSTAINABLE AND PROFITABLE COMPANIES IN 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 $880,000 HAS FUNDED 880 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/FAMILY-CENTERED CARE FOR ALL, REGARDLESS OF THEIR 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 (CONT.) - 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 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. - 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. FORM 990, PART III, LINE 4A (CONT.) - 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. FORM 990, PART III, LINE 4A (CONT.) - 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 COLON, BREAST, 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 A COMMUNITY HEALTH NEEDS ASSESSMENT, WITH PROGRAM STAFF STRIVING TO HELP RESIDENTS COMBAT ANY RISK FACTORS THAT EMERGE, WHILE WORKING TO INCREASE AWARENESS OF STROKE AND ITS SYMPTOMS. - 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 NOW OFFER HIGH-QUALITY MOUD CARE WITHIN THEIR CLINICAL OPERATIONS. IN COMBINATION, MORE THAN 400 PATIENTS WITH SUBSTANCE USE DISORDERS PASSED THROUGH THEIR DOORS THE LAST YEAR. - PREVENTION POINT PHILADELPHIA CELEBRATING 30 YEARS OF SERVICE IN 2022, PPP IS A NONPROFIT PUBLIC HEALTH ORGANIZATION PROVIDING HARM REDUCTION SERVICES TO PHILADELPHIA AND THE SURROUNDING AREA. PENN MEDICINE WILL CONTINUE 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 WILL CONTINUE 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. FORM 990, PART III, LINE 4A (CONT.) - 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. - 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 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 A NEW 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 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 NEW 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. FORM 990, PART III, LINE 4A (CONT.) - 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 WITH FINDING APPROPRIATE CARE AND SCHEDULING APPOINTMENTS, AMONG OTHER SERVICES. 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 INCLUDING 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. LAUNCHED IN 2020, 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, 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 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. FORM 990, PART III, LINE 4A (CONT.) - 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 SELECTED OTHER DAYS. BLOOD PRESSURE SCREENINGS ARE OFFERED ON THOSE 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 THE PANTRY THROUGH CASE MANAGERS, WHO WORK WITH THE INDIVIDUAL TO IMPROVE HIS OR HER FOOD SECURITY. - 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% UP 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 A 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, THE MOST IN 30 YEARS. 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. FORM 990, PART III, LINE 4A (CONT.) - 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 THE HEALING FROM VIOLENCE PENN MEDICINE INCLUDES BOTH SUPPORTING HOLISTIC HEALING OF THOSE INJURED THROUGH VIOLENCE AND PREVENTING VIOLENT INJURY IN THE FIRST PLACE. 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. - 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. AN 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, 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. FORM 990, PART III, LINE 4A (CONT.) - 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: - EMPOWERS 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 2023, 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. - 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 A 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. FORM 990, PART III, LINE 4A (CONT.) - 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 CONTRACTORS, 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 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 B, LINE 12C CONFLICT OF INTEREST POLICY THIS ORGANIZATION IS AN AFFILIATE OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). EACH COVERED PERSON* ANNUALLY SHALL COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE PROVIDED BY THE UNIVERSITY AND SHALL UPDATE SUCH QUESTIONNAIRE PROMPTLY AS NECESSARY TO REFLECT CHANGES DURING THE COURSE OF THE YEAR. FORMER BOARD MEMBERS WHO ARE NOT TRUSTEE EMERITI ARE ENCOURAGED BUT NOT REQUIRED TO COMPLETE THE QUESTIONNAIRE DURING THE FIVE-YEAR PERIOD FOLLOWING COMPLETION OF THEIR TERMS. COMPLETED QUESTIONNAIRES SHALL BE RETURNED TO THE OFFICE OF THE SECRETARY AND SHALL BE SUBJECT TO REVIEW BY SUCH OFFICE AND THE OFFICE OF THE GENERAL COUNSEL, AS WELL AS BY ANY OUTSIDE LEGAL COUNSEL AND/OR AUDITORS WHO MAY BE APPOINTED TO ADVISE THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES APPOINTED TO OVERSEE THIS POLICY. COMPLETED QUESTIONNAIRES ALSO SHALL BE AVAILABLE FOR INSPECTION BY ANY BOARD MEMBER. *COVERED PERSONS INCLUDE: (1) VOTING MEMBERS OF THE BOARD OF TRUSTEES (INCLUDING CHARTER TRUSTEES, TERM TRUSTEES, ALUMNI TRUSTEES, AND COMMONWEALTH TRUSTEES); (2) TRUSTEE EMERITI WHO HAVE SERVED IN THAT CAPACITY FOR FIVE YEARS OR LESS; (3) OTHER FORMER VOTING TRUSTEES FOR A PERIOD OF FIVE YEARS FROM THE END OF THEIR TERM AS SUCH; (4) OFFICERS AS DEFINED IN THE STATUTES; AND (5) MEMBERS OF THE INVESTMENT BOARD. EACH COVERED PERSON (EXCEPT FORMER BOARD MEMBERS WHO ARE NOT TRUSTEE EMERITI) SHALL BE REQUIRED TO ACKNOWLEDGE, NOT LESS THAN ANNUALLY, THAT HE OR SHE HAS READ AND IS IN COMPLIANCE WITH THIS POLICY. ------------------------------ FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION PROCESS THIS ORGANIZATION IS AN AFFILIATE OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). COMPENSATION ARRANGEMENTS INVOLVING ANY OF OUR OFFICERS AND/OR KEY EMPLOYEES ARE ESTABLISHED BY THE UNIVERSITY PURSUANT TO A PROCESS THAT SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR SECTION 4958 EXCESS BENEFIT TRANSACTION TAX PURPOSES (WHICH REQUIRES A REVIEW OF COMPENSATION DETERMINATIONS BY DISINTERESTED PERSONS, USE OF APPROPRIATE COMPARABILITY DATA, AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS). ------------------------------ FORM 990, PART VI, SECTION C LINE 19 DOCUMENTS AVAILABILITY TO PUBLIC OUR FORMS 990, GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. NOTE THAT SINCE THE ORGANIZATION HAS BEEN IN EXISTENCE SINCE 1751, IT WAS NOT REQUIRED TO FILE A FORM 1023 APPLICATION. INSTEAD, THE ORGANIZATION'S IRC SECTION 501(C)(3) TAX-EXEMPT STATUS WAS GRANDFATHERED BY THE IRS. ------------------------------ FORM 990, PART XI, LINE 9 DETAIL OF OTHER CHANGES IN NET ASSETS OTHER CHANGES IN TEMP & PERM RESTRICTED NET ASSETS $(7,733,720) TRANSFERS TO AFFILIATES (254,195) ---------- TOTAL OTHER CHANGES IN NET ASSETS $(7,987,914) -------------------------------- AFFILIA HOME HEALTH 1811 OLDE HOMESTEAD LANE LANCASTER PA 17601 231352572 HOME HEALTH PA 501(c)(3) 7 LG HEALTH false CARL V S PATTERSON 19 UN OF PA C/O PNC BANK 620 LIBERTY AVE 10FL PITTSBURGH PA 15222 236415355 SUPPORT TRUST PA 4947(A)(1) N/A NA false CHESTER COUNTY HOSPITAL 701 E MARSHALL STREET WEST CHESTER PA 19380 230469150 HEALTHCARE PA 501(C)(3) 3 CCH&HS false CHESTER COUNTY HOSPITAL & HEALTH SYSTEM 701 E MARSHALL STREET WEST CHESTER PA 19380 264233321 MGMT SRVCS PA 501(C)(3) 12, I TRUSTEES false CLINICAL CARE ASSOCIATES OF UPHS 250 KING OF PRUSSIA RD 4TH FL RADNOR PA 19087 232729852 HEALTHCARE PA 501(c)(3) 10 TRUSTEES false HAJOCA 3025 INC 3451 WALNUT STREET ROOM 737 PHILADELPHIA PA 19104 843379653 SUPPORT ORG PA 501(c)(3) 12, I TRUSTEES false LAISE CA TUW FBO UNIV OF PENN 3451 WALNUT STREET SUITE 305 PHILADELPHIA PA 19104 823434615 SUPPORT TRUST PA 4947(A)(1) N/A NA false LANCASTER GENERAL HEALTH 555 NORTH DUKE STREET LANCASTER PA 17602 232250941 SUPPORT ORG PA 501(C)(3) 12, II TRUSTEES false LANCASTER GENERAL HEALTH COLUMBIA CENTER 306 NORTH 7TH STREET COLUMBIA PA 17512 230485650 FACILITY MGMT PA 501(C)(3) 3 LG HOSPITAL false LANCASTER GENERAL HEALTH FOUNDATION 555 NORTH DUKE STREET LANCASTER PA 17602 205767147 FUNDRAISING PA 501(C)(3) 7 NA false LANCASTER GENERAL HEALTH HOLDINGS 555 NORTH DUKE STREET LANCASTER PA 17602 204943109 HEALTHCARE PA 501(C)(3) 3 LG HEALTH false LANCASTER GENERAL HOSPITAL 555 NORTH DUKE STREET LANCASTER PA 17602 231365353 HEALTHCARE PA 501(C)(3) 3 LG HEALTH false LANCASTER GENERAL MEDICAL GROUP 1097 COMMERCIAL AVE EAST PETERSBURG PA 17520 232777286 HEALTHCARE PA 501(C)(3) 3 LG HEALTH false MORRIS EST LYDIA T DECD TW 6325 S RAINBOW BLVD STE 300 LAS VEGAS NV 89118 236210940 SUPPORT TRUST NV 501(C)(3) 12, III-FI NA false NEIGHBORHOOD HEALTH AGENCIES INC 795 E MARSHALL STREET WEST CHESTER PA 19380 232324782 NURSING PA 501(C)(3) 12, I CCH&HS false NEIGHBORHOOD LEAGUE HEALTH SERVICES 795 E MARSHALL STREET WEST CHESTER PA 19380 232324787 HEALTH SRVCS PA 501(C)(3) 10 CCH&HS false NEIGHBORHOOD VISITING NURSE ASSOCIATION 795 E MARSHALL STREET WEST CHESTER PA 19380 231352243 NURSING PA 501(C)(3) 7 CCH&HS false OAP INC 3451 WALNUT STREET ROOM 748 PHILADELPHIA PA 19104 231986931 SUPPORT ORG PA 501(c)(3) 12, I TRUSTEES false PENN CENTER FOR REHAB AND CARE 3609 CHESTNUT STREET PHILADELPHIA PA 19104 232422635 HEALTHCARE PA 501(c)(3) 3 PMC false PENN CLUB OF NEW YORK INC 30 WEST 44TH STREET NEW YORK NY 10036 232726687 CLUB NY 501(c)(7) N/A NA false PENN PRAXIS INC 210 SOUTH 34TH STREET PHILADELPHIA PA 19104 752974931 SUPPORT ORG PA 501(c)(3) 12, I TRUSTEES false PENN PRESS INC 3905 SPRUCE STREET PHILADELPHIA PA 19107 231876142 PUBLISHING PA 501(c)(3) 12, I TRUSTEES false PENNSYLVANIA COLLEGE OF HEALTH SCIENCES 850 GREENFIELD ROAD LANCASTER PA 17601 061645496 HEALTH EDU PA 501(C)(3) 2 LG HOSPITAL false PGH DEVELOPMENT CORP 426 CURIE BLVD PHILADELPHIA PA 19104 232351015 SUPPORT ORG PA 501(c)(3) 12, I NA false PHOENIXVILLE HOSPITAL OF UPHS 3001 MARKET STREET 3RD FLOOR PHILADELPHIA PA 19104 232901089 SUPPORT ORG PA 501(c)(3) 3 TRUSTEES false PRESBYTERIAN MEDICAL CENTER OF UPHS 51 NORTH 39TH STREET PHILADELPHIA PA 19104 232810852 HEALTHCARE PA 501(c)(3) 3 TRUSTEES false PRINCETON CAREGIVERS INC ONE PLAINSBORO ROAD PLAINSBORO NJ 08536 222842773 HOMECARE SVCS NJ 501(C)(3) 3 PHCS HOLDING false PRINCETON HEALTHCARE AFFILIATED PHYS PC ONE PLAINSBORO ROAD PLAINSBORO NJ 08536 264203938 HEALTHCARE NJ 501(C)(3) 10 PHCS HOLDING false PRINCETON HEALTHCARE SYSTEM ONE PLAINSBORO ROAD PLAINSBORO NJ 08536 210635009 HEALTHCARE NJ 501(C)(3) 3 PHCS HOLDING false PRINCETON HEALTHCARE SYSTEM FDN INC ONE PLAINSBORO ROAD PLAINSBORO NJ 08536 222225911 SUPPORT PHCS NJ 501(C)(3) 7 PHCS HOLDING false PRINCETON HLTHCARE SYSTEM HOLDING INC ONE PLAINSBORO ROAD PLAINSBORO NJ 08536 223493256 SUPPORT ORG NJ 501(C)(3) 12, I TRUSTEES false PRINCETON MEDICAL PROPERTIES INC ONE PLAINSBORO ROAD PLAINSBORO NJ 08536 220022702 REAL ESTATE NJ 501(C)(2) N/A PHCS HOLDING false THE ASC TRUST OF THE UNIV OF PA 1500 MARKET ST STE 3500E PHILADELPHIA PA 19102 810550464 BUS. 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