2024-05-09T13:36:44-05:00 2023-06-30 990 2022-07-01 232825881 Temple University Health System Inc TEMP 2157076686 3509 N Broad Street 936 Philadelphia PA 19140 Michael DiFranco Assistant Treasurer 2157076686 2024-05-09 Michael DiFranco 999009999 0 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Michael DiFranco 3509 N Broad Street Philadelphia PA 19140 274828238 0 X www.templehealth.org X 1995 PA Our mission is to provide access to high quality health care to the community and academic setting. 20 15 987 15 0 0 16330131 55140808 167592093 206882387 13915419 15323560 21378 -7412021 197859021 269934734 0 18047500 0 0 82642768 103197948 0 0 752436 108433776 142393298 191076544 263638746 6782477 6295988 620418924 677213370 591723881 641490278 28695043 35723092 Our mission is to provide access to high quality health care to the community and academic setting. 0 0 18047500 18047500 208545756 Pursuant to its Articles of Incorporation, Temple University Health System (TUHS) serves as the sole member of the corporate Affiliates that own and operate hospitals and other health care service providers. Through its Affiliates, TUHS: (1) provides access to sites and programs for clinical training for the Temple University School of Medicine (TUSM) and otherwise supports the academic mission of TUSM; (2) provides access to medical and surgical aid to sick and disabled persons without regard to race, creed, color, sex, or national origin; and (3) supports such educational, philanthropic, and scientific (including research) activities as are part of an efficient modern health care system as part of an academic medical center. 18047500 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 221 0 1 987 1 0 1 BD 0 0 0 0 0 0 0 0 0 0 X 20 15 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X X Michael DiFranco 2157076686 3509 N Broad Street Philadelphia PA 19140 Chip W Marshall III Director 2.00 9.00 X 0 0 0 Sandra Harmon-Weiss Vice Chair 2.00 7.00 X X 0 0 0 Michael Young President & CEO 2.00 48.00 X X 0 1714324 33367 Lon R Greenberg Chair 2.00 2.00 X X 0 0 0 Amy Goldberg Director 2.00 48.00 X 0 1087500 40945 Bret S Perkins Director 2.00 0.00 X 0 0 0 Mitchell Morgan Director 2.00 2.00 X 0 0 0 Dr Solomon Luo Director 2.00 12.50 X 0 0 0 Edward Glickman Director 2.00 5.00 X 0 0 0 Paul Curcillo II MD Director 2.00 48.00 X 0 411707 61424 Christopher W McNichol Director 2.00 7.00 X 0 0 0 Lewis Gould Director 2.00 11.50 X 0 0 0 Martin Ogletree Director 2.00 3.00 X 0 0 0 Jason Wingard Director 2.00 48.00 X 0 1387566 61426 Steven G Charles Director 2.00 0.00 X 0 0 0 Eleanor Reinhardt Director 2.00 5.00 X 0 0 0 Jane Scaccetti Director 2.00 0.00 X 0 0 0 Joyce Salzberg Director 2.00 2.00 X 0 0 0 Laura Sparks Director 2.00 0.00 X 0 0 0 John Ryan Secretary 35.00 15.00 X 726123 0 44812 Charna Wright Asst Secretary (until 10/20/22) 35.00 15.00 X 89226 0 19576 Tausha Saunders Asst Secretary (from 10/20/22) 33.00 17.00 X 72616 0 4194 Nicholas Barcellona Treasurer 41.00 9.00 X 833523 0 45616 Lisa Corbin Assistant Treasurer 48.00 2.00 X 268686 0 69692 Michael DiFranco Assistant Treasurer 35.00 15.00 X 313586 0 31332 John Lasky VP, CHRO 50.00 0.00 X 575400 0 57637 Deborah Cancilla EVP Data Strategy / CIO 50.00 0.00 X 808956 0 27938 Maribel Valentin Sr Counsel Corp Compliance 50.00 0.00 X 307967 0 43096 Edwin Blair VP Payer Strategy 50.00 0.00 X 285990 0 38698 John O'Donnell Legal 50.00 0.00 X 311546 0 38744 Charles Soltoff AVP Marketing 50.00 0.00 X 361909 0 42027 Anita Colon VP Revenue Cycle Operations 50.00 0.00 X 363970 0 24286 5319498 4601097 684810 251 0 1 0 Epic Systems Corporation PO Box 88314 Milwaukee WI 53288 Purchased Services 3064635 Chi-Matic Inc Department 5925 Carol Stream IL 60122 Purchased Services 2335949 Price Waterhouse Coopers LLP 2 Commerce Square Suite 1700 Philadelphia PA 19103 Professional Fees 2140000 Ricoh USA PO Box 4245 Carol Stream IL 60197 Purchased Services 1732068 Nordic Consulting Partners Inc PO Box 415000 Nashville TN 37241 Consultant 1712320 71 53847500 1293308 55140808 Related Org Srvcs 561000 204500896 204500896 Rent from tax-exempt affiliates 531120 2380446 2380446 1045 1045 206882387 13927390 13927390 6289674 4893504 1396170 1396170 1396170 Misc Income 561500 17979 17979 Equity Method Investment Loss 523000 -7430000 -7430000 -7412021 269934734 199470366 0 15323560 X 18047500 18047500 2779564 2779564 80351426 80351426 5212299 5212299 8771393 8771393 6083266 6083266 2793530 2793530 828897 828897 129796 129796 84230144 83481669 748475 21062549 21062549 7785570 7781609 3961 261690 261690 32968 32968 15866449 15866449 8819275 8819275 582430 582430 263638746 18047500 244838810 752436 46423208 26135350 51587298 56503071 317964558 309967357 13521541 13022151 102293901 67702851 27736349 34591050 13133480 15186477 150052490 221807914 620418924 677213370 91827867 112920161 415294506 399119629 698756 425233 83902752 129025255 591723881 641490278 X 28695043 35723092 28695043 35723092 620418924 677213370 X 6295988 1285157 -553096 X 0 1 X 1 1 1 X X X 4 Temple Physicians Inc 232790607 10 0 2875000 0 Temple Health Transport Team 753084023 10 0 825000 0 American Oncologic Hospital 231352156 3 0 14102500 0 Temple Faculty Practice Plan Inc 831002191 3 0 245000 0 4 18047500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 Schedule A - Part IV, Section A line 1 Temple University Health System, Inc. is organized to support Temple University - Of the Commonwealth System of Higher Education and organizations that are affiliated with Temple University. Although certain supported organizations are not specifically listed by name in the organization's governing documents, they fall within the class of permitted beneficiaries. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 332275 332275 0 Part II-B, Line 1, Lobbying Activities Direct Lobbying Expenditures in Professional Fees were $198,000; Indirect Lobbying Expenditures incurred through dues and memberships were $134,275. 8635 8635 8054610 6594680 1459930 93817815 61108171 32709644 412841 412841 34591050 Assets Limited As To Use 44530653 Investment In TUHIC 34133602 Other Assets 693913 Self-Insurance Assets 93118348 Other Investment - Cost/Valuation 4397783 Right of Use Operating Lease Assets 16563615 Note Receivable from CHH 19000000 Investment in CHH 9370000 221807914 Self-Insurance 93340525 Due to Affiliates 18984195 Welfare Benefit Trust 561432 Right of use operating lease obligations 15608853 Litigation Pending 530250 129025255 1 Temple Health System Transport Team Inc 3509 N Broad Street Room 936 Philadelphia PA 19140 753084023 501(c)(3) 0 825000 General Support Temple Physicians Inc 3509 N Broad Street Room 936 Philadelphia PA 19140 232790607 501(c)(3) 0 2875000 General Support American Oncologic Hospital 3509 N Broad Street Room 936 Philadelphia PA 19140 231352156 501(c)(3) 0 14102500 General Support Temple Faculty Practice Plan Inc 3509 N Broad Street Room 936 philadelphia PA 19140 831002191 501(c)(3) 0 245000 General Support Schedule I, Part II, Line 2: Grants were made only for tax-exempt purposes to related organizations under common control. Grants are subject to review by the governing bodies and management of the related organizations and the organization which is their common parent. X X X X X 0 0 0 0 0 0 0 0 0 Michael Young President & CEO 0 1310092 0 379500 0 24732 0 15250 0 18117 0 1747691 0 0 Jason Wingard Director 0 975000 0 150000 0 262566 0 33035 0 28391 0 1448992 0 0 Amy Goldberg Director 0 389000 0 25000 0 673500 0 33035 0 7910 0 1128445 0 0 Nicholas Barcellona Treasurer 641242 0 161725 0 30556 0 13725 0 31891 0 879139 0 0 0 Deborah Cancilla EVP Data Strategy / CIO 629068 0 150802 0 29086 0 13725 0 14213 0 836894 0 0 0 John Ryan Secretary 589214 0 128775 0 8134 0 12634 0 32178 0 770935 0 0 0 John Lasky VP, CHRO 394198 0 150695 0 30507 0 25924 0 31713 0 633037 0 0 0 Paul Curcillo II MD Director 0 396707 0 15000 0 0 0 30500 0 30924 0 473131 0 0 Charles Soltoff AVP Marketing 310936 0 31663 0 19310 0 13725 0 28302 0 403936 0 0 0 Anita Colon VP Revenue Cycle Operations 299901 0 45000 0 19069 0 13597 0 10689 0 388256 0 0 0 Maribel Valentin Sr Counsel Corp Compliance 273587 0 16892 0 17488 0 12760 0 30336 0 351063 0 0 0 John O'Donnell Legal 276967 0 16974 0 17605 0 10401 0 28343 0 350290 0 0 0 Michael DiFranco Assistant Treasurer 249789 0 63797 0 0 0 0 0 31332 0 344918 0 0 0 Lisa Corbin Assistant Treasurer 239546 0 22640 0 6500 0 39814 0 29878 0 338378 0 0 0 Edwin Blair VP Payer Strategy 270989 0 15001 0 0 0 12526 0 26172 0 324688 0 0 0 A THE HOSP & HIGHER ED FACS AUTH 231929132 717903L97 2017-11-02 262605237 SEE PART VI 0 0 0 B THE HOSP & HIGHER ED FACS AUTH 231929132 717825QD8 2022-04-05 187949203 SEE PART VI 0 0 0 A 30720000 262605237 23524000 3711422 235369815 2017 1 0 1 1 B 188842687 2052445 2540063 184250179 2022 1 0 1 1 A 0 1 1 1 1 1 0.00200 0.00200 0 0 1 B 0 1 1 1 1 1 0.20000 0.20000 0 0 1 A 0 0 0 0 0 0 NA 0 0 0 0 1 B 0 0 0 1 0 0 0 1 A 1 B 1 Form 990, Part VI, Section A, line 1a Pursuant to the organization's bylaws, the Executive Committee consists of at least five (5) Directors including the Chair, the Vice-Chair and the Chief Executive Officer of the organization. The Executive Committee is authorized to act for the Board between its regular meetings. Form 990, Part VI, Section A, line 6 The sole member of the organization is Temple University - Of The Commonwealth System of Higher Education. The member has the power to appoint and remove the organization's Board of Directors. The approval of the member is required for any of the following actions by the organization, (a) any dissolution or liquidation, (b) any merger, (c) any amendments to the articles of incorporation, (d) any amendments to the bylaws regarding the member, the number of directors, quorum or voting requirements, (e) the sale, pledge, lease (but only a lease from the organization of substantially all of the organization's real property), or transfer of the assets of the organization other than transactions occurring in the ordinary course of business, (f) any decision resulting in the organization's ceasing to provide appropriate sites for Temple University School of Medicine for comprehensive tertiary acute care services through the organization or related organizations (g) any decision to merge with, acquire, or enter into an affiliation with medical schools or medical school hospitals other than the University's (h) the deletion of any clinical programs that are needed for the accreditation of Temple University School of Medicine (i) the adoption of the organization's annual capital and operating budgets (j)the issuance or assumption of any indebtedness in excess of two million five hundred thousand ($2,500,000) and (k) the execution of any contract providing for the management of the organization. Form 990, Part VI, Section A, line 7a Please refer to the response for question 6 Form 990, Part VI, Section A, line 7b Please refer to the response for question 6 Form 990, Part VI, Section B, line 11b After review by management and outside tax counsel, the 990 and 990T (if any) are posted to the website of the Secretary's Office. Each Board member is contacted and provided with the web address. A Board member without internet access is provided a paper copy to review. The website and paper mailing have an overview of the 990 and 990T preparation process and internal reviews. Each Board member is asked to review the 990 and 990T within 2 weeks and contact the Chief Financial Officer with any questions. Form 990, Part VI, Section B, line 12c The Office of the Secretary provides each director and officer with copies of the Conflict of Interest Policy and a disclosure statement to be completed on an annual basis. The Office of the Secretary reviews the completed disclosure statements which are then reviewed in summary format by a committee of the Board of Directors and any recommended actions are presented to the full Board of Directors. In addition to completing the annual disclosure statement, directors and officers must disclose potential or actual conflicts on an ongoing basis as matters arise. All disclosures are evaluated and a determination of whether a conflict exists is made by the Board or a committee of the Board. All employees are subject to a conflict of interest policy that is monitored by the Office of the Secretary. Form 990, Part VI, Section B, line 15 There is a compensation committee that reviews and approves all total compensation of executive / key personnel at Temple University Health System through an evaluation performed by an external compensation expert before the compensation is approved. Form 990, Part VI, Section C, line 19 The unaudited internal financial statements of Temple University Health System and certain of its related organizations are distributed and made available to the public at the end of each quarter per the Health System's Continuing Disclosure Agreement through Digital Assurance Corp (DAC), the Municipal Services Reporting Boards EMMA disclosure site and the Health System's financial web site. The annual audited financial statements are also released to the public in the same manner. To the extent required by applicable law, the organization makes its governing documents available to the public upon request. Form 990, Part IX, line 11g Professional Fees: Program service expenses 0. Management and general expenses 39,568,227. Fundraising expenses 0. Total expenses 39,568,227. Purchased services: Program service expenses 0. Management and general expenses 43,913,442. Fundraising expenses 748,475. Total expenses 44,661,917. Form 990, Part XI, line 9: Other Items -553,096. Community Benefits Overview Temple University Health System (TUHS), as the sole member of its affiliated hospitals and physician practices, provides access to facilities, programs, and other resources to conduct a broad array of community services. Through the employees and physicians of Temple University Hospital, Fox Chase Cancer Center, Chestnut Hill Hospital and our faculty and community-based Physician practices, we provide comprehensive services to improve the health and quality of living in North Philadelphia and our Southeast Pennsylvania region. TUHS is dedicated to ensuring access to comprehensive primary and specialty quality patient care through population health, linked to academic excellence in medical education and research. Our health outreach and education services are critically important in the diverse, economically challenged neighborhoods surrounding our hospitals. TUHS hospitals provide indispensable health care services to residents of Philadelphia, which is the largest city in America without a public hospital. Among Pennsylvania's full-service safety-net providers, Temple University Hospital (TUH) serves the greatest volume and highest percentage of patients covered by Medicaid. TUH is an 879-bed non-profit acute care hospital that provides a broad spectrum of primary, secondary, tertiary, and quaternary care to patients throughout Southeastern Pennsylvania and beyond. TUH is accredited as an Adult Level 1 Trauma Center by the Pennsylvania Trauma Systems Foundation and is a Regional Burn Center. Among our recent distinctions is the achievement of Magnet status from the American Nurses Credentialing Center, a prestigious recognition of quality nursing care, community commitment and staff dedication bestowed upon only 8% of U.S. healthcare organizations. In addition to our main campus on North Broad Street, TUH includes the Episcopal, Northeastern and Jeanes campuses, all of which serve economically and socially disadvantaged communities. Our Episcopal Campus provides a recovery-oriented behavioral health treatment program, offering a welcoming approach and hope for those whose lives have been affected by mental illness and co-occurring disorders. It serves adults, age 18 or older, experiencing severe psychiatric symptoms that markedly impair their capacity to function adequately within the community. Many are diagnosed with psychiatric plus one or more substance or alcohol disorders. Almost half have diagnoses of hypertension, diabetes, or both. Many have multiple co-existing medical illnesses. Virtually all Temple physicians, whether faculty or community-based, care for patients covered by Medicaid in both the inpatient and outpatient setting. About 86% of TUH's inpatients are covered by government programs: 42% by Medicare and 44% by Medicaid. About half of our inpatient cases include a behavioral health diagnosis. Similarly, patients dually eligible for both Medicare and Medicaid comprise about half of our Medicare inpatient base. TUH serves as a critical access point for vital public health services. Last year we handled about 152,000 patients in our Emergency Department; about 11,400 patients in our Psychiatric Crisis Response Center; 1,600 discharges from our inpatient Behavioral Health unit. We delivered about 2,000 babies, of whom about 85% were covered by Medicaid. Temple physicians also staff important clinics that address major public health concerns, such as the Comprehensive Neuroaids Center at Temple University, which is dedicated to improving the public health impact of bench-to clinic research associated with HIV-induced neurological diseases and cognitive disorders. Temple's nationally renowned physicians offer state of the art treatment options for patients with complex medical problems, some of whom were previously considered untreatable. Using sophisticated technologies and personalized treatments, Temple physicians are working to alter the course of serious disease. In over a dozen research centers, our faculty is speeding the transformation of fundamental scientific discoveries into practical therapies that may one day dramatically improve human health. The Fox Chase-Temple Bone Marrow Transplant Program, a formal affiliation between Fox Chase Cancer Center and TUH, is an example of this type of transformative medicine. Last year it performed 164 transplants and has participated in countless research studies to promote life-saving treatment modalities. The Temple Center for Population Health is committed to maintaining a sustainable model of healthcare delivery through clinical and business integration, community engagement and academic distinction to promote healthy communities. The Center includes an extensive network of Patient Centered Medical Homes, chronic disease management programs, an extensive community health worker program, peer coaching, and a central patient access center. Our mission is aligned with the goals of the United States Department of Health and Human Services' three-part aim of achieving better care for patients, better health for our communities, and lower costs through health care system improvement. With respect to prevention, education and outreach related to cancer, we are proud of the services provided through Fox Chase Cancer Center, a National Cancer Institute Comprehensive Cancer Center. Among major cancers treated are those of the prostate, breast, lung, and skin. In Urology, Fox Chase is ranked in the top 1% of all hospitals in the nation. Fox Chase is also recognized for high performance in leukemia, lymphoma, and myeloma, and for surgery related to colon, lung, ovarian, prostate, and uterine cancers. Its Office of Health Communications and Disparities addresses the cancer needs of its geographically, racially, and ethnically diverse population through individual contact, group teaching and other modes to educate about cancer and link to screenings. Chestnut Hill Hospital is an alliance of Temple Health, Redeemer Health, and Philadelphia College of Osteopathic Medicine. Together, our passion for quality patient care and commitment to community ensures reliable access to a trusted community hospital, while giving patients better access to the advanced services of a world-class academic medical center including cancer care and pulmonology. Chestnut Hill also provides specialized care for seniors facing mental health challenges. Its Senior Behavioral Health program includes a 20-bed inpatient care unit offering treatment for depressions, psychosis, bipolar disorder, anxiety, and other mental health conditions. Temple University Health System takes great pride in the broad array of services it provides to the community. Below we describe a few programs and activities conducted this past year to help advance wellness and improve the quality of life in our communities. CHARITY AND UNDER-REIMBURSED CARE: Our hospitals provided about $32 million in charity and under-reimbursed care. SUBSIDIZING CRITICAL HEALTH SERVICES. Our hospitals invested about $44 million to subsidize critical health care services needed in our community. This includes support for our outpatient emergency, acute care, and psychiatric services, as well as the inpatient psychiatric services on our Episcopal Campus. These physical and mental health services are critical to the health and welfare of our vulnerable communities. INVESTING IN HEALTH PROFESSIONS EDUCATION. Temple invested $153 million in the education and training necessary to develop a professional healthcare workforce to benefit the broader community. Our residents and fellows participate in various efforts that directly impact the community, including effort to address the epidemics of opioid misuse and gun violence as well as other public health issues. The exposure that our residents receive caring for our diverse, low-income community helps Temple address health disparities while developing our nation's future physicians. RESEARCH. Our hospitals invested $40 million in internally funded medical research. This included investigations to increase knowledge of the causes, prevention and diagnosis of cancer and substance use disorders. Community Benefits Overview (Cont'd) During our FYE June 30, 2023, TUHS hospitals engaged in numerous programs and events serving thousands of community members. Below are selected highlights. (1) Addressing the Opioid Epidemic: Temple University is on the front line addressing this public health crisis: 25% of our inpatients have a substance use disorder; our service area's drug overdose mortality rate is seven-times the national rate and has the highest opioid mortality rate in the City of Philadelphia. Our Temple Recovery Using Scientific Treatment (TRUST) Clinic, which is integrated into our family medicine and general internal medicine practices, provides low-barrier substance use disorder treatment with on-site peer recovery and case management services. The TRUST Clinic supports community based primary care providers and Temple University Hospital's Emergency Departments at its main, Episcopal, and Jeanes campuses. Our Begin the Turn street side multidisciplinary unit is staffed by a behavioral health professional, case manager, medical practitioner, and outreach workers. This team provides pharmacologic treatment for opioid use disorder and acute care services with a bridge to primary care and social services. (2) Prevailing Upon Cancer: The Fox Chase Cancer Center operates several comprehensive screening and education programs, including its Community Cancer Screening Program which connects individuals with breast, skin, head, neck, and prostate cancer screenings. Fox Chase Speakers Bureau educates the community on many cancers. Through our Resource and Education Center, Fox Chase provides patients, families, and community members with access to free cancer information and resources that address the cancer continuum. Fox Chase also provides psychosocial supports through several support groups. Our community partnerships include diverse entities including community-based, faith-based, business, government, and academic partners. Through these partnerships, we educate audiences and develop relationships to support community wellness. (3) Addressing Public Health Impact of Gun Violence: Temple University Hospital's prevention and intervention programs provide a comprehensive approach to addressing this public health crisis. The homicide mortality rate in our immediate service area is 700% higher than the national rate. With the addition of a full-time psychologist, Turning Point offers cognitive-based and trauma-informed mental health services to patients. Cradle to Grave is our collaborative program with the Juvenile Justice Department and local schools that works with at-risk youth to break the cycle of gun violence. Our Fighting Chance program is one of the nation's few initiatives that teach community members how to provide basic first aid to gunshot wound victims. (4) Healing Through Work: Our partnership with the Pennsylvania Commission on Crime and Delinquency and Philadelphia Works connects victims of gun violence with gainful employment to disrupt the cycle of interpersonal violence, open pathways, and bring stability to lives. A full-time workforce development specialist on our trauma team enrolls participants, helps set career goals, creates access to career pathways, and provides ongoing training and mentorship. (5) Trauma Victim Advocate Program: We provide social, emotional, and material support to patients and families from their time of entry into our hospital through discharge. Our 24/7 advocate team offers counseling and facilitates access to victim's services that aid with post-traumatic recovery and community reintegration. We provide referrals to crime agencies to assist with relocation, recovery of lost wages, unpaid medical bills, and mental health services. (6) Cure Violence Philadelphia: This structured violence intervention program is based on the premise that violence is a public health issue. The program is designed to reduce the spread of violence through interrupting its transmission, concentrating on those at highest risk, and changing social norms that propagate violence. As a replication site of the global Cure Violence model created in Chicago, our adapted model works to reduce the level of violence, particularly shootings and homicides, in Philadelphia. Trained outreach workers identify and mediate conflicts in the community. They work with high-risk individuals -- meeting them where they are and helping them obtain the social services they need -- making them less likely to commit violence. (7) Maternal Health Equity: Geared toward prevention and treatment, this program advances and nurtures the health, wellbeing, and agency of Black, Latinx, and Indigenous birthing families in Philadelphia and beyond. A multidisciplinary team of clinicians, birth workers, and researchers cultivate impactful and sustainable solutions that support health equity at individual, family, health system, and societal levels. This program addresses substance misuse in pregnancy in a trauma-informed, evidence-based way that supports the entire birthing family throughout the pregnancy and one-year post birth. (8) Philadelphia Healthy and Safe Schools (PHASeS): Trauma-informed schools have been shown to protect children who have been traumatized from suffering from substance misuse. A team of trauma specialists use educational coaching, parenting guidance, and social work values to empower the school community. The principal endeavor of the program is to transform two nearby public K-8 schools into urban trauma sensitive beacons. Providing safe and welcoming trauma-informed schools for children to learn, teachers to educate, and a community to grow will elicit openings to achieve educational milestones, generate a climate of sustainability, and engender greater academic and social equity. (9) Care Transitions & Community Health Workers Programs: We developed a cohesive and robust series of programs that address social determinants and link patients to appropriate services. Our Community Health Worker (CHW) team serves as a critical resource for our surrounding neighborhoods. After identifying patients with complex social and medical health issues, CHWs conduct home visits, schedule and attend doctor appointments, coordinate transportation and connect with other social supports to improve quality of life and treatment outcomes. We also developed a social determents of health survey tool embedded in EPIC that is utilized to identify gaps in basic needs for patients such as housing, food, access to internet, transportation, utility assistance, and general health literacy. This has been implemented in our Emergency Departments and physician practices. When patients are identified with a gap, the CHW team coordinates access to community-based programs. In addition, we invested in web software that identifies community-based resources. This site supports our CHWs work and is available to the community as a free service. (10) Multi-Visit Patient Clinic: Provides a full continuum of care for patients with high emergency department use and frequent inpatient admissions. Upon discharge, Community Health Workers link patients with follow-up healthcare, provide meals and transportation, conduct home visits, and connect with other social supports. Patients enrolled in the clinic show a 37% reduction in emergency department use, 37% reduction in inpatient utilization and 33% increase in outpatient services use, demonstrating they are seeking more appropriate care in effective settings. (11) Certified Peer Recovery Specialist Team: We hired a team with lived experience and specialized training that links overdose patients and families with needed social services after treatment in our Emergency Departments and Crisis Response Center. (12) Food Insecurity & Nutrition: Given the limited access to fresh food in North Philadelphia, our Farm to Families program brings fresh, low-cost produce to North Philadelphia families through home delivery and neighborhood distribution to address obesity, food insecurity, cardiovascular disease, and diabetes related to poor diet and lifestyle. Families can use SNAP benefits and a "prescription" from a Temple doctor to purchase local fruits and vegetables helping them build capacity for healthier eating habits. In partnership with the Lewis Katz School of Medicine, St. Christopher's Foundation for Children and the Lancaster Farm Fresh Cooperative, food is sourced, packaged, and delivered to community food hubs. Our Jeanes Campus offers a seasonal fresh farm market, nutritional cooking demonstrations, and community access to its walking trail. Our Episcopal Campus operates a free food pantry, providing fresh fruits, vegetables, dairy, meats, and canned goods to the community weekly. Community Benefits Overview (Cont'd) (13) Community Health Outreach: Temple University Hospital participated in numerous health fairs serving our immediate community to build trust and break down barriers to care. We often collaborate with Temple University's Schools of Medicine, Public Health, Dentistry, and Pharmacy to provide health screenings and education on a variety of health issues affecting residents, including diabetes, obesity, cancer, depression, anxiety, addiction, and PTSD. Health professionals from across Temple University Hospital's departments engaged in numerous outreach activities with government offices and community-based organizations. These include free health screenings and education on cancer, behavioral health, substance abuse, burn prevention, childbirth education and yoga instruction for expecting moms, diabetes care, smoking cessation, LGBTQ health, stroke prevention, and other topics. (14) Housing Smart: In collaboration with Health Partners Plan, Keystone First and Resources for Human Development launched a two-year program to help 25 homeless Medicaid patients who frequently use hospital emergency departments. Patients are provided free housing and caseworkers to connect them with health and social services. Caseworkers assist patients by furnishing apartments, connecting with healthy meals, and helping with applications for income assistance such as Social Security. (15) Social Supports: Our Social workers connected thousands of people with community-based social services, including free transportation, legal services, clothing, pharmaceuticals, co-pays, and medical supplies. We provide these supports for our vulnerable patient population to ease their transition to home after discharge or outpatient treatment. (16) Behavioral Health Community Education. Our physicians and staff provide community-based education on seeking help for depression, suicidal behavior, and other mental health issues. In addition to the above, Temple University Hospital offers a number of culturally competent services to augment our ability to provide access to high quality care and improve outcomes for our patients and their caregivers. Below are selected highlights. (1) Financial Services: Temple employs Financial Counselors dedicated to helping uninsured and under-insured patients obtain medical coverage as well as providing assistance with out-of-pocket medical expense. Our team of knowledgeable and caring professionals help patients understand their insurance coverage, limitation, and out-of-pocket obligations. They assist patients and their families by answering their questions regarding the cost of healthcare services, providing information and guidance in comparing health plans, and enrolling them in government funded insurance plans such as Medicaid, Medicare, and ACA Marketplace plans. All our counselors are CMS Certified Application Counselors. In addition, they assist patients in applying for Temple Hospitals' Charity Care and Sliding-Scale Financial Assistance program and setting up payment plans. The financial counselors also assist patients in qualifying for patient assistance programs to cover most out-of-pocket costs for expensive medications. (2) Linguistic and Cultural Services: Our language proficient bilingual staff, who we train and credential, performed thousands of interpretations this year. This unique program, known for its excellence, is one of many resources we provide to non-English speaking patients and families. We also assist other area hospitals that call on us to adapt our linguistic services module to their patient populations (3) Community Advisory Council. This committee helps Temple University Hospital achieve its mission, including its responsibility to Medicare and Medicaid to achieve equitable and high quality care, with a focus on the following community health goals: to promote equity in health and healthcare delivery for all, with emphasis on those residing in the communities served by the Temple University Hospital; to advise Temple University Hospital clinical and administrative leadership on community health needs and barriers to care; to develop innovative approaches for reducing racial and ethnic health disparities; for enhancing care quality and affordability; and for promoting access to clinical and social services. (4) Patient Family Advisory Councils: These committees engage and encourage the participation of patients, their families, and members of the community in evaluating patient satisfaction. Our PFACs are currently setting priorities as well as developing recommendations for improving Temple University Hospital's services, programs, communications, and policies to better meet the needs of patients and families with the full support of Temple Health leadership. (5) Workforce Development: The purpose of our labor-management workforce development and education programs are to build local workforce and improve skills sets needed to deliver quality healthcare. This involves comprehensive training and education to help workers living in our community adapt and improve skills to enable them to participate in a changing healthcare workplace. Career pathways include nursing, behavioral health, allied health, childcare, and health IT. Education services include GED classes and testing as well as ESL and safety instruction. In addition to our partnership with Temple University's Center for Social Policy, District Council 1199c Training and Upgrade Fund, and Philadelphia Workforce Development Corporation, our Community Health Worker program helps local residents develop valuable job skills while also achieving national goals of improving healthcare quality, outcomes, and cost. (6) Emergency Preparedness and Research: As a critical link in federal, state and local disaster response planning, this program helps ensure that our staff and hospital facilities are prepared through drills, policy development and education to provide safe, quality patient care under the most austere conditions. 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