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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BENJAMIN C SUN MD MPP</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>3151099</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>6352974</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>519150</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>1259</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>WEXFORD UCSC 3737 LLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>17190 BERNARDO CENTER DR</AddressLine1Txt>
            <CityNm>SAN DIEGO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92128</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROPERTY LEASE SRVS</ServicesDesc>
        <CompensationAmt>20312550</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>HSC BUILDERS CONSTRUCTION MGRS</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>304 NEW MILL LN</AddressLine1Txt>
            <CityNm>EXTON</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19341</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION SRVS</ServicesDesc>
        <CompensationAmt>5756699</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ALLIED UNIVERSAL COMPANY</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1617 JOHN F KENNEDY BLVD STE 960</AddressLine1Txt>
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            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19103</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>OUTSOURCED STAFFING</ServicesDesc>
        <CompensationAmt>3097238</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ONCALL PHYSICIAN STAFFING INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>308 GOLF HILLS RD</AddressLine1Txt>
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            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19083</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>OUTSOURCED STAFFING</ServicesDesc>
        <CompensationAmt>1754490</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>GENERAL HEALTHCARE RESOURCES</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2550 HICKORY RD STE 240</AddressLine1Txt>
            <CityNm>PLYMOUTH MEETING</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19462</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>OUTSOURCED STAFFING</ServicesDesc>
        <CompensationAmt>1132837</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>30</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>5040587</AllOtherContributionsAmt>
      <TotalContributionsAmt>5040587</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUES</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>1064895530</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1064895530</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL SUPPLIES/DRUG SALES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>243229971</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>243229971</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>1308125501</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>4030235</TotalRevenueColumnAmt>
        <ExclusionAmt>4030235</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <GrossRentsGrp>
        <RealAmt>8432649</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>8432649</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>8432649</TotalRevenueColumnAmt>
        <ExclusionAmt>8432649</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <GrossSalesOfInventoryAmt>0</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>IET PURCHASE SVCS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>4330454</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4330454</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MAPS EQUALIZATION</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>2588334</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2588334</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA REVENUES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>2201015</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2201015</RelatedOrExemptFuncIncomeAmt>
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      <MiscellaneousRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>4611687</RelatedOrExemptFuncIncomeAmt>
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        <RelatedOrExemptFuncIncomeAmt>1321856991</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>12462884</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
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      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1837985</TotalAmt>
        <ProgramServicesAmt>1634888</ProgramServicesAmt>
        <ManagementAndGeneralAmt>203097</ManagementAndGeneralAmt>
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      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
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      <OtherSalariesAndWagesGrp>
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        <ProgramServicesAmt>342815700</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42394297</ManagementAndGeneralAmt>
        <FundraisingAmt>192701</FundraisingAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>86856795</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10741144</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>15147249</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1873184</ManagementAndGeneralAmt>
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      <FeesForServicesManagementGrp>
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        <ProgramServicesAmt>174640862</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23814663</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>79200</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10800</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
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        <ProgramServicesAmt>23718435</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3234332</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>23779</ProgramServicesAmt>
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      </AdvertisingGrp>
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        <ProgramServicesAmt>20078002</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2737909</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>626448</ProgramServicesAmt>
        <ManagementAndGeneralAmt>85425</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <OccupancyGrp>
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      <TravelGrp>
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        <ProgramServicesAmt>251551</ProgramServicesAmt>
        <ManagementAndGeneralAmt>34302</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>0</TotalAmt>
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      <InterestGrp>
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        <ProgramServicesAmt>2824715</ProgramServicesAmt>
        <ManagementAndGeneralAmt>385188</ManagementAndGeneralAmt>
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      <PaymentsToAffiliatesGrp>
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      <DepreciationDepletionGrp>
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      <InsuranceGrp>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
        <Desc>TAXES &amp; ASSESSMENTS</Desc>
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        <ManagementAndGeneralAmt>4099306</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
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        <ManagementAndGeneralAmt>1511021</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>DUES &amp; LICENSES</Desc>
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        <ProgramServicesAmt>492138</ProgramServicesAmt>
        <ManagementAndGeneralAmt>67110</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ManagementAndGeneralAmt>2184834</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>1176153499</ProgramServicesAmt>
        <ManagementAndGeneralAmt>95738345</ManagementAndGeneralAmt>
        <FundraisingAmt>250038</FundraisingAmt>
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        <EOYAmt>9500</EOYAmt>
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      <TotalLiabilitiesGrp>
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      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <DisclosedOrgLegCtrlInd>true</DisclosedOrgLegCtrlInd>
      <DisclosedForCharitablePrpsInd>true</DisclosedForCharitablePrpsInd>
      <ArtPublicExhibitionAmountsGrp />
      <HeldWorksArtGrp />
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>167657172</BeginningYearBalanceAmt>
        <ContributionsAmt>0</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>13649534</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>0</GrantsOrScholarshipsAmt>
        <OtherExpendituresAmt>8583349</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>0</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>172723357</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>172988119</BeginningYearBalanceAmt>
        <ContributionsAmt>520090</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>2413587</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>0</GrantsOrScholarshipsAmt>
        <OtherExpendituresAmt>8264624</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>0</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>167657172</EndYearBalanceAmt>
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      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>182082082</BeginningYearBalanceAmt>
        <ContributionsAmt>509122</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-1852385</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>0</GrantsOrScholarshipsAmt>
        <OtherExpendituresAmt>7750700</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>0</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>172988119</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>135791491</BeginningYearBalanceAmt>
        <ContributionsAmt>918371</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>52717110</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>0</GrantsOrScholarshipsAmt>
        <OtherExpendituresAmt>7344890</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>0</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>182082082</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>137910872</BeginningYearBalanceAmt>
        <ContributionsAmt>3896</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>4166132</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>0</GrantsOrScholarshipsAmt>
        <OtherExpendituresAmt>6289409</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>0</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>135791491</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>0.00000</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>1.00000</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.00000</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>true</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>4788853</OtherCostOrOtherBasisAmt>
        <BookValueAmt>4788853</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>547908562</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>223758718</DepreciationAmt>
        <BookValueAmt>324149844</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>1663742</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1663742</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>281185001</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>205733040</DepreciationAmt>
        <BookValueAmt>75451961</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>36882572</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>0</DepreciationAmt>
        <BookValueAmt>36882572</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>441273230</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>GOODWILL</Desc>
        <BookValueAmt>24887819</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER NON-CURRENT ASSETS</Desc>
        <BookValueAmt>107482062</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>132369881</TotalBookValueOtherAssetsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>THIRD PARTY SETTLEMENTS</Desc>
        <Amt>1187109</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>FIN 47 ASSET RETIREMENT</Desc>
        <Amt>3638236</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO AFFILIATE</Desc>
        <Amt>83216071</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>88041416</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>USE OF ENDOWMENT FUNDS ALL ENDOWMENT FUNDS ARE USED FOR A VARIETY OF PURPOSES IN FURTHERANCE OF THE ORGANIZATION'S TAX-EXEMPT PURPOSES. ------------------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART X, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>DETAIL OF OTHER LIABILITIES THE DUE TO AFFILIATE ACCOUNT REPRESENTS AMOUNTS OWED BY THIS ORGANIZATION TO THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("PENN"), A RELATED ORGANIZATION, BASED UPON PENN'S CENTRAL TREASURY OFFICE MANAGING THE CASH BALANCES OF CERTAIN OF ITS AFFILIATES. ------------------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART X, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>TEXT OF FIN 48 (ASC 740) FOOTNOTE THIS ORGANIZATION IS AN AFFILIATE OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). THE FIN 48 (ASC 740) FOOTNOTE BELOW DERIVES FROM THE CONSOLIDATED JUNE 30, 2024 FINANCIAL STATEMENTS OF THE UNIVERSITY: THE UNIVERSITY REGULARLY EVALUATES ITS TAX POSITION AND DOES NOT BELIEVE IT HAS ANY UNCERTAIN TAX POSITIONS THAT REQUIRE DISCLOSURE OR ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <FreeCareOthPercentageGrp>
        <OtherInd>X</OtherInd>
        <FreeCareOtherPct>300.</FreeCareOtherPct>
      </FreeCareOthPercentageGrp>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <Percent300Ind>X</Percent300Ind>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>false</FinancialAssistanceBudgetInd>
      <AnnualCommunityBnftReportInd>true</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>true</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>5875979</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>0</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>5875979</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00460</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedCostsGrp>
        <TotalCommunityBenefitExpnsAmt>214047085</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>166441687</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>47605398</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.03740</TotalExpensePct>
      </UnreimbursedCostsGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>219923064</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>166441687</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>53481377</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.04200</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <HealthProfessionsEducationGrp>
        <TotalCommunityBenefitExpnsAmt>33093113</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>11378375</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>21714738</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01710</TotalExpensePct>
      </HealthProfessionsEducationGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>33093113</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>11378375</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>21714738</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01710</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>253016177</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>177820062</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>75196115</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.05910</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>12655772</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>2858366</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>202054059</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>203138750</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-1084691</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>PENN PRESBYTERIAN MEDICAL CTR</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>51 NORTH 39TH STREET</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19104</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.PENNMEDICINE.ORG</WebsiteAddressTxt>
        <StateLicenseNum>LICENSE #421101</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <CriticalAccessHospitalInd>X</CriticalAccessHospitalInd>
        <ResearchFacilityInd>X</ResearchFacilityInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>PENN PRESBYTERIAN MEDICAL CTR</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>21</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>true</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>true</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE SCH H, PART V, SECTION C</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE SCH H, PART V, SECTION C</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>300.</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>300.</FPGFamilyIncmLmtDscntCarePct>
        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>SCH H, PART V, SECT. C</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SCH H, PART V, SECT. C</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>SCH H, PART V, SECT. C</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicaidMedcrPrvtInd>X</LookBackMedicaidMedcrPrvtInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINES 5, 6A &amp; 6B (INPUT FROM COMMUNITY; JOINT CHNA)</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH ("PDPH") AND HEALTH CARE IMPROVEMENT FOUNDATION ("HCIF") ASSISTED THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("UPHS") AND OTHER PARTICIPATING HOSPITALS AND HEALTH SYSTEMS WITH THE COMPLETION OF THEIR CHNA. PDPH AND HCIF DEVELOPED A COLLABORATIVE, COMMUNITY-ENGAGED APPROACH THAT INVOLVED COLLECTING AND ANALYZING QUANTITATIVE AND QUALITATIVE DATA AND AGGREGATING DATA FROM A VARIETY OF SECONDARY SOURCES TO COMPREHENSIVELY ASSESS THE HEALTH STATUS OF THE REGION. THE ASSESSMENT RESULTED IN A LIST OF PRIORITY HEALTH NEEDS THAT WERE USED BY UPHS AND OTHER PARTICIPATING HOSPITALS AND HEALTH SYSTEMS TO DEVELOP THEIR IMPLEMENTATION PLANS. AMONG OTHERS, THE COLLABORATIVE CHNA INCLUDED THE FOLLOWING PARTNERING UPHS HOSPITAL AFFILIATES: - CHESTER COUNTY HOSPITAL - 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 --------------------</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 7 &amp; 10- CHNA &amp; IMP. PLAN PUBLIC AVAILABILITY</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE ORGANIZATION'S CHNA REPORT AND COMMUNITY HEALTH IMPROVEMENT PLAN REPORT ("IMPLEMENTATION PLAN") CAN BE ACCESSED AT: HTTPS://WWW.PENNMEDICINE.ORG/ABOUT/SUPPORTING-OUR-COMMUNITIES OUR CHNA AND IMPLEMENTATION PLAN ARE ALSO AVAILABLE TO THE PUBLIC UPON REQUEST. -------------------- PART V, SECTION B, LINE 9 (TAX YEAR THE MOST RECENT IMPLEMENTATION STRATEGY WAS ADOPTED) THE ORGANIZATION'S MOST RECENT IMPLEMENTATION PLAN WAS ADOPTED BY 11/15/2022, AS PERMITTED UNDER THE REGULATIONS. --------------------</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 11 (ADDRESSING THE NEEDS IDENTIFIED IN THE CHNA)</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR A COMPLETE DESCRIPTION ON HOW THE ORGANIZATION IS ADDRESSING THE NEEDS IDENTIFIED IN THE MOST RECENTLY COMPLETED CHNA, SEE OUR RESPONSE TO FORM 990, SCHEDULE H, PART VI, LINE 2 (NEEDS ASSESSMENT), AS WELL AS THE FOLLOWING: HTTPS://WWW.PENNMEDICINE.ORG/ABOUT/SUPPORTING-OUR-COMMUNITIES TO READ MORE WAYS PENN MEDICINE SERVES ITS COMMUNITY, PLEASE VISIT HTTPS://COMMUNITYIMPACT.PENNMEDICINE.ORG/ --------------------</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 16 (FINANCIAL ASSISTANCE POLICY AVAILABILITY)</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT: HTTPS://WWW.PENNMEDICINE.ORG/FOR-PATIENTS-AND-VISITORS/PATIENT-INFORMATION /INSURANCE-AND-BILLING/FINANCIAL-ASSISTANCE ------------------</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>7</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PENN CENTER FOR REHABILITATION &amp; CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3609 CHESTNUT STREET</AddressLine1Txt>
            <CityNm>PHILADELPHIA</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>191042612</ZIPCd>
          </USAddress>
          <FacilityTxt>SKILLED NURSING FACILITY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PENN MEDICINE AT CHERRY HILL</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1865 E ROUTE 70 2ND FLOOR</AddressLine1Txt>
            <CityNm>CHERRY HILL</CityNm>
            <StateAbbreviationCd>NJ</StateAbbreviationCd>
            <ZIPCd>08034</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT FACILITY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PENN CARDIOLOGY - WILLINGBORO</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>200 CAMPBELL DRIVE SUITE 115</AddressLine1Txt>
            <CityNm>WILLINGBORO</CityNm>
            <StateAbbreviationCd>NJ</StateAbbreviationCd>
            <ZIPCd>08046</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT FACILITY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PENN CARDIOLOGY CAPE MAY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>211 S MAIN STREET SUITE 205</AddressLine1Txt>
            <CityNm>CAPE MAY COURTHOUSE</CityNm>
            <StateAbbreviationCd>NJ</StateAbbreviationCd>
            <ZIPCd>08210</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT FACILITY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PENN CARDIOLOGY - PPMC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>39TH AND MARKET STREET - SUITE 400</AddressLine1Txt>
            <CityNm>PHILADELPHIA</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19104</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT FACILITY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PENN CARDIOLOGY MAYFAIR</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7133 ROOSEVELT BLVD</AddressLine1Txt>
            <CityNm>PHILADELPHIA</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19149</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT FACILITY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PENN CARDIOLOGY - MEDIA</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>605 W STATE STREET</AddressLine1Txt>
            <CityNm>MEDIA</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19063</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT FACILITY</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7 (BAD DEBT EXPENSE, COSTING METHODOLOGY USED)</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BAD DEBT EXPENSE AMOUNT INCLUDED ON FORM 990, PART IX, COLUMN 25(A) WAS $28,689,000 RELATED TO ACADEMIC BAD DEBTS FOR THE YEAR ENDED JUNE 30, 2024. 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. --------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II (DETAIL OF COMMUNITY BUILDING ACTIVITIES)</FormAndLineReferenceDesc>
        <ExplanationTxt>DETAILS REGARDING THE VARIOUS COMMUNITY BUILDING ACTIVITIES CONDUCTED BY THE ORGANIZATION CAN BE FOUND IN OUR RESPONSE TO FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. --------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, SECTION A, LINE 2 (IMPLICIT PRICE CONCESSIONS/BAD DEBT EXPENSE)</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 ARE BASED ON ACTUAL CHARGES WRITTEN OFF (AMOUNTS THAT ARE DEEMED TO BE UNCOLLECTIBLE AND RECORDED AS IMPLICIT PRICE CONCESSIONS UNDER ACCOUNTING PRONOUNCEMENT ASC 606). -------------------- PART III, SECTION A, LINE 3 (IMPLICIT PRICE CONCESSIONS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY) UPHS UTILIZES A THIRD-PARTY VENDOR TO POPULATE THE NUMBER OF INDIVIDUALS WITHIN EACH HOUSEHOLD AND THE MEAN HOUSEHOLD INCOME BASED ON THE ACCOUNT ADDRESS. UPHS ESTIMATES THE AMOUNT OF BAD DEBTS (IMPLICIT PRICE CONCESSIONS) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER ITS FINANCIAL ASSISTANCE POLICY BASED UPON 300% OF THE FEDERAL POVERTY GUIDELINES. -------------------- PART III, SECTION A, LINE 4 (IMPLICIT PRICE CONCESSION FOOTNOTE) THE IMPLICIT PRICE CONCESSION (BAD DEBT EXPENSE) FOOTNOTE DISCLOSURE CAN BE FOUND ON PAGE 11 OF THE ELECTRONICALLY ATTACHED CONSOLIDATED FINANCIAL STATEMENTS FOR THE UNIVERSITY OF PENNSYLVANIA. --------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, SECTION B, LINE 8 (COSTING METHODOLOGY, MEDICARE SHORTFALL)</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 6 IS BASED ON A COST TO CHARGE RATIO. CONSISTENT WITH THE CHARITABLE HEALTHCARE MISSION OF UPHS AND THE COMMUNITY BENEFIT STANDARD SET FORTH IN IRS REVENUE RULING 69-545, UPHS PROVIDES CARE FOR ALL PATIENTS COVERED BY MEDICARE SEEKING MEDICAL CARE AT UPHS. SUCH CARE IS PROVIDED REGARDLESS OF WHETHER THE REIMBURSEMENT PROVIDED FOR SUCH SERVICES MEETS OR EXCEEDS THE COSTS INCURRED BY UPHS TO PROVIDE SUCH SERVICES. --------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B (COLLECTION PRACTICES)</FormAndLineReferenceDesc>
        <ExplanationTxt>THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM PROVIDES URGENT/EMERGENT MEDICAL SERVICES WITHOUT REGARD TO ABILITY TO PAY. WHEN IT HAS BEEN DETERMINED THAT A PATIENT IS NOT ELIGIBLE FOR COVERAGE BY EXTERNAL SOURCES OF FUNDING, FINANCIAL ASSISTANCE MAY BE AVAILABLE FOR BOTH THE UNINSURED AND UNDERINSURED, THE INDIGENT, HARDSHIP AND MEDICALLY INDIGENT AND MAY BE APPROVED AS EITHER FULL OR PARTIAL FREE CARE. PATIENTS WHO DO NOT COOPERATE WITH THE FINANCIAL COUNSELING PROCESS OR WHOSE APPLICATION FOR FINANCIAL ASSISTANCE IS DENIED BY THE HEALTH SYSTEM MAY BE PURSUED BY COLLECTION EFFORTS, INCLUDING REFERRAL TO AN OUTSIDE COLLECTION AGENCY OR ATTORNEY AS DETERMINED BY OUR PATIENT ACCOUNTING DEPARTMENT. --------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2 (NEEDS ASSESSMENT)</FormAndLineReferenceDesc>
        <ExplanationTxt>PENN MEDICINE IS ONE OF THE WORLD'S LEADING ACADEMIC MEDICAL CENTERS, DEDICATED TO THE RELATED MISSIONS OF MEDICAL EDUCATION, BIOMEDICAL RESEARCH, AND EXCELLENCE IN PATIENT CARE. PENN MEDICINE CONSISTS OF THE RAYMOND AND RUTH PERELMAN SCHOOL OF MEDICINE AT THE UNIVERSITY OF PENNSYLVANIA, FOUNDED IN 1765 AS THE NATION'S FIRST MEDICAL SCHOOL, AND THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM (UPHS), WHICH TOGETHER FORM A $11.9 BILLION ENTERPRISE. THE PERELMAN SCHOOL OF MEDICINE AND UPHS ARE COMMITTED TO IMPROVING LIVES AND HEALTH THROUGH CLINICAL CARE, RESEARCH, MEDICAL EDUCATION, AND COMMUNITY SERVICE. THE SCHOOL OF MEDICINE HAS 791 M.D. STUDENTS, 1,947 RESIDENTS AND FELLOWS, AND 3,289 FULL-TIME FACULTY MEMBERS AS OF FY23. THROUGH UNDERGRADUATE MEDICAL EDUCATION, BROAD RANGING GRADUATE, RESIDENCY, AND 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. WITHIN OUR PHILADELPHIA FACILITIES, IN KEEPING WITH OUR CHARITABLE PURPOSE, UPHS ACCEPTS PATIENTS IN SERIOUS NEED OF MEDICAL CARE REGARDLESS OF THEIR FINANCIAL STATUS. UPHS ALSO PROVIDES CARE TO PATIENTS WHO DO NOT HAVE HEALTH INSURANCE OR MEET THE CRITERIA TO QUALIFY FOR ITS CHARITY CARE POLICY. IN FISCAL YEAR 2023, PENN MEDICINE, AS AN INSTITUTION, PROVIDED $421.9 MILLION IN CHARITY AND UNDERFUNDED CARE FOR PATIENTS IN NEED. THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA (HUP) WAS ESTABLISHED IN 1874 AS A TEACHING HOSPITAL TO COMPLEMENT THE MEDICAL EDUCATION RECEIVED BY STUDENTS AT THE PERELMAN SCHOOL OF MEDICINE. TODAY, IT HAS 20 CLINICAL DEPARTMENTS AND PROVIDES TRAINING IN MORE THAN 40 CLINICAL SPECIALTIES. MAJOR AREAS OF CLINICAL FOCUS ACROSS HUP INCLUDE CARDIAC CARE, ONCOLOGY, NEUROSCIENCES, AND WOMEN'S HEALTH. HUP IS ONE OF THE ONLY HOSPITALS IN THIS REGION THAT PERFORMS TRANSPLANTS OF ALL MAJOR ORGANS. HUP'S CAMPUS IS A HUB FOR INNOVATIVE MEDICAL CARE, AND HOME TO THE PAVILION-THE LARGEST CAPITAL PROJECT IN THE UNIVERSITY OF PENNSYLVANIA'S HISTORY-WHICH OPENED IN OCTOBER 2021. THE PAVILION IS ONE OF THE LARGEST HOSPITAL PROJECTS IN THE U.S.-AND THE LARGEST IN THE PHILADELPHIA REGION. THE BUILDING RISES 17 STORIES ON PENN MEDICINE'S WEST PHILADELPHIA CAMPUS AS A PLACE WHERE PENN'S WORLD-RENOWNED RESEARCHERS, CLINICIANS, AND FACULTY WILL CONTINUE TO PIONEER ADVANCED PATIENT CARE. THE $1.6 BILLION FACILITY HOUSES 504 PRIVATE PATIENT ROOMS AND 47 OPERATING ROOMS. IN MARCH 2021, HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA - CEDAR AVENUE OPENED AS PART OF A PARTNERSHIP WITH PUBLIC HEALTH MANAGEMENT CORPORATION (PHMC) OFFERING CONTINUITY IN ACCESS TO CARE AND SERVICES IN WEST AND SOUTHWEST PHILADELPHIA IN PLACE OF A LONGSTANDING COMMUNITY HOSPITAL THAT NEEDED TO CLOSE. THIS SITE OFFERS 121 LICENSED BEDS AND CONTINUES TO EVOLVE INTO A MULTI-FACETED AND INNOVATIVE PUBLIC HEALTH CAMPUS. PENN MEDICINE MANAGES THE EMERGENCY DEPARTMENT, INPATIENT SERVICES, AND HOSPITAL-BASED BEHAVIORAL HEALTH PROGRAMMING AS HUP-CEDAR. PHMC HAS OPENED A FEDERALLY QUALIFIED HEALTH CENTER AT THE SITE, WHICH IS STAFFED BY CLINICIANS FROM THE PENN MEDICINE DEPARTMENT OF FAMILY MEDICINE AND COMMUNITY HEALTH, PROVIDING COMMUNITY MEMBERS WITH ACCESS TO HIGH-QUALITY, INTEGRATED, PATIENT-CENTERED HEALTH CARE. A KEY ELEMENT OF THE CAMPUS IS A ROBUST COMMUNITY ENGAGEMENT PLAN THAT INCLUDES REGULAR AND ONGOING COMMUNITY OUTREACH WITH STAKEHOLDERS, THUS SUPPORTING THE ENGAGEMENT OF COMMUNITY-BASED, NON-PROFIT SOCIAL SERVICES THAT ADDRESS KEY ISSUES, SUCH AS HEALTH AND WELLNESS EDUCATION AND FOOD INSECURITY. PENN PRESBYTERIAN MEDICAL CENTER (PPMC) IS CONSISTENTLY RECOGNIZED AS A CENTER OF EXCELLENCE FOR CARDIAC CARE, OPHTHALMOLOGY, AND NEUROSCIENCES. PPMC'S CAMPUS INCLUDES THE MUSCULOSKELETAL CENTER'S OUTPATIENT FACILITY AT PENN MEDICINE UNIVERSITY CITY, ABRAMSON CANCER CENTER AND THE PAVILION FOR ADVANCED CARE, HOME TO PENN MEDICINE'S LEVEL 1 TRAUMA CENTER. THE PA ACCREDITED TRAUMA CENTER OPERATES AROUND THE CLOCK TO CARE FOR PATIENTS WHO HAVE BEEN CRITICALLY INJURED IN CAR ACCIDENTS, FALLS, GUNSHOT WOUNDS AND THROUGH OTHER BLUNT AND PENETRATING TRAUMAS. THE TRAUMA CENTER AT PENN PRESBYTERIAN MEDICAL CENTER SERVES AS A REGIONAL RESOURCE FOR INJURED PATIENTS CARING FOR MORE THAN 3,000 PATIENTS ANNUALLY, SEVERAL HUNDRED OF WHOM ARE TRANSFERRED FROM OTHER AREA HOSPITALS AND TRAUMA CENTERS. PENNSYLVANIA HOSPITAL IS THE NATION'S FIRST HOSPITAL. FOUNDED IN 1751 BY BENJAMIN FRANKLIN AND DR. THOMAS BOND, PENNSYLVANIA HOSPITAL HAS BEEN A LEADER IN PATIENT CARE, TREATMENT TECHNIQUES, AND MEDICAL EDUCATION FOR MORE THAN 270 YEARS. TODAY ITS CLINICAL PROGRAMS INCLUDE THE SPINE CENTER, ORTHOPEDICS, THE CENTER FOR TRANSFUSION-FREE MEDICINE, MATERNITY AND NEWBORN SERVICES, AND BEHAVIORAL HEALTH. PENNSYLVANIA HOSPITAL IS ALSO HOME TO PENN MEDICINE WASHINGTON SQUARE, THE HOSPITAL'S OUTPATIENT FACILITY. **IMPACT OF PRIOR COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION** PROPELLED BY OUR TRIPARTITE MISSION OF PATIENT CARE, EDUCATION, AND RESEARCH, AND IN RESPONSE TO THE NEEDS OF OUR COMMUNITY, PENN MEDICINE HAS DRIVEN SEVERAL PROGRAMS TO CARE FOR OUR NEIGHBORS AND IMPROVE THE WELL-BEING OF OUR REGION: &gt; MENTAL AND BEHAVIORAL HEALTH AND SUBSTANCE USE THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA-CEDAR AVENUE (HUP CEDAR) CRISIS RESPONSE CENTER (CRC) WAS ESTABLISHED IN 2023 TO MAKE CRITICAL PSYCHIATRIC AND SUBSTANCE USE CARE EASILY ACCESSIBLE FOR WEST AND SOUTHWEST PHILADELPHIA RESIDENTS. IN ADDITION TO MOVING INPATIENT AND DRUG AND ALCOHOL DETOXIFICATION UNITS FROM PENN PRESBYTERIAN MEDICAL CENTER TO HUP CEDAR, THE NEWLY ESTABLISHED CRC PROVIDED CARE FOR MORE THAN 4,500 PATIENT VISITS IN ITS FIRST YEAR. TOGETHER, PENNSYLVANIA HOSPITAL AND THE HUP CEDAR HAVE A TOTAL OF 73 LICENSED INPATIENT PSYCHIATRIC BEDS AND 16 BEDS FOR SUBSTANCE USE TREATMENT. IN 2023, THERE WERE MORE THAN 107,000 DRUG OVERDOSE DEATHS IN THE UNITED STATES, AND IN PHILADELPHIA, DEATH RATES CONTINUE TO RISE. PENN MEDICINE'S CENTER FOR OPIOID RECOVERY AND ENGAGEMENT (CORE) PROVIDES FREE PEER SUPPORT FOR INDIVIDUALS STRUGGLING WITH OPIOID USE AND THEIR LOVED ONES. THE PROGRAM PROVIDES MULTIPLE PATHWAYS TO RECOVERY BY REMOVING BARRIERS AND FACILITATING ACCESS TO RECOVERY RESOURCES. CORE OFFERS HANDS-ON MEDICAL AND BEHAVIORAL HELP TO ENSURE INDIVIDUALS RECEIVE CONTINUED TREATMENT AND ARE SUPPORTED WITHIN THEIR COMMUNITIES. CORE'S OPIOID USE DISORDER (OUD) CARE TEAM IS MADE UP OF CERTIFIED RECOVERY SPECIALISTS WHO USE THEIR PERSONAL OUD EXPERIENCES TO PROVIDE PARTICIPANTS WITH LONG-TERM GUIDANCE FOR RECOVERY. CORE ALSO OFFERS ENHANCED CASE MANAGEMENT SERVICES, PROVIDING ASSISTANCE WITH OBTAINING HOUSING, EDUCATION, SOCIAL SERVICE NEEDS, SUPPORT GROUPS AND ACCESS TO TREATMENT. &gt; CHRONIC DISEASE PREVENTION AND MANAGEMENT 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. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2 (NEEDS ASSESSMENT) (CONTINUED)</FormAndLineReferenceDesc>
        <ExplanationTxt>&gt; PRIMARY AND PREVENTIVE CARE NAVIGATION AND ACCESS THE PENN CENTER FOR COMMUNITY HEALTH WORKERS PROGRAM IS A STANDARDIZED, SCALABLE COMMUNITY HEALTH WORKER (CHW) PROGRAM IN WHICH PENN MEDICINE HIRES, TRAINS, AND DEPLOYS TRUSTED LAYPEOPLE FROM LOCAL COMMUNITIES TO HELP PATIENTS ADDRESS FOOD, HOUSING, TRANSPORTATION, AND CHRONIC DISEASE PREVENTION. THE PROGRAM HAS BEEN DELIVERED TO NEARLY 10,000 HIGH-RISK PATIENTS AND PROVEN IN THREE RANDOMIZED CONTROLLED TRIALS TO IMPROVE CHRONIC DISEASE CONTROL, MENTAL HEALTH, AND QUALITY OF CARE WHILE REDUCING TOTAL HOSPITAL DAYS BY 65 PERCENT. THE UNITED COMMUNITY CLINIC (UCC), HOUSED IN THE NEW RIVER CHURCH, HAS BEEN A CORNERSTONE OF PREVENTATIVE CARE IN WEST PHILADELPHIA FOR NEARLY 25 YEARS. LED BY MEDICAL STUDENTS AND FACULTY FROM THE PERELMAN SCHOOL OF MEDICINE, THE UCC HAS CONSISTENTLY EVOLVED TO MEET THE NEEDS OF ITS COMMUNITY. IN THE LAST TWO YEARS, PENN MEDICINE AND UCC HAVE EXPANDED THEIR SERVICES TO SOUTHWEST PHILADELPHIA, ANOTHER MEDICALLY UNDERSERVED COMMUNITY. UCC CLINICIANS ADDRESS A WIDE RANGE OF HEALTH NEEDS FROM ROUTINE CHECK-UPS AND DIABETES MANAGEMENT TO TREATING COMMON ILLNESS AND PROVIDING X-RAYS FOR INJURIES. OVER THE PAST YEAR, UCC HAS TREATED 158 PATIENTS ACROSS TWO COMMUNITY CLINIC LOCATIONS. THE CLINIC ALSO ASSISTS PATIENTS IN FINDING INSURANCE TO ENSURE THEY HAVE CONTINUED ACCESS TO NECESSARY MEDICAL SERVICES IN THE FUTURE. 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 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. 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 MEDICALLY UNDERSERVED COMMUNITIES THROUGHOUT PHILADELPHIA. THESE CLINICS PROVIDE SUPPORT TO COMMUNITIES THAT FACE SIGNIFICANT ACCESS BARRIERS TO CARE. &gt; SPECIALTY CARE NAVIGATION AND ACCESS THE PENN CENTER FOR SURGICAL HEALTH (CSH) AIMS TO CREATE SUSTAINABLE INFRASTRUCTURE FOR ACCESS TO HIGH-QUALITY, COST-CONSCIOUS SURGICAL CARE BEFORE IT BECOMES AN EMERGENCY. CSH PAIRS PATIENTS WITH A PERSONAL PATIENT NAVIGATOR (PPN)-TYPICALLY A MEDICAL STUDENT WHO HAS UNDERGONE CHS'S PPN TRAINING PROGRAM-TO HELP PATIENTS THROUGH OBTAINING INSURANCE OR OTHER FUNDING AND UNDERSTANDING AND NAVIGATING FROM PREOPERATIVE THROUGH TO POSTOPERATIVE CARE. SINCE ITS INCEPTION IN FALL 2021, THE CSH HAS PROVIDED MORE THAN 1,000 PATIENT REFERRALS, FACILITATED TRANSPORTATION TO SURGERIES FOR 333 PATIENTS, AND HELPED 180 PATIENTS GET ACCESS TO CARE THAT WOULD OTHERWISE BE OUT OF REACH. PENN MEDICINE IS ACTIVELY WORKING TO DECENTRALIZE CANCER SCREENINGS AND BRING CANCER CARE TO COMMUNITIES BY ENABLING ACCESS TO PREVENTATIVE CARE OUTSIDE OF HOSPITALS IN THE COMMUNITIES THAT NEED THEM MOST. INEQUITIES IN ACCESS TO CANCER SCREENINGS FOR EARLY DETECTION, CUTTING-EDGE TREATMENTS, AND PARTICIPATION IN BREAKTHROUGH CLINICAL TRIALS CONTRIBUTE TO PERSISTENT INEQUITIES IN OUTCOMES. THROUGH COLLABORATIVE EFFORTS, LIKE THE PARTNERSHIP BETWEEN ENON TABERNACLE BAPTIST CHURCH AND THE ABRAMSON CANCER CENTER, PENN MEDICINE HAS PROVIDED AT-HOME COLORECTAL CANCER SCREENING KITS AT COMMUNITY EVENTS AND DRIVE-THROUGHS, COUPLED WITH NAVIGATION SUPPORT FOR FOLLOW-UP CARE. SIMILARLY, THE PENN MEDICINE BREAST HEALTH INITIATIVE HAS DELIVERED FREE BREAST CANCER SCREENINGS AND BREAST HEALTH EDUCATION, AMONG OTHER SUPPORT SERVICES THAT HAVE REACHED MORE THAN 3,000 WOMEN IN THE REGION SINCE 2014. BY FOCUSING ON COMMUNITY-BASED OUTREACH AND PATIENT NAVIGATION, PENN MEDICINE IS CLOSING GAPS IN CARE, BOOSTING PARTICIPATION IN SCREENINGS AND CLINICAL TRIALS, AND IMPROVING OUTCOMES. &gt; VIOLENCE PREVENTION AND INTERVENTION DEEPLY ROOTED WAS LAUNCHED IN 2022 BY THE PENN URBAN HEALTH LAB AS A COMMUNITY-ACADEMIC COLLABORATIVE. WITH A $6 MILLION INVESTMENT FROM PENN MEDICINE AND CHILDREN'S HOSPITAL OF PHILADELPHIA (CHOP), THE COLLABORATIVE HAS CLEANED AND GREENED MORE THAN 700 VACANT LOTS, PLANTED MORE THAN 820 TREES, AND BUILT MINIPARKS DESIGNED BY THE COMMUNITY. THE PROGRAM HAS ALSO AWARDED MULTIPLE MICRO-GRANTS FOR RESIDENT-LED PROJECTS THAT SUPPORT VACANT LOT CLEANUPS, COMMUNITY SPACE PROGRAMMING, JOB TRAINING, EDUCATION, AND MORE. THESE EFFORTS ARE BACKED BY PENN MEDICINE RESEARCH THAT SHOWS GREENING VACANT SPACES REDUCES VIOLENT CRIME, IMPROVES MENTAL HEALTH AND HAS VARIOUS OTHER POSITIVE IMPACTS ON HEALTH OUTCOMES. THE PENN TRAUMA VIOLENCE RECOVERY PROGRAM IS A HOSPITAL-BASED VIOLENCE INTERVENTION PROGRAM (HVIP) THAT PROVIDES SURVIVORS OF VIOLENT INJURIES WITH PSYCHOSOCIAL SUPPORT AND WRAPAROUND SERVICES TO PROMOTE THEIR HOLISTIC HEALING. THE PROGRAM IS MADE UP OF PENN PRESBYTERIAN MEDICAL CENTER (PPMC) EMPLOYEES WHO WORK ALONGSIDE PENN MEDICINE TRAUMA TEAMS TO IMPROVE CARE AND OUTCOMES FOR INJURED PATIENTS. TO DATE, THE PROGRAM HAS ENROLLED 80 PATIENTS, PROVIDED 363 PATIENTS WITH BEDSIDE COUNSELING, AND MADE 143 REFERRALS TO COMMUNITY SERVICES AND RESOURCES. PENN TRAUMA VIOLENCE RECOVERY PROGRAM LEADERS HAVE ALSO ESTABLISHED A FUND TO MEET PROGRAM PARTICIPANT'S BASIC NEEDS, FROM TRANSPORTATION COSTS TO FOOD AND OTHER NECESSITIES. &gt; ADVANCING MATERNAL HEALTH NEW AND EXPECTANT MOTHERS IN THE UNITED STATES ARE MORE LIKELY TO DIE THAN THOSE IN ANY OTHER DEVELOPED COUNTRY IN THE WORLD. MORE THAN 80 PERCENT OF THESE DEATHS ARE PREVENTABLE. IN TERMS OF HEALTHCARE OUTCOMES, IT APPEARS THERE ARE DISPARATE OUTCOMES RELATED TO MATERIAL MORTALITY IN THAT BLACK PATIENTS ARE DISPROPORTIONATELY IMPACTED; THEIR RISK OF DEATH APPEARS TO BE FOUR TIMES THAT OF CAUCASIAN PATIENTS IN PHILADELPHIA. TO AVOID DISPARITIES IN OUTCOME AMONG PATIENTS GIVING BIRTH AT PENN MEDICINE, PENN MEDICINE HAS DEVELOPED A UNIFIED SYSTEM-WIDE EFFORT TO REDUCE MATERNAL HEALTH DISPARITIES THROUGH FACULTY RESEARCH, COMMUNITY ENGAGEMENT, AND A BROAD ARRAY OF QUALITY IMPROVEMENTS AND INNOVATIONS IN PATIENT CARE. ONE SUCH INNOVATION, THE HEART SAFE MOTHERHOOD REMOTE BLOOD PRESSURE MONITORING PROGRAM, WAS IMPLEMENTED TO HELP POSTPARTUM MOTHERS MANAGE HIGH BLOOD PRESSURE FROM HOME VIA TEXT MESSAGES, REDUCING THE NEED FOR IN-OFFICE VISITS. IN THE 2023 FISCAL YEAR, HEART SAFE MOTHERHOOD RECEIVED MORE THAN 250,000 PATIENT-REPORTED BLOOD PRESSURE READINGS, RESULTING IN A 50 PERCENT REDUCTION IN 6-MONTH READMISSIONS FOR MOTHERS WITH BLOOD PRESSURE-RELATED CONDITIONS. HEART SAFE MOTHERHOOD IS NOT ONLY STANDARD OF CARE FOR AT-RISK PATIENTS IN ALL PENN MEDICINE BIRTHING HOSPITALS, BUT HAS EXPANDED TO SEVERAL OTHER PHILADELPHIA HOSPITALS OUTSIDE OF PENN. PENN MEDICINE'S APPROACH TO MATERNAL HEALTH INVOLVES INTERVENTIONS AT EVERY STAGE IN THE CONTINUUM OF MATERNAL CARE, FROM PREGNANCY AND DELIVERY, THROUGH THE FIRST FEW WEEKS POSTPARTUM, AS WELL AS AFTER AND IN BETWEEN PREGNANCIES. THIS COMPREHENSIVE APPROACH RESULTED IN A 30 PERCENT REDUCTION IN MATERNAL MORBIDITY-HEALTH PROBLEMS RESULTING FROM PREGNANCY AND CHILDBIRTH-IN THE FIRST YEAR ALONE. &gt; FOOD SECURITY THE FOOD ACCESS SUPPORT TECHNOLOGY (FAST) PROGRAM ADDRESSES THE NEEDS OF FOOD-INSECURE RESIDENTS IN PHILADELPHIA WHOSE LACK OF ACCESS TO NUTRITIOUS FOOD EXACERBATES CHRONIC HEALTH CONDITIONS WITH A DIGITAL PLATFORM THAT ENABLES HEALTH SYSTEMS, COMMUNITY-BASED ORGANIZATIONS, AND SMALL BUSINESSES TO IMPROVE FOOD DELIVERY IN THE REGION. THE PROGRAM HAS SUCCESSFULLY PROVIDED THOUSANDS OF MEALS TO FAMILIES IN NEED SINCE THE APP LAUNCHED IN 2021.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2 (NEEDS ASSESSMENT) (CONTINUED)</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HUP HARVEST FOOD PANTRY BEGAN IN MAY 2020. 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. HUP FOOD PANTRY PARTNERS WITH PHILABUNDANCE TO RECEIVE A MINIMUM OF 500 POUNDS OF FOOD EACH WEEK. IN OCTOBER 2020, THE PANTRY CEMENTED RELATIONSHIPS WITH THE PENN FOOD AND WELLNESS COLLABORATIVE AND STARTED RECEIVING PRODUCE FROM PENN FARM. THE PROGRAM AGAIN EXPANDED IN DECEMBER 2021, OFFERING BAGS OF FOOD TO FOOD-INSECURE, DIABETIC PRENATAL AND POSTPARTUM PATIENTS AT PENN'S HELEN O. DICKENS CENTER FOR WOMEN'S HEALTH. IN THIS PAST YEAR, PENN MEDICINE EXPANDED THE HUP PANTRY PROGRAM TO HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA - CEDAR AVENUE, WHICH SERVES WEST AND SOUTHWEST PHILADELPHIA. TO DATE, 14,160 CLIENTS HAVE BEEN SERVED WITH 163,210 POUNDS OF FOOD AND THE HELP OF 762 VOLUNTEER HOURS. &gt; ADDRESSING A WIDE ARRAY OF SOCIAL DETERMINANTS OF HEALTH THE SOCIAL NEEDS RESPONSE TEAM (SNRT) ADDRESSES THE SOCIOECONOMIC CHALLENGES OF PATIENT POPULATIONS WHO VISIT PENN MEDICINE. BY CONDUCTING SURVEYS THAT IDENTIFY ISSUES LIKE FOOD AND HOUSING INSECURITY, SNRT CONNECTS PATIENTS WITH COMMUNITY RESOURCES BOTH DURING THEIR TREATMENT AND AFTER DISCHARGE FROM CARE AT PENN MEDICINE. SINCE IT BEGAN, SNRT HAS RECEIVED OVER 1000 REFERRALS, WITH FOOD ASSISTANCE, HOUSING, AND EMPLOYMENT AMONG THE COMMUNITY'S PRIMARY NEEDS. THE PENN MEDICINE CARES GRANT PROGRAM WAS CREATED TO PROVIDE INSTITUTIONAL SUPPORT FOR INITIATIVES THAT ADDRESS COMMUNITY HEALTH NEEDS WHILE RECOGNIZING THE VOLUNTEER EFFORTS OF EMPLOYEES AND MEDICAL STUDENTS. SINCE ITS INCEPTION IN 2012, THE PROGRAM HAS FUNDED 1,200 SERVICE PROJECTS ACROSS THE PENN MEDICINE SERVICE AREA. THESE INITIATIVES HAVE INCLUDED PROGRAMS AT COMMUNITY CENTERS, FARMERS' MARKETS, AND PLACES OF WORSHIP, BENEFITING COMMUNITIES FROM PHILADELPHIA, LANCASTER, AND CHESTER COUNTIES TO NEW JERSEY'S SUBURBS AND SHORE AREAS. TO DATE, NEARLY $1.25 MILLION HAS BEEN AWARDED TO SUPPORT VOLUNTEERISM AND PROJECTS THAT AIM TO IMPROVE HEALTH AND WELLNESS. IN OCTOBER 2024, PENN MEDICINE ANNOUNCED AN INCREASE IN ANNUAL FUNDING FOR THE CARES PROGRAM, FURTHER EXPANDING ITS POTENTIAL FOR FUTURE IMPACT. TO READ MORE WAYS PENN MEDICINE SERVES ITS COMMUNITY, PLEASE VISIT HTTPS://COMMUNITYIMPACT.PENNMEDICINE.ORG/ --------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3 (PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE)</FormAndLineReferenceDesc>
        <ExplanationTxt>UPHS IS COMMITTED TO CARING FOR ALL PATIENTS EQUITABLY, WITH DIGNITY, RESPECT AND COMPASSION WITHOUT REGARD TO AGE, RACE, COLOR, NATIONAL ORIGIN (INCLUDING LIMITED ENGLISH PROFICIENCY), ETHNICITY, RELIGION, CREED, SEX, PHYSICAL OR MENTAL DISABILITY, MARITAL STATUS OR SEXUAL PREFERENCE, ANCESTRY, SEXUAL ORIENTATION OR GENDER IDENTITY, GENETIC INFORMATION, CULTURE, SOCIOECONOMIC STATUS, DOMESTIC OR SEXUAL VIOLENCE VICTIM STATUS, SOURCE OF INCOME, SOURCE OF PAYMENT, OR VETERAN STATUS. AS PART OF THIS COMMITMENT, UPHS OFFERS FINANCIAL COUNSELING AND ASSISTANCE PROGRAMS TO UNINSURED AND UNDERINSURED PATIENTS TO ASSIST THOSE WHO CANNOT PAY FOR ALL OR PART OF THEIR CARE. PATIENTS WILL BE CONSIDERED FOR FINANCIAL ASSISTANCE ON AN INDIVIDUAL BASIS, TAKING INTO CONSIDERATION TOTAL HOUSEHOLD INCOME AND OTHER RESOURCES. UPHS WILL ALSO CONSIDER OTHER FACTORS IN THE PATIENT/FAMILY FINANCIAL SITUATION, SHOULD THERE BE OTHER CRITICAL EXPENSES, NOT RELATED TO THE PATIENT'S MEDICAL CARE, THAT MAKE PAYMENT OF THE FINANCIAL OBLIGATION IMPOSSIBLE, SUCH AS CARING FOR A DISABLED FAMILY MEMBER. UPHS INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER UPHS'S CHARITY CARE POLICY. PATIENTS ARE INFORMED OF THE AVAILABILITY OF CHARITY CARE IN VARIOUS WAYS (E.G. AT POINT OF REGISTRATION, ON POSTERS THROUGHOUT HOSPITAL, IN PRACTICES, FINANCIAL COUNSELOR INTERVIEW AND WEBSITE). A COPY OF OUR FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT: https://www.pennmedicine.org/for-patients-and-visitors/patient-information /insurance-and-billing/financial-assistance --------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4 (COMMUNITY INFORMATION)</FormAndLineReferenceDesc>
        <ExplanationTxt>UPHS IS SENSITIVE TO THE DISPARITY IN THE QUALITY OF HEALTH AND HEALTH CARE AMONG THE PEOPLE OF THE PHILADELPHIA AREA. IN NEIGHBORHOODS THROUGHOUT THE CITY, MANY RESIDENTS, OFTEN THE VERY YOUNG OR THE VERY OLD, DO NOT HAVE ACCESS TO ADEQUATE CARE. THE QUALITY OF THEIR LIVES IS DIMINISHED BECAUSE THEY ARE UNABLE TO RECEIVE THE SERVICES AND SUPPORT THEY NEED. AWARE OF THE BARRIERS TO HEALTH CARE FACED BY OUR COMMUNITIES, WE USE OUR RESOURCES TO IMPROVE THE HEALTH AND WELLNESS AMONG THE UNDERSERVED. OUR MORAL IMPERATIVE IS TO LOOK, LISTEN, AND ACT IN WAYS THAT WILL MAKE A DIFFERENCE. IN COLLABORATION WITH OUR PHYSICIANS, NURSES, STUDENTS, AND COMMUNITY PARTNERS, WE TAKE ACTION TO ENHANCE THE WELL-BEING OF THE NEIGHBORHOODS WE ALL SHARE. --------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5 (INFORMATION REGARDING PROMOTION OF COMMUNITY HEALTH)</FormAndLineReferenceDesc>
        <ExplanationTxt>DETAILS REGARDING THE VARIOUS COMMUNITY OUTREACH ACTIVITIES CONDUCTED BY UPHS DESIGNED TO PROMOTE COMMUNITY HEALTH IS INCLUDED IN OUR RESPONSE TO SCHEDULE H, PART VI, LINE 2, AS WELL AS IN FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. --------------------</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6 (AFFILIATED HEALTHCARE SYSTEM INFORMATION)</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MISSION OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM IS EXCELLENCE IN EDUCATION, RESEARCH, AND CLINICAL CARE. WE STRIVE TO ACHIEVE THESE GOALS BY HAVING THE BEST PEOPLE IN MEDICAL EDUCATION, HEALTH-RELATED RESEARCH, AND PATIENT CARE; MAKING USE OF KNOWLEDGE GAINED FROM NEARLY TWO AND A HALF CENTURIES OF LEARNING AND DISCOVERY AS PART OF A WORLD-CLASS UNIVERSITY; DELIVERING HIGH-QUALITY MEDICINE TO PATIENTS ACROSS A FULLY-INTEGRATED ACADEMIC HEALTH SYSTEM; AND FULFILLING A COMMITMENT TO IMPROVE THE HEALTH OF PEOPLE IN THE COMMUNITIES SERVED BY THE HEALTH SYSTEM AND AROUND THE WORLD. AS PART OF AN AFFILIATED HEALTHCARE SYSTEM, THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM CONSISTS OF CERTAIN OPERATING DIVISIONS OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA (THE "UNIVERSITY") AND AFFILIATED ENTITIES, INCLUDING: - THE CHESTER COUNTY HOSPITAL ("CCH"), INCLUDES A 245 BED COMPLEX IN WEST CHESTER, PENNSYLVANIA, AND SATELLITE LOCATIONS IN EXTON, WEST GOSHEN, NEW GARDEN, JENNERSVILLE, AND KENNETT SQUARE, PENNSYLVANIA; - THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA ("HUP"), A 727 LICENSED BED QUATERNARY CARE HOSPITAL AND ACADEMIC MEDICAL CENTER LOCATED ON THE CAMPUS OF THE UNIVERSITY IN THE WEST PHILADELPHIA AREA OF PHILADELPHIA, PENNSYLVANIA; - PENN PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("PRESBYTERIAN"), A 317 LICENSED BED ACUTE CARE HOSPITAL LOCATED ADJACENT TO THE CAMPUS OF THE UNIVERSITY IN THE WEST PHILADELPHIA AREA OF PHILADELPHIA, PENNSYLVANIA; - PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("PENNSYLVANIA HOSPITAL"), A 550 LICENSED BED ACUTE CARE HOSPITAL LOCATED IN THE CENTER CITY AREA OF PHILADELPHIA, PENNSYLVANIA; - THE CLINICAL PRACTICES OF THE UNIVERSITY OF PENNSYLVANIA ("CPUP"), THE APPROVED FACULTY PRACTICE PLAN FOR THE CLINICAL PRACTICES OF MEMBERS OF THE MEDICAL FACULTY OF THE UNIVERSITY'S PERELMAN SCHOOL OF MEDICINE; - CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("CCA"), A PRIMARY CARE PHYSICIAN NETWORK THAT INCLUDES LOCATIONS IN SOUTHEASTERN PENNSYLVANIA AND SOUTHERN NEW JERSEY THROUGH ITS NEW JERSEY AFFILIATE; - LANCASTER GENERAL HEALTH ("LGH") AND ITS AFFILIATES. LGH OPERATES THREE HOSPITALS IN SOUTH CENTRAL PENNSYLVANIA, INCLUDING LANCASTER GENERAL HOSPITAL, A 533-BED GENERAL ACUTE CARE HOSPITAL, WOMEN &amp; BABIES HOSPITAL, A 98-BED FACILITY SPECIALIZING IN WOMEN'S HEALTH AND MATERNITY SERVICES, AND LANCASTER REHABILITATION HOSPITAL, A 59-BED REHABILITATION HOSPITAL, AS WELL AS 14 OUTPATIENT CENTERS, THREE URGENT CARE SITES, AND A PHYSICIAN PRACTICE NETWORK WITH NEARLY 200 PRIMARY CARE AND SPECIALTY PRACTICES AT 40 PRACTICE SITES; - WISSAHICKON HOSPICE, A HOSPICE CARE FACILITY SERVING THE TERMINALLY ILL, LOCATED IN BALA CYNWYD, PENNSYLVANIA; AND - PRINCETON HEALTHCARE SYSTEM ("PRINCETON") AND ITS AFFILIATES. PRINCETON INCLUDES A COMPREHENSIVE HEALTHCARE PROVIDER LOCATED IN CENTRAL NEW JERSEY THAT PRINCIPALLY INCLUDES THE MEDICAL CENTER OF PRINCETON, A GENERAL ACUTE CARE HOSPITAL FACILITY IN PLAINSBORO, NJ, WITH 319 INPATIENT BEDS (PLUS 24 NEWBORN BASSINETS), AND PRINCETON HOUSE BEHAVIORAL HEALTH, WHICH INCLUDES A 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. --------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7 (STATE FILING OF COMMUNITY BENEFIT REPORT)</FormAndLineReferenceDesc>
        <ExplanationTxt>N/A</ExplanationTxt>
      </SupplementalInformationDetail>
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        <PersonNm>S SIU MD</PersonNm>
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        <PersonNm>ANTHONY ZUMPANO</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>TOP MANAGEMENT COMPENSATION AS PROVIDED IN THE FORM 990, SCHEDULE J INSTRUCTIONS, SINCE THE ORGANIZATION RELIES ON A RELATED ORGANIZATION WHICH USES ONE OR MORE OF THE METHODS DESCRIBED IN LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION, THIS QUESTION HAS BEEN LEFT UNANSWERED. REFER TO SCHEDULE O FOR A DESCRIPTION OF THE COMPENSATION REVIEW AND APPROVAL PROCESS. ------------------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART, I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PARTICIPATION CERTAIN TRUSTEES, OFFICERS AND/OR KEY EMPLOYEES OF THIS ORGANIZATION ARE COMPENSATED BY A RELATED ORGANIZATION, THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("HEALTH SYSTEM") MAINTAINS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") DESIGNED FOR SENIOR ADMINISTRATORS OF THE HEALTH SYSTEM, AS DESIGNATED BY THE BOARD OF TRUSTEES, WHO ARE ACTIVELY EMPLOYED BY THE HEALTH SYSTEM WHEN THE CONTRIBUTIONS ARE MADE. VESTING IN THE SERP OCCURS AFTER EACH THREE YEARS OF PARTICIPATION AND UPON THE OCCURRENCE OF CERTAIN EVENTS (ATTAINMENT OF AGE 65, DEATH, DISABILITY, OR INVOLUNTARY TERMINATION WITHOUT "CAUSE"). CONTRIBUTIONS FOR THOSE WHO HAVE REACHED AGE 65 WILL BE FULLY VESTED WHEN MADE. UPON REACHING A VESTING DATE, PARTICIPANTS WILL AUTOMATICALLY RECEIVE A FULL DISTRIBUTION WHICH IS TAXABLE AS EARNED INCOME. PARTICIPANTS WHO VOLUNTARILY TERMINATE BEFORE VESTING WILL FORFEIT THE BALANCE IN THEIR ACCOUNTS. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN THE UNIVERSITY/HEALTH SYSTEM SERP PLAN DURING THE YEAR AND/OR RECEIVED DISTRIBUTIONS DURING THE YEAR: BALLINGHOFF, JAMES - NO DISTRIBTUTION KASPER, KEITH - $198,644 MAHONEY, KEVIN B. - NO DISTRIBTUTION VOLPE, MICHELE M. - $127,500 THE HEALTH SYSTEM ALSO MAINTAINS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN DESIGNED FOR SENIOR FACULTY OF THE SCHOOL OF MEDICINE OF THE UNIVERSITY, AS DESIGNATED BY THE BOARD OF TRUSTEES, WHO ARE ACTIVELY EMPLOYED BY THE UNIVERSITY WHEN THE CONTRIBUTIONS ARE MADE (THE "CPUP SERP"). VESTING IN THE MED SERP OCCURS AFTER EVERY TEN YEARS OF PARTICIPATION AND UPON THE OCCURRENCE OF CERTAIN EVENTS (ATTAINMENT OF AGE 60, DEATH, DISABILITY, OR INVOLUNTARY TERMINATION WITHOUT "CAUSE"). CONTRIBUTIONS FOR THOSE WHO HAVE REACHED AGE 60 (WITH 2 OR MORE YEARS OF PARTICIPATION) WILL BE FULLY VESTED WHEN MADE. UPON REACHING A VESTING DATE, TAXES OWED WILL BE WITHDRAWN FROM THE PLAN, AND THE REMAINING AFTER-TAX BALANCE WILL REMAIN IN THE PLAN. PARTICIPANTS WILL AUTOMATICALLY RECEIVE A FULL DISTRIBUTION THE SUMMER AFTER THE YEAR IN WHICH THEY TERMINATE EMPLOYMENT, AT WHICH TIME ANY EARNINGS NOT YET TAXED WILL BE TREATED AS TAXABLE INCOME. PARTICIPANTS WHO VOLUNTARILY TERMINATE BEFORE VESTING WILL FORFEIT THE NON-VESTED BALANCE IN THEIR ACCOUNTS. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN THE CPUP SERP PLAN DURING THE YEAR: ENDE, JACK - NO DISTRIBUTION ------------------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVISION OF NON-FIXED PAYMENTS PRESBYTERIAN MEDICAL CENTER PROVIDES DISCRETIONARY BONUS AND/OR INCENTIVE COMPENSATION PAYMENTS TO ELIGIBLE EMPLOYEES. PAYMENTS MADE TO ANY DISQUALIFIED PERSON IS APPROVED BY THE COMPENSATION COMMITTEE THROUGH THE PROCESS DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 15. ------------------------------</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SUPPLEMENTAL INFORMATION ON TAX EXEMPT BONDS</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, SCHEDULE K PRESBYTERIAN MEDICAL CENTER HAS BEEN ALLOCATED A PORTION OF THE PA HIGHER ED FACILITIES AUTHORITY- UPHS SERIES A 2015 BOND ISSUE FROM THE UNIVERSITY, A RELATED IRC SECTION 501(C)(3) ORGANIZATION. SINCE THE UNIVERSITY REMAINS AS THE PRIMARY OBLIGOR OF THE BOND, ALL INFORMATION REGARDING THE UPHS SERIES A 2015 BOND ISSUE HAS BEEN REPORTED ON THE FORM 990, SCHEDULE K OF THE UNIVERSITY. THE TOTAL ALLOCATED OUTSTANDING BALANCE FOR PRESBYTERIAN MEDICAL CENTER WAS $28,353,727 AS OF JUNE 30, 2024. PRESBYTERIAN MEDICAL CENTER HAS BEEN ALLOCATED A PORTION OF THE PA HIGHER ED FACILITIES AUTHORITY- UPHS SERIES A&amp;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&amp;B 2016 BOND ISSUE HAS BEEN REPORTED ON THE FORM 990, SCHEDULE K OF THE UNIVERSITY. THE TOTAL ALLOCATED OUTSTANDING BALANCE FOR PRESBYTERIAN MEDICAL CENTER WAS $2,458,937 AS OF JUNE 30, 2024. PRESBYTERIAN MEDICAL CENTER HAS BEEN ALLOCATED A PORTION OF THE PA HIGHER ED FACILITIES AUTHORITY- UPHS SERIES C 2016 BOND ISSUE FROM THE UNIVERSITY, A RELATED IRC SECTION 501(C)(3) ORGANIZATION. SINCE THE UNIVERSITY REMAINS AS THE PRIMARY OBLIGOR OF THE BOND, ALL INFORMATION REGARDING THE UPHS SERIES C 2016 BOND ISSUE HAS BEEN REPORTED ON THE FORM 990, SCHEDULE K OF THE UNIVERSITY. THE TOTAL ALLOCATED OUTSTANDING BALANCE FOR PRESBYTERIAN MEDICAL CENTER WAS $9,664,285 AS OF JUNE 30, 2024. PRESBYTERIAN MEDICAL CENTER HAS BEEN ALLOCATED A PORTION OF THE PA HIGHER ED FACILITIES AUTHORITY- UPHS SERIES A 2021 BOND ISSUE FROM THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA (EIN: 23-1352685) ("UNIVERSITY"), A RELATED IRC SECTION 501(C)(3) ORGANIZATION. SINCE THE UNIVERSITY REMAINS AS THE PRIMARY OBLIGOR OF THE BOND, ALL INFORMATION REGARDING THE UPHS SERIES A 2021 BOND ISSUE HAS BEEN REPORTED ON THE FORM 990, SCHEDULE K OF THE UNIVERSITY. THE TOTAL ALLOCATED OUTSTANDING BALANCE FOR PRESBYTERIAN MEDICAL CENTER WAS $14,571,097 AS OF JUNE 30, 2024. PRESBYTERIAN MEDICAL CENTER HAS BEEN ALLOCATED A PORTION OF THE PA HIGHER ED FACILITIES AUTHORITY- UPHS SERIES B 2021 BOND ISSUE FROM THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA (EIN: 23-1352685) ("UNIVERSITY"), A RELATED IRC SECTION 501(C)(3) ORGANIZATION. SINCE THE UNIVERSITY REMAINS AS THE PRIMARY OBLIGOR OF THE BOND, ALL INFORMATION REGARDING THE UPHS SERIES B 2021 BOND ISSUE HAS BEEN REPORTED ON THE FORM 990, SCHEDULE K OF THE UNIVERSITY. THE TOTAL ALLOCATED OUTSTANDING BALANCE FOR PRESBYTERIAN MEDICAL CENTER WAS $15,888,460 AS OF JUNE 30, 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>DETAIL OF PROGRAM SERVICE ACCOMPLISHMENTS PRESBYTERIAN MEDICAL CENTER (PPMC OR PENN PRESBYTERIAN) IS A 359-BED ACADEMIC MEDICAL CENTER, WHICH IS PART OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM (UPHS). PPMC'S SPECIALTIES INCLUDE ANESTHESIA, DERMATOLOGY, EMERGENCY MEDICINE, MEDICAL IMAGING, MEDICINE, NEUROLOGY, GYNECOLOGY, OPHTHALMOLOGY, SURGERY, ORTHOPEDIC SURGERY AND CARDIOLOGY. IN KEEPING WITH ITS CHARITABLE PURPOSE, UPHS ACCEPTS PATIENTS IN SERIOUS NEED OF MEDICAL CARE REGARDLESS OF THEIR FINANCIAL STATUS. UPHS MAINTAINS RECORDS TO IDENTIFY AND MONITOR LEVELS OF CHARITY CARE PROVIDED, INCLUDING THE AMOUNT OF PAYMENT FORGONE, BASED ON ESTABLISHED RATES, FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. UPHS ALSO PROVIDES CARE TO PATIENTS WHO DO NOT HAVE HEALTH INSURANCE OR MEET THE CRITERIA TO QUALIFY FOR ITS CHARITY CARE POLICY, AND CERTAIN AMOUNTS CHARGED FOR SUCH SERVICES ARE DEEMED TO BE UNCOLLECTIBLE. IN FISCAL YEAR 2024, PENN MEDICINE PROVIDED $421.9 MILLION IN CHARITY AND UNDERFUNDED CARE FOR FAMILIES ON MEDICAID. ADDITIONALLY, FOR FISCAL YEAR 2024, PENN PRESBYTERIAN ADMITTED 17,203 ADULT PATIENTS AND 49,765 EMERGENCY ROOM VISITS. I. COMMUNITY OUTREACH COMMUNITY OUTREACH IS AT THE CORE OF THE WORK DONE AT PPMC. PPMC IS COMMITTED TO ITS SURROUNDING COMMUNITY AND SEEK TO MAKE AN IMPACT THROUGH COMMUNITY EDUCATION AND INTERVENTION IN A NUMBER OF AREAS. THE PENN PRESBYTERIAN OUTREACH COUNCIL IS COMPRISED OF REPRESENTATIVES FROM EVERY HOSPITAL UNIT, THE COUNCIL STRATEGIZES OUTREACH IN THE IMMEDIATE SERVICE AREA AIMING FOR THE BEST AND HEALTHIEST OUTCOMES. PPMC HAS PARTICIPATED IN A NUMBER OF EVENTS THROUGHOUT THE YEAR: THIS INCLUDES 63 STOP THE BLEED TRAININGS, TRAINING OVER 500 RESIDENTS, STROKE EDUCATION AND AWARENESS EDUCATED OVER 600 RESIDENTS, PARTICIPATION IN NUMEROUS COMMUNITY EVENTS, SCREENINGS, OFFERING INFORMATION AND RESOURCES ON STROKE PREVENTION, CPR TRAINING, SUBSTANCE USE DISORDER AND MORE. WITH OPPORTUNITIES FOR MENTORSHIP AND CAREER EXPLORATION FOR STUDENTS AND WORKING WITH COMMUNITY PARTNERS TO SERVE DIRECT NEEDS, PPMC WORKS CLOSELY WITH COMMUNITY PARTNERS. PENN TRAUMA IS COMMITTED TO THE COMMUNITY IMMEDIATELY SURROUNDING PENN PRESBYTERIAN. REPRESENTATIVES FROM PENN TRAUMA SEEK TO DECREASE TRAUMA THROUGH COMMUNITY EDUCATION AND INTERVENTION. THE FOLLOWING COMMUNITY BENEFIT ACTIVITIES WERE LOGGED FOR FY24. 63 STOP THE BLEED TRAININGS WERE HELD IN THE SURROUNDING REGION WITH THE VAST MAJORITY OF TRAININGS HELD IN THE IMMEDIATE SERVICE AREA OF WEST AND SOUTHWEST PHILADELPHIA. 507 RESIDENTS WERE TRAINED AT THESE EVENTS HOSTED IN COLLABORATION WITH COMMUNITY-BASED ORGANIZATIONS. PARTICIPATION IN COMMUNITY EVENTS INCLUDING HOPEPHL'S LANCASTER AVE JAZZ FEST &amp; HEALTH FAIR DAY, STOP THE BLEED FILMING, ROUNDTABLES ON VIOLENCE PREVENTION, WORK WITH PENNSYLVANIA TRAUMA SYSTEMS FOUNDATION, GREATER PHILADELPHIA MLK DAY OF SERVICE EVENT, WEST PHILADELPHIA YMCA HEALTH KIDS DAY. PENN NURSING COMMUNITY DAY: PARTICIPATED IN THE PENN MEDICINE NURSING COMMUNITY HEALTH DAY BY PROVIDING BIKE HELMETS FITTINGS AND DISTRIBUTION; DISTRIBUTING CABLE LOCKS FOR FIREARM SAFETY; TRAINING COMMUNITY MEMBERS IN HANDS-ONLY STOP THE BLEED SKILLS AND PROVIDED THEM INFORMATION TO SIGN UP FOR THE FULL CLASS. PARTICIPATED IN WEAR ORANGE FOR GUN VIOLENCE PREVENTION: HOSTED A MONTH OF AWARENESS ON GUN VIOLENCE PREVENTION, AND REMEMBRANCE FOR THE LIVES LOST AND FOREVER CHANGED BY GUN VIOLENCE. HELD KICK-OFF EVENT AT PHILLIES GAME DISTRIBUTING CABLE LOCKS AND SAFE FIREARM HANDLING AND STORAGE INFORMATION; LIT PPMC'S HEALING GARDEN ORANGE; CREATED A TRIBUTE TO THOSE LOST IN THE MAIN HALLWAY OF OUR PAVILLION FOR ADVANCED CARE, WHERE VISITORS AND STAFF COULD WRITE THE NAME OF THEIR LOVED ONES ON A HEART TO BE WEST PHILADELPHIA POSTED ON OUR WINDOWS; STAFF WERE PERMITTED TO WEAR SPECIAL ORANGE SHIRTS FOR THE MONTH HONORING THE NEIGHBORHOODS WE SERVE, WHERE WE'VE SEEN THE HEAVIEST NUMBER OF VICTIMS OF GUN VIOLENCE; RIBBONS WERE AVAILABLE FOR EVERYONE (STAFF AND VISITORS) WHO WISHED TO JOIN US IN WEARING ORANGE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A (CONTINUED)</FormAndLineReferenceDesc>
        <ExplanationTxt>FINALLY, PENN TRAUMA REMAINS IN PARTNERSHIP WITH THE FOLLOWING COMMUNITY ACTION GROUPS THROUGHOUT THE YEAR: PENNSYLVANIA TRAUMA SYSTEMS FOUNDATION, PARTICIPATES IN COMMITTEE WHERE COLLABORATION OF IP COORDINATES FROM PA TRAUMA CENTERS OCCURS. PHILADELPHIA HOSPITAL-BASED INTERVENTION PROGRAM COLLABORATIVE, COLLABORATES WITH PHILADELPHIA AREA HVIPS TO IMPROVE OUTCOMES AND SUPPORT THE PROGRAMS OF EACH OTHER'S CENTERS. KINGSESSING COMMUNITY RESILIENCY CENTER, PARTICIPANT ON THE BOARD FOR THE KINGSESSING COMMUNITY RESILIENCY CENTER, WHICH CAME ABOUT AFTER THE 7/3/2023 MASS SHOOTING. THE BOARD IS TASKED WITH SETTING UP A COMMUNITY RESILIENCY CENTER TO SERVE THOSE AFFECT BY THE SHOOTING. HOSPITALSTOGETHER.COM, A COLLABORATION OF 59 REGIONAL HOSPITALS AND TRAUMA CENTERS WITH A UNITED VOICE PROVIDING INFORMATION FOR PARENTS TO KEEP CHILDREN SAFE. SAFE FIREARM STORAGE COLLABORATION WITH CHOP, AS PART OF OUR SAFE FIREARM STORAGE PROGRAM, WE HAVE PARTNERED WITH THE CHILDREN'S HOSPITAL OF PHILADELPHIA TO DISTRIBUTE GUN SAFES FREE TO PHILADELPHIA RESIDENTS THROUGH THEIR SAFETY STORE. PARENTS ARE REFERRED BY THEIR CHILD'S PCP TO RECEIVE A SAFE, AND SAFE FIREARM HANDLING AND STORAGE MATERIAL. PENN TRAUMA VIOLENCE RECOVERY PROGRAM, STARTED IN 2021, THE PENN TRAUMA VIOLENCE RECOVERY PROGRAM (PTVRP) IS A HOSPITAL-BASED VIOLENCE INTERVENTION PROGRAM (HVIP), CREATED TO PROVIDE INJURED INDIVIDUALS WITH THE SUPPORT THEY NEED TO THRIVE AFTER A VIOLENT INJURY THROUGH PSYCHOSOCIAL SUPPORT AND CONNECTION TO WRAPAROUND SERVICES IN THE COMMUNITY. THE GOAL IS TO IMPROVE WELL-BEING, REDUCE REINJURY, AND SAVE COSTS. THE VIOLENCE RECOVERY SPECIALISTS (VRS) ON OUR TEAM REACH PATIENTS EARLY IN THEIR RECOVERY AND EXTENDING SUPPORT PAST THEIR ACUTE HOSPITALIZATION, BRIDGING THE GAP FROM INJURY TO HOLISTIC HEALING AND BY ADDRESSING STRUCTURAL AND SOCIAL DETERMINANTS OF HEALTH INCLUDING EMPLOYMENT, EDUCATION, AND SOCIAL SUPPORT. 2023 SAW OUR TEAM EXPAND FROM ONE TO FOUR VRSS AND WE ADDED 4 PART-TIME PSYCHOLOGISTS TO THE TEAM FROM PENN'S CENTER FOR THE TREATMENT OF ANXIETY TO PROVIDE NO-COST THERAPY SERVICES TO PATIENTS OF THE PROGRAM. WE ALSO BEGAN A CLOTHING CLOSET TO ALL STAFF HOSPITAL WIDE TO GET INVOLVED BY DONATING NEW AND GENTLY USED CLOTHING ITEMS TO PATIENTS IN OUR PROGRAM. IN 2023, WE PROVIDED BEDSIDE SUPPORT TO 423 PATIENTS AND ENROLLED 70 NEW PATIENTS TO THE PROGRAM. THE TOP SERVICES PROVIDED TO THESE PATIENTS WERE FOR BEHAVIORAL HEALTH SUPPORT, MATERIAL AND LOGISTICAL SUPPORT, AND LEGAL ADVOCACY. WE DISTRIBUTED OVER $20,000 IN FUNDS FOR EMERGENT NEEDS. THIS YEAR WE CELEBRATED THE HIGH SCHOOL GRADUATION OF TWO OF OUR PROGRAM PARTICIPANTS. SUPPORTING OTHER CENTERS IN ESTABLISHING HVIP PROGRAMS, CONSULTS WITH LEADERSHIP AT READING HOSPITAL AND MERCY FITZGERALD HOSPITAL FROM THE TIME OF DECISION TO DEVELOP A HVIP, AND PROVIDED ONGOING SUPPORT AND PEER MENTORSHIP FROM OUR VRS TEAM. VIRTUAL TAI CHI FOR FALL PREVENTION, THIS YEAR WE LAUNCHED OUR VIRTUAL TAI CHI FOR FALL PREVENTION PROGRAM. THIS PROGRAM WAS DESIGNED WITH THE STRENGTHS AND WEAKNESSES IN OUR COMMUNITY IN MIND.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A (CONTINUED)</FormAndLineReferenceDesc>
        <ExplanationTxt>PENN PRESBYTERIAN OUTREACH COUNCIL: COMPRISED OF REPRESENTATIVES FROM EVERY HOSPITAL UNIT, THE COUNCIL STRATEGIZES OUTREACH IN THE IMMEDIATE SERVICE AREA AIMING FOR THE BEST AND HEALTHIEST OUTCOMES. THE COUNCIL PARTICIPATED IN THE FOLLOWING EVENTS AND PROJECTS IN FY24: LANCASTER AVE JAZZ AND ARTS FESTIVAL, TABLED AT THE EVENT OFFERING INFORMATION AND RESOURCES ON STROKE PREVENTION, BLOOD PRESSURE, CPR TRAINING, AND SUBSTANCE USE DISORDER. JULY 2023: FREE LIBRARY OF PHILADELPHIA, PRESENTED ON STROKE EDUCATION AND OFFERED BLOOD PRESSURE SCREENING AND EDUCATION. AUGUST 2023: NATIONAL NIGHT OUT AT UNIVERSITY SQUARE APARTMENTS, TABLED AT AN EVENT DIRECTLY IN FRONT OF LOW-INCOME SENIOR RESIDENTS OFFERING INFORMATION PRESCRIPTION MEDICINE AND SAFE CONTAINMENT AND BLOOD PRESSURE SCREENINGS. OCTOBER 2023: BEGAN 8-WEEK MENTORSHIP AND CAREER EXPLORATION PROGRAM FOR STUDENTS FROM ROBESON, A LOCAL WEST PHILADELPHIA HIGH SCHOOL. NOVEMBER 2023: HOSTED THANKSGIVING FOOD DRIVE FOR TWO COMMUNITY-BASED ORGANIZATIONS, MOTIVATED COMMUNITY RESOURCE CENTER AND COVENANT HOUSE. DECEMBER 2023: COORDINATED A HOSPITAL-WIDE GIFT DRIVE FOR THE FAMILIES SERVED BY HOPEPHL. JANUARY 2024: SCHEIE 4 COORDINATED A HOSPITAL-WIDE CLOTHING DRIVE FOR LOW-INCOME PATIENTS. FEBRUARY 2024: BEGAN 8-WEEK MENTORSHIP AND CAREER EXPLORATION PROGRAM FOR STUDENTS FROM ROBESON, A LOCAL WEST PHILADELPHIA HIGH SCHOOL. APRIL 2024: IN PARTNERSHIP WITH THE LOCAL 16TH DISTRICT POLICE, COORDINATED A PROM DRESS DRIVE. MAY 5, 2024: TABLED AT A COMMUNITY DAY AT MALCOLM X PARK WHERE WE OFFERED RESOURCE AND INFORMATION AT PRESENTATION TABLES ON THE FOLLOWING TOPICS: SENIOR HEALTH, TRAUMA, CPR TRAINING, AND STROKE PREVENTION. THE EXTENSION OF THE OUTREACH COUNCIL AT THE PENN MEDICINE SOUTH JERSEY LOCATIONS ALSO HOSTED THE FOLLOWING: - TOILETRY AND BACKPACK DRIVE - HOLIDAY EVENT FOR THE LOCAL COMMUNITY - NURSE CHAMPIONS ADDITIONALLY, FOR FY2024, STROKE EDUCATION AND AWARENESS WAS OFFERED BY IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS FOR 11 EVENTS EDUCATING 639 RESIDENTS IN 31 HOURS. SEE OUR RESPONSE TO FORM 990, SCHEDULE H, PART VI, LINE 2 (NEEDS ASSESSMENT) FOR ADDITIONAL PROGRAM SERVICE ACCOMPLISHMENTS. ------------------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART V, LINE 1A FORM 990, PART V, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>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. ------------------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 REVIEW PROCESS INFORMATION RELATED TO THIS ORGANIZATION'S FORM 990 FILING IS GATHERED BY FINANCE STAFF AND PROVIDED TO PWC US TAX LLP FOR REVIEW AND RETURN PREPARATION. A DRAFT COPY OF THE 2023 FORM 990 WAS REVIEWED BY VARIOUS SENIOR FINANCIAL MANAGEMENT OFFICIALS BEFORE IT WAS SUBMITTED TO THE BOARD FOR THEIR REVIEW. A COPY OF THE FINAL 2023 FORM 990 WAS THEN MADE AVAILABLE TO EACH BOARD MEMBER PRIOR TO THE FILING DEADLINE. ------------------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST POLICY THIS ORGANIZATION IS AN AFFILIATE OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). EACH COVERED PERSON* ANNUALLY SHALL COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE PROVIDED BY THE UNIVERSITY AND SHALL UPDATE SUCH QUESTIONNAIRE PROMPTLY AS NECESSARY TO REFLECT CHANGES DURING THE COURSE OF THE YEAR. FORMER BOARD MEMBERS WHO ARE NOT TRUSTEE EMERITI ARE ENCOURAGED BUT NOT REQUIRED TO COMPLETE THE QUESTIONNAIRE DURING THE FIVE-YEAR PERIOD FOLLOWING COMPLETION OF THEIR TERMS. COMPLETED QUESTIONNAIRES SHALL BE RETURNED TO THE OFFICE OF THE SECRETARY AND SHALL BE SUBJECT TO REVIEW BY SUCH OFFICE AND THE OFFICE OF THE GENERAL COUNSEL, AS WELL AS BY ANY OUTSIDE LEGAL COUNSEL AND/OR AUDITORS WHO MAY BE APPOINTED TO ADVISE THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES APPOINTED TO OVERSEE THIS POLICY. COMPLETED QUESTIONNAIRES ALSO SHALL BE AVAILABLE FOR INSPECTION BY ANY BOARD MEMBER. *COVERED PERSONS INCLUDE: (1) VOTING MEMBERS OF THE BOARD OF TRUSTEES (INCLUDING CHARTER TRUSTEES, TERM TRUSTEES, ALUMNI TRUSTEES, AND COMMONWEALTH TRUSTEES); (2) TRUSTEE EMERITI WHO HAVE SERVED IN THAT CAPACITY FOR FIVE YEARS OR LESS; (3) OTHER FORMER VOTING TRUSTEES FOR A PERIOD OF FIVE YEARS FROM THE END OF THEIR TERM AS SUCH; (4) OFFICERS AS DEFINED IN THE STATUTES; AND (5) MEMBERS OF THE INVESTMENT BOARD. EACH COVERED PERSON (EXCEPT FORMER BOARD MEMBERS WHO ARE NOT TRUSTEE EMERITI) SHALL BE REQUIRED TO ACKNOWLEDGE, NOT LESS THAN ANNUALLY, THAT HE OR SHE HAS READ AND IS IN COMPLIANCE WITH THIS POLICY. ------------------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION PROCESS THIS ORGANIZATION IS AN AFFILIATE OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). COMPENSATION ARRANGEMENTS INVOLVING ANY OF OUR OFFICERS AND/OR KEY EMPLOYEES ARE ESTABLISHED BY THE UNIVERSITY PURSUANT TO A PROCESS THAT SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR SECTION 4958 EXCESS BENEFIT TRANSACTION TAX PURPOSES (WHICH REQUIRES A REVIEW OF COMPENSATION DETERMINATIONS BY DISINTERESTED PERSONS, USE OF APPROPRIATE COMPARABILITY DATA, AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS). ------------------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS AVAILABILITY TO PUBLIC OUR FORMS 1023 AND 990, GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. ------------------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>BALANCE SHEET CERTAIN PRIOR YEAR BALANCES HAVE BEEN RESTATED TO CONFORM TO THE CURRENT YEAR PRESENTATION. ------------------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>DETAIL OF OTHER CHANGES IN NET ASSETS NET UNREALIZED INC. IN NET ASSETS $ 5,827,497 TRANSFER TO CHCA-NJ PPMC DIVISIONS (4,447,470) TRANSFER/OTHER ADJUSTMENTS (12,842) ------------- TOTAL OTHER CHANGES IN NET ASSETS $ 1,367,185</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>3737 FEE OWNER LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>17190 BERNARDO CENTER DRIVE</AddressLine1Txt>
          <CityNm>SAN DIEGO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>92128</ZIPCd>
        </USAddress>
        <EIN>611692432</EIN>
        <PrimaryActivitiesTxt>RENTAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>71280519</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>AFFILIA HOME HEALTH</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1811 OLDE HOMESTEAD LANE</AddressLine1Txt>
          <CityNm>LANCASTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17601</ZIPCd>
        </USAddress>
        <EIN>231352572</EIN>
        <PrimaryActivitiesTxt>HOME HEALTH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LG HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CARL V S PATTERSON IRR</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>116 ALLEGHENY CENTER MAIL P8YB3502L</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15212</ZIPCd>
        </USAddress>
        <EIN>236415355</EIN>
        <PrimaryActivitiesTxt>SUPPORT TRUST</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>4947(A)(1)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>N/A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHESTER COUNTY HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>701 E MARSHALL STREET</AddressLine1Txt>
          <CityNm>WEST CHESTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19380</ZIPCd>
        </USAddress>
        <EIN>230469150</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CCH&amp;HS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHESTER COUNTY HOSPITAL &amp; HEALTH SYSTEM</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>701 E MARSHALL STREET</AddressLine1Txt>
          <CityNm>WEST CHESTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19380</ZIPCd>
        </USAddress>
        <EIN>264233321</EIN>
        <PrimaryActivitiesTxt>MGMT SRVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CLINICAL CARE ASSOCIATES OF UPHS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>250 KING OF PRUSSIA RD 4TH FL</AddressLine1Txt>
          <CityNm>RADNOR</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19087</ZIPCd>
        </USAddress>
        <EIN>232729852</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HAJOCA 3025 INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3451 WALNUT STREET ROOM 737</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19104</ZIPCd>
        </USAddress>
        <EIN>843379653</EIN>
        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LAISE CA TUW FBO UNIV OF PENN</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3451 WALNUT STREET SUITE 305</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19104</ZIPCd>
        </USAddress>
        <EIN>823434615</EIN>
        <PrimaryActivitiesTxt>SUPPORT TRUST</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>4947(A)(1)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>N/A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LANCASTER GENERAL HEALTH</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>555 NORTH DUKE STREET</AddressLine1Txt>
          <CityNm>LANCASTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17602</ZIPCd>
        </USAddress>
        <EIN>232250941</EIN>
        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12, II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LANCASTER GENERAL HEALTH COLUMBIA CENTER</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>306 NORTH 7TH STREET</AddressLine1Txt>
          <CityNm>COLUMBIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17512</ZIPCd>
        </USAddress>
        <EIN>230485650</EIN>
        <PrimaryActivitiesTxt>FACILITY MGMT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LG HOSPITAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LANCASTER GENERAL HEALTH FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>555 NORTH DUKE STREET</AddressLine1Txt>
          <CityNm>LANCASTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17602</ZIPCd>
        </USAddress>
        <EIN>205767147</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LANCASTER GENERAL HEALTH HOLDINGS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>555 NORTH DUKE STREET</AddressLine1Txt>
          <CityNm>LANCASTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17602</ZIPCd>
        </USAddress>
        <EIN>204943109</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LG HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LANCASTER GENERAL HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>555 NORTH DUKE STREET</AddressLine1Txt>
          <CityNm>LANCASTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17602</ZIPCd>
        </USAddress>
        <EIN>231365353</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LG HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LANCASTER GENERAL MEDICAL GROUP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1097 COMMERCIAL AVE</AddressLine1Txt>
          <CityNm>EAST PETERSBURG</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17520</ZIPCd>
        </USAddress>
        <EIN>232777286</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LG HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MORRIS EST LYDIA T DECD TW</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>6325 S RAINBOW BLVD STE 300</AddressLine1Txt>
          <CityNm>LAS VEGAS</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
          <ZIPCd>89118</ZIPCd>
        </USAddress>
        <EIN>236210940</EIN>
        <PrimaryActivitiesTxt>SUPPORT TRUST</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12, III-FI</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NEIGHBORHOOD HEALTH AGENCIES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>795 E MARSHALL STREET</AddressLine1Txt>
          <CityNm>WEST CHESTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19380</ZIPCd>
        </USAddress>
        <EIN>232324782</EIN>
        <PrimaryActivitiesTxt>NURSING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CCH&amp;HS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NEIGHBORHOOD LEAGUE HEALTH SERVICES</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>795 E MARSHALL STREET</AddressLine1Txt>
          <CityNm>WEST CHESTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19380</ZIPCd>
        </USAddress>
        <EIN>232324787</EIN>
        <PrimaryActivitiesTxt>HEALTH SRVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CCH&amp;HS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NEIGHBORHOOD VISITING NURSE ASSOCIATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>795 E MARSHALL STREET</AddressLine1Txt>
          <CityNm>WEST CHESTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19380</ZIPCd>
        </USAddress>
        <EIN>231352243</EIN>
        <PrimaryActivitiesTxt>NURSING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CCH&amp;HS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OAP INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3451 WALNUT STREET ROOM 748</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19104</ZIPCd>
        </USAddress>
        <EIN>231986931</EIN>
        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PENN CENTER FOR REHAB AND CARE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3609 CHESTNUT STREET</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19104</ZIPCd>
        </USAddress>
        <EIN>232422635</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PENN CLUB OF NEW YORK INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>30 WEST 44TH STREET</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10036</ZIPCd>
        </USAddress>
        <EIN>232726687</EIN>
        <PrimaryActivitiesTxt>CLUB</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(7)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>N/A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PENN PRAXIS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>210 SOUTH 34TH STREET</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19104</ZIPCd>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>PENNSYLVANIA COLLEGE OF HEALTH SCIENCES</BusinessNameLine1Txt>
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          <AddressLine1Txt>850 GREENFIELD ROAD</AddressLine1Txt>
          <CityNm>LANCASTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17601</ZIPCd>
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        <EIN>061645496</EIN>
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          <BusinessNameLine1Txt>LG HOSPITAL</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PENNSYLVANIA HOSPITAL OF UPHS</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>800 SPRUCE STREET</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
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          <ZIPCd>19107</ZIPCd>
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          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>PGH DEVELOPMENT CORP</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>426 CURIE BLVD</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19104</ZIPCd>
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        <EIN>232351015</EIN>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PHOENIXVILLE HOSPITAL OF UPHS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3001 MARKET STREET 3RD FLOOR</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19104</ZIPCd>
        </USAddress>
        <EIN>232901089</EIN>
        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PRINCETON CAREGIVERS INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>ONE PLAINSBORO ROAD</AddressLine1Txt>
          <CityNm>PLAINSBORO</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>08536</ZIPCd>
        </USAddress>
        <EIN>222842773</EIN>
        <PrimaryActivitiesTxt>HOMECARE SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NJ</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>PHCS HOLDING</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PRINCETON HEALTHCARE AFFILIATED PHYS PC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>ONE PLAINSBORO ROAD</AddressLine1Txt>
          <CityNm>PLAINSBORO</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>08536</ZIPCd>
        </USAddress>
        <EIN>264203938</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>PHCS HOLDING</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PRINCETON HEALTHCARE SYSTEM</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>ONE PLAINSBORO ROAD</AddressLine1Txt>
          <CityNm>PLAINSBORO</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>08536</ZIPCd>
        </USAddress>
        <EIN>210635009</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>PHCS HOLDING</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PRINCETON HEALTHCARE SYSTEM FDN INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>ONE PLAINSBORO ROAD</AddressLine1Txt>
          <CityNm>PLAINSBORO</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
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        </USAddress>
        <EIN>222225911</EIN>
        <PrimaryActivitiesTxt>SUPPORT PHCS</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>PHCS HOLDING</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PRINCETON HLTHCARE SYSTEM HOLDING INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>ONE PLAINSBORO ROAD</AddressLine1Txt>
          <CityNm>PLAINSBORO</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>08536</ZIPCd>
        </USAddress>
        <EIN>223493256</EIN>
        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12, I</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PRINCETON MEDICAL PROPERTIES INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>ONE PLAINSBORO ROAD</AddressLine1Txt>
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          <ZIPCd>08536</ZIPCd>
        </USAddress>
        <EIN>220022702</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE</PrimaryActivitiesTxt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE ASC TRUST OF THE UNIV OF PA</BusinessNameLine1Txt>
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          <AddressLine1Txt>1500 MARKET ST STE 3500E</AddressLine1Txt>
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          <ZIPCd>19102</ZIPCd>
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        <EIN>810550464</EIN>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE HEART GROUP OF LANCASTER GEN HEALTH</BusinessNameLine1Txt>
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        <USAddress>
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          <ZIPCd>17603</ZIPCd>
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        <EIN>300634510</EIN>
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          <BusinessNameLine1Txt>LG HEALTH</BusinessNameLine1Txt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE LEONARD AND MADLYN ABRAMSON INST</BusinessNameLine1Txt>
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          <AddressLine1Txt>421 CURIE BLVD 450 BRB II/III</AddressLine1Txt>
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        <EIN>232929823</EIN>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>TRUSTEES OF THE UNIVERSITY OF PENN</BusinessNameLine1Txt>
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          <AddressLine1Txt>3451 WALNUT STREET ROOM 305</AddressLine1Txt>
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          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19104</ZIPCd>
        </USAddress>
        <EIN>231352685</EIN>
        <PrimaryActivitiesTxt>EDUCATION</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UNIVERSITY CITY ASSOCIATES INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>3451 WALNUT STREET ROOM 329</AddressLine1Txt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>UNIVERSITY CLUB AT PENN INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>3611 WALNUT STREET</AddressLine1Txt>
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          <BusinessNameLine1Txt>UPENN INTERNATIONAL</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>UPENN MASTER RETIREMENT TRUST</BusinessNameLine1Txt>
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          <AddressLine1Txt>3451 WALNUT STREET ROOM 329</AddressLine1Txt>
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          <StateAbbreviationCd>PA</StateAbbreviationCd>
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          <BusinessNameLine1Txt>WISSAHICKON HOSPICE OF UPHS</BusinessNameLine1Txt>
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          <AddressLine1Txt>150 MONUMENT ROAD SUITE 300</AddressLine1Txt>
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        </USAddress>
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          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>PENN MEDICINE-PMA</BusinessNameLine1Txt>
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          <AddressLine1Txt>5 ATRIUM 3400 CIVIC CTR BLVD</AddressLine1Txt>
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        </USAddress>
        <EIN>863800365</EIN>
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          <BusinessNameLine1Txt>CCA</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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          <BusinessNameLine1Txt>PDCP 1740 FUND LP</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>311 S WACKER DR STE 2620</AddressLine1Txt>
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          <StateAbbreviationCd>IL</StateAbbreviationCd>
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        </USAddress>
        <EIN>320472404</EIN>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CYRUS 1740 FUND LP</BusinessNameLine1Txt>
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          <AddressLine1Txt>65 E 55TH STREET 35TH FLOOR</AddressLine1Txt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CYRUS 1740 MASTER FUND LP</BusinessNameLine1Txt>
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          <AddressLine1Txt>89 NEXUS WAY CAMANA BAY</AddressLine1Txt>
          <ProvinceOrStateNm>GR</ProvinceOrStateNm>
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          <ForeignPostalCd>KY1-9009</ForeignPostalCd>
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        <EIN>981361754</EIN>
        <PrimaryActivitiesTxt>INVESTMENT</PrimaryActivitiesTxt>
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        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>DVG 1740 FUND LP</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>ONE FAWCETT PLACE</AddressLine1Txt>
          <CityNm>GREENWICH</CityNm>
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          <ZIPCd>06830</ZIPCd>
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          <AddressLine1Txt>ONE LETTERMAN DR BLDG C SUITE C5</AddressLine1Txt>
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          <BusinessNameLine1Txt>AUSTIN 512 LP</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>KEYFRAME 1740 FUND LP</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>LIFT REAL ESTATE PARTNERS FUND III LP</BusinessNameLine1Txt>
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          <ZIPCd>10104</ZIPCd>
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        <EIN>871241085</EIN>
        <PrimaryActivitiesTxt>INVESTMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ARCM 1740 LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>27 HOSPITAL ROAD</AddressLine1Txt>
          <ProvinceOrStateNm>GRAND CAYMAN</ProvinceOrStateNm>
          <CountryCd>CJ</CountryCd>
          <ForeignPostalCd>KY1-9008</ForeignPostalCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>INVESTMENTS</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C-CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CLINICAL HEALTH CARE ASSOC OF NJ PC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>250 KING OF PRUSSIA RD 4TH FL</AddressLine1Txt>
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          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19087</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>PHYS MGMT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CCA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C-CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>DELANCEY CORPORATION</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>800 SPRUCE STREET</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19106</ZIPCd>
        </USAddress>
        <EIN>232060159</EIN>
        <PrimaryActivitiesTxt>RENTAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PA HOSPITAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C-CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>FRANKLIN CASUALTY INSURANCE CO</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO BOX 530</AddressLine1Txt>
          <CityNm>BURLINGTON</CityNm>
          <StateAbbreviationCd>VT</StateAbbreviationCd>
          <ZIPCd>05402</ZIPCd>
        </USAddress>
        <EIN>043378984</EIN>
        <PrimaryActivitiesTxt>INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VT</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C-CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>LANCASTER GENERAL 457 DEFERRED COMP PLAN</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>555 NORTH DUKE STREET</AddressLine1Txt>
          <CityNm>LANCASTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17602</ZIPCd>
        </USAddress>
        <EIN>232250941</EIN>
        <PrimaryActivitiesTxt>TRUST</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LG HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>TRUST</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>LANCASTER GENERAL SERVICES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>555 NORTH DUKE STREET</AddressLine1Txt>
          <CityNm>LANCASTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17602</ZIPCd>
        </USAddress>
        <EIN>232250128</EIN>
        <PrimaryActivitiesTxt>PROPERTY SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LG HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C-CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>NAYA 1740 FUND LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>PO BOX 309</AddressLine1Txt>
          <CityNm>UGLAND HOUSE</CityNm>
          <CountryCd>CJ</CountryCd>
          <ForeignPostalCd>KY1-1104</ForeignPostalCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>INVESTMENTS</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C-CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PENN MEDICINE LONDON LIMITED</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>VISTRA STE 2 FIRST FLOOR 10 TEMPLE</AddressLine1Txt>
          <CityNm>BRISTOL</CityNm>
          <CountryCd>UK</CountryCd>
          <ForeignPostalCd>BS1 6FL</ForeignPostalCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>NETWORKING</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>UK</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UPENN INT'L</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>LIMITED COMPANY</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PENN WHARTON CONSULTING (BEIJING) CO LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>UNIT 3106 LEVEL 31 YINTAI OFFICE T</AddressLine1Txt>
          <ProvinceOrStateNm>CHAOYANG DIST</ProvinceOrStateNm>
          <CountryCd>CH</CountryCd>
          <ForeignPostalCd>100022</ForeignPostalCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>BUS. CONSULTING</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CH</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UPENN INT'L</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C-CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PHI PHARMACY INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>ONE PLAINSBORO ROAD</AddressLine1Txt>
          <CityNm>PLAINSBORO</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>08536</ZIPCd>
        </USAddress>
        <EIN>223467899</EIN>
        <PrimaryActivitiesTxt>INACTIVE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NJ</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PHCS HOLDING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C-CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PRINCETON HEALTH INC &amp; SUBS</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>ONE PLAINSBORO ROAD</AddressLine1Txt>
          <CityNm>PLAINSBORO</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>08536</ZIPCd>
        </USAddress>
        <EIN>223450093</EIN>
        <PrimaryActivitiesTxt>MEDICAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NJ</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PHCS HOLDING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C-CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>QUAKER INSURANCE COMPANY LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>VICTORIA STREET PO BOX HM 1826</AddressLine1Txt>
          <CityNm>VICTORIA HALL</CityNm>
          <ProvinceOrStateNm>HAMILTON</ProvinceOrStateNm>
          <CountryCd>BD</CountryCd>
          <ForeignPostalCd>HM HX</ForeignPostalCd>
        </ForeignAddress>
        <EIN>300708282</EIN>
        <PrimaryActivitiesTxt>SELF-INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>BD</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C-CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>THE PAM 1740 FUND LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>PO BOX 309</AddressLine1Txt>
          <CityNm>GEORGE TOWN</CityNm>
          <ProvinceOrStateNm>GRAND CAYMAN</ProvinceOrStateNm>
          <CountryCd>CJ</CountryCd>
          <ForeignPostalCd>KYI-1104</ForeignPostalCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>INVESTMENTS</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C-CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>TURK'S HEAD HEALTH SERVICES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>701 E MARSHALL STREET</AddressLine1Txt>
          <CityNm>WEST CHESTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19380</ZIPCd>
        </USAddress>
        <EIN>232329753</EIN>
        <PrimaryActivitiesTxt>MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CCH&amp;HS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C-CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CYRUS 1740 FUND LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>89 NEXUS WAY CAMANA BAY</AddressLine1Txt>
          <CityNm>GRAND CAYMAN</CityNm>
          <CountryCd>CJ</CountryCd>
          <ForeignPostalCd>KY1-9009</ForeignPostalCd>
        </ForeignAddress>
        <EIN>981361907</EIN>
        <PrimaryActivitiesTxt>INVESTMENTS</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>LIMITED COMPANY</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>UPENN HOSPITALITY INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3401 WALNUT STREET SUITE 440A</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19104</ZIPCd>
        </USAddress>
        <EIN>233076589</EIN>
        <PrimaryActivitiesTxt>HOTEL/RESTAURANT</PrimaryActivitiesTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C-CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>