2022-05-13T11:16:19-05:00 2021-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2020-07-01 232810852 PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM % ANTHONY ZUMPANO PRES 2156624868 51 NORTH 39TH STREET PHILADELPHIA PA 191042640 MICHELLE M VOLPE CEO 2156628810 2022-05-04 true MICHELLE M VOLPE 999009999 ANTONIO C RUSSO P00858539 2673303000 2 2020 2022-09-23 18:48:47Z MICHELE VOLPE 3001 MARKET STREET STE 320 PHILADELPHIA PA 19104 1007924819 false X www.pennmedicine.org X 1995 PA PROVISION OF CHARITABLE HEALTHCARE SERVICES. 6 3 3903 40 0 0 6306298 8424120 885155752 964527270 8083105 2520734 73934187 32452695 973479342 1007924819 0 0 0 0 393612166 409964564 0 0 204465 513017277 546709032 906629443 956673596 66849899 51251223 809647290 864132692 309042456 269010636 500604834 595122056 X PROVISION OF CHARITABLE HEALTHCARE SERVICES. false false 880824938 0 990013290 SEE SCHEDULE O 880824938 true true false false false true false false false true true false false true true true false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false true true true true false false true X 0 0 3903 true false false false false false false false false false false false false X 6 3 false false false false false false false true true false false true true true true true true true true false PA X ANTHONY ZUMPANO 2156628810 3001 MARKET ST SUITE 320 PHILADELPHIA PA 191042640 X KEVIN B MAHONEY EX-OFFICIO MEMBER 1.0 54.0 X 0 2033167 406854 PHILIP A OKALA EX-OFFICIO MEMBER 1.0 54.0 X 0 1730483 213149 KEITH KASPER CONTROLLER; EX-OFFICIO MEMBER 1.0 54.0 X X 0 1572045 206973 MICHELE M VOLPE CEO; EX-OFFICIO MEMBER 1.0 54.0 X X 0 921031 12057 JACK ENDE MD BOARD MEMBER 1.0 54.0 X 0 388900 50457 JAMES BALLINGHOFF RN MSN MBA BOARD MEMBER; CNO 55.0 0.0 X X 417163 0 11984 ANTHONY ZUMPANO ASST. 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THE FIN 48 (ASC 740) FOOTNOTE BELOW DERIVES FROM THE CONSOLIDATED JUNE 30, 2021 FINANCIAL STATEMENTS OF THE UNIVERSITY: THE UNIVERSITY REGULARLY EVALUATES ITS TAX POSITION AND DOES NOT BELIEVE IT HAS ANY UNCERTAIN TAX POSITIONS THAT REQUIRE DISCLOSURE OR ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS. true true X true X 300. true X true false true true 2808876 0 2808876 0.00290 178236681 132238503 45998178 0.04810 181045557 132238503 48807054 0.05100 28172502 8550940 19621562 0.02050 28172502 8550940 19621562 0.02050 209218059 140789443 68428616 0.07150 true 20111939 8791486 164435982 169446977 -5010995 X true true 1 1 PENN PRESBYTERIAN MEDICAL CTR 51 NORTH 39TH STREET PHILADELPHIA PA 19104 WWW.PENNMEDICINE.ORG LICENSE #421101 X X X X X PENN PRESBYTERIAN MEDICAL CTR 1 false false true X X X X X X X X X 18 true true true true X SEE SCH H, PART V, SECTION C X true 19 true SEE SCH H, PART V, SECTION C false true X 300. 300. X X X X true true X X X X true X SCH H, PART V, SECT. C X SCH H, PART V, SECT. C X SCH H, PART V, SECT. C X X X X X X true X false X X X X true X false false PART V, SECTION B, LINES 5, 6A & 6B (INPUT FROM COMMUNITY; JOINT CHNA) THE PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH ("PDPH") AND HEALTH CARE IMPROVEMENT FOUNDATION ("HFIC") ASSISTED THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("UPHS") AND OTHER PARTICIPATING HOSPITALS AND HEALTH SYSTEMS WITH THE COMPLETION OF THEIR CHNA. PDPH AND HFIC DEVELOPED A COLLABORATIVE, COMMUNITY-ENGAGED APPROACH THAT INVOLVED COLLECTING AND ANALYZING QUANTITATIVE AND QUALITATIVE DATA AND AGGREGATING DATA FROM A VARIETY OF SECONDARY SOURCES TO COMPREHENSIVELY ASSESS THE HEALTH STATUS OF THE REGION. THE ASSESSMENT RESULTED IN A LIST OF PRIORITY HEALTH NEEDS THAT WERE USED BY UPHS AND OTHER PARTICIPATING HOSPITALS AND HEALTH SYSTEMS TO DEVELOP THEIR IMPLEMENTATION PLANS. AMONG OTHERS, THE COLLABORATIVE CHNA INCLUDED THE FOLLOWING PARTNERING UPHS HOSPITAL AFFILIATES: - CHESTER COUNTY HOSPITAL - HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA - PENNSYLVANIA HOSPITAL OF UPHS - PENN PRESBYTERIAN MEDICAL CENTER OF UPHS FOR MORE INFORMATION, PLEASE SEE: https://www.pennmedicine.org/about/serving-our-community/reports -------------------- PART V, SECTION B, LINE 7 & 10- CHNA & IMP. PLAN PUBLIC AVAILABILITY A COPY OF THE ORGANIZATION'S CHNA AND IMPLEMENTATION STRATEGY CAN BE ACCESSED AT: https://www.pennmedicine.org/about/serving-our-community/reports OUR CHNA AND IMPLEMENTATION STRATEGY ARE ALSO AVAILABLE TO THE PUBLIC UPON REQUEST. -------------------- PART V, SECTION B, LINE 9 (TAX YEAR THE MOST RECENT IMP. STRATEGY WAS ADOPTED) THE ORGANIZATION'S MOST RECENT IMPLEMENTATION STRATEGY WAS ADOPTED BY 11/15/2019, AS PERMITTED UNDER THE REGULATIONS. -------------------- PART V, SECTION B, LINE 11 (ADDRESSING THE NEEDS IDENTIFIED IN THE CHNA) FOR A COMPLETE DESCRIPTION ON HOW THE ORGANIZATION IS ADDRESSING THE NEEDS IDENTIFIED IN THE MOST RECENTLY COMPLETED CHNA, SEE THE FOLLOWING: https://www.pennmedicine.org/about/serving-our-community/reports -------------------- PART V, SECTION B, LINE 16 (FINANCIAL ASSISTANCE POLICY AVAILABILITY) A COPY OF THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT: https://www.pennmedicine.org/for-patients-and-visitors/patient-information /insurance-and-billing/financial-assistance ------------------ 7 PENN CENTER FOR REHABILITATION & CARE 3609 CHESTNUT STREET PHILADELPHIA PA 191042612 SKILLED NURSING FACILITY PENN MEDICINE AT CHERRY HILL 1865 E ROUTE 70 2ND FLOOR CHERRY HILL NJ 08034 OUTPATIENT FACILITY PENN CARDIOLOGY - WILLINGBORO 200 CAMPBELL DRIVE SUITE 115 WILLINGBORO NJ 08046 OUTPATIENT FACILITY PENN CARDIOLOGY CAPE MAY 211 S MAIN STREET SUITE 205 CAPE MAY COURTHOUSE NJ 08210 OUTPATIENT FACILITY PENN CARDIOLOGY - PPMC 39TH AND MARKET STREET - SUITE 400 PHILADELPHIA PA 19104 OUTPATIENT FACILITY PENN CARDIOLOGY MAYFAIR 7133 ROOSEVELT BLVD PHILADELPHIA PA 19149 OUTPATIENT FACILITY PENN CARDIOLOGY - MEDIA 605 W STATE STREET MEDIA PA 19063 OUTPATIENT FACILITY PART I, LINE 7 (BAD DEBT EXPENSE, COSTING METHODOLOGY USED) CONSISTENT WITH PRIOR YEAR, DUE TO THE ADOPTION OF ACCOUNTING PRONOUNCEMENT ASC 606, IMPLICIT PRICE CONCESSIONS ARE TREATED AS A CONTRA-REVENUE ITEM ON THE STATEMENT OF REVENUE. THE COSTING METHODOLOGY USED IN CALCULATING THE AMOUNTS REPORTED ON THE LINE 7 TABLE ARE BASED ON A COST TO CHARGE RATIO. THE COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 OF THE FORM 990, SCHEDULE H INSTRUCTIONS. -------------------- PART II (DETAIL OF COMMUNITY BUILDING ACTIVITIES) DETAILS REGARDING THE VARIOUS COMMUNITY BUILDING ACTIVITIES CONDUCTED BY THE ORGANIZATION IS INCLUDED IN OUR RESPONSE TO FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. -------------------- PART III, SECTION A, LINE 2 (IMPLICIT PRICE CONCESSIONS/BAD DEBT EXPENSE) THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 ARE BASED ON ACTUAL CHARGES WRITTEN OFF (AMOUNTS THAT ARE DEEMED TO BE UNCOLLECTIBLE AND RECORDED AS IMPLICIT PRICE CONCESSIONS UNDER ACCOUNTING PRONOUNCEMENT ASC 606). -------------------- PART III, SECTION A, LINE 3 (IMPLICIT PRICE CONCESSIONS ATTRIBUTABLE TO PATIENTS ELIBIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY) THIS ORGANIZATION IS A PART OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("UPHS"). UPHS UTILIZES A THIRD-PARTY VENDOR TO POPULATE THE NUMBER OF INDIVIDUALS WITHIN EACH HOUSEHOLD AND THE MEAN HOUSEHOLD INCOME BASED ON THE ACCOUNT ADDRESS. UPHS ESTIMATES THE AMOUNT OF BAD DEBTS (IMPLICIT PRICE CONCESSIONS) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER ITS FINANCIAL ASSISTANCE POLICY BASED UPON 300% OF THE FEDERAL POVERTY GUIDELINES. -------------------- PART III, SECTION A, LINE 4 (IMPLICIT PRICE CONCESSION FOOTNOTE) THE IMPLICIT PRICE CONCESSION (BAD DEBT EXPENSE) FOOTNOTE DISCLOSURE CAN BE FOUND ON PAGE 10 OF THE ELECTRONICALLY ATTACHED CONSOLIDATED FINANCIAL STATEMENTS FOR THE UNIVERSITY OF PENNSYLVANIA. -------------------- PART III, SECTION B, LINE 8 (COSTING METHODOLOGY, MEDICARE SHORTFALL) THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 6 IS BASED ON A COST TO CHARGE RATIO. CONSISTENT WITH THE CHARTIABLE HEALTHCARE MISSION OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM (UPHS) AND THE COMMUNITY BENEFIT STANDARD SET FORTH IN IRS REVENUE RULING 69-545, UPHS PROVIDES CARE FOR ALL PATIENTS COVERED BY MEDICARE SEEKING MEDICAL CARE AT UPHS. SUCH CARE IS PROVIDED REGARDLESS OF WHETHER THE REIMBURSEMENT PROVIDED FOR SUCH SERVICES MEETS OR EXCEEDS THE COSTS INCURRED BY UPHS TO PROVIDE SUCH SERVICES. -------------------- PART III, LINE 9B (COLLECTION PRACTICES) THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM PROVIDES URGENT/EMERGENT MEDICAL SERVICES WITHOUT REGARD TO ABILITY TO PAY. WHEN IT HAS BEEN DETERMINED THAT A PATIENT IS NOT ELIGIBLE FOR COVERAGE BY EXTERNAL SOURCES OF FUNDING, FINANCIAL ASSISTANCE MAY BE AVAILABLE FOR BOTH THE UNINSURED AND UNDERINSURED, THE INDIGENT, HARDSHIP AND MEDICALLY INDIGENT AND MAY BE APPROVED AS EITHER FULL OR PARTIAL FREE CARE. PATIENTS WHO DO NOT COOPERATE WITH THE FINANCIAL COUNSELING PROCESS OR WHOSE APPLICATION FOR FINANCIAL ASSISTANCE IS DENIED BY THE HEALTH SYSTEM MAY BE PURSUED BY COLLECTION EFFORTS, INCLUDING REFERRAL TO AN OUTSIDE COLLECTION AGENCY OR ATTORNEY AS DETERMINED BY OUR PATIENT ACCOUNTING DEPARTMENT. -------------------- PART VI, LINE 2 (NEEDS ASSESSMENT) THE MISSION OF UPHS IS TO PROVIDE THE MOST ADVANCED AND HIGHEST QUALITY PATIENT CARE POSSIBLE; TO PROVIDE A RICH AND DIVERSE EDUCATIONAL ENVIRONMENT FOR STUDENTS AND TRAINEES; AND TO SUPPORT CLINICAL RESEARCH THAT PUSHES THE BOUNDARIES OF CURRENT HUMAN KNOWLEDGE. TO THESE ENDS, UPHS IS AN ACTIVE PARTICIPANT IN THE WEST PHILADELPHIA NEIGHBORHOOD THAT IS OUR HOME. ON ANY GIVEN DAY, UPHS PHYSICIANS, NURSES, MEDICAL STUDENTS, AND VOLUNTEERS ARE OUT IN THE COMMUNITY SHARING THEIR SKILLS, THEIR TALENTS AND MOST IMPORTANTLY, THEMSELVES FOR THE BETTERMENT OF THE COMMUNITY. - HOW UPHS IDENTIFIES AND TAKES ACTION TO ADDRESS RACIAL, ETHNIC, AND GENDER DISPARITIES IN MEDICAL CARE EVERY DAY IN OUR NEIGHBORHOOD CLINICS, IN OUR EMERGENCY ROOMS AND PHYSICIANS' OFFICES WE SEE THE EFFECTS OF RACIAL, ETHNIC, AND GENDER DISPARITIES IN HEALTH CARE. IN KEEPING WITH OUR CHARITABLE PURPOSE, UPHS ACCEPTS PATIENTS IN NEED OF URGENT MEDICAL CARE REGARDLESS OF THEIR FINANCIAL STATUS OR ANY OTHER SOCIO-ECONOMIC FACTORS. AS THE MAIN PROVIDER IN A SERVICE AREA THAT INCLUDES A NUMBER OF ECONOMICALLY-CHALLENGED NEIGHBORHOODS, UPHS PROVIDES CARE TO MANY PATIENTS WHO DO NOT HAVE HEALTH INSURANCE PROVIDING MORE THAN $100 MILLION IN CHARITY AND UNDERFUNDED CARE EACH YEAR. IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS AND OTHER AREA INSTITUTIONS, UPHS SEEKS TO IDENTIFY AND ADDRESS RACIAL, ETHNIC, AND GENDER DISPARITIES THROUGH SUPPORT FOR PROGRAMS INCLUDING, BUT NOT LIMITED TO: > PUENTES DE SALUD - A WEEKLY FREE CLINIC THAT SEEKS TO ADDRESS THE HEALTH NEEDS OF THE GROWING LATINO POPULATION BY PROVIDING LOW-COST CARE TO PATIENTS ANNUALLY. > THE UNITY CLINIC - A FREE CLINIC THAT PROVIDES PRIMARY CARE SERVICES TO LOW-INCOME ASIAN IMMIGRANTS IN PHILADELPHIA. > WOMEN AND CHILDREN'S HEALTH SERVICES - AN AMBULATORY CARE FACILITY THAT SPECIALIZES IN THE PROVISION OF OBSTETRICAL, FAMILY PLANNING, AND SOCIAL SERVICES THROUGH FREE AND LOW COST PROGRAMS THAT EXTEND WELL BEYOND TRADITIONAL MEDICAL CARE. - HOW THE HEALTH SYSTEM ASSESSES COMMUNITY HEALTH STATUS UPHS PROVIDES VARIOUS COMMUNITY SERVICES WHICH, IN CONJUNCTION WITH PROVIDING PATIENT CARE AND EDUCATIONAL INFORMATION, HELP US ASSESS THE HEALTH STATUS OF OUR COMMUNITY. SOME OF OUR MOST SUCCESSFUL INITIATIVES RESULT FROM APPLYING THE COLLECTIVE RESOURCES OF COMMUNITY RESIDENTS AND ORGANIZATIONS, HEALTH CARE PROFESSIONALS, AND PUBLIC HEALTH AGENCIES WITH THE GOAL OF IDENTIFYING AND ADDRESSING A COMMUNITY PROBLEM. THIS IS ACCOMPLISHED IN MANY WAYS, SUCH AS: FORMAL HEALTH ASSESSMENTS THAT INDIVIDUAL PROGRAMS MAY PERFORM, OPEN DIALOGUE WITH COMMUNITY LEADERS THROUGH PARTICIPATION IN COMMUNITY MEETINGS, OR BY ASSESSING COMMUNITY HEALTH STATUS IN THE WORK WE PERFORM OUT IN THE COMMUNITY. - HOW THE HEALTH SYSTEM COLLABORATES WITH COMMUNITY STAKEHOLDERS, INCLUDING OTHER INSTITUTIONAL PROVIDERS, TO IDENTIFY SPECIFIC COMMUNITY HEALTH NEEDS AND TO DEVELOP AND MEASURE EFFECTIVENESS OF PROGRAMS TO HELP MEET THOSE NEEDS COLLABORATION WITH COMMUNITY STAKEHOLDERS AND OTHER INSTITUTIONAL PROVIDERS IS A PARTICULARLY STRONG AREA FOR UPHS. WORKING IN CONJUNCTION WITH COMMUNITY-BASED NON-PROFIT ORGANIZATIONS, CITY AGENCIES AND OTHER COMMUNITY STAKEHOLDERS, UPHS SEEKS TO IDENTIFY AND ADDRESS COMMUNITY HEALTH NEEDS THROUGH PROGRAMS AND SERVICES, SUCH AS: > SAYRE HEALTH CENTER - RECOGNIZING A NEED FOR PRIMARY CARE SERVICES IN THE NEIGHBORHOOD, PENN JOINED FORCES WITH THE SCHOOL DISTRICT OF PHILADELPHIA TO BRING A STATE-OF-THE-ART HEALTH CARE FACILITY TO SAYRE HIGH SCHOOL IN WEST PHILADELPHIA. IN ADDITION TO PROVIDING PRIMARY CARE SERVICES TO THE COMMUNITY, PENN MEDICINE PHYSICIANS WORK IN PARTNERSHIP WITH SAYRE STUDENTS TO TEACH BASIC MEDICAL SERVICES THAT ONE DAY COULD LEAD TO A CAREER IN THE MEDICAL PROFESSION. > BRIDGING THE GAPS - A PARTNERSHIP OF THE AREA'S FIVE ACADEMIC HEALTH CENTERS, BRIDGING THE GAPS (BTG) LINKS THE TRAINING OF HEALTH PROFESSIONALS WITH THE PROVISION OF CARE TO ECONOMICALLY DISADVANTAGED POPULATIONS. LED BY UPHS PHYSICIANS AND STAFF, BTG GIVES MEDICAL STUDENTS THE OPPORTUNITY TO GAIN FIRST-HAND INSIGHT INTO THE COMPLEX ISSUES AFFECTING UNDERSERVED URBAN COMMUNITIES. IN ADDITION TO THE PROGRAMS OUTLINED ABOVE, UPHS PHYSICIANS AND STAFF PROVIDE EDUCATIONAL PROGRAMS IN CONJUNCTION WITH AREA HIGH SCHOOLS AND VOLUNTEER THEIR EXPERTISE TO NUMEROUS PUBLIC HEALTH COMMITTEES AND AGENCIES AT THE COMMUNITY, STATE AND NATIONAL LEVEL. - HOW THE HEALTH SYSTEM REGULARLY REPORTS TO THE COMMUNITY ON THE ORGANIZATION'S QUALITY PERFORMANCE FOR THE FULL RANGE OF SERVICES IT PROVIDES SINCE 2007, UPHS HAS PUBLISHED AN ANNUAL COMMUNITY BENEFIT REPORT, "SIMPLY BECAUSE," WHICH HIGHLIGHTS SOME OF THE EXTENSIVE WORK UPHS PERFORMS IN THE COMMUNITY. THIS WIDELY DISTRIBUTED REPORT INCLUDES EXAMPLES OF OUR COMMUNITY EFFORTS AS WELL AS STATISTICS RELATED TO THE COMMUNITY BENEFIT WE PROVIDE. https://www.pennmedicine.org/news/publications-and-special-projects/simply -because ADDITIONALLY, UPHS HAS ALSO IMPLEMENTED OUR "PENN MEDICINE CARES" (COMMUNITY ACTIVITY REPORTING E-INITIATIVE) PROGRAM. WHILE THE "SIMPLY BECAUSE" REPORT PROVIDES US A BRIEF GLIMPSE INTO ALL THE GOOD WORK UPHS PERSONNEL ARE INVOLVED IN, IT REPRESENTS ONLY A FRACTION OF THE TOTAL COMMUNITY SERVICE WORK THAT OCCURS. THIS REPORTING PROGRAM HAS BEEN DEVELOPED TO ENCOURAGE UPHS EMPLOYEES TO REPORT ALL OF THE COMMUNITY SERVICES THEY PROVIDE SO THAT WE CAN BETTER TRACK COMMUNITY OUTREACH, ENCOURAGE MORE VOLUNTEERISM AND BETTER TARGET OUR EFFORTS TO MEET THE GREATEST COMMUNITY NEEDS. http://www.pennmedicine.org/health-system/about/community/ -WHETHER AND HOW UPHS IS ADDRESSING THE PER CAPITA COST OF CARE IN THE COMMUNITY. UPHS SUPPORTS EFFORTS TO PROVIDE FREE AND LOW-COST CARE TO THE COMMUNITY THROUGH PARTNERSHIPS WITH BOTH PENN-RELATED AND NON-RELATED PROGRAMS. UPHS PHYSICIANS AND STAFF WORK IN HEALTH CLINICS THROUGHOUT PHILADELPHIA THAT PROVIDE THESE MUCH-NEEDED SERVICES THAT ALSO ADDRESSES THE PER CAPITA COST OF HEALTH CARE IN THE COMMUNITY. IN ADDITION, UPHS HAS A SPECIALTY CARE CONTRACT WITH THE CITY OF PHILADELPHIA THAT ALLOWS PHYSICIANS FROM THE CITY'S DISTRICT HEALTH CENTERS TO REFER PATIENTS INTO THE SYSTEM FOR APPOINTMENTS IN SPECIALTIES SUCH AS CARDIOLOGY, NEUROLOGY AND DERMATOLOGY. THESE SERVICES ARE PROVIDED TO THE CITY AT A SIGNIFICANTLY REDUCED COST - GIVING UNINSURED AND UNDERINSURED PATIENTS ACCESS TO CARE THEY MIGHT NOT OTHERWISE RECEIVE WHILE KEEPING DOWN THE PER CAPITA COST FOR THE CITY AND RESIDENTS OF THE COMMUNITY. AT UPHS, WORKING FOR THE BENEFIT OF THE COMMUNITY IS NOT ONLY A PRIORITY; IT IS ROOTED DEEP IN OUR CULTURE. ALONG WITH OUR ROLE AS A LEADER IN MEDICAL CARE AND RESEARCH, UPHS HAS CULTIVATED A STRONG AFFINITY WITH THE NEIGHBORHOODS WE SERVE- BECOMING INCREASINGLY RESPONSIVE IN IDENTIFYING NEEDS AND PROACTIVE IN FINDING SOLUTIONS. IN ADDITION TO OUR OWN INTERNAL EFFORTS, UPHS ALSO COLLABORATES WITH VARIOUS PUBLIC AND PRIVATE AGENCIES TO HELP DETERMINE COMMUNITY HEALTH NEEDS AND HOW BEST TO ADDRESS THEM. THE SUCCESS OF COMMUNITY OUTREACH REQUIRES A STRONG FOCUS ON SOLUTIONS. AT UPHS, WE CONTINUALLY FIND WAYS TO EXPAND AND STRENGTHEN THE SAFETY NET THAT HELPS ENSURE THE WELL-BEING OF THE COMMUNITIES WE SERVE. IN THAT REGARD, ONE OF OUR MAJOR RESPONSIBILITIES IS TO SHARE KNOWLEDGE. WORKING TOGETHER WITH COMMUNITY PARTNERS ENABLES US TO ACCOMPLISH MORE THAN ANY ONE PERSON COULD INDIVIDUALLY. PLEASE SEE OUR MOST RECENTLY COMPLETED COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN FOR ADDITIONAL INFORMATION. A COPY OF OUR CHNA AND IMPLEMENTATION PLAN CAN BE ACCESSED AT: HTTPS://WWW.PENNMEDICINE.ORG/ABOUT/SERVING-OUR-COMMUNITY/REPORTS. -------------------- PART VI, LINE 3 (PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE) UPHS IS COMMITTED TO CARING FOR ALL PATIENTS EQUITABLY, WITH DIGNITY, RESPECT AND COMPASSION WITHOUT REGARD TO AGE, RACE, COLOR, NATIONAL ORIGIN, RELIGIOUS CREED, SEX, PHYSICAL OR MENTAL DISABILITY, MARITAL STATUS OR SEXUAL PREFERENCE. AS PART OF THIS COMMITMENT, UPHS OFFERS FINANCIAL COUNSELING AND ASSISTANCE PROGRAMS TO UNINSURED AND UNDERINSURED PATIENTS TO ASSIST THOSE WHO CANNOT PAY FOR ALL OR PART OF THEIR CARE. PATIENTS WILL BE CONSIDERED FOR FINANCIAL ASSISTANCE ON AN INDIVIDUAL BASIS, TAKING INTO CONSIDERATION TOTAL HOUSEHOLD INCOME AND OTHER RESOURCES. UPHS WILL ALSO CONSIDER OTHER FACTORS IN THE PATIENT/FAMILY FINANCIAL SITUATION, SHOULD THERE BE OTHER CRITICAL EXPENSES, NOT RELATED TO THE PATIENT'S MEDICAL CARE, THAT MAKE PAYMENT OF THE FINANCIAL OBLIGATION IMPOSSIBLE, SUCH AS CARING FOR A DISABLED FAMILY MEMBER. UPHS INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER UPHS'S CHARITY CARE POLICY. PATIENTS ARE INFORMED OF THE AVAILABILITY OF CHARITY CARE IN VARIOUS WAYS (E.G. AT POINT OF REGISTRATION, ON POSTERS THROUGHOUT HOSPITAL, IN PRACTICES, FINANCIAL COUNSELOR INTERVIEW AND WEBSITE). A COPY OF OUR FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT: HTTPS://WWW.PENNMEDICINE.ORG/FOR-PATIENTS-AND-VISITORS/PATIENT-INFORMATION /INSURANCE-AND-BILLING/FINANCIAL-ASSISTANCE -------------------- PART VI, LINE 4 (COMMUNITY INFORMATION) UPHS IS SENSITIVE TO THE DISPARITY IN THE QUALITY OF HEALTH AND HEALTH CARE AMONG THE PEOPLE OF THE PHILADELPHIA AREA. IN NEIGHBORHOODS THROUGHOUT THE CITY, MANY RESIDENTS, OFTEN THE VERY YOUNG OR THE VERY OLD DO NOT HAVE ACCESS TO ADEQUATE CARE. THE QUALITY OF THEIR LIVES IS DIMINISHED BECAUSE THEY ARE UNABLE TO RECEIVE THE SERVICES AND SUPPORT THEY NEED. AWARE OF THE BARRIERS TO HEALTH CARE FACED BY OUR COMMUNITIES, WE USE OUR RESOURCES TO IMPROVE THE HEALTH AND WELLNESS AMONG THE UNDERSERVED. OUR MORAL IMPERATIVE IS TO LOOK, LISTEN, AND ACT IN WAYS THAT WILL MAKE A DIFFERENCE. IN COLLABORATION WITH OUR PHYSICIANS, NURSES, STUDENTS AND COMMUNITY PARTNERS, WE TAKE ACTION TO ENHANCE THE WELL-BEING OF THE NEIGHBORHOODS WE ALL SHARE. -------------------- PART VI, LINE 5 (INFORMATION REGARDING PROMOTION OF COMMUNITY HEALTH) DETAILS REGARDING THE VARIOUS COMMUNITY OUTREACH ACTIVITIES CONDUCTED BY THIS ORGANIZATION DESIGNED TO PROMOTE COMMUNITY HEALTH IS INCLUDED IN OUR RESPONSE TO SCHEDULE H, PART VI, LINE 2, AS WELL AS IN FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. -------------------- PART VI, LINE 6 (AFFILIATED HEALTHCARE SYSTEM INFORMATION) THE MISSION OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM IS EXCELLENCE IN EDUCATION, RESEARCH, AND CLINICAL CARE. WE STRIVE TO ACHIEVE THESE GOALS BY HAVING THE BEST PEOPLE IN MEDICAL EDUCATION, HEALTH-RELATED RESEARCH, AND PATIENT CARE; MAKING USE OF KNOWLEDGE GAINED FROM NEARLY TWO AND A HALF CENTURIES OF LEARNING AND DISCOVERY AS PART OF A WORLD-CLASS UNIVERSITY; DELIVERING HIGH-QUALITY MEDICINE TO PATIENTS ACROSS A FULLY-INTEGRATED ACADEMIC HEALTH SYSTEM; AND FULFILLING A COMMITMENT TO IMPROVE THE HEALTH OF PEOPLE IN THE COMMUNITIES SERVED BY THE HEALTH SYSTEM AND AROUND THE WORLD. AS PART OF AN AFFILIATED HEALTHCARE SYSTEM, THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM CONSISTS OF CERTAIN OPERATING DIVISIONS OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA (THE "UNIVERSITY") AND AFFILIATED ENTITIES, INCLUDING: - THE CHESTER COUNTY HOSPITAL ("CCH"), INCLUDES A 245 BED COMPLEX IN WEST CHESTER, PENNSYLVANIA, AND SATELLITE LOCATIONS IN EXTON, WEST GOSHEN, NEW GARDEN, JENNERSVILLE, AND KENNETT SQUARE, PENNSYLVANIA; - THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA ("HUP"), A 727 LICENSED BED QUATERNARY CARE HOSPITAL AND ACADEMIC MEDICAL CENTER LOCATED ON THE CAMPUS OF THE UNIVERSITY IN THE WEST PHILADELPHIA AREA OF PHILADELPHIA, PENNSYLVANIA; - PENN PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("PRESBYTERIAN"), A 317 LICENSED BED ACUTE CARE HOSPITAL LOCATED ADJACENT TO THE CAMPUS OF THE UNIVERSITY IN THE WEST PHILADELPHIA AREA OF PHILADELPHIA, PENNSYLVANIA; - PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("PENNSYLVANIA HOSPITAL"), A 550 LICENSED BED ACUTE CARE HOSPITAL LOCATED IN THE CENTER CITY AREA OF PHILADELPHIA, PENNSYLVANIA; - THE CLINICAL PRACTICES OF THE UNIVERSITY OF PENNSYLVANIA ("CPUP"), THE APPROVED FACULTY PRACTICE PLAN FOR THE CLINICAL PRACTICES OF MEMBERS OF THE MEDICAL FACULTY OF THE UNIVERSITY'S PERELMAN SCHOOL OF MEDICINE; - CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("CCA"), A PRIMARY CARE PHYSICIAN NETWORK THAT INCLUDES LOCATIONS IN SOUTHEASTERN PENNSYLVANIA AND SOUTHERN NEW JERSEY THROUGH ITS NEW JERSEY AFFILIATE; - LANCASTER GENERAL HEALTH ("LGH") AND ITS AFFILIATES. LGH OPERATES THREE HOSPITALS IN SOUTH CENTRAL PENNSYLVANIA, INCLUDING LANCASTER GENERAL HOSPITAL, A 533-BED GENERAL ACUTE CARE HOSPITAL, WOMEN & BABIES HOSPITAL, A 98-BED FACILITY SPECIALIZING IN WOMEN'S HEALTH AND MATERNITY SERVICES, AND LANCASTER REHABILITATION HOSPITAL, A 59-BED REHABILITATION HOSPITAL, AS WELL AS 14 OUTPATIENT CENTERS, THREE URGENT CARE SITES, AND A PHYSICIAN PRACTICE NETWORK WITH NEARLY 200 PRIMARY CARE AND SPECIALTY PRACTICES AT 40 PRACTICE SITES; - WISSAHICKON HOSPICE, A HOSPICE CARE FACILITY SERVING THE TERMINALLY ILL, LOCATED IN BALA CYNWYD, PENNSYLVANIA; AND - PRINCETON HEALTHCARE SYSTEM ("PRINCETON") AND ITS AFFILIATES. PRINCETON INCLUDES A COMPREHENSIVE HEALTHCARE PROVIDER LOCATED IN CENTRAL NEW JERSEY THAT PRINCIPALLY INCLUDES THE MEDICAL CENTER OF PRINCETON, A GENERAL ACUTE CARE HOSPITAL FACILITY IN PLAINSBORO, NJ, WITH 319 INPATIENT BEDS (PLUS 24 NEWBORN BASSINETS), AND PRINCETON HOUSE BEHAVIORAL HEALTH, WHICH INCLUDES A 110 BED INPATIENT FACILITY IN PRINCETON, NJ, AS WELL AS FOUR ADDITIONAL OUTPATIENT LOCATIONS. PRINCETON INCLUDES APPROXIMATELY 1,200 PHYSICIANS ON STAFF AND EMPLOYS APPROXIMATELY 3,200 PEOPLE. -------------------- PART VI, LINE 7 (STATE FILING OF COMMUNITY BENEFIT REPORT) N/A false true false false false false false true false JACK ENDE MD BOARD MEMBER 0 292851 0 32405 0 63644 0 29966 0 20491 0 439357 0 0 KEITH KASPER CONTROLLER; EX-OFFICIO MEMBER 0 929309 0 375766 0 266970 0 180000 0 26973 0 1779018 0 213363 KEVIN B MAHONEY EX-OFFICIO MEMBER 0 1329800 0 437000 0 266367 0 385800 0 21054 0 2440021 0 232058 MICHELE M VOLPE CEO; EX-OFFICIO MEMBER 0 568975 0 242460 0 109596 0 0 0 12057 0 933088 0 0 PHILIP A OKALA EX-OFFICIO MEMBER 0 1060152 0 420264 0 250067 0 187200 0 25949 0 1943632 0 226246 ANTHONY ZUMPANO ASST. CONTROLLER & SECRETARY 316752 0 73002 0 4081 0 0 0 18095 0 411930 0 0 0 GEORGE IYOOB CLINICAL DIRECTOR 176966 0 31837 0 74483 0 0 0 27897 0 311183 0 0 0 JAMES BALLINGHOFF RN MSN MBA BOARD MEMBER; CNO 339738 0 77425 0 0 0 0 0 11984 0 429147 0 0 0 KIMBERLY A DEPPERT ASSOC. EXEC. DIR. CARD SRVCS 251827 0 56951 0 1059 0 0 0 12876 0 322713 0 0 0 MARGORIE MICHELE CHIEF HR OFFICER 196122 0 46991 0 278 0 31151 0 0 0 274542 0 0 0 S SIU MD PHYSICIAN ADVISOR 279853 0 43336 0 417 0 0 0 20503 0 344109 0 0 0 NISHAMINY KASBEKAR CHIEF PHARMACY OFFICER 194148 0 39791 0 404 0 0 0 25862 0 260205 0 0 0 GENE GOFMAN MBA ASSC CHIEF FINANCIAL OFFICER 215410 0 47132 0 205 0 0 0 29981 0 292728 0 0 0 ROBERT J RUSSELL MPA NHA FACH ASSC EXEC DIR & COO 269851 0 61749 0 1151 0 0 0 20328 0 353079 0 0 0 SCHEDULE J, PART I, LINE 3 TOP MANAGEMENT COMPENSATION AS PROVIDED IN THE FORM 990, SCHEDULE J INSTRUCTIONS, SINCE THE ORGANIZATION RELIES ON A RELATED ORGANIZATION WHICH USES ONE OR MORE OF THE METHODS DESCRIBED IN LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION, THIS QUESTION HAS BEEN LEFT UNANSWERED. REFER TO SCHEDULE O FOR A DESCRIPTION OF THE COMPENSATION REVIEW AND APPROVAL PROCESS. ------------------------------ SCHEDULE J, PART, I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PARTICIPATION CERTAIN TRUSTEES, OFFICERS AND/OR KEY EMPLOYEES OF THIS ORGANIZATION ARE COMPENSATED BY A RELATED ORGANIZATION, THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("HEALTH SYSTEM") MAINTAINS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") DESIGNED FOR SENIOR ADMINISTRATORS OF THE HEALTH SYSTEM, AS DESIGNATED BY THE BOARD OF TRUSTEES, WHO ARE ACTIVELY EMPLOYED BY THE HEALTH SYSTEM WHEN THE CONTRIBUTIONS ARE MADE. VESTING IN THE SERP OCCURS AFTER EACH THREE YEARS OF PARTICIPATION AND UPON THE OCCURRENCE OF CERTAIN EVENTS (ATTAINMENT OF AGE 65, DEATH, DISABILITY, OR INVOLUNTARY TERMINATION WITHOUT "CAUSE"). CONTRIBUTIONS FOR THOSE WHO HAVE REACHED AGE 65 WILL BE FULLY VESTED WHEN MADE. UPON REACHING A VESTING DATE, PARTICIPANTS WILL AUTOMATICALLY RECEIVE A FULL DISTRIBUTION WHICH IS TAXABLE AS EARNED INCOME. PARTICIPANTS WHO VOLUNTARILY TERMINATE BEFORE VESTING WILL FORFEIT THE BALANCE IN THEIR ACCOUNTS. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN THE UNIVERSITY/HEALTH SYSTEM SERP PLAN DURING THE YEAR AND/OR RECEIVED DISTRIBUTIONS DURING THE YEAR: KASPER, KEITH- $213,363 MAHONEY, KEVIN- $232,058 OKALA, PHILIP- $226,246 VOLPE, MICHELE- $82,620 THE HEALTH SYSTEM ALSO MAINTAINS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN DESIGNED FOR SENIOR FACULTY OF THE SCHOOL OF MEDICINE OF THE UNIVERSITY, AS DESIGNATED BY THE BOARD OF TRUSTEES, WHO ARE ACTIVELY EMPLOYED BY THE UNIVERSITY WHEN THE CONTRIBUTIONS ARE MADE (THE "MED SERP"). VESTING IN THE MED SERP OCCURS AFTER EVERY TEN YEARS OF PARTICIPATION AND UPON THE OCCURRENCE OF CERTAIN EVENTS (ATTAINMENT OF AGE 60, DEATH, DISABILITY, OR INVOLUNTARY TERMINATION WITHOUT "CAUSE"). CONTRIBUTIONS FOR THOSE WHO HAVE REACHED AGE 60 (WITH 2 OR MORE YEARS OF PARTICIPATION) WILL BE FULLY VESTED WHEN MADE. UPON REACHING A VESTING DATE, TAXES OWED WILL BE WITHDRAWN FROM THE PLAN, AND THE REMAINING AFTER-TAX BALANCE WILL REMAIN IN THE PLAN. PARTICIPANTS WILL AUTOMATICALLY RECEIVE A FULL DISTRIBUTION THE SUMMER AFTER THE YEAR IN WHICH THEY TERMINATE EMPLOYMENT, AT WHICH TIME ANY EARNINGS NOT YET TAXED WILL BE TREATED AS TAXABLE INCOME. PARTICIPANTS WHO VOLUNTARILY TERMINATE BEFORE VESTING WILL FORFEIT THE NON-VESTED BALANCE IN THEIR ACCOUNTS. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN THE MED SERP PLAN DURING THE YEAR: JACK ENDE- NO DISTRIBUTION ------------------------------ SCHEDULE J, PART I, LINE 7 PROVISION OF NON-FIXED PAYMENTS PRESBYTERIAN MEDICAL CENTER PROVIDES DISCRETIONARY BONUS AND/OR INCENTIVE COMPENSATION PAYMENTS TO ELIGIBLE EMPLOYEES. PAYMENTS MADE TO ANY DISQUALIFIED PERSON IS APPROVED BY THE COMPENSATION COMMITTEE THROUGH THE PROCESS DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 15. ------------------------------ SUPPLEMENTAL INFORMATION ON TAX EXEMPT BONDS FORM 990, SCHEDULE K PRESBYTERIAN MEDICAL CENTER HAS BEEN ALLOCATED A PORTION OF THE PA HIGHER ED FACILITIES AUTHORITY- UPHS SERIES A 2012 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 2012 BOND ISSUE HAS BEEN REPORTED ON THE FORM 990, SCHEDULE K OF THE UNIVERSITY. THE TOTAL ALLOCATED OUTSTANDING BALANCE FOR PRESBYTERIAN MEDICAL CENTER WAS $20,554,518 AS OF JUNE 30, 2021. 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 $43,217,460 AS OF JUNE 30, 2021. PRESBYTERIAN MEDICAL CENTER HAS BEEN ALLOCATED A PORTION OF THE PA HIGHER ED FACILITIES AUTHORITY- UPHS SERIES A&B 2016 BOND ISSUE FROM THE UNIVERSITY, A RELATED IRC SECTION 501(C)(3) ORGANIZATION. SINCE THE UNIVERSITY REMAINS AS THE PRIMARY OBLIGOR OF THE BOND, ALL INFORMATION REGARDING THE UPHS SERIES A&B 2016 BOND ISSUE HAS BEEN REPORTED ON THE FORM 990, SCHEDULE K OF THE UNIVERSITY. THE TOTAL ALLOCATED OUTSTANDING BALANCE FOR PRESBYTERIAN MEDICAL CENTER WAS $2,922,480 AS OF JUNE 30, 2021. 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 $14,198,439 AS OF JUNE 30, 2021. 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 $14,975,289 AS OF JUNE 30, 2021. FORM 990, PART III, LINE 4A DETAIL OF PROGRAM SERVICE ACCOMPLISHMENTS PRESBYTERIAN MEDICAL CENTER (PPMC OR PENN PRESBYTERIAN) IS A 399-BED ACADEMIC MEDICAL CENTER, WHICH IS PART OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM (UPHS). PPMC'S SPECIALTIES INCLUDE ANESTHESIA, DERMATOLOGY, EMERGENCY MEDICINE, MEDICAL IMAGING, MEDICINE, NEUROLOGY, GYNECOLOGY, OPHTHALMOLOGY, SURGERY, ORTHOPEDIC SURGERY AND CARDIOLOGY. IN KEEPING WITH ITS CHARITABLE PURPOSE, UPHS ACCEPTS PATIENTS IN SERIOUS NEED OF MEDICAL CARE REGARDLESS OF THEIR FINANCIAL STATUS. UPHS MAINTAINS RECORDS TO IDENTIFY AND MONITOR LEVELS OF CHARITY CARE PROVIDED, INCLUDING THE AMOUNT OF PAYMENT FORGONE, BASED ON ESTABLISHED RATES, FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. UPHS ALSO PROVIDES CARE TO PATIENTS WHO DO NOT HAVE HEALTH INSURANCE OR MEET THE CRITERIA TO QUALIFY FOR ITS CHARITY CARE POLICY, AND CERTAIN AMOUNTS CHARGED FOR SUCH SERVICES ARE DEEMED TO BE UNCOLLECTIBLE. IN FY2021, UPHS PROVIDED $324 MILLION IN CHARITY AND UNDERFUNDED CARE FOR MEDICAID FAMILIES. ADDITIONALLY, FOR THE SAME FISCAL YEAR, PENN PRESBYTERIAN ADMITTED 17,828 ADULT PATIENTS AND HAD 282,395 OUTPATIENT VISITS. I. HEALTH CARE SERVICES > LEVEL 1 TRAUMA CENTER: EACH YEAR, PENN'S TRAUMA CENTER TREATS TRAUMATICALLY INJURED AND CRITICALLY ILL PATIENTS WITH A 97 PERCENT SURVIVAL RATE. WE OFFER THE MOST ADVANCED SPECIALTY CARE IN THE REGION, RESULTING IN EXCEPTIONAL PATIENT OUTCOMES THAT RANK WELL ABOVE NATIONAL AVERAGES. ACCREDITED BY THE PENNSYLVANIA TRAUMA SYSTEMS FOUNDATION, OUR LEVEL 1 DESIGNATION PROVIDES MANY BENEFITS: - 24/7 IN-HOUSE COVERAGE BY TOP TRAUMA, EMERGENCY SURGERY AND SURGICAL CRITICAL CARE SURGEONS. - READILY AVAILABLE, IN-HOUSE CARE FROM EXPERTS ACROSS 29 MEDICAL AND SURGICAL SPECIALTIES. - RAPID EMERGENCY RESPONSE FROM PENN STAR, ONE OF THE LARGEST AND SAFEST HOSPITAL-BASED AIR AND GROUND TRANSPORTATION MEDICAL PROGRAMS IN THE NATION. PATIENTS RECEIVE IMMEDIATE ACCESS TO PENN'S TRAUMA CENTER WITH AN ESTIMATED TIME OF 30 SECONDS FROM AMBULANCE ENTRANCE TO TRAUMA BAY, AND AN ESTIMATED 20 SECONDS FROM THE HELIPAD TO THE TRAUMA BAY IF PATIENTS ARE FLOWN TO PENN. - STATE-OF-THE-ART TRAUMA UNIT FEATURING A 5-BAY RESUSCITATION AREA WITH IMMEDIATE ACCESS TO CRITICAL CARE TREATMENT ROOMS EQUIPPED WITH THE LATEST MEDICAL IMAGING AND DIAGNOSTIC EQUIPMENT, INCLUDING CT, MRI, X-RAY AND ULTRASOUND. - THE CAPACITY TO CARE FOR AN EXTREMELY HIGH VOLUME OF PATIENTS, IN OUR 178,000 SQUARE-FOOT, ACUTE CARE BUILDING, THE PAVILION FOR ADVANCED CARE. - TREATMENT AT A PRESTIGIOUS ACADEMIC MEDICAL INSTITUTION THAT ALSO SERVES AS AN EDUCATION RESOURCE FOR OTHER TRAUMA CENTERS. - PROVIDING THE LATEST INNOVATIONS IN TRAUMA CARE THROUGH OUR EXCEPTIONALLY STRONG RESEARCH PROGRAM WITH GRANT FUNDING FROM NIH AS WELL AS OTHER TOP SOURCES. > EMERGENCY SERVICES: PPMC'S EMERGENCY FACILITY IS EQUIPPED AND STAFFED TO PROVIDE EXCELLENT MEDICAL CARE 24 HOURS A DAY, SEVEN DAYS A WEEK. IT IS A TRIAGE AND TREATMENT AREA FOR EACH AND EVERY PATIENT, AND TREATS MAJOR AND MINOR MEDICAL EMERGENCIES. THE DEPARTMENT ALSO SERVES AS AN ENTRANCE POINT INTO THE HEALTH CARE SYSTEM FOR THOSE WHO NEED CONTINUED MEDICAL CARE AND NURSING INTERVENTION AND AS A REFERRING AGENCY TO OTHER DISCIPLINES WITHIN THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM. INPATIENT AND OUTPATIENT CARE WILL BE PROVIDED IN A MANNER THAT DOES NOT DISCRIMINATE AGAINST PATIENTS ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, ANCESTRY, RELIGIOUS CREED, SEX, AGE, MARITAL STATUS, SEXUAL PREFERENCE OR GENDER IDENTITY, OR PHYSICAL OR MENTAL DISABILITY. FOR FY21, PENN PRESBYTERIAN'S EMERGENCY DEPARTMENT TREATED 47,925 PATIENTS. > CARDIAC SERVICES: PPMC OFFERS A COMPREHENSIVE RANGE OF CARDIAC SERVICES INCLUDING TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR), VENTRICULAR ASSIST DEVICE (VAD) SURGERY, COMPLEX ANGIOPLASTY AND STENT REPLACEMENT FOR CORONARY ARTERY DISEASE, INNOVATIVE HEART BYPASS TECHNIQUES, LATEST THERAPIES FOR ABNORMAL HEART RHYTHMS, MINIMALLY INVASIVE CARDIAC SURGERY, PROGRAM FOR CONGESTIVE HEART FAILURE, HEART VALVE REPAIR, AND SPECIAL PROGRAMS FOR RISK REDUCTION AND REHABILITATION. > ORTHOPEDIC SERVICES: THE ORTHOPEDIC INSTITUTE IS A CENTER FOR EXCELLENCE IN THE LATEST SURGICAL AND NONSURGICAL METHODS FOR TREATING BONE DISABILITIES, SPORTS INJURIES AND OTHER TRAUMAS. THE ORTHOPEDIC INSTITUTE'S ORTHOPEDIC SURGEONS, RHEUMATOLOGISTS AND REHABILITATION SPECIALISTS PROVIDE EXCELLENT CARE IN TREATING BONE AND JOINT PROBLEMS OF THE FOOT AND THE HAND. > GERIATRICS AND ACUTE CARE: THE GERIATRICS PROGRAM AT PPMC INCLUDES A 36-BED SPECIALTY UNIT WHICH PROVIDES CONTINUITY OF CARE FOR OLDER ADULTS WHO REQUIRE HOSPITAL CARE. A SPECIALLY TRAINED MULTI-DISCIPLINARY STAFF, WHICH INCLUDES PHYSICIANS, NURSES, NUTRITIONIST, AND A WOUND CARE SPECIALIST, PROVIDE CUTTING-EDGE GERIATRIC CARE AND CREATE A COMFORTABLE SETTING DEDICATED TO MEETING THE UNIQUE NEEDS OF ELDERLY PATIENTS AND THEIR FAMILIES. ADDITIONALLY, THE STAFF OF THE ACUTE CARE UNIT (ACE) VOLUNTEER AT LOCAL SENIOR HOMES AND REHABILITATION CENTERS WHERE THEY ENCOURAGE SENIOR TO STAY ACTIVE AND HEALTHY. > BEHAVIORAL HEALTH: THE BEHAVIORAL HEALTH PROGRAM PROVIDES INPATIENT AND OUTPATIENT SERVICES FOR MENTAL HEALTH AND ADDICTION TREATMENTS AS WELL AS MENTAL HEALTH PROGRAMS FOR OLDER ADULTS. > COMPREHENSIVE MEDICAL CARE MEDICAL SPECIALISTS AT PPMC PROVIDE COMPREHENSIVE CARE USING THE LATEST DIAGNOSTIC PROCEDURES IN AREAS SUCH AS DERMATOLOGY, NEUROLOGY, ENDOCRINOLOGY, FAMILY MEDICINE, GASTROENTEROLOGY, HEMATOLOGY/ONCOLOGY, INFECTIOUS DISEASE, INTERNAL MEDICINE, NEPHROLOGY, GYNECOLOGY, PSYCHIATRY, PULMONARY, ALLERGY REHABILITATION MEDICINE, AND RHEUMATOLOGY. > COMPREHENSIVE SURGICAL CARE PPMC IS KNOWN FOR ITS CARDIOTHORACIC AND ORTHOPEDIC SURGERY PROGRAMS. IT ALSO HAS OUTSTANDING PROGRAMS IN MINIMALLY INVASIVE AND LAPAROSCOPIC SURGERY. NATIONALLY KNOWN SURGEONS PERFORM MINIMALLY INVASIVE SURGERY FOR DISEASES OF THE ADRENALS, APPENDIX, ESOPHAGUS, GALLBLADDER, PANCREAS, AND STOMACH, AND LAPAROSCOPIC ANTI-REFLUX SURGERY. IN ADDITION, PPMC PROVIDES THORACIC SURGERY FOR THE PATIENTS DIAGNOSED WITH CANCER, DISEASES OF THE LUNG & THORAX. > OPHTHALMOLOGY SERVICES: THE SCHEIE EYE INSTITUTE AT PENN PRESBYTERIAN MEDICAL CENTER SERVES AS THE OPHTHALMOLOGY CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM. IT PROVIDES THE LATEST METHODS OF TREATMENT AND DIAGNOSTIC SERVICES IN THE COMPREHENSIVE CARE OF THE EYE AND VISION. TREATMENT PROGRAMS RANGE FROM ROUTINE EYE EXAMINATIONS TO THE MOST ADVANCED OCULAR SURGERY, AND INCLUDE CONTACTS LENS SERVICE, CORNEA, EXTERNAL DISEASES, AND REFRACTIVE SURGERY, SUVEITIS, EYE MOVEMENT DISORDERS, NEURO-OPHOLMOLOGY, RETNA DISORDERS, GENERAL OPHTHALMOLOGY, GLAUCOMA SERVICES, LOW VISION REHABILITATION, MACULAR DEGENERATION, OCULAR GENETICS, OCULOFACIAL & ORBITAL SURGERY, AND PEDIATRIC OPHTHALMOLOGY. DIAGNOSTIC AND TESTING SERVICES OFFERED AT THE SCHEIE EYE INSTITUTE. AS PART OF ITS COMMUNITY SERVICE RESPONSIBILITIES, THE SCHEIE EYE INSTITUTE PUBLISHES INFORMATION ON THE INTERNET ON VISION-RELATED SUBJECTS SUCH AS CATARACTS, DIABETIC RETINAL DISEASE, GLAUCOMA, LASIK SURGERY, AND LOW VISION. THE WEB-SITE IS AIMED AT CREATING A GENERAL AWARENESS OF THE COMMON CAUSES OF VISION IMPAIRMENT, THE TREATMENT OPTIONS AVAILABLE, AND THE NEED AND THE METHODS TO ARREST OR SLOW DOWN VISION IMPAIRMENT. FURTHER, THE SCHEIE EYE INSTITUTE PARTICIPATED IN COMMUNITY OUTREACH PROGRAMS TO SCREEN COMMUNITY MEMBERS. II. COMBATTING COVID-19 THE COVID-19 PANDEMIC NOT ONLY IMPACTED THE DELIVERY OF PATIENT CARE, BUT ALSO PUSHED UPHS TO CARE FOR OUR COMMUNITY IN DIFFERENT AND PROFOUND WAYS. AT UPHS, FACULTY AND STAFF HAVE DEMONSTRATED A COMMITMENT TO SUPPORTING OUR COMMUNITY, IMPLEMENTING NEW CLINICAL PRACTICES AND DEVELOPING TECHNOLOGY FOR COVID-19 PREVENTION AND CARE. MRNA PIONEERS INVENTED BY RESEARCHERS KATALIN KARIKO, PHD, AND DREW WEISSMAN, MD, PHD, MESSENGER RNA (MRNA) TECHNOLOGY SERVES AS THE FOUNDATION OF THE PFIZER/BIONTECH AND MODERNA COVID-19 VACCINES. THEIR WORK, DECADES IN THE MAKING, HAS LAUNCHED A NEW CHAPTER IN MEDICINE FOR ADDITIONAL MRNA VACCINES AND THERAPEUTICS WITH POTENTIAL TO TREAT AND ERADICATE COUNTLESS OTHER DISEASES. COVID-19 CARE 357,216 VACCINES ADMINISTERED 14,000+ COVID INPATIENTS CARED FOR SINCE BEGINNING OF PANDEMIC COVID-19 RESEARCH 16 VACCINE CLINICAL TRIALS CONDUCTED 65+ CLINICAL TRIALS LAUNCHED 4,140+ SUBJECTS ENROLLED IN COVID-19 STUDIES 16,886 PEOPLE PARTICIPATED IN COVID-19 RESEARCH WITH THE PENN MEDICINE BIOBANK 68% DECREASE IN MORTALITY WHEN PATIENTS ENROLLED IN PENN'S COVID WATCH TEXT MESSAGING SYSTEM COMMUNITY VACCINATION 46 COMMUNITY VACCINE CLINICS 8,877 VACCINES DISTRIBUTED AT COMMUNITY CLINICS 3,248 HOME CARE PATIENTS WHO RECEIVED COVID VACCINES THROUGH PENN MEDICINE AT HOME 9,160+ HOMES VISITED BY THE WEST PHILADELPHIA VACCINE STREET TEAM PILOT PROGRAM CANVASSERS FORM 990, PART III, LINE 4A (CONTINUED) WHILE OUR PATIENTS WERE BEING CARED FOR, UPHS EXPERTS EDUCATED OUR COMMUNITY VIRTUALLY IN PARTNERSHIP WITH LOCAL ELECTED OFFICIALS, TRUSTED COMMUNITY VENUES, AND LONG-TIME RESIDENTS. HONEST CONVERSATIONS ON COVID, ITS DESTRUCTION, AND IMPORTANCE OF THE VACCINE WERE HOSTED IN PUBLIC FORUMS. ADDITIONALLY, COVID INFORMATION IN PRINT AND ELECTRONIC CORRESPONDENCE WAS CREATED AND SHARED WITH OUR AREA COMMUNITY PARTNERS. AS OUR COMMUNITY SLOWLY REOPENED TO IN-PERSON GATHERINGS, PENN MEDICINE REENGAGED OUR COMMUNITY SHARING EXPERTISE AND RESOURCES AT FREE COMMUNITY EVENTS AND HEALTH FAIRS IN COVID-SAFE SETTINGS. IN ADDITION, KNOWING THAT COVID PUT MANY OF OUR PATIENTS AND IMMEDIATE COMMUNITY MEMBERS IN PRECARIOUS POSITIONS, THE CENTER FOR HEALTH EQUITY AND ADVANCEMENT IN PARTNERSHIP WITH THE DEPARTMENT OF CASE MANAGEMENT AND SOCIAL WORK CREATED THE SOCIAL NEEDS RESPONSE TEAM. ACCESSIBLE BY A TOLL FREE NUMBER, THE TEAM ASSISTS PEOPLE EXPERIENCING DISTRESS, HAVING SAFETY CONCERNS FOR THEMSELVES OR OTHERS, OR SEEKING IMMEDIATE SOCIAL NEEDS SUCH AS WHERE TO FIND COMMUNITY RESOURCES FOR HOUSING, TRANSPORTATION, OR FOOD SECURITY. III. COMMUNITY OUTREACH, AND SOCIAL AND PASTORAL SERVICES > 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 ACTIVITIES WERE LOGGED FOR FY21: - JAMES FINNEGAN PLAYGROUND: 7/15/2020 PENN TRAUMA CLEANED UP THE PLAYGROUND AND SURROUNDING BALL FIELDS IN SOUTHWEST PHILADELPHIA. THIS PARK HAS BEEN A SITE OF SEVERAL SHOOTINGS. - PADDLE SPORTS AND HYPERTHERMIA/HEAT EXHAUSTION: 8/4/2020 PRESENTED VIA ZOOM AND FACEBOOK LIVE WITH > 225 VIEWS. HOSTED HOUR LONG DISCUSSION ON SIGNS/SYMPTOMS, CAUSES, PREVENTION, AND TREATMENT OF HEALTH RELATED ILLNESSES. PRESENTATION RELATED TO PADDLE SPORTS, BUT COULD TRANSLATE TO ANY SUMMER ACTIVITY. - 16TH POLICE DISTRICT CAPTAIN'S TOWN HALL: 10/20/2020 PRESENTED AT THE CAPTAIN'S TOWN HALL TO DISTINGUISH TRAUMA CENTER CARE FROM EMERGENCY CARE, IN RESPONSE TO INCREASING NUMBER OF PRIVATE VEHICLE DROP OFF OF GSW TO HUP. EDUCATING THE COMMUNITY THAT TRAUMA DROP OFFS ARE MORE APPROPRIATE FOR PPMC. - PENN MEDICINE VOTES: 11/3/2020 NON-PARTISAN HEALTH SYSTEM-WIDE EFFORT TO ENCOURAGE PATIENTS AND EMPLOYEES TO REGISTER AND VOTE. SOME EMPLOYEES EVEN TOOK A PERSONAL DAY TO STAFF THE POLLS, WHILE OTHERS VOLUNTEERED TO HELP PATIENTS WITH EMERGENCY ABSENTEE BALLOTS, RUNNING BETWEEN THE HOSPITALS AND CITY HALL ALL DAY! - STOP THE BLEED TRAINING FOR NETTER CENTER: 4/8/2021 A STB INSTRUCTOR AND A MED STUDENT ASSOCIATE INSTRUCTOR TAUGHT A VIRTUAL STB OVERVIEW PROGRAM FOR 12 WEST PHILADELPHIA HIGH SCHOOL STUDENTS AS A JOINT EFFORT WITH THE NETTER CENTER FOR COMMUNITY PARTNERSHIPS. THIS WAS AN AFTER SCHOOL PROGRAM. CERTIFICATES WERE NOT PROVIDED AS THE STUDENTS DID NOT INDIVIDUALLY PRACTICE SKILLS. THE INSTRUCTORS PROVIDED THE DIDACTIC AND THEN DEMONSTRATED THE SKILLS VIA ZOOM DUE TO COVID RESTRICTIONS. THE STUDENTS WERE VERY ENGAGED AND ASKED LOTS OF QUESTIONS. - STOP THE BLEED TRAINING FOR SOUTH OF SOUTH NEIGHBORHOOD ASSOCIATION: 4/18/2021 LARGE INTEREST FROM SOSNA PRIOR TO COVID PANDEMIC, AFTER A SHOOTING IN THEIR AREA. TRAINING DELAYED DUE TO PANDEMIC. WHEN FINALLY HELD IN THE GYM OF YMCA, A LARGE SPACE CAPABLE OF HOSTING A SOCIALLY DISTANCED CLASS, IT WAS STILL A POOR TURNOUT. (2 STUDENTS.) - STOP THE BLEED TRAIN THE TRAINER, PHILA POLICE 16TH DISTRICT: 4/19/2021 CAPTAIN AND 4 OFFICERS AND THE CAPTAIN OF PPD'S 16TH DISTRICT. THEY ARE CURRENTLY SEEKING FUNDING FOR THEIR OWN TRAINING KIT. - STOP THE BLEED TRAIN THE TRAINER, PHILA POLICE 18TH DISTRICT: 6/17/2021 TRAINED 5 OFFICERS FROM THE 18TH DISTRICT, AHEAD OF COMMUNITY EVENT WHERE THEY WOULD BE CO-INSTRUCTING WITH PENN TRAUMA - STOP THE BLEED AT A. W. CHRISTY REC CENTER: 6/18/2021 TRAINED 35 TEENS AND YOUNG ADULTS IN STB, UTILIZED INSTRUCTORS FROM PENN TRAUMA AS WELL AS PHILA POLICE TO PROMOTE POSITIVE POLICE INTERACTING WITH THE COMMUNITY. WEEKS EARLIER THERE WAS A SHOOTING AT THIS REC CENTER. CLICK TO WATCH. https://6abc.com/philadelphia-police-penn-medicine-live-saving-techniques- community-events/10807767/ > PRESBYTERIAN OUTREACH COUNCIL: COMPRISED OF REPRESENTATIVES FROM EVERY HOSPITAL UNIT, THE COUNCIL STRATEGIZES OUTREACH IN THE IMMEDIATE SERVICE AREA AIMING FOR BEST AND HEALTHIEST OUTCOMES. THE COUNCIL PARTICIPATED IN THE FOLLOWING EVENTS AND PROJECTS IN FY21: - WEST PHILLY WHEELS LED BY PENN TRAUMA, BIKES WERE DONATED AND COLLECTED FROM ACROSS THE HEALTH SYSTEM, TUNED UP BY VELO JAWN A LOCAL NONPROFIT BIKE SHOP AND CLUB, AND THEN GIVEN OUT TO CHILDREN AND YOUTH IN WEST PHILADELPHIA IN PARTNERSHIP WITH PHILADELPHIA POLICE 16TH DISTRICT. AT THE EVENT ON JUNE 5, 2021, CHILDREN WERE SHOWN HOW TO FIT A HELMET PROPERLY AND GIVEN A HELMET OF THEIR CHOICE AND BIKE LOCKS, ALONG WITH THEIR BIKE. ADDITIONALLY, BIKE PATROL POLICE SPOKE TO THE YOUTH ABOUT RIDING SAFETY. OVER 90 CHILDREN AND YOUTH RECEIVED BIKES. - MEN'S DAY EVENT: BLOOD PRESSURE SCREENINGS, HEALTH EDUCATION AND LOCAL RESOURCES WERE OFFERED TO ATTENDEES OF THE HEALTH EVENT HOSTED BY PHILADELPHIA POLICE 16TH DISTRICT. - COVENANT HOUSE: FOOD DRIVE WAS COORDINATED FOR THE YOUTH SUPPORTED BY COVENANT HOUSE FOR THANKSGIVING. EMPLOYEES DONATED 37 TURKEYS, 1 HAM, AND OVER 50 BAGS OF STUFFING, MASHED POTATOES, VEGETABLES, CRANBERRY SAUCE AND PIES. - HOLIDAY DONATIONS: > ENDOSCOPY HELD A THANKSGIVING FOOD DRIVE FOR UNFORGOTTEN HAVEN > MEDICAL INTENSIVE CARE UNIT HOSTED A CHRISTMAS LUNCHEON AT RUDOLPHY HOUSE > EMERGENCY DEPARTMENT ADOPTED A PEDIATRIC PATIENT AFFECTED BY GUN VIOLENCE FOR CHRISTMAS > HEART AND VASCULAR INTENSIVE CARE UNIT ADOPTED A FAMILY OF 3 AND 2 KIDS FOR CHRISTMAS > ENDOSCOPY ADOPTED 2 FAMILIES FROM THE HALL MERCER COMMUNITY MENTAL HEALTH CENTER AT PENNSYLVANIA HOSPITAL - COMMUNITY DONATIONS: > TOY DRIVE FOR PEOPLE'S EMERGENCY CENTER > CLOTHING DRIVE FOR PLEASANT GROVE BAPTIST CHURCH > TOILETRY DRIVE FOR PPMC PATIENTS UPON DISCHARGE - INDIVIDUAL BAGS WILL BE MADE AND GIVEN TO PATIENTS IN NEED AT THE TIME OF DISCHARGE > CLOTHING DRIVE FOR CHILD FIRST SERVICES > DONATIONS TO AGENCY HELPING ANIMALS - COLLECTED ITEMS TO HELP KEEP ANIMAL SHELTERS STOCKED WITH SUPPLIES - SAVED ME ANIMAL RESCUE (DOGGIE STYLE PETS) - PENNSYLVANIA SOCIETY FOR THE PROTECTION OF CRUELTY TO ANIMALS (PSPCA) - ANIMAL CARE AND CONTROL TEAM (ACCT) - HOMEWARD BOUND NJ ANIMAL SHELTER - MONETARY DONATIONS GIVE TO PHILLY BULLY TEAM, PSPCA, AND JERSEY PITS RESCUE - SAUNDERS PARK: RECOGNIZING GREEN SPACE AS INTEGRAL TO A HEALTHY COMMUNITY, PRESBYTERIAN MAINTAINS NEARBY SAUNDERS PARK AND COORDINATES VARIOUS EVENTS BENEFITTING THE NEIGHBORHOOD AT THE PARK. > PATIENT AND GUEST SERVICES WORK TO ENSURE EVERY PATIENT RECEIVES THE BEST POSSIBLE CARE AND TREATMENT. REPRESENTATIVES OF THE PATIENT AND GUEST RELATIONS DEPARTMENT SERVE AS A SOURCE OF INFORMATION AND RESOURCES TO HELP PATIENTS, FAMILIES, AND VISITORS. FOR FY21, THE FOLLOWING WAS PROVIDED BY PATIENT AND GUEST RELATIONS: - PATIENT CONCERN/COMPLAINT RESOLUTION: 1,906 - MEAL VOUCHERS: 210 - PARKING VOUCHERS: $1,012 - NOTARY SERVICE: 52 > THE MCCAHAN CHAPEL: LOCATED WITHIN PRESBYTERIAN, THE CHAPEL IS OPEN 24 HOURS A DAY, SEVEN DAYS A WEEK FOR PRAYER AND MEDITATION. ADDITIONALLY, CHAPLAINS MAKE DAILY VISITS TO THE PATIENT UNITS AND ARE AVAILABLE TO TALK WITH PATIENT AND FAMILIES 24 HOURS A DAY. FOR FY21, CHAPLAINS MADE 7,014 VISITS. > PENN MEDICINE CARES GRANT: IN COLLABORATION WITH THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM, PRESBYTERIAN AWARDS PENN MEDICINE CARES GRANTS TO COMMUNITY-BASED PROGRAMS ON BEHALF OF EMPLOYEES WHO VOLUNTEER THEIR TIME AND EFFORT AT THE INITIATIVES. BY FUNDING THESE PROGRAMS, PENN MEDICINE HELPED SUPPLY HEALTH SERVICES, FOOD, MEDICINE, CLOTHING, AND PLACES TO LIVE FOR THOUSANDS OF UNDERSERVED IN THE REGION EVERY YEAR. SINCE THE FIRST ROUND OF RECIPIENTS WAS ANNOUNCED IN JANUARY 2012 AND TO THE END OF FY21, PENN MEDICINE HAS SUPPORTED OVER 750 SERVICE PROJECTS WITH OVER $760,000 IN FUNDING. FOLLOWING PLEASE FIND PRESBYTERIAN EMPLOYEES WHO RECEIVED THE CARES GRANT FOR THE 2021 FISCAL YEAR: - WEST PHILLY DANCE PROGRAM DEBRA MOSLEY: DEBRA MOSLEY, WHO HAS RECEIVED CARES GRANTS IN THE PAST, OPERATES FEET OF FAITH DANCE COMPANY IN WEST PHILADELPHIA, TEACHING DANCE TO CHILDREN AND TEENS. SHE NOTES THAT MANY CHILDREN ARE INTERESTED IN THE PROGRAM BUT CAN'T AFFORD THE LOW MONTHLY COSTS. THIS TIME AROUND, DEBRA'S FUNDS WILL GO TO SUPPORT TUITION SCHOLARSHIPS. FORM 990, PART III, LINE 4A (CONTINUED) - PENN NEUROLOGY MEDICAL-LEGAL PARTNERSHIP ERIKA SILVERMAN: BECAUSE SOCIAL FACTORS SUCH AS HOUSING, INCOME, AND IMMIGRATION STATUS CAN SIGNIFICANTLY AFFECT A PERSON'S OVERALL HEALTH, PENN NEUROLOGY IS EXPLORING A PARTNERSHIP WITH LEGAL EXPERTS TO HELP VULNERABLE PATIENTS. SUCH PARTNERSHIPS HAVE PROVEN TO BE SUCCESSFUL AT OTHER MEDICAL INSTITUTIONS. ALL LEGAL WORK DURING THIS PILOT MEDICAL-LEGAL PARTNERSHIP WILL BE DONE ON A PRO BONO BASIS, BUT COURT FEES MAY STILL BE REQUIRED. ERIKA SILVERMAN'S FUNDING GOES TO HELP PAY FOR THOSE FEES AND FOR A COMPUTER OR TABLET THAT WILL EXPEDITE CREATING THE NECESSARY DOCUMENTS. - SLOAN AND UNION STREETS TRIANGLE VERNELL STEWART: THE GOAL OF VERNELL STEWART'S PROJECT IS TO REVITALIZE AND MAKE SAFER THE EXISTING TRIANGULAR GREEN SPACE IN PHILADELPHIA'S WEST POWELTON AREA. NOW USED BY THE COMMUNITY AS A QUIET PLACE TO READ, MEET FRIENDS, OR EXERCISE, UPKEEP OF THE SPACE IS PARAMOUNT. VERNELL'S GRANT WILL HELP PURCHASE PLANTS, SHRUBS, AND TREES. - BREAD OF LIFE COMMUNITY CAFE KRISTEN DIFIORE: KRISTEN AND THE OTHER VOLUNTEERS WITH NORRISTOWN'S BREAD OF LIFE COMMUNITY CAF (BLCC) HAVE BEEN SERVING HOMEMADE HOT MEALS, BUFFET STYLE, ON PORCELAIN DISHES WITH SILVERWARE, MUSIC, AND PRE-MEAL PRAYER, TO A DIVERSE GROUP OF IMPOVERISHED COMMUNITY MEMBERS. THEY HAVE ALSO PROVIDED COMMUNITY RESOURCES SUCH AS PAMPHLETS, TOILETRIES, AND DONATED CLOTHING AND TOYS. BECAUSE OF THE PANDEMIC, THE MEALS NOW MUST BE "TAKE OUT," WHICH MEANS BLCC HAS FACED INCREASED COSTS FOR PROVIDING FOOD, CONTAINERS, PLASTIC WARE, AND OTHER SUPPLIES. KRISTEN'S FUNDING GOES TOWARD THOSE EXPENSES. - ART THERAPY IN A RECOVERY COMMUNITY ALLISON DIGIACINTO: AS A POOL RN ON PPMC'S WRIGHT 4 DETOX UNIT, ALLISON HAS SEEN THE ADDITIONAL IMPACT OF COVID-19, WHICH INCLUDES "NO VISITATION" POLICIES AND GREATLY REDUCED COMMUNITY INVOLVEMENT DUE TO SAFETY REGULATIONS. THE UNIT USED TO HAVE ART THERAPY, MUSIC THERAPY, ALUMNI MEETINGS, AND 12-STEP GROUPS TO SUPPORT THE RECOVERY PROCESS FOR PATIENTS IN THE UNIT. AS SOMEONE WHO STUDIED ART BEFORE ENTERING NURSING, ALLISON BELIEVES IN THE VALUE OF ART THERAPY, WHICH CAN HELP PEOPLE TO DISCOVER AND/OR REDISCOVER THEIR CREATIVE ENERGY AND REDUCE STRESS. HER GRANT GOES TO PURCHASE SUPPLIES FOR VARIOUS ART PROJECTS, INCLUDING PAINTS, PAPERS, BRUSHES, MARKERS, AND SCISSORS. - THE SEX WORKER'S INITIATIVE KELLI MURRAY-GARANT: SAVAGE SISTERS PROVIDES RESOURCES FOR THOSE IN THE PHILADELPHIA COMMUNITY WHO ARE LIVING WITH OR AFFECTED BY SUBSTANCE USE DISORDER. THE ORGANIZATION ADVOCATES FOR REDUCING HARM, ENCOURAGING EDUCATION, AND ENDING THE STIGMA AROUND ADDICTION. IN ADDITION, IT SERVES SURVIVOR SEX WORKERS - MOST AGED BETWEEN 18-45 - THROUGH SAFETY TRAINING, PROVIDING HARM REDUCTION KITS THAT INCLUDE CONDOMS, HEP A TESTS, "BAD DATE" LISTS, AND INFORMATION ABOUT TREATMENT AND HOUSING THAT EXIST IN THE COMMUNITY. DISTRIBUTING THE KITS 16 TO 17 ENCOURAGES SAFER PRACTICES, THUS REDUCING THE SPREAD OF INFECTIOUS DISEASES AMONG THE COMMUNITY. THE SEX WORKER'S INITIATIVE WORKS TO DIRECTLY REDUCE VIOLENCE BY PROVIDING SURVIVOR SEX WORKERS WITH TOOLS TO NAVIGATE SEX WORK MORE SAFELY. KELLI'S FUNDING GOES TOWARD THE HARM REDUCTION KITS. - EMERGENCY DEPARTMENT CARES FUND LYNN MERTZ: LYNN'S FUNDING WILL PROVIDE LIFE-SAVING MEDICATIONS - SUCH AS ANTIBIOTICS, BLOOD THINNERS, AND RESPIRATORY SUPPORT - FOR PATIENTS COMING THROUGH PRESBY'S EMERGENCY ROOM WHO ARE UNINSURED OR UNDERINSURED AND CANNOT AFFORD THE MEDICATIONS. THE MEDICATIONS WILL PREVENT ADDITIONAL ADMISSIONS AND GIVE THE CASE WORKERS MORE TIME TO ARRANGE COVERAGE FOR THOSE PATIENTS. AS LYNN NOTES, SUCH FUNDING ALLOWS THE EMERGENCY DEPARTMENT PATIENTS TO RETURN HOME AND CONTINUE THEIR HEALING PROCESS. - LA COMUNIDAD HISPANA BETHANY ATKINSON: LA COMUNIDAD HISPANA (LCH) WILL CONDUCT A COMMUNITY OUTREACH AT LINCOLN UNIVERSITY, A FEW MILES FROM PENN'S WOMEN'S HEALTH CENTER IN WEST GROVE, PA. THE FOCUS FOR AN EDUCATIONAL EVENT FOR THE STUDENTS IS WOMEN'S HEALTH AND HEALTHY RELATIONSHIPS. THE STUDENTS ARE ENCOURAGED TO MAKE AN APPOINTMENT AT THE WOMEN'S HEALTH CENTER FOR THEIR ANNUAL WELLNESS VISIT AND TO SECURE CONTRACEPTION IF DESIRED. AS MANY OF THE CENTER'S PATIENTS PREFER LONG ACTING REVERSIBLE CONTRACEPTIVES (LARCS) TO DAILY PILLS, THIS GRANT WILL MAKE LARCS AVAILABLE FOR THE STUDENTS OF LINCOLN UNIVERSITY THAT NEED THEM. - CAMPAIGN 4 COMMUNITY CHANGE MARK BYRD: MARK'S GRANT GOES TO HELP PURCHASE FOOD ITEMS FOR THE CAMPAIGN 4 CHANGE, A PROGRAM OF TRIUMPH FAITH INTERNATIONAL CENTER IN THE OLNEY SECTION OF PHILADELPHIA. THROUGH A PARTNERSHIP WITH THE SHARE FOOD PROGRAM, CAMPAIGN'S PANTRY PART HAS OPERATED FOR THE LAST 13 YEARS TWICE A MONTH. MARK AND HIS TEAM ALSO RESPOND TO FOOD EMERGENCIES. FOR THANKSGIVING, THEY PROVIDE FULL DINNERS FOR THOSE IN NEED. CAMPAIGN VOLUNTEERS HAVE GIVEN NUTRITION CLASSES AND HANDED OUT INFORMATION ON HOW TO PREPARE HEALTHIER MEALS WITH THE FOOD THEY DISTRIBUTE, BELIEVING THAT EATING HEALTHY PROVIDES THE COMMUNITY A BETTER CHANCE OF FIGHTING OFF ILLNESSES. THE GROUP NOW SERVES FOOD TO AN AVERAGE OF 100-PLUS HOUSEHOLDS PER WEEK. - NURTURING OUR LADY ACHIEVERS (NOLA) KALYN HARDY: THE N.O.L.A FOUNDATION IS A NON-PROFIT ORGANIZATION DEDICATED TO TEACHING AND NURTURING YOUNG AFRICAN AMERICAN WOMEN. ITS MISSION: EMPOWER, ENCOURAGE, AND EDUCATE. GIVEN THE RISE IN SEXUALLY TRANSMITTED DISEASES IN THE COMMUNITY, N.O.L.A. HAS ORGANIZED AN STD TESTING AND EDUCATION SESSION IN CHESTER CITY AMONG AFRICAN AMERICAN WOMEN WHO ARE SOCIALLY, MEDICALLY, AND EDUCATIONALLY AT A DISADVANTAGE. THE OBJECTIVE IS TO PROMOTE A HEALTHIER FUTURE FOR THE YOUNG WOMEN. KALYN'S FUNDS GO TOWARDS NECESSARY TESTING EQUIPMENT, FOOD, HEALTH INFORMATION PAMPHLETS, A TENT NEEDED TO SET UP THE OUTDOOR EVENT, AND MASKS TO PROTECT AGAINST COVID-19. IV. COMMUNITY HEALTH NEEDS ASSESSMENT & IMPLEMENTATION PLAN PRESBYTERIAN MEDICAL CENTER IS AN ENTITY OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM, WHICH ALONG WITH THE PERELMAN SCHOOL OF MEDICINE AT THE UNIVERSITY OF PENNSYLVANIA COMPRISES "PENN MEDICINE." AS A CHARITABLE ORGANIZATION AND NOT-FOR-PROFIT HEALTH CARE PROVIDER, THE HOSPITAL ENTITIES OF PENN MEDICINE CONDUCT A TRI-ANNUAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO EVALUATE THE HEALTH CARE NEEDS OF THE COMMUNITIES THEY SERVE. IN 2019, PRESBYTERIAN MEDICAL CENTER, PENNSYLVANIA HOSPITAL, AND THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA CONDUCTED A JOINT CHNA DUE TO THEIR SIMILAR SERVICE AREAS. CHESTER COUNTY HOSPITAL, LANCASTER GENERAL HOSPITAL, AND PRINCETON MEDICAL CENTER CONDUCTED CHNAS FOR THEIR RESPECTIVE COMMUNITIES. THROUGH QUANTITATIVE AND QUALITATIVE RESEARCH, ALONG WITH FEEDBACK FROM THE COMMUNITY AND KEY STAKEHOLDERS INCLUDING CLINICAL LEADERSHIP, HOSPITAL PATIENT ADVISORY GROUPS, EMPLOYEES, AND OTHERS, THE HEALTH NEEDS OF THE COMMUNITY AND SERVICE AREA OF PENNSYLVANIA HOSPITAL, PENN PRESBYTERIAN MEDICAL CENTER AND THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HAVE BEEN ASSESSED AND PRIORITIZED. THIS ASSESSMENT WAS COMPLETED IN COLLABORATION WITH PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH, AND OTHER REGIONAL HOSPITALS AND HEALTH SYSTEMS. THE RESULTS CAN BE FOUND WITHIN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT. THE COMMUNITY HEALTH NEEDS WERE FURTHER PRIORITIZED BASED ON THE SIZE OF HEALTH PROBLEMS, IMPORTANCE TO THE COMMUNITY, CAPACITY OF HOSPITALS TO ADDRESS, ALIGNMENT WITH MISSION AND STRATEGIC DIRECTION, AND AVAILABILITY OF EXISTING COLLABORATIVE EFFORTS. THE RESULTS AND DETAILS OF THIS HEALTH NEED PRIORITIZATION FOR PENNSYLVANIA HOSPITAL, PENN PRESBYTERIAN MEDICAL CENTER AND THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA CAN BE FOUND WITHIN THE 2019-2021 IMPLEMENTATION PLAN. FOLLOWING PLEASE FIND A SNAPSHOT OF SERVICES AND PROGRAMS COLLECTIVELY BENEFITING THE COMMUNITY AND SERVICE AREA OF PENN PRESBYTERIAN MEDICAL CENTER, PENNSYLVANIA HOSPITAL, AND THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA: FORM 990, PART III, LINE 4A (CONTINUED) > THE CENTER FOR HEALTH EQUITY ADVANCEMENT: DESPITE WELL-INTENTIONED PROVIDERS AND ADVANCEMENTS IN MEDICINE, HEALTH AND HEALTHCARE DISPARITIES PERSIST TODAY. WHILE DISPARITIES ARE OFTEN VIEWED THROUGH THE LENS OF RACE AND ETHNICITY, THEY CAN OCCUR ACROSS MANY DIMENSIONS INCLUDING SOCIOECONOMIC STATUS, AGE, GEOGRAPHY (NEIGHBORHOOD), GENDER IDENTITY, SEXUAL ORIENTATION, DISABILITY STATUS, RELIGIOUS AFFILIATION, PRIMARY LANGUAGE, AND/OR MENTAL HEALTH STATUS. TO ENSURE THAT PENN MEDICINE WILL CONTINUE TO GROW AND INVEST IN THIS PRIORITY AREA, THE CENTER FOR HEALTH EQUITY ADVANCEMENT (CHEA) WAS FOUNDED. CHEA IS THE CORNERSTONE FOR ADVANCING HIGH QUALITY PATIENT/FAMILY-CENTERED CARE FOR ALL, REGARDLESS OF THEIR PERSONAL CHARACTERISTICS, SUPPORTS COMMUNITY PARTNERSHIPS TO TACKLE BARRIERS TO ACHIEVING OPTIMAL HEALTH FOR ALL COMMUNITIES WE SERVE, AND AIMS TO PROVIDE EQUITABLE HEALTHCARE WITHIN INCLUSIVE ENVIRONMENTS THAT SUPPORT A DIVERSE WORKFORCE AND STUDENT BODY. IN ORDER TO BUILD SUPPORT FOR AND ALIGN MUTUALLY REINFORCING EQUITY INITIATIVES ACROSS THE ENTERPRISE, PENN MEDICINE INCORPORATES ITS CENTER FOR HEALTH EQUITY ADVANCEMENT BLUEPRINT FOR EQUITY AND INCLUSION WITHIN THE FOLLOWING INITIATIVE AREAS: - CARE TRANSFORMATION REDEFINING HOW WE DELIVER CARE TO ENSURE IT MEETS THE NEEDS OF ALL PATIENTS IRRESPECTIVE OF HOW THEY DEFINE THEMSELVES. - COMMUNITY ENGAGEMENT ENGAGING COMMUNITY STAKEHOLDERS TO DEVELOP AND IMPLEMENT DATA-DRIVEN INTERVENTIONS THAT ADDRESS THE COMMUNITY- AND POPULATION-LEVEL BARRIERS TO RECEIVING HIGH-QUALITY HEALTH CARE AND ACHIEVING OPTIMAL HEALTH. - WORKFORCE CREATING A DIVERSE WORKFORCE THAT REFLECTS THE POPULATIONS WE SERVE THROUGH A STRATEGIC FOCUS ON BUILDING ENVIRONMENTS AND POLICIES THAT ARE INCLUSIVE AND RESPECT ALL CULTURES AND BACKGROUNDS. - RESEARCH AND EVALUATION CREATING THE EVIDENCE-BASE FOR HOW HEALTH SYSTEMS ACHIEVE EQUITABLE CARE AND INCLUSIVE CLINICAL, WORKING, AND LEARNING ENVIRONMENTS. - EDUCATION AND TRAINING EMPOWERING STAKEHOLDERS ACROSS THE ENTERPRISE AND ACROSS ALL LEVELS OF THEIR CAREERS WITH THE CORE CONCEPTS AND SKILLS NEEDED TO ADVANCE EQUITY WITHIN THEIR AREA OF WORK OR LEARNING. ADDITIONALLY, BELOW ARE SOME EXPANDED PROGRAM DESCRIPTIONS FOR A SMALL NUMBER OF THE MANY COMMUNITY CARE INITIATIVES UNDERWAY AT PENN MEDICINE: > COMMUNITY MEDICINE ROTATION: DEPARTMENT OF FAMILY MEDICINE AND COMMUNITY HEALTH'S (DFMCH) COMMUNITY MEDICINE ROTATION FOR FAMILY MEDICINE (FM) RESIDENTS: THE DFMCH TRAINING PROGRAM STRESSES COMMUNITY SERVICE AND COMMUNITY ENGAGEMENT. DFMCH BELIEVES THAT COMMUNITY-BASED EXPERIENCES ARE CRITICAL IN THE DEVELOPMENT OF FUTURE PHYSICIANS WHO RECOGNIZE THE POWERFUL EFFECTS THAT ENVIRONMENT AND SOCIOECONOMIC STATUS HAVE ON HEALTH QUALITY. THE DFMCH'S TRAINING PROGRAM IS A MODEL FOR DEVELOPING THE NEXT GENERATION OF PRIMARY CARE PROVIDERS TRAINED TO MITIGATE HEALTH DISPARITIES AND TO SERVE AS ADVOCATES FOR OUR COMMUNITY. RESIDENTS ROTATE THROUGH A SERIES OF COMMUNITY PARTNERSHIPS PROVIDING CONTINUITY IN SERVICE PROVISION FOR THREE COMMUNITY-BASED SERVICE AGENCIES (UNITED COMMUNITY CLINICS, UNITY HEALTH CLINIC, AND PREVENTION POINT PHILADELPHIA). FOR UNITED COMMUNITY CLINICS (UCC), FM RESIDENTS PARTICIPATE EVERY WEEK, SUPERVISING MEDICAL STUDENTS AT THIS FREE HEALTH CLINIC COORDINATED BY UNIVERSITY OF PENNSYLVANIA STUDENTS FROM THE SCHOOLS OF MEDICINE, NURSING, AND SOCIAL WORK. DFMCH FM RESIDENTS ARE THE ONLY PEDIATRIC (AND ADULT) PROVIDERS WHO SUPERVISE THE MEDICAL STUDENTS AT UCC. DFMCH FM RESIDENTS ALSO HAVE LEADERSHIP ROLES LONGITUDINALLY IN UCC'S HYPERTENSION CLINIC PROVIDING CONTINUITY CARE FOR A COHORT OF UCC PATIENTS WITH HYPERTENSION. THE UNITY HEALTH CLINIC IS A FREE CLINIC THAT PRIMARILY SERVES UNINSURED INDONESIAN IMMIGRANTS OF CHINESE DESCENT. THIS UNDERSERVED, POPULATION STRUGGLES WITH HEALTH DISPARITIES INCLUDING INCREASED RATES OF WORK-RELATED INJURIES, SMOKING, DIABETES, AND GASTRO-INTESTINAL CANCERS. UNITY PARTNERS WITH THE UNIVERSITY OF PENNSYLVANIA'S DEPARTMENT OF FAMILY MEDICINE AND COMMUNITY HEALTH TO PROVIDE FREE ACUTE, CHRONIC, AND PREVENTIVE MEDICAL CARE TO THIS HIGH-RISK AND UNDERSERVED POPULATION. UNITY IS STAFFED BY PENN MEDICINE FACULTY, FAMILY MEDICINE RESIDENTS, AND MEDICAL STUDENTS FROM THE ASIAN AND PACIFIC AMERICAN MEDICAL STUDENT ASSOCIATION. LEARNERS HAVE THE OPPORTUNITY TO EXPERIENCE A ONE-OF-A-KIND OPPORTUNITY TO WORK HAND IN HAND WITH MEDICAL TRANSLATORS; DISCOVER HOW DIFFERENT CULTURAL BACKGROUNDS AFFECT PATIENT PERCEPTIONS OF HEALTH AND MEDICINE; AND SERVE A MOTIVATED AND UNDER-SERVED COMMUNITY OFTEN OVERLOOKED IN PUBLIC HEALTH INITIATIVES. UNITY PROVIDES VISITS AND IMMUNIZATIONS THROUGHOUT THE YEAR WHICH INCLUDES THE FLU, TDAP AND THE TWINRIX. DFMCH FM RESIDENTS ALSO PROVIDE CONTINUITY SUPPORT FOR PREVENTION POINT PHILADELPHIA (PPP). THE MISSION OF PPP IS TO REDUCE THE HARM ASSOCIATED WITH SUBSTANCE USE AND SEX INDUSTRY WORK BY PROMOTING HEALTH, EMPOWERMENT AND SAFETY WHILE ADVOCATING FOR HUMANE PUBLIC POLICIES AND PROGRAMS. DFMCH FM FACULTY CONTRIBUTE TO THE SUPERVISION OF RESIDENTS PROVIDING CLINICAL SUPPORT FOR PPP HARM REDUCTION PROGRAMS THROUGH THEIR NEEDLE-EXCHANGE PROGRAM AND THE STREETSIDE HEALTH PROJECT (SHP). THE SHP PARTNERS WITH THE UNIVERSITY OF PENNSYLVANIA'S DFMCH TO PROVIDE FREE ACUTE, CHRONIC, AND PREVENTIVE MEDICAL CARE TO CLIENTS OF ALL BACKGROUNDS. THE SHP HAS A SPECIAL FOCUS ON LINKING PEOPLE TO MEDICAL INSURANCE, PRIMARY CARE, AND SPECIALTY CARE (PARTICULARLY CARE FOR HIV AND HCV). ADDITIONAL PROGRAMMING FOR DFMCH FM RESIDENTS INCLUDE SUPPORT FOR HEALTH PROMOTION WORK IN THREE WEST-PHILADELPHIA ELEMENTARY SCHOOLS; THE WALK-WITH-A-DOC PROGRAM AT THE SAYRE HEALTH CENTER; DFMCH HOME VISITATION AND HIGH-COST, HIGH-NEED PATIENT PROGRAMMING, ROTATION WITH TWO COLLABORATING FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) AS WELL AS A COHORT OF RESIDENTS WHO PROVIDE PRENATAL CARE AT A THIRD FQHC; DFMCH'S LESBIAN, GAY, BI-SEXUAL, AND TRANSGENDER (LGBT) CARE PROGRAMMING. DFMCH FACULTY DIRECT A POPULAR ELECTIVE FOR MEDICAL STUDENTS (FM326) AND RESIDENTS IN OTHER DEPARTMENTS SEEKING ADDITIONAL OPPORTUNITIES TO TRAIN AND DEVELOP COMMUNITY-MEDICINE-RELATED SKILLS WHERE LEARNERS ARE PAIRED WITH DFMCH FM RESIDENTS ROTATING ON THEIR COMMUNITY MEDICINE ROTATION. HTTPS://WWW.PENNMEDICINE.ORG/DEPARTMENTS-AND-CENTERS/FAMILY-MEDICINE-AND-C OMMUNITY-HEALTH/COMMUNITY-INITIATIVES/RESIDENCY-COMMUNITY-INITIATIVES > THE LUDMIR CENTER FOR WOMEN'S HEALTH: THE LUDMIR CENTER FOR WOMEN'S HEALTH (LCWH) IS AN AMBULATORY HEALTHCARE FACILITY THAT SPECIALIZES IN THE PROVISION OF OBSTETRICAL, GYNECOLOGIC AND REPRODUCTIVE HEALTH SERVICES. LCWH PROVIDES QUALITY MEDICAL CARE TO ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. MOST PATIENTS HAVE LOW TO MODERATE INCOMES. AS A COMMUNITY BASED PRACTICE, LCWH OFFERS MORE THAN TRADITIONAL MEDICAL SERVICES. LCWH EMPLOYS A FULL-TIME SOCIAL WORKER WHO PROVIDES PSYCHOSOCIAL SUPPORT SERVICES. ADDITIONALLY, LCWH ADDRESSES SOME OF THE DIVERSE NEEDS OF ITS PATIENTS AND THEIR PARTNERS THROUGH THE FOLLOWING SERVICES AND PROGRAMS: - LATINA COMMUNITY HEALTH SERVICES (LCHS) IS AN INNOVATIVE PROGRAM THAT OFFERS PRENATAL AND GYNECOLOGIC SERVICES TO WOMEN WHO ARE UNABLE TO OBTAIN MEDICAL INSURANCE. IT IS FUNDED BY GRANTS AND CONTRIBUTIONS AND STAFFED BY PHYSICIANS, A NURSE PRACTITIONER, MEDICAL ASSISTANT AND PATIENT SERVICES COORDINATOR FROM PENN MEDICINE MEDICAL GROUP OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM. LCHS ALSO PARTNERS WITH OTHER ENTITIES SUCH AS PENNSYLVANIA HOSPITAL'S DIABETES EDUCATION CENTER AND WOMEN'S SERVICES DEPARTMENT AS WELL AS COMMUNITY ORGANIZATIONS INCLUDING CASA DEL CARMEN AND HEALTH PROMOTIONS COUNCIL. THESE SERVICES INCLUDE INDIVIDUAL DIABETIC TEACHING, INFANT FEEDING CLASSES, FAMILY SERVICES AND HEALTHCARE NAVIGATION ASSISTANCE. - CHILDBIRTH EDUCATION CLASSES ARE TAUGHT BY LCWH REGISTERED NURSES WHO HAVE ALSO EARNED CHILDBIRTH EDUCATOR CERTIFICATION. THE CLASSES COVER SUCH TOPICS AS: WHAT TO EXPECT FROM AND HOW TO RECOGNIZE LABOR, RELAXATION TECHNIQUES AND MEDICAL OPTIONS FOR PAIN RELIEF IN LABOR, THE IMPORTANCE OF POST-PARTUM CARE, AND EARLY INFANT CARE/DEVELOPMENT. - MALE PARTNERS SERVICES: THE MALE PARTNERS OF LCWH FEMALE PATIENTS WHO TESTED POSITIVE FOR A SEXUALLY TRANSMITTED INFECTION ARE ABLE TO RECEIVE TREATMENT THROUGH THIS SENSITIVE AND CONFIDENTIAL SERVICE. FORM 990, PART III, LINE 4A (CONTINUED) - BREAST AND CERVICAL CANCER EARLY DETECTION PROGRAM IS A PENNSYLVANIA STATE-FUNDED PROGRAM THAT PROVIDES FREE CERVICAL CANCER AND BREAST SCREENINGS (INCLUDING PELVIC EXAMINATIONS, CLINICAL BREAST EXAMINATIONS, AND PAP SMEAR TESTING AND DIAGNOSTIC SERVICES) TO UNINSURED WOMEN BETWEEN THE AGES 21-64. - TOBACCO SMOKING CESSATION IS OFFERED IN THE EFFORT TO DECREASE TOBACCO SMOKING RATES AMONG PREGNANT WOMEN AND MOTHERS. EACH LCWH NURSE IS CERTIFIED BY THE HEALTH FEDERATION OF PHILADELPHIA IN PARTNERSHIP WITH THE PHILADELPHIA DEPARTMENT OF HEALTH TO PROVIDE COUNSELING ON SMOKING CESSATION AND REDUCTION IN EXPOSURE TO ENVIRONMENTAL SMOKE. > DICKENS CENTER FOR WOMEN'S HEALTH: THE HELEN O. DICKENS CENTER FOR WOMEN IN THE DEPARTMENT OF OBSTETRICS AND GYNECOLOGY IS COMMITTED TO PROVIDING PERSONALIZED CARE TO WOMEN OF ALL AGES, FULFILLING PENN MEDICINE'S PHILOSOPHY OF SERVING THE COMMUNITY. DR. DICKENS WAS THE FIRST FEMALE AFRICAN AMERICAN DOCTOR TO BECOME BOARD CERTIFIED IN OBSTETRICS AND GYNECOLOGY IN PHILADELPHIA AS WELL AS THE FIRST TO BE NAMED A FELLOW OF THE AMERICAN COLLEGE OF SURGEONS. SHE WORKED TO EDUCATE YOUNG WOMEN ABOUT THEIR REPRODUCTIVE HEALTH IN ORDER TO REDUCE THE INCIDENCE OF TEEN PREGNANCY AND SEXUALLY TRANSMITTED DISEASES. THE DICKENS CENTER SERVES MAINLY MEDICARE, MEDICAID AND UNINSURED PATIENTS. PENN MEDICINE OFFERS UNCOMPENSATED AND UNDERCOMPENSATED CARE FOR THOSE WHO QUALIFY, BASED ON FINANCIAL COUNSELING. THE CENTER OFFERS PRENATAL CARE, GYNECOLOGY AND COLPOSCOPY SERVICES. THE CENTER HAS ESTABLISHED WORKING RELATIONSHIPS AND PROGRAMS WITH CITY AND COMMUNITY AGENCIES, STATE-FUNDED PROGRAMS AND MANAGED CARE ORGANIZATIONS, TO ENSURE THAT WOMEN HAVE ACCESS TO THE SERVICES THAT FIT THEIR EDUCATIONAL, FINANCIAL AND PSYCHOSOCIAL NEEDS. THE CENTER ALSO PROVIDES CARE AT THE PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH'S HEALTH CENTER 3 AND OFFERS CONSULTATIONS AND CARE FOR WOMEN WITH COMPLEX MEDICAL AND OBSTETRIC CONDITIONS OR FETAL ANOMALIES. THE CENTER'S INTEGRATED HIGH-RISK PROGRAM COMBINES CARE COORDINATORS, PHYSICIANS AND NURSE PRACTITIONERS ALLOWING US TO PROVIDE A UNIQUE LEVEL OF CONTINUITY FOR OUR PATIENTS. > THE HEART SAFE MOTHERHOOD PROGRAM: FOR WOMEN THAT HAVE BEEN DIAGNOSED WITH PREECLAMPSIA DURING THEIR PREGNANCY, CLINICAL RECOMMENDATIONS ENCOURAGE NEW MOMS TO SCHEDULE A FOLLOW-UP VISIT WITH THEIR DOCTOR WITHIN A WEEK OF DELIVERY TO HAVE THEIR BLOOD PRESSURE CHECK. FOR MANY WOMEN, COMING TO THE OFFICE AFTER HAVING A NEWBORN IS DIFFICULT FOR A VARIETY OF REASONS. THIS PROGRAM IS A FIRST-OF-ITS-KIND TEXT-MESSAGE BASED PROGRAM THAT MAKES POSTPARTUM BLOOD PRESSURE MONITORING MORE CONVENIENT FOR WOMEN DIAGNOSED WITH PREECLAMPSIA AND OTHER BLOOD PRESSURE DISORDERS DURING PREGNANCY AND PROMOTES COMMUNICATION WITH THEIR CARE TEAM WITHOUT VISITING A DOCTOR'S OFFICE. > PUENTES DE SALUD/BRIDGES OF HEALTH, A NONPROFIT ORGANIZATION VOLUNTARILY STAFFED BY PENN MEDICINE DOCTORS, NURSES, AND MEDICAL STUDENTS, PROVIDES LOW-COST PRIMARY CARE TO UNDOCUMENTED AND UNINSURED LATINO IMMIGRANTS. IT WAS ESTABLISHED IN 2002 BY A PENN EMERGENCY MEDICINE PHYSICIAN WHO OVERSEES THE PROGRAM ON A VOLUNTEER BASIS. PUENTES HAS GROWN TO INCLUDE SERVICES BY STUDENTS FROM PENN'S SCHOOLS OF SOCIAL POLICY & PRACTICE, LAW, AND DENTAL MEDICINE -- AS WELL AS STUDENTS FROM OTHER AREA UNIVERSITIES AND HOSPITALS. TRAINED PROMOTORAS DE SALUD/HEALTH PROMOTERS FROM THE COMMUNITY ESCORT PATIENTS TO THEIR VISITS AND ENSURE COMPLIANCE WITH THEIR HEALTH CARE MANAGEMENT PLANS. MORE RECENTLY, THE ORGANIZATION EXPANDED TO INCLUDE PUENTES HACIA EL FUTURO, AN AFTER-SCHOOL PROGRAM FOR ELEMENTARY SCHOOL STUDENTS, WHICH NOW INCLUDES MORE THAN 100 VOLUNTEER TUTORS FROM PENN AND AREA COLLEGES. HTTP://WWW.PUENTESDESALUD.ORG/ > THE PENN ASIAN HEALTH INITIATIVES (PAHI) IS STAFFED BY PENN MEDICINE FACULTY, FAMILY MEDICINE RESIDENTS, AND MEDICAL STUDENTS FROM THE ASIAN AND PACIFIC AMERICAN MEDICAL STUDENT ASSOCIATION. PAHI IS BASED IN THE DEPARTMENT OF FAMILY MEDICINE AND COMMUNITY HEALTH. IT PROVIDES PRIMARY HEALTH CARE SERVICES, INCLUDING TESTING, TREATMENT, AND EDUCATION, TO LOW-INCOME ASIAN IMMIGRANTS, MOSTLY NON-ENGLISH SPEAKING INDONESIAN AND VIETNAMESE PATIENTS. THE PROGRAM'S ASIAN PHYSICIANS ALSO MENTOR PENN'S ASIAN MEDICAL STUDENTS, UNDERGRADUATES, AND PUBLIC-HEALTH GRADUATE STUDENTS. > PENN MEDICINE CENTER FOR COMMUNITY HEALTH WORKERS IMPACT PROGRAM: IMPACT 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 THE SOCIAL DETERMINANTS OF HEALTH, INCLUDING ACCESSING BEHAVIORAL HEALTH, ADDRESSING SUBSTANCE ABUSE, CONNECTING TO HEALTHY FOOD, HOUSING, TRANSPORTATION, AND ENGAGING IN 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%. IN ADDITION, CHWS FACILITATE MEET UP GROUPS FOR COMMUNITY MEMBERS WHICH INCLUDE THINGS LIKE COOKING DEMONSTRATIONS, FINANCIAL PLANNING, BEREAVEMENT SUPPORT ETC. (PATIENTS CHOOSE THE TOPICS, CHWS ARRANGE GUEST SPEAKERS AND FACILITATE). IMPACT ALSO SUPPORTS THE VETERAN COMMUNITY THROUGH CREATING COMMUNITY GARDENS, CONNECTING THEM TO EDISON HIGH SCHOOL TO DO MENTORING, BOWLING EVENTS, ETC.) MORE THAN 1,000 ORGANIZATIONS HAVE ACCESSED OUR CHW TOOLKIT AND WE PROVIDE TECHNICAL ASSISTANCE TO HELP ORGANIZATIONS AROUND THE COUNTRY CREATE, LAUNCH AND SUSTAIN EFFECTIVE CHW PROGRAMS. HTTP://CHW.UPENN.EDU/IMPACT > CUT HYPERTENSION, FOUNDED IN 2010 AND OPERATED BY PENN MEDICAL STUDENTS, PROVIDES ONSITE BLOOD PRESSURE SCREENINGS AT WEST PHILADELPHIA BARBERSHOPS. THE MEDICAL STUDENTS ENCOURAGE THIS PARTICULAR COMMUNITY TO SEEK SUSTAINED HEALTHCARE AND PROVIDE INFORMATION ON ACCESSING LOCAL PHYSICIANS. THEY ALSO DISPENSE PROVEN RECOMMENDATIONS FOR LOWERING BLOOD PRESSURE AND SEEK TO INFORM PEOPLE OF MEDICAL MISCONCEPTIONS. A KEY TO THE PROGRAM'S SUCCESS IS THAT THE SCREENINGS OCCUR IN FRIENDLY, COMMUNITY ENVIRONMENTS BEARING NO RESEMBLANCE TO A DOCTOR'S OFFICE, WHERE PATIENTS OFTEN ARE AFRAID TO SPEAK CANDIDLY OR ASK QUESTIONS. THE PROGRAM'S BIGGEST SUPPORTERS ARE THE BARBERSHOP OWNERS AND THEIR EMPLOYEES WHO NOW VIEW CUT HYPERTENSION AS AN INTEGRAL PART OF THEIR SERVICE TO THEIR CUSTOMERS. > UNIVERSITY CITY HOSPITALITY COALITION (UCHC) MEDICAL CLINIC, OPENED IN 1989, IS ONE OF ELEVEN COMMUNITY-BASED HEALTH CARE INITIATIVES SUPPORTED BY MEDICAL STUDENTS AND FACULTY AT THE PERELMAN SCHOOL OF MEDICINE. AT UCHC, PENN MEDICAL STUDENTS PROVIDE FREE MEDICAL CARE, EDUCATION, AND REFERRAL SERVICES TO LOW-INCOME INDIVIDUALS AND PEOPLE EXPERIENCING HOMELESSNESS. VOLUNTEER PENN PHYSICIANS, RESIDENTS, AND PHARMACISTS DELIVER AND HELP OVERSEE CARE IN THE CLINIC. UCHC ALSO WORKS TO PROVIDE THE COMMUNITY WITH SPECIALTY CLINICS RANGING FROM PHYSICAL MEDICINE AND REHABILITATION TO THE AGNEW SURGICAL CLINIC. HTTPS://WWW.UCHCPHILADELPHIA.ORG/ > COMMUNITY-ACADEMIC PARTNERSHIPS TO INCREASE PHYSICAL ACTIVITY (CAP-IPA) AND DANCE FOR HEALTH: PENN MEDICINE FACULTY AND STAFF PARTICIPATE IN THE UNIVERSITY OF PENNSYLVANIA SCHOOL OF NURSING'S STUDENT-LED COMMUNITY CHAMPIONS PROGRAM-WHICH COMPRISES 15 INITIATIVES-BRINGS NURSING STUDENTS OUT OF THE CLASSROOM AND INTO THE GREATER PHILADELPHIA COMMUNITY TO SHARE THEIR SKILLS AND LEARN FROM THEIR EXPERIENCES. THE COMMUNITY CHAMPIONS PROGRAM IS THE VEHICLE BY WHICH THE SCHOOL OF NURSING PROMOTES HEALTHY LIFESTYLES AND PROVIDES COMMUNITY MEMBERS ACROSS THE LIFESPAN WITH HEALTH SCREENING AND INFORMATION ABOUT NUTRITION AND DIET, PHYSICAL ACTIVITY, NEWBORN CARE, BREAST CANCER AWARENESS, AND SEXUAL HEALTH. ONE PROGRAM, DANCE FOR HEALTH, IS A PROGRAM FOR ALL AGES THAT HAS ENGAGED OVER 1,000 COMMUNITY MEMBERS, FOUR SITES AND OFFERS FREE DANCE FITNESS CLASSES AIMED TO EMPOWER COMMUNITY MEMBERS. CLASSES ARE OFFERED IN CONCERT WITH LOCAL COMMUNITY ORGANIZATIONS. THROUGH THE HEALTH SCIENCE EXPLORATION PROGRAM (HSE), MEDICAL STUDENTS, IN COLLABORATION WITH THE UNIVERSITY'S NETTER CENTER FOR COMMUNITY PARTNERSHIPS, HELP 6TH-8TH GRADERS INTERACTIVELY EXPLORE HEALTH TOPICS RELEVANT TO THEIR COMMUNITY. THE MISSION OF HSE IS TO: - TO INCREASE HEALTH KNOWLEDGE AND SKILLS OF MIDDLE SCHOOL STUDENTS THROUGH AN ENGAGING, INTERACTIVE CURRICULUM - TO EMPOWER THESE STUDENTS TO SHARE THEIR KNOWLEDGE AND PROMOTE HEALTH WITHIN THEIR COMMUNITY - TO STRENGTHEN A COLLABORATIVE, COMMUNITY-CENTERED PARTNERSHIP BETWEEN SOUTHWEST PHILADELPHIA AND PENN - TO DIMINISH EDUCATION-RELATED DISPARITIES BY CREATING LESSONS THAT ADHERE TO STATE STANDARDS AND ARE DELIVERED WITH RESPECT AND EQUITY. FORM 990, PART III, LINE 4A (CONTINUED) > COLORECTAL CANCER SCREENING: THE FREE WEST PHILADELPHIA COLORECTAL CANCER SCREENING PROGRAM WAS STARTED BY TWO PENN PHYSICIANS TO IMPROVE COLORECTAL HEALTH AMONG AFRICAN AMERICAN RESIDENTS OF OUR COMMUNITY. A TRAINED PATIENT-NAVIGATOR HELPS PATIENTS SCHEDULE THE PROCEDURE AND UNDERSTAND THE PREPARATION PROCESS FOR COLORECTAL CANCER SCREENING. THE NAVIGATORS ALSO SUPPLY FREE PREPARATION MATERIALS AND TRANSPORTATION TO AND FROM THE PROCEDURE, AND ENSURE THAT PATIENTS RECEIVE INFORMATION MATCHED TO THEIR LEVEL OF HEALTH LITERACY. PROGRAM STAFF WORK WITH COMMUNITY ORGANIZATIONS ON EDUCATING RESIDENTS ON THE IMPORTANCE OF SCREENING AND ABOUT THE PENN INITIATIVE. SINCE THE PROGRAM'S INCEPTION IN 2011, OVER 1,000 PATIENTS FROM WEST, SOUTH AND SOUTHWEST PHILADELPHIA WHO PREVIOUSLY COULD NOT ACCESS COLONOSCOPY HAVE BEEN SCREENED WITH COLONOSCOPY. 42% OF THESE PATIENTS HAD AT LEAST ONE PRECANCEROUS POLYP WHICH WAS REMOVED AND 5 PATIENTS WERE FOUND TO HAVE COLORECTAL CANCER AND HAVE RECEIVED TREATMENT AT PENN MEDICINE. THESE STATISTICS SUGGEST THAT THIS PROGRAM WILL HAVE A SIGNIFICANT IMPACT IN REDUCING THE NUMBER OF COLORECTAL CANCER CASES IN OUR COMMUNITIES. HTTPS://HEALTHCAREINNOVATION.UPENN.EDU/SOI ADDITIONALLY, TO HELP BOOST THE NUMBER OF AFRICAN AMERICANS IN PHILADELPHIA RECEIVING A COLORECTAL SCREENING, ABRAMSON CANCER CENTER HOSTED 5 DRIVE THROUGH FLU FIT EVENTS AND 1 DRIVE THROUGH COVID-19 VACCINE FIT EVENT AT COMMUNITY-BASED ORGANIZATIONS IN PHILADELPHIA FOR FY21 WHICH TRANSLATED TO 251 BLACK PHILADELPHIANS RECEIVING A FIT. 202 FITS WERE COMPLETED WHICH 187 WERE NEGATIVE AND 15 WERE POSITIVE. OF THE 15 POSITIVE FITS, 10 HAVE COMPLETED COLONOSCOPY AND THE REST ARE IN PROGRESS. OF THE 10 WHO COMPLETED COLONOSCOPY, 7 HAD AT LEAST ONE POLYP. NO PATIENTS HAD COLORECTAL CANCER. HTTPS://COMMUNITYIMPACT.PENNMEDICINE.ORG/DRIVE-WALK-MAIL-TEXT-COLORECTAL-C ANCER/ > PENN MEDICINE BREAST HEALTH INITIATIVE: IN RECOGNITION OF THE BARRIERS TO SCREENING AND TREATMENT FOR BREAST CANCER, PENN MEDICINE OFFERS BREAST SCREENINGS AS WELL AS DIAGNOSTIC AND TREATMENT SERVICES TO UNDERSERVED AND UNINSURED WOMEN IN PARTNERSHIP WITH MORE THAN A DOZEN NONPROFITS AND CLINICS IN THE REGION. SINCE THE PROGRAM'S INCEPTION IN 2014, IT HAS PROVIDED FREE MAMMOGRAMS TO OVER 3,000 WOMEN. OVER 50% OF THE WOMEN IN THIS PROGRAM ARE LATINA AND 28% ARE AFRICAN AMERICAN; 56% DO NOT SPEAK ENGLISH. TO DATE, 66 CASES OF BREAST CANCER HAVE BEEN IDENTIFIED AND TREATED. ------------------------------ FORM 990, PART V, LINE 1A DETAIL OF FORMS 1099 FILINGS THIS ORGANIZATION IS AN AFFILIATE OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("TRUSTEES"). THE FORMS 1099 DISTRIBUTED AS PART OF THIS ENTITY'S ACTIVITIES ARE DONE SO THROUGH THE UNIVERSITY HEALTH SYSTEM AND CONSOLIDATED WITH THE TRUSTEES. ------------------------------ FORM 990, PART VI, SECTION B, LINE 11 FORM 990 REVIEW PROCESS INFORMATION RELATED TO THIS ORGANIZATION'S FORM 990 FILING IS GATHERED BY FINANCE STAFF AND PROVIDED TO PRICEWATERHOUSECOOPERS LLP FOR REVIEW AND RETURN PREPARATION. A DRAFT COPY OF THE 2020 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 2020 FORM 990 WAS THEN MADE AVAILABLE TO EACH BOARD MEMBER PRIOR TO THE FILING DEADLINE. ------------------------------ FORM 990, PART VI, SECTION A, LINE 12C CONFLICT OF INTEREST POLICY THIS ORGANIZATION IS AN AFFILIATE OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). EACH COVERED PERSON* ANNUALLY SHALL COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE PROVIDED BY THE UNIVERSITY AND SHALL UPDATE SUCH QUESTIONNAIRE PROMPTLY AS NECESSARY TO REFLECT CHANGES DURING THE COURSE OF THE YEAR. FORMER BOARD MEMBERS WHO ARE NOT TRUSTEE EMERITI ARE ENCOURAGED BUT NOT REQUIRED TO COMPLETE THE QUESTIONNAIRE DURING THE FIVE-YEAR PERIOD FOLLOWING COMPLETION OF THEIR TERMS. COMPLETED QUESTIONNAIRES SHALL BE RETURNED TO THE OFFICE OF THE SECRETARY AND SHALL BE SUBJECT TO REVIEW BY SUCH OFFICE AND THE OFFICE OF THE GENERAL COUNSEL, AS WELL AS BY ANY OUTSIDE LEGAL COUNSEL AND/OR AUDITORS WHO MAY BE APPOINTED TO ADVISE THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES APPOINTED TO OVERSEE THIS POLICY. COMPLETED QUESTIONNAIRES ALSO SHALL BE AVAILABLE FOR INSPECTION BY ANY BOARD MEMBER. *COVERED PERSONS INCLUDE: (1) VOTING MEMBERS OF THE BOARD OF TRUSTEES (INCLUDING CHARTER TRUSTEES, TERM TRUSTEES, ALUMNI TRUSTEES, AND COMMONWEALTH TRUSTEES); (2) TRUSTEE EMERITI WHO HAVE SERVED IN THAT CAPACITY FOR FIVE YEARS OR LESS; (3) OTHER FORMER VOTING TRUSTEES FOR A PERIOD OF FIVE YEARS FROM THE END OF THEIR TERM AS SUCH; (4) OFFICERS AS DEFINED IN THE STATUTES; AND (5) MEMBERS OF THE INVESTMENT BOARD. EACH COVERED PERSON (EXCEPT FORMER BOARD MEMBERS WHO ARE NOT TRUSTEE EMERITI)SHALL BE REQUIRED TO ACKNOWLEDGE, NOT LESS THAN ANNUALLY, THAT HE OR SHE HAS READ AND IS IN COMPLIANCE WITH THIS POLICY. ------------------------------ FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION PROCESS THIS ORGANIZATION IS AN AFFILIATE OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). COMPENSATION ARRANGEMENTS INVOLVING ANY OF OUR OFFICERS AND/OR KEY EMPLOYEES ARE ESTABLISHED BY THE UNIVERSITY PURSUANT TO A PROCESS THAT SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR SECTION 4958 EXCESS BENEFIT TRANSACTION TAX PURPOSES (WHICH REQUIRES A REVIEW OF COMPENSATION DETERMINATIONS BY DISINTERESTED PERSONS, USE OF APPROPRIATE COMPARABILITY DATA, AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS). ------------------------------ FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS AVAILABILITY TO PUBLIC OUR FORMS 1023 AND 990, GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. ------------------------------ FORM 990, PART X, COLUMN (A) BALANCE SHEET CERTAIN PRIOR YEAR BALANCES HAVE BEEN RESTATED TO CONFORM TO THE CURRENT YEAR PRESENTATION. ------------------------------ FORM 990, PART XI, LINE 9 DETAIL OF OTHER CHANGES IN NET ASSETS NET UNREALIZED INC. IN NET ASSETS $46,311,473 TRANSFER TO CHCA-NJ PPMC DIVISIONS (4,182,442) TRANSFER FROM MULTI-SPECIALTY GROUP 1,122,401 TRANSFERS/OTHER ADJUSTMENTS 14,567 ----------- TOTAL OTHER CHANGES IN NET ASSETD $43,265,999 ------------------------------ 3737 FEE OWNER LLC 17190 BERNARDO CENTER DRIVE SAN DIEGO CA 92128 611692432 RENTAL CA 364824 90547238 PMC AFFILIA HOME HEALTH 1811 OLDE HOMESTEAD LANE LANCASTER PA 17601 231352572 HOME HEALTH PA 501(c)(3) 7 LG HEALTH false CARL V S PATTERSON 19 UN OF PA C/O PNC BANK 620 LIBERTY AVE 10FL PITTSBURGH PA 15222 236415355 SUPPORT TRUST PA 4947(A)(1) N/A NA false CHESTER COUNTY HOSPITAL 701 E MARSHALL STREET WEST CHESTER PA 19380 230469150 HEALTHCARE PA 501(C)(3) 3 CCH&HS false CHESTER COUNTY HOSPITAL & HEALTH SYSTEM 701 E MARSHALL STREET WEST CHESTER PA 19380 264233321 MGMT SRVCS PA 501(C)(3) 12, I TRUSTEES false CLINICAL CARE ASSOCIATES OF UPHS 250 KING OF PRUSSIA RD 4TH FL RADNOR PA 19087 232729852 HEALTHCARE PA 501(c)(3) 10 TRUSTEES false FRANKLIN 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