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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES WOLITARSKY</PersonNm>
        <TitleTxt>BOARD MEMBER (THRU 6/21)</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2360680</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>6643614</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>1136200</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>700</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>SOCIETY HILL ANESTHESIA CONSULTANTS</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 414853</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>7045464</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>LF DRISCOLL COMPANY LLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>401 CITY AVE STE 500</AddressLine1Txt>
            <CityNm>BALA CYNWYD</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19004</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION SRVCS</ServicesDesc>
        <CompensationAmt>5002058</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>TOTAL RENAL CARE INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 781607</AddressLine1Txt>
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            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19178</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>858113</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>MAYFLOWER LAUNDRY TEXTILE SERVICE</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1350 BRASS MILL RD</AddressLine1Txt>
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            <StateAbbreviationCd>MD</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LAUNDRY SERVICES</ServicesDesc>
        <CompensationAmt>833045</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>SURGICAL MONITORING ASSOCIATES LLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 11407</AddressLine1Txt>
            <CityNm>BIRMINGHAM</CityNm>
            <StateAbbreviationCd>AL</StateAbbreviationCd>
            <ZIPCd>35246</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>805184</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>20</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>17674</FederatedCampaignsAmt>
      <GovernmentGrantsAmt>16040640</GovernmentGrantsAmt>
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      <NoncashContributionsAmt>312614</NoncashContributionsAmt>
      <TotalContributionsAmt>18419321</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUES</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>648707635</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>648707635</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OUTPATIENT BEHAVIORAL HEALTH REVENUES</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>3966249</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3966249</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>652673884</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>8985176</TotalRevenueColumnAmt>
        <ExclusionAmt>8985176</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
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      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
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      </RoyaltiesRevenueGrp>
      <GrossRentsGrp>
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        <PersonalAmt>0</PersonalAmt>
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      <NetRentalIncomeOrLossGrp>
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        <ExclusionAmt>1607923</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
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      <LessCostOthBasisSalesExpnssGrp>
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      <NetGainOrLossInvestmentsGrp>
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        <ExclusionAmt>-12038</ExclusionAmt>
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      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <GrossSalesOfInventoryAmt>0</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <OtherRevenueMiscGrp>
        <Desc>PARKING REVENUES</Desc>
        <BusinessCd>812930</BusinessCd>
        <TotalRevenueColumnAmt>5501660</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4858777</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>642883</UnrelatedBusinessRevenueAmt>
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      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA SALES</Desc>
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        <RelatedOrExemptFuncIncomeAmt>2014696</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>SPONSORED PROGRAMS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>237867</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>237867</RelatedOrExemptFuncIncomeAmt>
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      <MiscellaneousRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>45000</UnrelatedBusinessRevenueAmt>
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      <TotalRevenueGrp>
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      <GrantsToDomesticOrgsGrp>
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      <GrantsToDomesticIndividualsGrp>
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      <BenefitsToMembersGrp>
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        <ProgramServicesAmt>517644</ProgramServicesAmt>
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        <ProgramServicesAmt>214754623</ProgramServicesAmt>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>47565</ProgramServicesAmt>
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      <FeesForServicesLobbyingGrp>
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      <FeesForServicesProfFundraising>
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      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
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        <ProgramServicesAmt>13691280</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>141821</ManagementAndGeneralAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      <ConferencesMeetingsGrp>
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      <PaymentsToAffiliatesGrp>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>144851602</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MISC. EXPENSES</Desc>
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        <ProgramServicesAmt>18472297</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>STATE ASSESSMENTS</Desc>
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      <OtherExpensesGrp>
        <Desc>DUES &amp; LICENSES</Desc>
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      <CollUsedScholarlyRsrchInd>X</CollUsedScholarlyRsrchInd>
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        <EndYearBalanceAmt>331668307</EndYearBalanceAmt>
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        <AdministrativeExpensesAmt>0</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>321410504</EndYearBalanceAmt>
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        <DepreciationAmt>198075696</DepreciationAmt>
        <BookValueAmt>156932392</BookValueAmt>
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        <BookValueAmt>12833377</BookValueAmt>
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      <FinancialDerivativesGrp />
      <CloselyHeldEquityInterestsGrp />
      <OtherSecuritiesGrp>
        <Desc>INVESTMENTS - PLANT FUND</Desc>
        <BookValueAmt>140720</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
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      <OtherSecuritiesGrp>
        <Desc>DONOR RESTRICTED FUNDS</Desc>
        <BookValueAmt>368246203</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
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      <OtherSecuritiesGrp>
        <Desc>SPECIAL PURPOSE FUNDS</Desc>
        <BookValueAmt>338508</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
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        <Desc>BOARD DESIGNATED FUNDS</Desc>
        <BookValueAmt>96510579</BookValueAmt>
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        <Desc>DEFERRED FINANCING COSTS</Desc>
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        <Desc>3RD PARTY RECEIVABLE</Desc>
        <BookValueAmt>1339304</BookValueAmt>
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        <Desc>ACCOUNTS PAYABLE</Desc>
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        <Desc>WORKERS COMPENSATION</Desc>
        <Amt>166158</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO FOUNDATION</Desc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART II, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>DETAIL OF CONSERVATION EASEMENTS PENNSYLVANIA HOSPITAL ("PAH") HAS A CONSERVATION EASEMENT IN PLACE WITH THE PARK COMMISSION IN REGARD TO PENNSYLVANIA HOSPITAL'S PINE BUILDING. THE CONSERVATION EASEMENT STATES THAT DUE TO ITS HISTORICAL NATURE, PENNSYLVANIA HOSPITAL CANNOT CHANGE OR MODIFY IN ANY WAY THE EXTERIOR OF THIS BUILDING. SINCE THERE ARE NO REVENUES OR EXPENSES ASSOCIATED WITH THIS CONSERVATION EASEMENT, IT IS NOT REFLECTED ON PENNSYLVANIA HOSPITAL'S FINANCIAL STATEMENTS. ------------------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART III, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>DETAIL OF COLLECTIONS ALTHOUGH PAH MAINTAINS COLLECTIONS OF WORKs OF ART, HISTORICAL TREASURES, AND/OR OTHER SIMILAR ASSETS, SINCE THE ORGANIZATION AND SUCH COLLECTIONS HAVE BEEN IN EXISTENCE FOR SEVERAL DECADES, THE COST OF CAPITALIZING THESE COLLECTIONS WOULD EXCEED THE INCREMENTAL BENEFIT OF THE INFORMATION GAINED. AS A RESULT, PAH DOES NOT CAPITALIZE THESE TYPES OF ASSETS. NOTE THAT SINCE PAH IS INCLUDED IN A CONSOLIDATED AUDIT, THE CONSOLIDATED FINANCIAL STATEMENTS DO NOT CONTAIN ANY FOOTNOTE DISCLOSURE RELATING TO THIS ITEM. ------------------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF COLLECTIONS LIBRARY COLLECTIONS - THE LIBRARIES AT PAH ARE LOCATED ON THE 2ND AND 3RD FLOOR OF THE HISTORIC PINE BUILDING. THE MODERN LIBRARY IS AN ON-SITE, EASILY ACCESSIBLE, VITAL REFERENCE CENTER INCORPORATING MODERN INFORMATION TECHNOLOGY. THE COLLECTIONS INCLUDE THE CLINICAL LIBRARY AND THE PSYCHIATRIC LIBRARY. THE HISTORIC LIBRARY AND HISTORIC COLLECTIONS CONTAIN MANUSCRIPTS, RARE BOOKS, ART, AND ARTIFACTS RELATED TO THE HISTORY OF MEDICINE AND PAH. THESE COLLECTIONS ARE USED BY LOCAL, REGIONAL, NATIONAL, AND INTERNATIONAL RESEARCHERS. THE LIBRARY OFFERS AN ARRAY OF SERVICES, INCLUDING PROFESSIONAL SEARCHING OF THE MEDICAL LITERATURE. IN ADDITION TO SERVING THE INFORMATION NEEDS OF CLINICIANS, THE LIBRARY IS OPEN TO OUR PATIENTS, FAMILIES, AND THE GENERAL PUBLIC. HISTORIC COLLECTIONS - PAH IS THE NATION'S FIRST HOSPITAL AND A DESIGNATED NATIONAL HISTORIC LANDMARK. FOUNDED BY DR. THOMAS BOND AND BENJAMIN FRANKLIN, THE HOSPITAL WAS CHARTERED IN 1751 BY THE COLONIAL GOVERNMENT AS THE FIRST INSTITUTION IN AMERICA ORGANIZED EXCLUSIVELY FOR THE TREATMENT AND CARE OF THE SICK, POOR AND MENTALLY ILL. PAH OFFERS THE PUBLIC A VIEW OF THE HISTORY OF MEDICINE IN A WAY UNLIKE ANY OTHER INSTITUTION IN THE UNITED STATES, PROVIDING BOTH GUIDED AND SELF-GUIDED TOURS OF THE NATION'S FIRST MEDICAL LIBRARY AND SURGICAL AMPHITHEATRE. WE ARE A BLUE STAR MUSEUM, PROVIDING FREE TOURS FOR MILITARY PERSONNEL AND THEIR FAMILIES. THE HISTORIC COLLECTIONS, HOUSED IN THE ORIGINAL EAST WING OF THE PINE BUILDING, HOLDS A COLLECTION OF RECORD THAT REFLECTS THE DEVELOPMENT OF HEALTHCARE AND MEDICAL EDUCATION FROM THE EIGHTEENTH TO THE TWENTY-FIRST CENTURIES. OUR COLLECTIONS ARE HIGHLIGHTED IN OUR CHANGING EXHIBITIONS, WHICH HAVE INCLUDED THE HISTORY OF EARLY MEDICAL EDUCATION AND COLONIAL MEDICINE. A FREE LECTURE SERIES, OPEN TO THE PUBLIC, BRINGS IN SCHOLARS TO DISCUSS A VARIETY OF TOPICS RELATED TO THE CURRENT EXHIBITION. ADDITIONALLY, THE HISTORIC COLLECTIONS HOSTS RESEARCHERS WHO UTILIZE THESE IMPORTANT MANUSCRIPTS, AS WELL AS HOSTING AN ANNUAL CONFERENCE ON THE HISTORY OF WOMEN'S HEALTH, BRINGING TOGETHER HISTORICAL SCHOLARS AND MEDICAL PRACTITIONERS FROM ACROSS THE COUNTRY. HISTORIC TOURS - PAH PROVIDES TOURS OF ITS HISTORIC BUILDINGS AND HISTORIC COLLECTIONS. ------------------------------</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <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>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART IX, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>DETAIL OF OTHER ASSETS THE DUE FROM AFFILIATE ACCOUNT REPRESENTS AMOUNTS OWED TO THIS ORGANIZATION BY THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("PENN"), A RELATED ORGANIZATION, BASED UPON PENN'S CENTRAL TREASURY OFFICE MANAGING THE CASH BALANCES OF CERTAIN OF ITS AFFILIATES. ------------------------------</ExplanationTxt>
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      <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, 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.</ExplanationTxt>
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          <CityNm>PHILADELPHIA</CityNm>
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        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
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        <CommunityDemographicsInd>X</CommunityDemographicsInd>
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        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
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        <OwnWebsiteURLTxt>SEE SCHEDULE H, PART V, SECTION C</OwnWebsiteURLTxt>
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        <ImplementationStrategyAdptYr>19</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE SCHEDULE H, PART V, SECTION C</StrategyWebsiteURLTxt>
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        <FPGFamilyIncmLmtDscntCarePct>300.</FPGFamilyIncmLmtDscntCarePct>
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        <ExplainedBasisInd>true</ExplainedBasisInd>
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        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
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        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
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        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SCH H, PART V, SECT. C</FAPAppAvailableOnWebsiteURLTxt>
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        <FAPSummaryOnWebsiteURLTxt>SCH H, PART V, SECT. C</FAPSummaryOnWebsiteURLTxt>
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        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
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        <CollectionActivitiesInd>false</CollectionActivitiesInd>
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        <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 ("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 --------------------</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 7 &amp; 10- CHNA &amp; IMP. PLAN PUBLIC AVAILABILITY</FormAndLineReferenceDesc>
        <ExplanationTxt>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. --------------------</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 THE FOLLOWING: HTTPS://WWW.PENNMEDICINE.ORG/ABOUT/SERVING-OUR-COMMUNITY/REPORTS --------------------</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>1</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PENN MEDICINE AT RITTENHOUSE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1840 SOUTH STREET</AddressLine1Txt>
            <CityNm>PHILADELPHIA</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19146</ZIPCd>
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          <FacilityTxt>OUTPATIENT FACILITY</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7 (BAD DEBT EXPENSE, COSTING METHODOLOGY USED)</FormAndLineReferenceDesc>
        <ExplanationTxt>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 IS INCLUDED 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) 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. --------------------</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 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. --------------------</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>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 ROOM 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: &gt; 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. &gt; THE UNITY CLINIC - A FREE CLINIC THAT PROVIDES PRIMARY CARE SERVICES TO LOW-INCOME ASIAN IMMIGRANTS IN PHILADELPHIA. &gt; 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: &gt; 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. &gt; 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. 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 GAND IMPLEMENTATION PLAN CAN BE ACCESSED AT: HTTPS://WWW.PENNMEDICINE.ORG/ABOUT/SERVING-OUR-COMMUNITY/REPORTS. --------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3 (PATIENT EDUCATION OF ELIGBILITY 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, 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). --------------------</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 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. --------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6 (AFFILIATED HEALTHCARE SYSTEM INFORMATION)</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS ORGANIZATION IS AN AFFILIATE OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM. THE MISSION OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM IS EXCELLENCE IN EDUCATION, RESEARCH, AND CLINICAL CARE. WE STRIVE TO ACHIEVE THESE GOALS BY HAVING THE BEST PEOPLE IN MEDICAL EDUCATION, HEALTH-RELATED RESEARCH, AND PATIENT CARE; MAKING USE OF KNOWLEDGE GAINED FROM NEARLY TWO AND A HALF CENTURIES OF LEARNING AND DISCOVERY AS PART OF A WORLD-CLASS UNIVERSITY; DELIVERING HIGH-QUALITY MEDICINE TO PATIENTS ACROSS A FULLY-INTEGRATED ACADEMIC HEALTH SYSTEM; AND FULFILLING A COMMITMENT TO IMPROVE THE HEALTH OF PEOPLE IN THE COMMUNITIES SERVED BY THE HEALTH SYSTEM AND AROUND THE WORLD. AS PART OF AN AFFILIATED HEALTHCARE SYSTEM, THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM CONSISTS OF CERTAIN OPERATING DIVISIONS OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA (THE "UNIVERSITY") AND AFFILIATED ENTITIES, INCLUDING: - THE CHESTER COUNTY HOSPITAL ("CCH"), INCLUDES A 245 BED COMPLEX IN WEST CHESTER, PENNSYLVANIA, AND SATELLITE LOCATIONS IN EXTON, WEST GOSHEN, NEW GARDEN, JENNERSVILLE, AND KENNETT SQUARE, PENNSYLVANIA; - THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA ("HUP"), A 727 LICENSED BED QUATERNARY CARE HOSPITAL AND ACADEMIC MEDICAL CENTER LOCATED ON THE CAMPUS OF THE UNIVERSITY IN THE WEST PHILADELPHIA AREA OF PHILADELPHIA, PENNSYLVANIA; - PENN PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("PRESBYTERIAN"), A 317 LICENSED BED ACUTE CARE HOSPITAL LOCATED ADJACENT TO THE CAMPUS OF THE UNIVERSITY IN THE WEST PHILADELPHIA AREA OF PHILADELPHIA, PENNSYLVANIA; - PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("PENNSYLVANIA HOSPITAL"), A 550 LICENSED BED ACUTE CARE HOSPITAL LOCATED IN THE CENTER CITY AREA OF PHILADELPHIA, PENNSYLVANIA; - THE CLINICAL PRACTICES OF THE UNIVERSITY OF PENNSYLVANIA ("CPUP"), THE APPROVED FACULTY PRACTICE PLAN FOR THE CLINICAL PRACTICES OF MEMBERS OF THE MEDICAL FACULTY OF THE UNIVERSITY'S PERELMAN SCHOOL OF MEDICINE; - CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("CCA"), A PRIMARY CARE PHYSICIAN NETWORK THAT INCLUDES LOCATIONS IN SOUTHEASTERN PENNSYLVANIA AND SOUTHERN NEW JERSRY THROUGH ITS NEW JERSEY AFFILIATE; - LANCASTER GENERAL HEALTH ("LGH") AND ITS AFFILIATES. LGH OPERATES THREE HOSPITALS IN SOUTH CENTRAL PENNSYLVANIA, INCLUDING LANCASTER GENERAL HOSPITAL, A 533-BED GENERAL ACUTE CARE HOSPITAL, WOMEN &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; AND - WISSAHICKON HOSPICE, A HOSPICE CARE FACILITY SERVING THE TERMINALLY ILL, LOCATED IN BALA CYNWYD, PENNSYLVANIA. - PRINCETON HEALTHCARE SYSTEM ("PRINCETON") AND ITS AFFILIATES. PRINCETON INCLUDES A COMPREHENSIVE HEALTHCARE PROVIDER LOCATED IN CENTRAL NEW JERSEY THAT PRINCIPALLY INCLUDES THE MEDICAL CENTER OF PRINCETON, A GENERAL ACUTE CARE HOSPITAL FACILITY IN PLAINSBORO, NJ, WITH 319 INPATIENT BEDS (PLUS 24 NEWBORN BASSINETS), AND PRINCETON HOUSE BEHAVIORAL HEALTH, WHICH INCLUDES A 110 BED INPATIENT FACILITY IN PRINCETON, NJ, AS WELL AS FOUR ADDITIONAL OUTPATIENT LOCATIONS. PRINCETON INCLUDES APPROXIMATELY 1,200 PHYSICIANS ON STAFF AND EMPLOYS APPROXIMATELY 3,200 PEOPLE. --------------------</ExplanationTxt>
      </SupplementalInformationDetail>
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        <FormAndLineReferenceDesc>PART VI, LINE 7 (STATE FILING OF COMMUNITY BENEFIT REPORT)</FormAndLineReferenceDesc>
        <ExplanationTxt>N/A</ExplanationTxt>
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        <PersonNm>KEVIN B MAHONEY</PersonNm>
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        <PersonNm>PHILLIP A OKALA</PersonNm>
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        <TotalCompensationRltdOrgsAmt>1943632</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <PersonNm>JODY J FOSTER</PersonNm>
        <TitleTxt>CHAIR DEPT. PSYCHIATRY</TitleTxt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>572459</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>DANIEL WILSON</PersonNm>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>28385</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>298806</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JANICE BYNUM</PersonNm>
        <TitleTxt>NURSE 1ST ASST. SHARED SRVCS</TitleTxt>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1856</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12411</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>365817</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <TitleTxt>VP PERIOP SERVICES</TitleTxt>
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        <BonusFilingOrganizationAmount>81601</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>530140</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationRltdOrgsAmt>381331</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>LINDSAY AYLING</PersonNm>
        <TitleTxt>CONTROLLER</TitleTxt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17609</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <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: KASPER, KEITH- $213,363 LARIVEE, THERESA- $81,941 MAHONEY, KEVIN- $232,058 OKALA, PHILIP- $226,246 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: ALLEN H. BAR - NO DISTRIBUTION ------------------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVISION OF NON-FIXED PAYMENTS PENNSYLVANIA HOSPITAL PROVIDES DISCRETIONARY BONUS AND/OR INCENTIVE COMPENSATION PAYMENTS TO ELIGIBLE EMPLOYEES. PAYMENTS MADE TO ANY DISQUALIFIED PERSON IS APPROVED BY THE COMPENSATION COMMITTEE THROUGH THE PROCESS DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 15. ------------------------------</ExplanationTxt>
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        <FormAndLineReferenceDesc>SUPPLEMENTAL INFORMATION ON TAX-EXEMPT BONDS</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, SCHEDULE K PENNSYLVANIA HOSPITAL HAS BEEN ALLOCATED A PORTION OF THE PA HIGHER ED FACILITIES AUTHORITY- UPHS SERIES A OF 2008 BOND ISSUE FROM THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA (EIN: 23-1352685) ("UNIVERSITY"), A RELATED IRC SECTION 501(C)(3) ORGANIZATION. SINCE THE UNIVERSITY REMAINS AS THE PRIMARY OBLIGOR OF THE BOND, ALL INFORMATION REGARDING THE UPHS SERIES A OF 2008 BOND ISSUE HAS BEEN REPORTED ON THE FORM 990, SCHEDULE K OF THE UNIVERSITY. THE TOTAL ALLOCATED OUTSTANDING BALANCE FOR PENNSYLVANIA HOSPITAL WAS $15,419,050 AS OF JUNE 30, 2021. PENNSYLVANIA HOSPITAL HAS BEEN ALLOCATED A PORTION OF THE PA HIGHER ED FACILITIES AUTHORITY- UPHS SERIES A 2012 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 2012 BOND ISSUE HAS BEEN REPORTED ON THE FORM 990, SCHEDULE K OF THE UNIVERSITY. THE TOTAL ALLOCATED OUTSTANDING BALANCE FOR PENNSYLVANIA HOSPITAL WAS $27,406,052 AS OF JUNE 30, 2021. PENNSYLVANIA HOSPITAL 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 PENNSYLVANIA HOSPITAL WAS $34,540,200 AS OF JUNE 30, 2021. PENNSYLVANIA HOSPITAL HAS BEEN ALLOCATED A PORTION OF THE PA HIGHER ED FACILITIES AUTHORITY- UPHS SERIES C 2016 BOND ISSUE FROM THE UNIVERSITY, A RELATED IRC SECTION 501(C)(3) ORGANIZATION. SINCE THE UNIVERSITY REMAINS AS THE PRIMARY OBLIGOR OF THE BOND, ALL INFORMATION REGARDING THE UPHS SERIES C 2016 BOND ISSUE HAS BEEN REPORTED ON THE FORM 990, SCHEDULE K OF THE UNIVERSITY. THE TOTAL ALLOCATED OUTSTANDING BALANCE FOR PENNSYLVANIA HOSPITAL WAS $14,198,441 AS OF JUNE 30, 2021. PENNSYLVANIA HOSPITAL HAS BEEN ALLOCATED A PORTION OF THE PA HIGHER ED FACILITIES AUTHORITY- UPHS SERIES A 2021 BOND ISSUE FROM THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA (EIN: 23-1352685) ("UNIVERSITY"), A RELATED IRC SECTION 501(C)(3) ORGANIZATION. SINCE THE UNIVERSITY REMAINS AS THE PRIMARY OBLIGOR OF THE BOND, ALL INFORMATION REGARDING THE UPHS SERIES A 2021 BOND ISSUE HAS BEEN REPORTED ON THE FORM 990, SCHEDULE K OF THE UNIVERSITY. THE TOTAL ALLOCATED OUTSTANDING BALANCE FOR PENNSYLVANIA HOSPITAL WAS $3,993,410 AS OF JUNE 30, 2021.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE L, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANTS OR ASSISTANCE BENEFITING INTERESTED PERSONS CERTAIN OFFICERS AND/OR KEY EMPLOYEES OF PENNSYLVANIA HOSPITAL MAY RECEIVE TUITION ASSISTANCE FROM THE ORGANIZATION. THE AMOUNT OF SUCH ASSISTANCE HAS BEEN ACCOUNTED FOR AS A COMPONENT OF OVERALL COMPENSATION REPORTED FOR EACH APPLICABLE OFFICER/KEY EMPLOYEE ON FORM 990, PART VII. AS A RESULT, PURSUANT TO THE FORM 990, SCHEDULE L INSTRUCTIONS, SUCH AMOUNTS HAVE NOT BEEN ALSO REPORTED ON SCHEDULE L, PART III.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
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    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>DETAIL OF PROGRAM SERVICE ACCOMPLISHMENTS PENNSYLVANIA HOSPITAL IS A 475 BED, COMMUNITY BASED, TERTIARY CARE TEACHING HOSPITAL PROVIDING A FULL RANGE OF DIAGNOSTIC AND THERAPEUTIC MEDICAL SERVICES. THE HOSPITAL'S SPECIALTIES INCLUDE OBSTETRICS AND GYNECOLOGY, NEUROSCIENCES, ORTHOPEDICS, BEHAVIORAL HEALTH, CANCER TREATMENT, CARDIAC CARE, AND BLOODLESS MEDICINE AND SURGERY. SINCE ITS FOUNDING IN 1751, THE MISSION OF PENNSYLVANIA HOSPITAL HAS BEEN TO PROVIDE THE HIGHEST LEVEL OF HEALTH CARE FOR ALL, REGARDLESS OF ABILITY TO PAY. THE HOSPITAL SUBSIDIZES THE COST OF TREATING PATIENTS WHO ARE UNINSURED AND UNABLE TO PAY, OR WHEN GOVERNMENT ASSISTANCE REIMBURSEMENT FALLS BELOW COST. PENNSYLVANIA HOSPITAL ACCEPTS PATIENTS IN SERIOUS NEED OF PROFESSIONAL MEDICAL CARE, INDEPENDENT OF THEIR FINANCIAL STATUS. THIS DEFINITION INCLUDES THOSE PATIENTS SUFFERING FROM A MEDICAL CONDITION MANIFESTING ITSELF BY ACUTE SYMPTOMS OF SUFFICIENT SEVERITY (INCLUDING SEVERE PAIN) SUCH THAT THE ABSENCE OF IMMEDIATE MEDICAL ATTENTION COULD REASONABLY BE EXPECTED TO RESULT IN (1) PLACING THE HEALTH OF THE INDIVIDUAL (OR, WITH RESPECT TO A PREGNANT WOMAN, THE HEALTH OF THE WOMAN OR HER UNBORN CHILD) IN SERIOUS JEOPARDY, OR (2) SERIOUS IMPAIRMENT TO BODILY FUNCTIONS. ACCORDINGLY, PENNSYLVANIA HOSPITAL PROVIDES SERVICES TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY, WITHOUT CHARGE OR AT AMOUNTS LESS THAN PENNSYLVANIA HOSPITAL'S ESTABLISHED RATES. BECAUSE PENNSYLVANIA HOSPITAL DOES NOT PURSUE COLLECTIONS, SUCH AMOUNTS HAVE BEEN EXCLUDED FROM NET PATIENT SERVICE REVENUE. PENNSYLVANIA HOSPITAL ESTIMATED $1,754,875 OF COSTS WERE INCURRED DURING 2021. THE ESTIMATED COSTS OF PROVIDING CHARITY SERVICES ARE BASED ON DATA DERIVED FROM A COMBINATION OF THE PENNSYLVANIA HOSPITAL (UPHS) ACCOUNTING SYSTEM AND THE RATIO OF COSTS TO CHARGES. PENNSYLVANIA HOSPITAL ALSO PROVIDES CARE TO PATIENTS WHO DO NOT HAVE HEALTH INSURANCE OR MEET THE CRITERIA TO QUALIFY FOR ITS CHARITY CARE POLICY. PENNSYLVANIA HOSPITAL PURSUES COLLECTION OF THESE AMOUNTS, HOWEVER CERTAIN AMOUNTS ARE DEEMED TO BE UNCOLLECTIBLE. FOR 2021 $14,448,188 WAS CLASSIFIED AS AN IMPLICIT PRICE CONCESSION WHICH REDUCES NET PATIENT SERVICE REVENUE. ADDITIONALLY, THE COSTS OF PROVIDING SERVICES TO ELIGIBLE WELFARE RECIPIENTS, WHO PARTICIPATE IN THE PENNSYLVANIA MEDICAL ASSISTANCE AND LOCAL MANAGED MEDICAID PROGRAMS EXCEEDED REIMBURSEMENT BY $29,643,561 IN 2021. IN ADDITION TO PROVIDING DIRECT PATIENT CHARITY CARE AND IN FURTHERANCE OF ITS EXEMPT PURPOSE TO BENEFIT THE COMMUNITY, THE HOSPITAL OPERATES AN EMERGENCY DEPARTMENT OPEN TO THE PUBLIC 24 HOURS PER DAY, 7 DAYS PER WEEK, MAINTAINS RESEARCH FACILITIES FOR THE STUDY OF DISEASE AND INJURIES, PROVIDES FACILITIES FOR TEACHING AND TRAINING VARIOUS MEDICAL PERSONNEL, AND FACILITATES THE ADVANCEMENT OF MEDICAL AND SURGICAL EDUCATION. THE HOSPITAL ALSO PROVIDES VARIOUS COMMUNITY SERVICES SUCH AS SCREENINGS FOR THE DETECTION OF BREAST, COLORECTAL, AND SKIN CANCER, CANCER SUPPORT GROUPS, A TOLL-FREE NUMBER FOR CANCER INFORMATION, FREE IMMUNIZATION SHOTS, TRAINING PROGRAMS FOR THE CITY FIRE AND POLICE DEPARTMENTS, HEALTH EDUCATION CLASSES, SPEECHES AND REGULARLY PROVIDES HEALTH RELATED INFORMATION TO TELEVISION AND RADIO NEWS PROGRAMS AND TO REPORTERS AT NEWSPAPERS AND MAGAZINES. PENNSYLVANIA HOSPITAL PROVIDES A CONTINUUM OF HEALTH CARE SERVICES, INCLUDING EMERGENCY SERVICES, INPATIENT SERVICES, PRIMARY AND SPECIALTY CARE OUTPATIENT SERVICES, AND BEHAVIORAL HEALTH SERVICES. HEALTH SERVICES ARE PROVIDED FOR PERSONS WITHOUT REGARD TO RACE, COLOR, RELIGIOUS BELIEF, ANCESTRY, GENDER, HANDICAP, AGE, OR NATIONAL ORIGIN. IN FISCAL YEAR 2021, PENNSYLVANIA HOSPITAL ADMITTED 18,562 ADULT PATIENTS AND HAD 296,509 OUTPATIENT VISITS. IN ADDITION, 68,250 PSYCHIATRY PATIENTS WERE TREATED. THE EMERGENCY DEPARTMENT TREATED 37,921 PATIENTS IN 2021. THE PENNSYLVANIA HOSPITAL EMERGENCY DEPARTMENT IS STAFFED AND EQUIPPED TO PROVIDE EXCELLENT EMERGENCY MEDICAL CARE 24 HOURS A DAY, SEVEN DAYS A WEEK. ALL PATIENTS ARE EVALUATED REGARDLESS OF THEIR ABILITY TO PAY. THE PENNSYLVANIA HOSPITAL EMERGENCY DEPARTMENT IS RECOGNIZED BY THE EMERGENCY NURSES ASSOCIATION AS A LANTERN-RECOGNIZED EMERGENCY DEPARTMENT. THIS AWARD DISTINGUISHES EMERGENCY DEPARTMENTS FOR EXCELLENCE IN EXCEPTIONAL PRACTICE AND INNOVATIVE PERFORMANCE IN THE CORE AREAS OF LEADERSHIP, PRACTICE, EDUCATION, ADVOCACY AND RESEARCH. ONLY 1% OF EMERGENCY DEPARTMENTS NATIONWIDE HAVE RECEIVED THIS ESTEEMED RECOGNITION. COMBATING COVID-19 PENNSYLVANIA HOSPITAL IS PART OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM (UPHS). 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 BIO BANK 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 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. COMMUNITY SERVICES &amp; PROGRAMS SUPPORTED BY PENNSYLVANIA HOSPITAL HALL-MERCER COMMUNITY MENTAL HEALTH CENTER OFFERS OUTPATIENT SERVICES RANGING FROM PSYCHOTHERAPY TO COUNSELING THROUGH A VARIETY OF SPECIALIZED PROGRAMS FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES, CHRONIC MENTAL ILLNESS, AND RELATED PROBLEMS. THE CENTER RECEIVES THE MAJORITY OF ITS SUPPORT FROM THE CITY AND STATE, BUT PENNSYLVANIA HOSPITAL SUBSIDIZES A SIGNIFICANT PORTION OF ITS SERVICES. MANY OUTPATIENT SERVICES ARE AVAILABLE ON A SLIDING SCALE FEE BASIS. SPECIAL PROGRAMS WITHIN HALL-MERCER INCLUDE: ACCESS INTENSIVE CASE MANAGEMENT IS A TARGETED CASE MANAGEMENT PROGRAM WHICH SERVES ADULTS RECOVERING FROM SEVERE MENTAL ILLNESS WITH POSSIBLE CO-OCCURRING SUBSTANCE ABUSE ISSUES. MANY PARTICIPANTS AUTHORIZED TO THIS PROGRAM ARE HOMELESS OR MAY HAVE A HISTORY OF BEING HOMELESS. A TEAM APPROACH AND RECOVERY-BASED MODEL IS USED TO CONNECT PARTICIPANTS WITH SUPPORTIVE SERVICES WHICH ENCOURAGE DAILY STABILITY AND REDUCED PSYCHIATRIC HOSPITALIZATIONS. ADULT MENTAL HEALTH SERVICES PROVIDES COMPREHENSIVE OUTPATIENT MENTAL HEALTH SERVICES IN CENTER CITY, SOUTH PHILADELPHIA AND SURROUNDING AREAS. SPECIFIC SERVICES INCLUDE EVALUATIONS, PSYCHOTHERAPY, PHARMACOTHERAPY, AND SOCIAL REHABILITATION. EMPHASIS IS ON PROVIDING ALL PERSONS WHO HAVE SEVERE AND CHRONIC MENTAL ILLNESS WITH OUTSTANDING CARE IN A PLEASANT ENVIRONMENT AND RESPECTFUL MANNER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A (CONT.)</FormAndLineReferenceDesc>
        <ExplanationTxt>BEHAVIORAL HEALTH SERVICES AT THE PHILADELPHIA JUVENILE JUSTICE SERVICES CENTER (PJJSC) HALL-MERCER PROVIDES BEHAVIORAL HEALTH SERVICES AT THE PHILADELPHIA JUVENILE JUSTICE SERVICES CENTER (PJJSC). THE CLINICAL TEAM AT THE PJJSC PROVIDES ADJUSTMENT/CRISIS SERVICES, INDIVIDUAL THERAPY FOR YOUTH WITH EXTENDED LENGTH OF STAY, AND PSYCHIATRIC EVALUATION AND MEDICATION MANAGEMENT. BLENDED CASE MANAGEMENT (BCM) IS A TARGETED CASE MANAGEMENT PROGRAM WHICH SERVES ADULTS RECOVERING FROM SEVERE MENTAL ILLNESS WITH POSSIBLE CO-OCCURRING SUBSTANCE ABUSE ISSUES. MANY PARTICIPANTS IN THE PROGRAM MAY HAVE A HISTORY OF HOMELESSNESS. BCM PARTICIPANTS REQUIRE LESS INTENSIVE CASE MANAGEMENT SERVICES THAN THOSE ENROLLED IN ACCESS. A TEAM APPROACH AND RECOVERY-BASED MODEL IS USED TO CONNECT PARTICIPANTS WITH SUPPORTIVE SERVICES WHICH ENCOURAGE DAILY STABILITY AND REDUCED PSYCHIATRIC HOSPITALIZATIONS. HALL MERCER ALSO OFFERS A SOUTHEAST ASIAN BLENDED CASE MANAGEMENT PROGRAM WHICH PROVIDES BCM TO ADULTS WHO SPEAK CANTONESE, MANDARIN, VIETNAMESE, KHMER, OR LAO. CASE MANAGERS IN THIS PROGRAM PROVIDE ENGLISH INTERPRETATION TO HELP PARTICIPANTS CONNECT TO PUBLIC BENEFITS AND OTHER COMMUNITY SUPPORTS. CHILD AND FAMILY MENTAL HEALTH SERVICES PROVIDES MENTAL HEALTH EVALUATIONS AND TREATMENT TO CHILDREN AND ADOLESCENTS AGE 3-18 AND THEIR FAMILIES, WHO ARE RESIDENTS OF PHILADELPHIA. SPECIALIZES IN TRAUMA-INFORMED CARE. CHILDREN'S COMMUNITY BASED SERVICE DEPARTMENT WAS ESTABLISHED TO BRING TOGETHER THE COMMUNITY BASED CHILDREN'S SERVICE PROGRAMS THAT PROVIDE CLINICAL AND CASE MANAGEMENT SERVICES IN THE COMMUNITY TO CHILDREN AND THEIR FAMILIES. THE DEPARTMENT IS MADE UP OF CHILDREN'S BLENDED CASE MANAGEMENT AND HOME-SCHOOL CONNECTION. THE RANGE OF SERVICES PROVIDED INCLUDES CLINICAL EVALUATIONS AND REFERRALS, INDIVIDUAL AND GROUP THERAPY, FAMILY MEETINGS, CRISIS INTERVENTION AND CASE MANAGEMENT SERVICES. THESE PROGRAMS SERVICE CHILDREN AND ADOLESCENTS. THE RANGE OF SERVICES PROVIDED IN THE SCHOOL INCLUDE CLINICAL EVALUATIONS AND REFERRALS, CASE MANAGEMENT SERVICES, BEHAVIORAL THERAPEUTIC SERVICES AND GROUPS. THESE PROGRAMS TARGET CHILDREN AND ADOLESCENTS. EARLY CHILDHOOD PROGRAM HALL-MERCER RECENTLY PARTNERED WITH THE PENN CENTER FOR MENTAL HEALTH TO BRING AUTISM SERVICES TO CHILDREN 3-5 YEARS OLD. THE EARLY CHILDHOOD PROGRAM SERVES AS A THERAPEUTIC PRESCHOOL FOR CHILDREN WHO STRUGGLE WITH EMOTIONAL AND BEHAVIORAL REGULATION, SOCIAL COMMUNICATION SKILLS, AND PLAY SKILLS - MAKING IT DIFFICULT FOR THEM TO LEARN IN A TRADITIONAL SCHOOL ENVIRONMENT. THE PROGRAM HAS THE CAPACITY TO SERVE 32 CHILDREN ON A DAILY BASIS, IN OUR NATURALIST CHILD-LED LEARNING SPACE. HOMELESS OUTREACH PROGRAM PROVIDES ENGAGEMENT TO PEOPLE WHO ARE LIVING ON THE STREET. HALL MERCER WORKS IN CONJUNCTION WITH DBHIDS AND OTHER HOMELESS OUTREACH PROGRAMS TO ASSIST THE HOMELESS COMMUNITY WITH CONNECTING TO SHELTER, URGENT MEDICAL OR PSYCHIATRIC TREATMENT, OR TO SIMPLY PROVIDE RESOURCES THAT HELP PEOPLE MEET THEIR IMMEDIATE SURVIVAL NEEDS. THE GOAL OF OUTREACH IS TO BUILD TRUSTING RELATIONSHIPS WITH THE HOMELESS COMMUNITY SO THAT THE OUTREACH WORKER CAN HELP SOMEONE ADDRESS THE BARRIERS WHICH PREVENT THEM FROM SEEKING SHELTER. HALL MERCER IS STAFFED WITH AN OUTREACH TEAM 365 DAYS A YEAR. INTELLECTUAL DISABILITIES PROGRAMS PROVIDE AN ARRAY OF SERVICES TO ADULTS WITH INTELLECTUAL DISABILITIES AND THEIR FAMILIES TO SUPPORT INDIVIDUAL CHOICE, COMMUNITY INVOLVEMENT, AND USE OF TRADITIONAL AND NATURAL RESOURCES. THESE INCLUDE THE INTENSIVE SERVICES CASE MANAGEMENT PROGRAM (ISCM) AND THE COMMUNITY DAY TRAINING PROGRAM FOR ADULTS. THE ISCM PROGRAM IS A CITY-WIDE PROGRAM WHICH WORKS IN COLLABORATION WITH THE PHILADELPHIA OFFICE OF INTELLECTUAL DISABILITIES (IDS) TO PROVIDE EMERGENCY SUPPORTS COORDINATION TO ADULTS WITH INTELLECTUAL DISABILITIES LIVING IN ALL CATCHMENT AREAS. THE PROGRAM OPERATES 24 HOURS A DAY, 7 DAYS PER WEEK AND RESPONDS TO EMERGENCY SITUATIONS SUCH AS EMERGENCY PLACEMENT DUE TO ABUSE, NEGLECT OR DEATH OF A CAREGIVER, MOVING INDIVIDUALS FROM SUBSTANDARD LIVING CONDITIONS INTO A SAFE LIVING ENVIRONMENT. THE ISCM PROGRAM ALSO ASSISTS UNDERSERVED INDIVIDUALS IN THE COMMUNITY TO BECOME REGISTERED AND RECEIVE SERVICES THROUGH IDS. THE COMMUNITY DAY TRAINING PROGRAM PROVIDES PSYCHO-SOCIAL HABILITATION SERVICES, BEHAVIORAL SHAPING AND SUPPORTIVE COUNSELING SERVICES TO ADULTS DIAGNOSED WITH INTELLECTUAL DISABILITIES AND MENTAL ILLNESS. SERVICES ARE DESIGNED TO PROMOTE THE DEVELOPMENT OF OPTIMAL COMMUNITY ADJUSTMENT AND INTEGRATION. THE PROGRAM IS CURRENTLY RUNNING VIRTUALLY DUE TO COVID AND FEATURES VIRTUAL TOURS TO POINTS OF INTEREST IN THE COMMUNITY, INCLUDING TRIPS TO MUSEUMS, THEATERS, AND VARIOUS HISTORICAL SITES. PHIICAPS (PHILADELPHIA INTENSIVE IN-HOME CHILD AND ADOLESCENT PSYCHIATRY SERVICE) PROVIDE INTENSIVE FAMILY TREATMENT AND CASE MANAGEMENT TO 48 FAMILIES AT A TIME. THE CHILD OR ADOLESCENT IS IDENTIFIED TO BE SEVERELY EMOTIONALLY DISTURBED AND AT RISK OF HOSPITALIZATION OR OUT OF HOME PLACEMENT. MODALITIES INCLUDE INDIVIDUAL AND FAMILY THERAPY, TF-CBT, CBT WITH EXPOSURE THERAPY FOR SEVERE ANXIETY DISORDERS, ADVOCACY AND CASE MANAGEMENT IN THE CHILD, FAMILY, ENVIRONMENT AND SCHOOL DOMAINS. PHIICAPS HAS SIX TEAMS, EACH MADE UP OF ONE MASTER'S LEVEL CLINICIAN AND ONE BACHELORS LEVEL MENTAL HEALTH WORKER. ALL ARE DESIGNATED AS TRAUMA SPECIALTY TEAMS, PER CBH. TWO TEAMS ARE SPANISH-SPEAKING. ONE TEAM IS A PILOT ANXIETY-DISORDER SPECIALTY TEAM. PREVENTION AND RECOVERY SERVICES (PARS) IS A 90-DAY TARGETED CASE MANAGEMENT SERVICE WHICH SERVES ADULTS RECOVERING FROM SEVERE MENTAL ILLNESS WITH POSSIBLE CO-OCCURRING SUBSTANCE ABUSE ISSUES. MANY PARTICIPANTS IN THIS PROGRAM MAY HAVE A HISTORY OF HOMELESSNESS. CASE MANAGERS, THROUGH A TEAM APPROACH AND RECOVERY-BASED MODEL, PROVIDE RAPID INTERVENTION TO ASSIST INDIVIDUALS WITH CONNECTING TO SUPPORTS WHICH WILL ALLOW THEM TO REACH THE HIGHEST LEVEL OF INDEPENDENT FUNCTIONING POSSIBLE. OTHER HALL-MERCER ACTIVITIES . IN COLLABORATION WITH PAH HOSTED AN ANNUAL FOOD DRIVE. (ANNUAL) . HALL MERCER DEVELOPED A CLOTHES ROOM TO ASSIST CONSUMERS IN NEED. (ONGOING) . HALL MERCER DEVELOPED A FOOD PANTRY TO ASSIST CONSUMERS IN NEED. (ONGOING) . COLLABORATED WITH PAH TO DEVELOP A FOOD PANTRY FOR UPHS STAFF IN NEED. (ONGOING) . TEAMING WITH PAH SW DEPARTMENT'S SHARED GOVERNANCE COMMITTEE TO PROVIDE TOILETRIES AND OTHER ESSENTIAL ITEMS FOR PARTICIPANTS IN OUR HALL MERCER OUTREACH PROGRAM. . STAFF MEMBERS OF THE PHILADELPHIA MEDICAL RESERVE CORPS IS A COMMITTED GROUP OF VOLUNTEERS, WITH AND WITHOUT MEDICAL BACKGROUNDS, WHO HELP KEEP PHILADELPHIA SAFE BY RESPONDING TO PUBLIC HEALTH EMERGENCIES. THE PHILADELPHIA MRC HELPS ENSURE THAT ALL PHILADELPHIANS, ESPECIALLY THE MOST VULNERABLE, RECEIVE THE CARE THEY NEED DURING A PUBLIC HEALTH CRISIS. (ONGOING) . MEMBERS OF THE PHILADELPHIA MRC. A GROUP OF MEDICAL, PUBLIC HEALTH, AND OTHER VOLUNTEERS WHO ARE READY TO SERVE PHILADELPHIA DURING PUBLIC HEALTH EMERGENCIES OR OTHER TIME OF NEED. (ONGOING) . STAFF MEMBER VOLUNTEERS TO RESPOND DURING LARGE AND SMALL-SCALE EMERGENCIES, SUCH AS AN INFLUENZA PANDEMIC, A BIOTERRORISM EVENT, A SEVERE STORM THAT REQUIRES THE CITY TO OPEN MASS SHELTERS, OR OTHER EVENT THAT OVERWHELMS COMMUNITY RESOURCES. (ONGOING). . THE THERAPIST IN THE DUAL DIAGNOSIS OUTPATIENT PROGRAM HAS ENGAGED THE AA INTERGROUP TO ACCEPT OUR CONSUMERS TO WORK AT THEIR CENTER CITY OFFICES, AIDING IN THEIR RECOVERY. (ONGOING) . HALL MERCER IMPLEMENTED A PATIENT RECOVERY MENTAL HEALTH AND HEALTH AND WELLNESS PROGRAM. (ONGOING) . STAFF VOLUNTEERS WITH LOCAL ANIMAL RESCUE ORGANIZATION. (ONGOING) . HALL MERCER PROVIDES BEHAVIORAL HEALTH TRAINING AND EDUCATION TO THE STAFF OF AREA COMMUNITY RESIDENTIAL PROGRAMS AND HOMELESS SHELTERS. (ONGOING) . HALL MERCER PARTNERED WITH PAH FOOD AND NUTRITION DEPARTMENT TO SPONSOR A FAMILY AT CHRISTMAS. . HALL MERCER PROGRAMS ADOPTED FAMILIES TO PROVIDE HOLIDAY GIFTS DURING THE HOLIDAY SEASON. . STAFF MEMBERS VOLUNTEERED TO HOST MENTAL HEALTH SCREENING EVENTS IN COLLABORATION WITH THE PHILADELPHIA, DEPARTMENT OF BEHAVIORAL HEALTH</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A (CONT.)</FormAndLineReferenceDesc>
        <ExplanationTxt>DIABETES EDUCATION CENTER-PENNSYLVANIA HOSPITAL THE DIABETES EDUCATION CENTER PROVIDES COMPREHENSIVE OUTPATIENT EDUCATION AND TRAINING FOR DIABETICS, FAMILY MEMBERS, AND MEMBERS OF THE COMMUNITY. OUR TEAMS CONSIST OF A REGISTERED NURSE, CERTIFIED DIABETES EDUCATOR, REGISTERED LICENSED DIETITIAN AND A CERTIFIED PUBLIC HEALTH EDUCATOR. THE CENTER PROVIDES ITS SERVICES, REGARDLESS OF INSURANCE STATUS OR ABILITY TO PAY FOR SERVICES. SERVICES PROVIDED IN FY21 INCLUDED: . COMPREHENSIVE DIABETES SELF-MANAGEMENT EDUCATION IN GROUPS OR INDIVIDUAL SETTINGS. THE PROGRAM HOLDS "RECOGNITION STATUS" FROM THE AMERICAN DIABETES ASSOCIATION AND IS TAUGHT BY A MULTIDISCIPLINARY TEAM INCLUDING MEMBERS OF THE DEPARTMENTS OF MEDICINE, NURSING, PHYSICAL THERAPY, FOOD AND NUTRITION, PHARMACY, AND SURGERY AT PENNSYLVANIA HOSPITAL . INDIVIDUAL EDUCATION FOR SPECIFIC DIABETES MANAGEMENT TASKS SUCH AS SELF BLOOD-GLUCOSE MONITORING AND MEDICATION ADMINISTRATION . DIABETES AWARENESS EDUCATION FOR LOCAL CIVIC, BUSINESS, AND SOCIAL GROUPS . PROFESSIONAL EDUCATION FOR NURSES, ADVANCE PRACTICE PRACTITIONERS, PHARMACISTS, DIETICIANS, AND DISABLED AND BEHAVIORAL HEALTH CLINICIANS . IN ADDITION, GRADUATE AND UNDERGRADUATE STUDENTS IN THE HEALTH PROFESSION, INCLUDING NURSES, HEALTH EDUCATORS AND DIETICIANS, COMPLETE DEGREE REQUIREMENTS AND OBTAIN PRACTICAL EXPERIENCE WITH THE CENTER . DIABETES PREVENTION PROGRAM (DPP) FULLY RECOGNIZED PROGRAM FROM THE CENTERS FOR DISEASE CONTROL (CDC) OFFERING A YEAR- LONG PROGRAM FOR PARTICIPANTS WHO MEET THE CRITERIA SET FORTH BY THE CDC. PROGRAM STATISTICS FOR FY21 ARE AS FOLLOWS: . GROUP CLASS PARTICIPANTS: VIRTUAL - 252; FACE TO FACE 274 = 526 VISITS . INDIVIDUAL CONSULTATIONS: VIRTUAL - 98; FACE TO FACE - 123 = 221 VISITS. . MNT INDIVIDUAL CONSULTS: VIRTUAL - 260; FACE TO FACE - 174 = 434 VISITS. . DIABETES PREVENTION PROGRAM - FACE TO FACE - 76 VISITS . GESTATIONAL DIABETES - VIRTUAL 7; FACE TO FACE - 60 67 VISITS . TOTAL NUMBER OF BILLABLE VISITS: 1,324 VISITS . FREE PREDIABETES CLASS: 40 VISITS . INPATIENT CONSULTS: 6 VISITS . LATINA COMMUNITY (LCHS): 4 . PROFESSIONAL EDUCATION: APPROX. 50 PARTICIPANTS . DIABETES FOLLOW-UP &amp; MANAGEMENT-TELECOMMUNICATION: 2,000 . DIABETES FOLLOW-UP &amp; MANAGEMENT-IN PERSON CONSULT: 21 . FAMILY MEMBERS WHO ATTENDED CLASS: 10 . HEALTH PROFESSIONAL STUDENTS PARTICIPATED IN PROGRAM ACTIVITIES IN COMPLETION OF DEGREE REQUIREMENTS: 2 ABRAMSON CANCER CENTER AT PENNSYLVANIA HOSPITAL AS PART OF THE ABRAMSON CANCER CENTER AT PENNSYLVANIA HOSPITAL, THE JOAN KARNELL SUPPORTIVE CARE PROGRAM OFFERS SUPPORT TO HELP CANCER PATIENTS AND THEIR FAMILIES COPE WITH THE DIAGNOSIS OF CANCER. LED BY TRAINED PROFESSIONALS, THESE GROUPS OFFER EMOTIONAL SUPPORT, EDUCATION, OPPORTUNITIES TO LEARN WAYS OF COPING WITH UNCERTAINTY AND CHANGE, AND A CHANCE TO MEET OTHERS WHO FACE SIMILAR ISSUES. THE CENTER ALSO SUPPORTS ADVOCACY GROUPS WHO PROVIDE PROGRAMS AND SUPPORT TO MUTUAL PATIENTS, THROUGH SHARING OF RESOURCES AND STAFF VOLUNTEERING. WEEKLY SUPPORT GROUPS: . PATIENT SUPPORT GROUP: AN IN-PERSON, WHICH PIVOTED TO A VIRTUAL SUPPORT GROUP, FOR ALL PEOPLE DIAGNOSED WITH CANCER FACILITATED BY THE CHAPLAIN AND A SOCIAL WORKER OR PSYCHOLOGIST. WEEKLY MEETINGS 1/5/21 - 6/9/21, 23 MEETINGS WITH TOTAL ATTENDANCE OF 94 . WELLNESS YOGA PROVIDED VIRTUALLY VIA ZOOM BY MICHELLE STORTZ. WEEKLY CLASSES PROVIDED TO CANCER PATIENTS AND CAREGIVERS. 1/2021 - 6/2021 25 SESSIONS WITH TOTAL ATTENDANCE OF 73. MONTHLY SUPPORT GROUPS: . SICKLE CELL SUPPORT GROUP (EDUCATION AND SUPPORT GROUP) MEETINGS WERE HELD IN SEPTEMBER 2020 THROUGH JULY 2021 PROVIDING 8 SESSIONS WITH ATTENDANCE OF 14. . WELLNESS YOGA FOR SICKLE CELL PROGRAM PROVIDED VIRTUALLY VIA ZOOM BY MICHELLE STORTZ. MONTHLY CLASSES PROVIDED TO PATIENTS AND CAREGIVERS COPING WITH SICKLE CELL DISEASE. 9 SESSIONS WITH ATTENDANCE OF 15. ANNUAL SERIES (INCLUDING SCREENINGS, AWARENESS PROGRAMS, WALKS AND RACES, AND FUNDRAISERS) . COOKING NUTRITIOUS &amp; DELICIOUS FOOD, A SERIES OF VIRTUAL MEETINGS FROM OUR NUTRITION COUNSELORS. &gt; EAT YOUR HERBS: THE CULINARY USE OF CANCER FIGHTING HERBS.10/7/2020 &gt; MEAL DELIVERY SERVICES 10/21/20 &gt; SHELF STABLE AND HEALTHY 11/11/20 . HOLISTIC LIVING CHALLENGE: EDUCATION AND SUPPORT FOR A PREVENTIVE LIFESTYLE. 6 WEEKLY PROGRAMS: 5/21 - 6/21 AVERAGING 6 ATTENDEES/SESSION TOTAL ATTENDANCE OF 30 . EXERCISE AND NUTRITION PROGRAM FOR PATIENTS WITH BREAST CANCER. A 5-WEEK SERIES, 2/21 - 3/21 WHICH WAS WELL ATTENDED AVERAGING 22/SESSION, A TOTAL OF 99 PARTICIPANTS. A MULTIDISCIPLINARY TEAM FACILITATED THIS SERIES ALONG WITH INVITED GUEST SPEAKERS INCLUDING A REHAB PHYSICIAN, PHARMACIST, MASSAGE THERAPIST, AND YOGA SPECIALIST. . CANCER SURVIVORSHIP MONTH: A GENERAL FOCUS ON CANCER SURVIVORSHIP HIGHLIGHTING THE SUPPORTIVE CARE SERVICES PROVIDED AT THE CANCER CENTER. PROVIDED ADDITIONAL INFORMATION AND UPDATES AND GIVEAWAYS AND A T-SHIRT FUNDRAISER ON SITE. 6/4/21 .THE RADIATION THERAPY DEPARTMENT AND MEDICAL ONCOLOGY DEPARTMENT PARTICIPATED IN A VIRTUAL 2ND ANNUAL SURVIVORS DAY 5K WALK/RUN COMPETITION AND FUNDRAISER. 6/6/21 . 18TH ANNUAL FOCUS ON MELANOMA, VIRTUAL EDUCATION PROGRAM 5/21/21 . WEAR RED DAY: STAFF WORE RED AND HOSTED A TABLE WITH INFORMATION AT THE HOSPITAL ABOUT SICKLE CELL DISEASE AND SHINE THE LIGHT ON SICKLE CELL. 6/16/21 . SICKLE CELL WALK: STAFF AND PATIENTS SUPPORTED A T-SHIRT FUNDRAISER AND ATTENDED WALK 6/19/21 . EDUCATION TABLE AT THE AMERICAN RED CROSS BLOOD DRIVE AT PAH - FOCUSED ON AWARENESS OF SICKLE CELL DISEASE AND THE IMPORTANCE OF A DIVERSE POOL OF DONORS OTHER SUPPORT/COMMUNITY EVENTS: . SISTERS OF US CIRCLE OF SURVIVORS (LOCAL NONPROFIT; EVENTS HELD VIRTUALLY) VIRTUAL BREAST CANCER SURVIVORSHIP SYMPOSIUM WITH KEYNOTE SPEAKERS FROM ACC INCLUDING SUSAN KRUSE, CRNP AND COLLEEN MURPHY, NURSE NAVIGATOR. 11/15/20. ADDITIONAL PROGRAMS PROVIDED ADDRESSED BREAST CANCER IN THE AFRICAN AMERICAN COMMUNITY, 4/29/21, AND A PATIENT EMPOWERMENT EDUCATIONAL SERIES HELD IN JULY 2020. . LOOK GOOD, FEEL BETTER: VIRTUAL WORKSHOP (AN EDUCATIONAL SEMINAR ON MAINTAINING OPTIMAL HEALTH AND PHYSICAL APPEARANCE DURING AND AFTER CANCER TREATMENT. . LIVESTRONG: PARTNERSHIP WITH YMCA; WORKOUT PROGRAM AT LOCAL Y FOR PATIENTS WHO COMPLETED TREATMENT . UNITE FOR HER WELLNESS VIRTUAL WORKSHOP: PARTNERSHIP BETWEEN PENN MEDICINE/ACC AND UFH TO HOST A VIRTUAL WELLNESS DAY, PROVIDING COMPLEMENTARY THERAPY TREATMENT FOR BREAST CANCER PATIENTS. THIS PARTNERSHIP BENEFITS 400 PATIENTS/YEAR ACROSS THE HEALTH SYSTEM. PROGRAMS WERE OFFERED ON 3/19/21 AND 6/6/21 AND A SPECIAL EVENT WAS HELD FOR SPANISH SPEAKING WOMEN ON 2.14.21. DR. MATEO PRESENTED. &gt; PATIENTS AND STAFF ATTENDED VIRTUAL WALK WHICH WAS PROMOTED ONSITE AND ONLINE. 5/23/21 STEPS TO CURE SARCOMA 5K/1MILE VIRTUAL EVENT</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A (CONT.)</FormAndLineReferenceDesc>
        <ExplanationTxt>NEWBORN CARE: THE SECTION ON NEWBORN MEDICINE, THE INTENSIVE CARE NURSERY, AND THE ASSOCIATED DELIVERY AND TERM NURSERIES SERVE MORE THAN 5,000 INFANT-MOTHER PAIRS ANNUALLY. OF THESE, ROUGHLY 40 TO 60 PER YEAR ARE WITHOUT ANY MEANS OF SUPPORT. FREQUENTLY, THERE ARE VARYING PSYCHOSOCIAL REASONS THAT IMPAIR THE MOTHER'S ABILITY TO TAKE THEIR BABIES HOME. IN ALL OF THESE CASES THE PHYSICIAN AND NURSING SUPPORT AND HOSPITAL CARE ARE GIVEN WITHOUT COMPENSATION. THESE SITUATIONS, BECAUSE OF THEIR INEVITABLE PSYCHOSOCIAL COMPLEXITY, CONSUME A GREATER SHARE OF RESOURCES THAN DO MOST COMPENSATED CASES. THE AMOUNT OF CARE RENDERED VARIES, BUT BASED UPON LENGTH OF STAY; CHARGES CAN BE CALCULATED TO APPROXIMATELY $100,000 PER YEAR. THIS FIGURE DOES NOT INCLUDE DONATED PHYSICIAN TIME. THE INTENSIVE CARE NURSERY (ICN) PROVIDES COMPREHENSIVE INTENSIVE CARE TO CRITICALLY ILL AND SICK NEONATES AND THEIR FAMILIES. THE UNIT SPECIALIZES IN PROVIDING CARE TO INFANTS WHO ARE BORN LESS THAN 36 WEEKS GESTATIONAL AGE, AS WELL AS TO INFANTS OF ALL GESTATIONAL AGES WHO REQUIRE INTENSIVE CARE DUE TO CONDITIONS SUCH AS HYPOXIC-ISCHEMIC INJURY; CARDIAC DYSFUNCTION; RESPIRATORY DISTRESS; SEPSIS; HYPOGLYCEMIA; HYPERBILIRUBINEMIA; NEONATAL ABSTINENCE SYNDROME; SEIZURES; OR CONGENITAL ANOMALIES. AFTER DISCHARGE FROM THE INTENSIVE CARE NURSERY, THE DEVELOPMENTAL FOLLOW-UP PROGRAM AT PENNSYLVANIA HOSPITAL PROVIDES OUTPATIENT NEURODEVELOPMENTAL ASSESSMENTS TO ALL INFANTS WHO WERE BORN AT &lt; 32 WEEKS GESTATION, AND/OR THOSE WITH BIRTH WEIGHT &lt; 1500 GRAMS, AS WELL AS OLDER INFANTS WITH HYPOXIC ISCHEMIC ENCEPHALOPATHY, NEONATAL ABSTINENCE SYNDROME, OR SEVERE RESPIRATORY FAILURE. THIS PROGRAM OFFERS SERIAL ASSESSMENTS THROUGH 2 YEARS OF AGE. DURING FY21, FORMER ICN INFANTS WERE EVALUATED DURING APPROXIMATELY 500 VISITS. TO ACCOMMODATE FAMILIES DURING THE COVID-19 PANDEMIC, APPROXIMATELY 20% OF THESE VISITS WERE CONDUCTED VIA TELEMEDICINE. THE INTENSIVE CARE NURSERY FAMILY ADVISORY COUNCIL, FORMED IN 2014, HAS CONTINUED TO BE VERY ACTIVE AND SUPPORTIVE TO ICN FAMILIES. THIS COUNCIL OF APPROXIMATELY 20 FORMER ICN PARENTS AND STAFF MEETS REGULARLY TO FUNDRAISE AND PROVIDE SUPPORT TO CURRENT ICN PARENTS. WORKING WITH ICN MEDICAL AND NURSING PARTNERS, THIS GROUP IDENTIFIED A NEED FOR ONGOING PSYCHOSOCIAL SUPPORT FOR ICN PARENTS, MANY OF WHOM STRUGGLE WITH DEPRESSION AND ANXIETY DURING THE OFTEN PROLONGED HOSPITALIZATION OF THEIR SICK AND PREMATURE INFANTS. PSYCHOLOGY SUPPORT SERVICES WERE PROVIDED DURING FY21 TO ICN FAMILIES WITH STAFFING FROM THE DEPARTMENT OF PSYCHIATRY. PSYCHOLOGY INTERNS PROVIDE 10 HOURS OF CLINICAL TIME FOR THE SUPPORT OF ICN PARENTS WEEKLY. CURRENTLY, THE DEPARTMENT OF NURSING PROVIDES THE FUNDING FOR THIS PROGRAM. FINALLY, THE INTENSIVE CARE AND LABOR FLOOR NURSES HOLD A YEARLY INFANT LOSS AND REMEMBRANCE CEREMONY EACH OCTOBER, ATTENDED BY FAMILIES WHOSE INFANTS PASSED AWAY AFTER BIRTH AT PENNSYLVANIA HOSPITAL. DURING THE COVID-19 PANDEMIC, WE HAVE HELD THIS AS A HYBRID EVENT WITH MOST FAMILIES ATTENDING VIA VIRTUAL ACCESS. NURSE-MIDWIFERY: PENN OB/GYN AND MIDWIFERY CARE, A PRACTICE OF PENNSYLVANIA HOSPITAL, INCLUDES 17 MIDWIVES WHO WORK COLLABORATIVELY WITH PHYSICIANS IN THE DEPARTMENT OF OBSTETRICS AND GYNECOLOGY TO PROVIDE CARE TO LOW-INCOME WOMEN WITH AND WITHOUT MEDICAL RISK FACTORS. A FULL SPECTRUM OF INDIVIDUALIZED, FAMILY-CENTERED REPRODUCTIVE AND GYNECOLOGIC HEALTHCARE IS PROVIDED BASED ON THE PHILOSOPHY OF MUTUAL RESPECT, CLIENT PARTICIPATION, AND EDUCATION. SERVICES ARE PROVIDED WITHIN THE HOSPITAL AS WELL AS IN THE OUTPATIENT OFFICE SETTING. THE MIDWIVES PROVIDE FREE COMMUNITY EDUCATION WITH SPEAKING ENGAGEMENTS TO BREASTFEEDING AND PARENTING GROUPS, NURSING AND UNDERGRADUATE STUDENTS, AND THE GENERAL COMMUNITY. THE MIDWIVES ARE ACTIVE PARTICIPANTS IN THE TRAINING OF MIDWIFERY AND MEDICAL STUDENTS, AS WELL AS OBGYN RESIDENTS AT PENNSYLVANIA HOSPITAL. PARENT EDUCATION, BREASTFEEDING SUPPORT AND CHILDBIRTH EDUCATION: THE BREASTFEEDING WARMLINE IS STAFFED BY CERTIFIED LACTATION CONSULTANTS AND IS AVAILABLE DAILY TO ANSWER QUESTIONS AND CONCERNS ABOUT BREASTFEEDING. IN FY21, WE RECEIVED CALLS FROM WOMEN IN OUR COMMUNITY, AS WELL AS FROM PHYSICIANS, MIDWIVES, INSURANCE COMPANIES, AND OTHERS IN THE COMMUNITY. SOLUTIONS FOR WOMEN OPERATES A HEALTH BOUTIQUE THAT RENTS BREAST PUMPS AND BABY SCALES AND SELLS BREASTFEEDING ACCESSORIES AND SUPPLIES FOR NEW PARENTS. THERE IS A PRODUCT SPECIALIST AVAILABLE TO ANSWER QUESTIONS AND CONCERNS FREE OF CHARGE, AND FREE WEIGHT CHECKS FOR INFANTS ARE PROVIDED. SOLUTIONS FOR WOMEN ALSO OFFERS OUTPATIENT LACTATION CARE IN WHICH WOMEN BENEFIT FROM ONE-TO-ONE CONSULTATION WITH AN INTERNATIONAL BOARD CERTIFIED LACTATION CONSULTANT. IN FY21, 1,149 PATIENTS CAME IN FOR OUTPATIENT CARE. ADDITIONALLY, FOR THE PAST FOUR YEARS, A HOSPITAL-WIDE DIAPER DRIVE WAS ORGANIZED. DURING FY21, OVER 2,500 DIAPERS WERE DONATED TO THE PHILADELPHIA DIAPER BANK FOR LOW INCOME FAMILIES, AS WELL AS COMMUNITY ORGANIZATIONS. BREAST PUMPS (HOSPITAL GRADE) WERE PROVIDED AS LOANERS TO LOW-INCOME WOMEN WITH MEDICAL NEED. WE WERE ABLE TO PROVIDE 15 MONTHS OF "RENTAL" AT NO COST. ADDITIONALLY, 108 MANUAL BREAST PUMPS WERE PROVIDED AT NO COST TO LOW-INCOME FAMILIES IN NEED. BREAST MILK TRANSPORT BAGS WERE PROVIDED TO MOTHERS WHOSE INFANTS WERE ILL OR PRETERM AND NEEDED TO STAY IN THE HOSPITAL AFTER THE MOTHER'S DISCHARGE. 70 MOTHERS RECEIVED THE BAGS AT NO CHARGE. CHILDBIRTH AND PRENATAL EDUCATION IS PROVIDED BY THE FAMILY EDUCATION DEPARTMENT TO FAMILIES IN OUR COMMUNITY. IN FY21, WE HAD 3,425 CLASS PARTICIPANTS. CLASSES INCLUDED THE FOLLOWING: . BABY CARE BASICS -VIRTUAL . BABY TALK - VIRTUAL . BECOMING GRAND - VIRTUAL . BEGINNING BREASTFEEDING -VIRTUAL . BREASTFEEDING AND BACK TO WORK - VIRTUAL . CHILDBIRTH PREP 101 - VIRTUAL . E-CLASS UNDERSTANDING BIRTH (ONLINE) . EXPLORING PARENTHOOD, I - VIRTUAL . EXPLORING PARENTHOOD, II - VIRTUAL . KID'S CLASS - IN-PERSON . LABOR LAB -VIRTUAL . INFANT/CHILD CPR - IN-PERSON . 1:1 PARENTING COACHING SESSIONS - VIRTUAL . PARENTING YOUR YOUNG TODDLER - VIRTUAL . PARENTING YOUR 2ND OR 3RD CHILD - VIRTUAL . PARENTING YOUR 2 YEAR OLD - VIRTUAL . PARENTING YOUR 3 YEAR OLD - VIRTUAL . PEDIATRIC FIRST AID - VIRTUAL . PREGNANT IN A PANDEMIC . SWEET SLEEP - VIRTUAL PHARMACY: THE HARRISON SPECIALTY GRANT PROVIDES COPAY ASSISTANCE IN SITUATIONS WHERE THE COPAY IS THE ONLY BARRIER TO OBTAINING THE MEDICATIONS. THE GRANT ALSO PROVIDES FOR MEDICATION WHEN THE ONLY BARRIER TO DISCHARGE IS THAT COST. FOR FY21, 280 PATIENTS RECEIVED 559 PRESCRIPTIONS IN THE AMOUNT OF $13,405.89. PATIENT AND GUEST RELATIONS WORKS TO ENSURE EVERY PATIENT RECEIVES THE BEST POSSIBLE CARE AND TREATMENT AT PENNSYLVANIA HOSPITAL. REPRESENTATIVES OF THE PATIENT AND GUEST RELATIONS DEPARTMENT SERVE AS A SOURCE OF INFORMATION AND RESOURCES TO HELP PATIENTS, FAMILIES, AND VISITORS. PLEASE SEE THE FOLLOWING QUALITATIVE DATA RELATED TO PATIENT AND GUEST RELATIONS FOR FY21: . PATIENT CONCERN/COMPLAINT RESOLUTION: 701 . INTERPRETER SERVICES: 12,100 . MEAL VOUCHERS: 659 . PARKING VOUCHERS: 601 . NOTARY SERVICE: 135 . CHAPLAIN VISITS: 4,142 COMMUNITY OUTREACH: DESPITE OUR NAVIGATION THROUGH THE PANDEMIC, FOR FY21, PENNSYLVANIA HOSPITAL EMPLOYEES SUPPORTED A RANGE OF COMMUNITY PROJECTS. MULTIPLE SCLEROSIS: DURING THIS PAST FISCAL YEAR, EMPLOYEES OF PENNSYLVANIA HOSPITAL EMPLOYEES CONTRIBUTED $80,198 FOR MULTIPLE SCLEROSIS THROUGH THE ANNUAL MS 150 BIKE RACE. DEPARTMENT OF NURSING: . IN PARTNERSHIP WITH ABRAMSON, SPONSORED AN EVENT TO PROMOTE SHINE THE LIGHT ON SICKLE CELL DISEASE AND GENERAL INFORMATION ABOUT THE SICKLE CELL PROGRAM AT PAH. . GENETIC COUNSELORS FACILITATED AN EDUCATION EVENT PROMOTING FAMILY HISTORY DAY RELATED TO THE IMPORTANCE OF SPEAKING ABOUT MEDICAL HISTORY AND CONSIDERATION FOR GENETIC COUNSELING AND TESTING. . AN EDUCATIONAL TABLE DURING PROSTATE CANCER AWARENESS MONTH TO PROMOTE AWARENESS OF SCREENING RECOMMENDATIONS. . IN PARTNERSHIP WITH HALL MERCER PROVIDED HOLIDAY GIFTS FOR UNDERSERVED FAMILIES. . BLUE WRAP UPCYCLE PROGRAM CREATED MASKS, BAGS, MATS, AND OTHER SUPPLIES FOR VETERANS WITHOUT HOUSING IN SOUTH JERSEY. . PARTNERED WITH HALL MERCER TO SUPPORT HOUSING NEEDS FOR UNDERSERVED FAMILIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A (CONT.)</FormAndLineReferenceDesc>
        <ExplanationTxt>. CREATED "BLESSING BAGS" TO PROVIDE TOILETRIES AND OTHER NECESSITIES TO CLIENTS OF HALL MERCER WHO ARE WITHOUT HOUSING . RAISED FUNDS TO SUPPORT THE PHILADELPHIA REENTRY COALITION, A PROGRAM THAT ASSISTS INDIVIDUALS WITH REENTRY INTO THE COMMUNITY AFTER INCARCERATION . PARTICIPATED IN THE PENN MEDICINE 5K FOR THE INSTITUTE OF AGING . DEVELOPED THE "WE CARE BAGS" PROGRAM, PROVIDING ITEMS TO SUPPORT THE NEEDS OF PATIENTS EXPERIENCING SUBSTANCE ABUSE DISORDER. . SUPPORTED THE COMMUNITY VACCINE CLINIC AT PENN MEDICINE AT THE SCHOOL OF THE FUTURE, WEST PHILADELPHIA HIGH SCHOOL, AND UNIVERSAL AUDENRIED CHARTER SCHOOL . PARTNERED WITH LOCAL ORGANIZATIONS TO CREATE HANDMADE HOLIDAY CARDS FOR PATIENTS: &gt; GIRL SCOUT TROUPE 5513, ELIZABETH FLYNN (HER DAUGHTER WAS AN ICN GRAD MORE THAN A DECADE AGO.) &gt; LAURIE AUMENT (LAURIE AND HER FAMILY CONTRIBUTED HANDMADE CARDS AND ORIGAMI CRANES.) &gt; PHILADELPHIA PUBLIC SCHOOL, TEACHER MARGOT SALTER (80 CARDS) &gt; SAINT GEORGE SCHOOL, DR. JOANNE WALLS &gt; YOUNG CHILDREN'S CENTER FOR THE ARTS, CASEY BOHRMAN &gt; PENNSAUKEN PUBLIC SCHOOLS, TEACHER PEGGY VANCE (MEG VANCE, CLINICAL EDUCATOR AT PAH IS HER DAUGHTER.) &gt; GLOUCESTER MIDDLE SCHOOL, TEACHER JAMIE RITUCCI &gt; CHESTERBROOK ACADEMY, TEACHER SARA MILSTEIN &gt; ST. MICHAEL THE ARCHANGEL REGIONAL SCHOOL, PRINCIPLE PHILIP GIANFORTUNE (100+ HANDMADE CARDS FROM MULTIPLE GRADES) &gt; THE SCHOFIELD FAMILY (CONTRIBUTED HANDMADE CARDS) WOMAN'S HEALTH OUTREACH TEAM (WHO): . VIRTUAL FIELD DAY FOR PHILADELPHIA CHARTER SCHOOL - WHO WORKED WITH ALL OF WOMEN'S HEATH TO DO A 3-PART CAREER DAY SERIES DEPICTING ALL THE CAREERS STUDENTS COULD TRAIN FOR IN THE WOMEN'S SERVICES DEPARTMENT (EVERYTHING FROM ENVIRONMENTAL SERVICES TO A NEONATOLOGIST). . TWO MANNA VOLUNTEER DAYS (ONE IN JULY AND ONE IN NOVEMBER) . SCHOOL SUPPLY DRIVE FOR STANTON SCHOOL IN SEPTEMBER. . HOLIDAY GIFT DRIVE FOR BOARD GAME COLLECTION TO DONATE TO THE NEIGHBORHOOD CENTER IN CAMDEN, NJ. FOOD &amp; NUTRITION: . CONDUCTED HOSPITAL-WIDE FOOD DRIVE FOR MARCH, NATIONAL NUTRITION MONTH FOR LOW-ECONOMIC FAMILIES OF HALL MERCER . HOSTED HOSPITAL-WIDE SCHOOL DRIVE FOR LOW-ECONOMIC FAMILIES OF HALL MERCER . PARTNERED WITH COMMON MARKET, A NONPROFIT LINKING LOCAL FARMS AND THEIR FRESH, HEALTHY PRODUCTS WITH CUSTOMERS THROUGH CAF 1715, THE CAFETERIA AT PENNSYLVANIA HOSPITAL . ADOPTED TWO FAMILIES FROM HALL MERCER FOR THE HOLIDAY CULTURAL &amp; COMMUNITY AWARENESS COUNCIL PARTICIPATED IN THE FOLLOWING PROJECTS FOR FY21: FALL 2020: HOSTED A VERY SUCCESSFUL CLOTHING DRIVE AT THE HOSPITAL BENEFITTING PATIENTS OF HALL MERCER. MLK DAY CELEBRATION: CREATED A VIRTUAL PROGRAM FOR STAFF. KEYNOTE SPEAKER WAS OUR OWN CHAPLAIN, REVEREND BRIAN DUNLOP. FEATURED INTRO FROM CEO THERESA LARIVEE, SINGING BY ANESTHESIA TECH TRACY KING, AND A POWERFUL MONTAGE OF STAFF HOLDING UP SIGNS (FREQUENTLY WITH JUST ONE OR TWO WORDS OF THEIR CHOOSING) OF WHAT MLK MEANT TO THEM, FOLLOWED BY VIDEO OF BLM PROTESTS THROUGHOUT PHILA AND US CONCURRENT FOOD DRIVE TO BENEFIT PHILABUNDANCE. RAISED ~$10,000. . NATIONAL HISPANIC HERITAGE MONTH: EMAIL SENT TO ALL PAH EMPLOYEES PAYING TRIBUTE TO THE HISPANIC AMERICANS THAT HAVE POSITIVELY INFLUENCED US. . LGBTQ HEALTH AWARENESS: &gt; WE TABLED WITH INFORMATION INCLUDING: THE PENN MEDICINE BOOKLET ON PATIENT SERVICES FOR LGBT HEALTH, QR CODES TO EDUCATIONAL RESOURCES THROUGH THE HUMAN RIGHTS CAMPAIGN, STICKERS AND PINS, INFORMATION ON QUESTIONS GAY, BISEXUAL, LESBIAN OR TRANS PERSONS MIGHT ASK THEIR PROVIDER, AND INFORMATION ON CHANGES TO PENNCHART THAT IMPROVE OUR ABILITY TO CARE FOR TRANS AND GAY PATIENTS. &gt; HOSTED PAH INTERPROFESSIONAL GRAND ROUNDS: NAVIGATING GENDER TRANSITION IN A GENDER BINARY MEDICAL ARENA: A PARTNER'S EXPERIENCE, PRESENTED BY PAH CRITICAL CARE NURSE MARY COLLINS, MSN, RN, CCRN. SHE DESCRIBES HER AND HER SPOUSE'S EXPERIENCE AS HER LONG-TIME SPOUSE TRANSITIONED TO IDENTIFY AS A WOMAN. .PRIDE MONTH: &gt; TABLED WITH SIMILAR INFORMATION AS WE DID FOR LGBTQ HEALTH AWARENESS WEEK &gt; HELD CLOTHING, ART SUPPLY, COSMETIC AND HYGIENE PRODUCTS DRIVE FOR MORRIS HOME. "MORRIS HOME SUPPORTS TRANS AND GENDER NON-CONFORMING INDIVIDUALS AS THEY DEVELOP THE KNOWLEDGE, SKILLS AND SUPPORTS NECESSARY TO PROMOTE SOBRIETY, MANAGE EMOTIONAL AND BEHAVIORAL DIFFICULTIES, CHOOSE AND MAINTAIN SAFE AND HEALTHY LIFESTYLES, AND DEVELOP HEALTHY RELATIONSHIPS WITH PEERS, FAMILY AND THE COMMUNITY. MORRIS HOME, THE ONLY RESIDENTIAL RECOVERY PROGRAM IN THE COUNTRY SPECIFICALLY FOR THE TRANSGENDER COMMUNITY, PROVIDES A SAFE, RECOVERY-ORIENTED ENVIRONMENT IN WHICH PEOPLE ARE TREATED WITH RESPECT AND DIGNITY." . BLACK HISTORY MONTH: CREATED THE FOLLOWING SITE TO CELEBRATE. https://www.med.upenn.edu/CPUPAntiRacism/blackhistorymonth2021.html . ASIAN AMERICANS AND PACIFIC ISLANDERS (AAPI) MONTH: &gt; JOINED THE YELLOW WHISTLE TO SHOW SOLIDARITY WITH THE ASIAN COMMUNITY AND HELP MEMBERS OF THAT COMMUNITY FEEL SAFE. COORDINATED WITH OUR SOUTHEAST ASIAN BLENDED CASE MANAGEMENT PROGRAM AT HALL MERCER TO GET WHISTLES TO THOSE IN NEED. POSTCARDS DISTRIBUTED WITH WHISTLES AVAILABLE IN CHINESE, KOREAN, CAMBODIAN, THAI, LAOTIAN, VIETNAMESE, ENGLISH &gt; HOSTED TWO VIRTUAL EDUCATIONAL EVENTS AVAILABLE TO ENTIRE HEALTH SYSTEM: &gt; EXPLORING RACIAL TRAUMA AMONG ASIAN AMERICANS, PRESENTED BY DR. ESTHER HIOTONG CASTILLO, PHD - PROGRAM MANAGER OF THE CHINESE IMMIGRANT FAMILIES WELLNESS INITIATIVE (CIFWI) AT THE PHILADELPHIA CHINATOWN DEVELOPMENT CORPORATION (PCDC) &gt; FOR NURSING GRAND ROUNDS: INCLUSIVE CARE AND THE AAPI EXPERIENCE: WHY HISTORY MATTERS, PRESENTED BY DR. GIANG NGUYEN, MD, MPH, MSCE, FAAFP - EXECUTIVE DIRECTOR OF HARVARD UNIVERSITY HEALTH SERVICES. IN LIEU OF AN HONORARIUM, DR. GIANG REQUESTED WE MAKE A DONATION TO SOUTHEAST ASIAN MAA COALITION, INC. (SEAMAAC) &gt; DEVELOPED THIS PAGE TO CELEBRATE AAPI STAFF AT PAH AND SHARE EDUCATIONAL RESOURCES. https://www.med.upenn.edu/CPUPAntiRacism/apacheritagemonth.html . VOTER REGISTRATION DRIVE: AS PART OF THE LARGER HEALTH SYSTEM INITIATIVE, PENN VOTES TABLES WERE SET UP IN THE CAFETERIA, MAIN ENTRANCE (ENTRANCE FOR PATIENTS AND VISITORS), FARM JOURNAL BUILDING LOBBY, LIBERTY LOUNGE (A WAITING AREA FOR FAMILY MEMBERS OF SURGICAL PATIENTS), AND BY THE PAINTING, CHRIST HEALING THE SICK, WHICH HAS BEEN THE EMPLOYEE ENTRANCE SINCE COVID. STAFF VOLUNTEERS ASSISTED INDIVIDUALS REGISTERING AND APPLYING FOR MAIL-IN BALLOTS IN NJ, PA, AND DE. ALSO, INPATIENTS WERE OFFERED THE OPTION OF CASTING EMERGENCY BALLOTS THE DAY BEFORE ELECTION DAY AND ON ELECTION DAY. THE LIBRARIES AT PENNSYLVANIA HOSPITAL ARE LOCATED ON THE 2ND AND 3RD FLOOR OF THE HISTORIC PINE BUILDING. THE MODERN LIBRARY IS AN ON-SITE, VITAL REFERENCE CENTER INCORPORATING MODERN INFORMATION TECHNOLOGY. THE COLLECTIONS INCLUDE THE CLINICAL LIBRARY AND THE PSYCHIATRIC LIBRARY. THE HISTORIC LIBRARY AND HISTORIC COLLECTIONS CONTAIN MANUSCRIPTS, RARE BOOKS, ART, AND ARTIFACTS RELATED TO THE HISTORY OF MEDICINE AND PENNSYLVANIA HOSPITAL. THESE COLLECTIONS ARE USED BY LOCAL, REGIONAL, NATIONAL, AND INTERNATIONAL RESEARCHERS. THE LIBRARY OFFERS AN ARRAY OF SERVICES, INCLUDING PROFESSIONAL SEARCHING OF THE MEDICAL LITERATURE. THE HISTORIC LIBRARY AND HISTORIC COLLECTIONS ARE OPEN BY APPOINTMENT ONLY. HISTORIC COLLECTIONS AND TOURS: THE PENNSYLVANIA HOSPITAL IS THE NATION'S FIRST HOSPITAL AND A DESIGNATED NATIONAL HISTORIC LANDMARK. FOUNDED BY DR. THOMAS BOND AND BENJAMIN FRANKLIN, THE HOSPITAL WAS CHARTERED IN 1751 BY THE COLONIAL GOVERNMENT AS THE FIRST INSTITUTION IN AMERICA ORGANIZED EXCLUSIVELY FOR THE TREATMENT AND CARE OF THE SICK, POOR AND MENTALLY ILL. THE PENNSYLVANIA HOSPITAL OFFERS THE PUBLIC A VIEW OF THE HISTORY OF MEDICINE IN A WAY UNLIKE ANY OTHER INSTITUTION IN THE UNITED STATES, PROVIDING PRE-ARRANGED GUIDED TOURS OF THE NATION'S FIRST MEDICAL LIBRARY AND SURGICAL AMPHITHEATRE. WE ARE A BLUE STAR MUSEUM, PROVIDING FREE TOURS FOR MILITARY PERSONNEL AND THEIR FAMILIES. THE HISTORIC COLLECTIONS, HOUSED IN THE ORIGINAL EAST WING OF THE PINE BUILDING, HOLDS A COLLECTION OF RECORDS THAT REFLECTS THE DEVELOPMENT OF HEALTHCARE AND MEDICAL EDUCATION FROM THE EIGHTEENTH TO THE TWENTY-FIRST CENTURIES. OUR COLLECTIONS ARE HIGHLIGHTED IN OUR CHANGING EXHIBITIONS, WHICH HAVE INCLUDED THE HISTORY OF EARLY MEDICAL EDUCATION AND COLONIAL MEDICINE. THE HISTORIC COLLECTIONS HOSTS RESEARCHERS WHO UTILIZE THESE IMPORTANT MANUSCRIPTS, AS WELL AS HOSTING CONFERENCES ON A VARIETY OF HISTORIC MEDICAL ISSUES, BRINGING TOGETHER HISTORICAL SCHOLARS AND MEDICAL PRACTITIONERS FROM ACROSS THE COUNTRY. SINCE MARCH 2020 WE HAVE NOT OFFERED ANY PUBLIC TOURS IN THE BEST INTEREST OF SAFETY FOR OUR PATIENTS AND STAFF AT THE PENNSYLVANIA HOSPITAL. TOTAL FY21 PARTICIPANTS: 161 (INTERNAL STAFFING CANDIDATES, UNIVERSITY STUDENTS, SPECIAL GUESTS)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A (CONT.)</FormAndLineReferenceDesc>
        <ExplanationTxt>PENN MEDICINE CARES GRANT: IN COLLABORATION WITH THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM, AWARDS PENN MEDICINE CARES GRANTS TO COMMUNITY-BASED PROGRAMS ON BEHALF OF EMPLOYEES WHO VOLUNTEER THEIR TIME AND EFFORT AT THE INITIATIVES. BY FUNDING THESE PROGRAMS, PENN MEDICINE HELPED SUPPLY HEALTH SERVICES, FOOD, MEDICINE, CLOTHING, 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 $750,000 IN FUNDING. FOLLOWING PLEASE FIND PENNSYLVANIA HOSPITAL EMPLOYEES WHO RECEIVED THE CARES GRANT FOR THE 2021 FISCAL YEAR: PENN NEUROSURGERY EMPOWER ZARINA ALI: THE GOAL OF THE DEPARTMENT OF NEUROSURGERY'S EMPOWER PROGRAM (ESTABLISHMENT OF MINORITY PIPELINE OF WOMEN IN EDUCATION AND RESEARCH) IS TO INCREASE THE NUMBER OF MINORITY WOMEN WHO ARE SURGEON-SCIENTISTS. IT AIMS TO RECRUIT AND RETAIN STUDENTS IN THE NEUROSCIENCES BY PROVIDING A RIGOROUS SCIENTIFIC RESEARCH FRAMEWORK AND AN INNOVATIVE HYBRID "HOW SHE DOES IT" EDUCATIONAL APPROACH, AS WELL AS BY ESTABLISHING CRITICAL LONGTERM MENTORSHIPS THAT WILL MAXIMIZE THE SUCCESS OF THE ALUMNAE. ZARINA'S GRANT HELPS SUPPORT UP TO 12 STUDENTS FROM A PHILADELPHIA HIGH SCHOOL AND CHEYNEY UNIVERSITY OF PENNSYLVANIA IN AN EMPOWER SUMMER PROGRAM. MEALS &amp; MASKS PROJECT CANDICE MAPP: AS A MEMBER OF CHI ETA PHI SORORITY, INCORPORATED, A PROFESSIONAL NURSING ORGANIZATION, CANDICE HAS BEEN SERVING UNDERREPRESENTED MINORITY COMMUNITIES IN PHILADELPHIA FOR THE PAST 10 YEARS. COVID-19 HAS DISPROPORTIONATELY AFFECTED BLACK COMMUNITIES, WORSENING AN ALREADY UNHEALTHY SITUATION AND MAKING ACCESS TO HEALTHY FOOD MORE DIFFICULT. THE SORORITY'S MEAL ASSEMBLY PROJECT HAS BEEN FEEDING FAMILIES, THE ELDERLY, AND THE HOMELESS FOR THE PAST 10 YEARS, PROVIDING ON AVERAGE MORE THAN 100 MEALS PER QUARTER. CANDICE'S FUNDS WILL HELP CHI ETA PHI AS THE ORGANIZATION SEEKS TO INCREASE THAT NUMBER TO 200. IN ADDITION, THE SORORITY WILL BE ABLE TO DISTRIBUTE MASKS AND HAND SANITIZERS TO HELP REDUCE THE SPREAD OF COVID-19. THE PHILADELPHIA PHONE PROJECT ANNE MCGIBBON: THE INPATIENT PSYCHIATRIC UNITS AT PENNSYLVANIA HOSPITAL TYPICALLY PROVIDE SERVICES TO INDIVIDUALS WHO ARE HOMELESS AND WITH LIMITED FUNDS. BECAUSE OF THE COVID-19 PANDEMIC, THE MAJORITY OF OUTPATIENT APPOINTMENTS HAVE MOVED TO TELEHEALTH VISITS AND THERAPY SESSIONS. HOWEVER, MANY OF THE PATIENTS HAVE LITTLE OR NO ACCESS TO PHONES. ANNE'S GRANT WILL BE USED TO OBTAIN AND PROVIDE CELL PHONES FOR THESE PATIENTS, WHICH WOULD GIVE THEM THE OPPORTUNITY TO CONTINUE THEIR MEDICATION REGIMENS AND THERAPY SESSIONS. SISTERS R US CIRCLE OF SURVIVORS MARYLOU OSTERMAN: MARYLOU SERVES ON THE BOARD OF SISTERS R US CIRCLE OF SURVIVORS, WHICH PROVIDES EDUCATIONAL WORKSHOPS FOR WOMEN WHO ARE DEALING WITH BREAST CANCER. THE ORGANIZATION EMPHASIZES THE IMPORTANCE OF BREAST HEALTH AND YEARLY MAMMOGRAMS, WHICH CAN LEAD TO EARLY DETECTION AND DECREASE THE NUMBER OF WOMEN DIAGNOSED WITH STAGE IV BREAST CANCER. EIGHTY PERCENT OF THE WOMEN ATTENDING THE SURVIVORSHIP WORKSHOPS ARE BLACK IN THE PHILADELPHIA REGION, WITH NO, LOW, OR MODERATE INCOMES, AND THEY REPORT FEELING HAPPIER AND HEALTHIER AFTER THE WORKSHOPS. MARYLOU'S FUNDS HELP SUPPORT THE ANNUAL PROGRAM BUDGET. PROVIDING SUPPORT TO UNDERSERVED HIV PATIENTS ADRIENNE TERICO: THE HIV-POSITIVE PATIENTS SERVED BY THE INFECTIOUS DISEASES SERVICE AT THE WOOD CLINIC ARE GENERALLY UNDERSERVED, UN- OR UNDER-INSURED, AND WITHOUT FUNDS FOR EVERYDAY ESSENTIALS, INCLUDING FOOD AND TRANSPORTATION. THE GOAL OF THIS PROJECT IS TO PROVIDE FUNDING FOR FOOD IN THE FORM OF CAFETERIA GIFT CARDS AND TRANSPORTATION TO THE CLINIC IN THE FORM OF CAB VOUCHERS AS AN INCENTIVE FOR THE PATIENTS TO ATTEND THEIR APPOINTMENTS. THE PROJECT IS EXPECTED TO INCREASE ADHERENCE TO SCHEDULED APPOINTMENTS - AND THEREFORE INCREASE ACCESS TO HEALTH CARE - WHILE ALSO REDUCING FOOD INSECURITY. ADRIENNE'S FUNDS WILL BE USED TO PURCHASE GIFT CARDS AND CAB VOUCHERS. PARENTS OF PREEMIES SARA COHEN: THE MOTHER OF A BABY BORN PREMATURELY, SARA IS ALSO A PREEMIE NURSE AT PENNSYLVANIA HOSPITAL. RECENTLY, SHE CONTRIBUTED AN ACCOUNT OF HER OWN EXPERIENCE TO AN ANTHOLOGY, WHICH WAS PUBLISHED LAST YEAR. SARA'S GRANT ALLOWS HER TO PROVIDE COPIES OF WHAT WE DIDN'T EXPECT: PERSONAL STORIES ABOUT PREMATURE BIRTH TO PENNSYLVANIA HOSPITAL'S INTENSIVE CARE NURSERY, TO BE GIVEN TO PARENTS WHO COULD BENEFIT FROM READING ABOUT THE EXPERIENCES THEY SHARE. AS SARA KNOWS, PARENTS ARE OFTEN LEFT TO NAVIGATE UNEXPECTED TERRITORY WITH NO CLEAR SENSE THAT WHAT THEY ARE FEELING IS NORMAL. ART SUPPLIES FOR OPIOID USE DISORDER MINDI ROESER: CERTIFIED RECOVERY SPECIALISTS (CRS) AT UPHS ARE LIAISONS TO PATIENTS WITH OPIOID USE DISORDER. THESE SPECIALISTS HELP HOSPITALIZED PATIENTS WHO ARE ADDICTED TO DRUGS, HELPING TO GET THEM INTO TREATMENT PROGRAMS. THEY FOLLOW THEM IN THE OUTPATIENT SETTING AS WELL, HELPING THEM NAVIGATE THE COMPLEX SYSTEM OF SOCIAL SERVICES. WHEN PATIENTS WITH ADDICTIONS ARE ADMITTED TO THE HOSPITAL, IT HELPS THEM TO HAVE SOMETHING TO OCCUPY THEIR HANDS AND MINDS. THEY CAN THEN FOCUS ON SOMETHING BESIDES THEIR WITHDRAWAL SYMPTOMS AND ARE THUS ENCOURAGED TO STAY FOR MEDICAL TREATMENT. THE CRS GIVES OUT JOURNALS, PENS, COLORING BOOKS, AND PUZZLES. THESE SUPPLIES ARE NORMALLY PAID FOR BY THE SPECIALIST, BUT MINDI'S GRANT WILL COVER THE COST OF THE MATERIALS. NEVER SURRENDER HOPE IRENE SKIRSKY: ON JULY 20TH, 2020, WHILE HE WAS IN REHAB IN FLORIDA, IRENE'S SON STEVEN DIED OF AN ACCIDENTAL OVERDOSE. AS SHE EXPLAINS, "MY LIFE HAS NOT BEEN THE SAME SINCE,SHE HAS HAD TO PUSH HERSELF TO GET UP, GO TO WORK, AND FUNCTION. BUT SHE WAS MATCHED TO NEVER SURRENDER HOPE, A GROUP CONSISTING OF PEOPLE WHO LOST LOVED ONES TO OVERDOSES. WHILE PROVIDING MUTUAL SUPPORT, PEOPLE IN THE GROUP ALSO TRY TO HELP OTHERS FIND THE RIGHT PATH. IRENE'S FUNDING GOES TOWARD FOOD SUPPLIES TO MAKE MEALS FOR ADDICTS ON THE PHILADELPHIA STREETS AND FOR WEEKLY MEALS SERVED AT RECOVERY HOMES. AUNTIE IM'S WINTER WARMTH DRIVE TRINA WALKER-SAVAGE: TRINA IS ONE OF THE FOUNDERS OF SUNSHINE MARTHA EVERETTE RUTH LAMAR CORPORATION (SMERL), A NON-PROFIT LOCATED IN CENTRAL PHILADELPHIA. SMERL PROVIDES MEALS FOR FAMILIES AND INDIVIDUALS THREE DAYS A WEEK AND ALSO REFERS THEM TO SOUP KITCHENS AND FOOD CUPBOARDS. GIVEN THAT THE COVID-19 PANDEMIC AND THE COLDER WEATHER MAKE HOMELESS PEOPLE EVEN MORE VULNERABLE, THE CORPORATION HAS BEGUN TO PROVIDE THE HOMELESS WITH CLOTHING AND PERSONAL HYGIENE ITEMS. COMMUNITY HEALTH NEEDS ASSESSMENT &amp; IMPLEMENTATION PLAN PENNSYLVANIA HOSPITAL IS AN ENTITY OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM, WHICH ALONG WITH THE PERELMAN SCHOOL OF MEDICINE 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 COMPRISES "PENN MEDICINE." AS PENN MEDICINE 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 THE 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A (CONT.)</FormAndLineReferenceDesc>
        <ExplanationTxt>FOLLOWING PLEASE FIND A SNAPSHOT OF SERVICES AND PROGRAMS COLLECTIVELY BENEFITING THE COMMUNITY AND SERVICE AREA OF PENNSYLVANIA HOSPITAL, PENN PRESBYTERIAN MEDICAL CENTER, AND THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA: 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 PROVIDS 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 PROGRAMING 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. 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 EMPLOYEES 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A (CONT.)</FormAndLineReferenceDesc>
        <ExplanationTxt>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 &amp; 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A (CONT.)</FormAndLineReferenceDesc>
        <ExplanationTxt>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: &gt; TO INCREASE HEALTH KNOWLEDGE AND SKILLS OF MIDDLE SCHOOL STUDENTS THROUGH AN ENGAGING, INTERACTIVE CURRICULUM &gt;TO EMPOWER THESE STUDENTS TO SHARE THEIR KNOWLEDGE AND PROMOTE HEALTH WITHIN THEIR COMMUNITY &gt;TO STRENGTHEN A COLLABORATIVE, COMMUNITY-CENTERED PARTNERSHIP BETWEEN SOUTHWEST PHILADELPHIA AND PENN &gt;TO DIMINISH EDUCATION-RELATED DISPARITIES BY CREATING LESSONS THAT ADHERE TO STATE STANDARDS AND ARE DELIVERED WITH RESPECT AND EQUITY. 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 A 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 OF 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 A 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. ------------------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>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 11</FormAndLineReferenceDesc>
        <ExplanationTxt>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. ------------------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, 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 990, GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. NOTE THAT SINCE THE ORGANIZATION HAS BEEN IN EXISTENCE SINCE 1751, IT WAS NOT REQUIRED TO FILE A FORM 1023 APPLICATION. INSTEAD, THE ORGANIZATION'S IRC SECTION 501(C)(3) TAX-EXEMPT STATUS WAS GRANDFATHERED BY THE IRS. ------------------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>DETAIL OF OTHER CHANGES IN NET ASSETS OTHER CHANGES IN TEMP &amp; PERM RESTRICTED NET ASSETS $84,654,673 TRANSFERS TO AFFILIATES 1,494,742 ---------- TOTAL OTHER CHANGES IN NET ASSETS $86,149,415 ------------------------------</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <AddressLine1Txt>555 NORTH DUKE STREET</AddressLine1Txt>
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          <ZIPCd>17604</ZIPCd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LANCASTER GENERAL HEALTH COLUMBIA CENTER</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>306 NORTH 7TH STREET</AddressLine1Txt>
          <CityNm>COLUMBIA</CityNm>
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          <ZIPCd>17512</ZIPCd>
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        <EIN>230485650</EIN>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>LANCASTER GENERAL HEALTH FOUNDATION</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>555 NORTH DUKE STREET</AddressLine1Txt>
          <CityNm>LANCASTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17604</ZIPCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LANCASTER GENERAL HEALTH HOLDINGS</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>555 NORTH DUKE STREET</AddressLine1Txt>
          <CityNm>LANCASTER</CityNm>
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          <ZIPCd>17604</ZIPCd>
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        <EIN>204943109</EIN>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LANCASTER GENERAL HOSPITAL</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>555 NORTH DUKE STREET</AddressLine1Txt>
          <CityNm>LANCASTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17604</ZIPCd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LANCASTER GENERAL MEDICAL GROUP</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1030 NEW HOLLAND AVENUE</AddressLine1Txt>
          <CityNm>LANCASTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17601</ZIPCd>
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        <EIN>232777286</EIN>
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          <BusinessNameLine1Txt>LG HEALTH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MORRIS EST LYDIA T DECD TW</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1525 W WT HARRIS BLVD</AddressLine1Txt>
          <CityNm>CHARLOTTE</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28262</ZIPCd>
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        <EIN>236210940</EIN>
        <PrimaryActivitiesTxt>SUPPORT TRUST</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NEIGHBORHOOD HEALTH AGENCIES INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>795 E MARSHALL STREET</AddressLine1Txt>
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          <StateAbbreviationCd>PA</StateAbbreviationCd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
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        <USAddress>
          <AddressLine1Txt>795 E MARSHALL STREET</AddressLine1Txt>
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        <EIN>232324787</EIN>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NEIGHBORHOOD VISITING NURSE ASSOCIATION</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>795 E MARSHALL STREET</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OAP INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>3451 WALNUT STREET ROOM 748</AddressLine1Txt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>PENN CENTER FOR REHAB AND CARE</BusinessNameLine1Txt>
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          <AddressLine1Txt>3609 CHESTNUT STREET</AddressLine1Txt>
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        <USAddress>
          <AddressLine1Txt>30 WEST 44TH STREET</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>PENN PRAXIS INC</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>PENN PRESS INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>3905 SPRUCE STREET</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>PENNSYLVANIA COLLEGE OF HEALTH SCIENCES</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>PHOENIXVILLE HOSPITAL OF UPHS</BusinessNameLine1Txt>
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          <AddressLine1Txt>3001 MARKET STREET 3RD FLOOR</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>PRESBYTERIAN ANESTHESIOLOGY FOUNDATION</BusinessNameLine1Txt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>PRESBYTERIAN MEDICAL CENTER OF UPHS</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>51 NORTH 39TH STREET</AddressLine1Txt>
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        <EIN>232810852</EIN>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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          <BusinessNameLine1Txt>PRESBYTERIAN MULTI-SPECIALTY GROUP</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>51 NORTH 39TH STREET</AddressLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>PRESBYTERIAN PERSONAL CARE RESIDENCE</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>51 NORTH 39TH STREET</AddressLine1Txt>
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        <EIN>232294713</EIN>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>PRINCETON CAREGIVERS INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>ONE PLAINSBORO ROAD</AddressLine1Txt>
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        <EIN>222842773</EIN>
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          <BusinessNameLine1Txt>PHCS HOLDING</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>PRINCETON HEALTHCARE AFFILIATED PHYS PC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>ONE PLAINSBORO ROAD</AddressLine1Txt>
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          <StateAbbreviationCd>NJ</StateAbbreviationCd>
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        </USAddress>
        <EIN>264203938</EIN>
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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>
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        <USAddress>
          <AddressLine1Txt>ONE PLAINSBORO ROAD</AddressLine1Txt>
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          <StateAbbreviationCd>NJ</StateAbbreviationCd>
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        </USAddress>
        <EIN>210635009</EIN>
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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>
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          <AddressLine1Txt>ONE PLAINSBORO ROAD</AddressLine1Txt>
          <CityNm>PLAINSBORO</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>08536</ZIPCd>
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        <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>
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        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
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        <PublicCharityStatusTxt>12, I</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>PRINCETON MEDICAL PROPERTIES INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>ONE PLAINSBORO ROAD</AddressLine1Txt>
          <CityNm>PLAINSBORO</CityNm>
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        <PrimaryActivitiesTxt>REAL ESTATE</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>PHCS HOLDING</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SS HUEBNER FOUNDATION FOR INSURANCE EDUC</BusinessNameLine1Txt>
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          <AddressLine1Txt>3000 STEINBERG HALL</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19104</ZIPCd>
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        <EIN>236297325</EIN>
        <PrimaryActivitiesTxt>EDU SUPPORT</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12, I</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE ASC TRUST OF THE UNIV OF PA</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1500 MARKET ST STE 3500E</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19102</ZIPCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE HEART GROUP OF LANCASTER GEN HEALTH</BusinessNameLine1Txt>
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          <AddressLine1Txt>217 HARRISBURG AVENUE</AddressLine1Txt>
          <CityNm>LANCASTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17603</ZIPCd>
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        <EIN>300634510</EIN>
        <PrimaryActivitiesTxt>CARDIOLOGY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>LG HEALTH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE LEONARD AND MADLYN ABRAMSON INST</BusinessNameLine1Txt>
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          <AddressLine1Txt>421 CURIE BLVD 450 BRB II/III</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19104</ZIPCd>
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        <EIN>232929823</EIN>
        <PrimaryActivitiesTxt>MED RESEARCH</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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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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          <ZIPCd>19104</ZIPCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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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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      <IdRelatedTaxExemptOrgGrp>
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          <AddressLine1Txt>3611 WALNUT STREET</AddressLine1Txt>
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        <PrimaryActivitiesTxt>FAC. CLUB</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>UPENN INTERNATIONAL</BusinessNameLine1Txt>
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          <AddressLine1Txt>3451 WALNUT STREET SUITE 731</AddressLine1Txt>
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          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19104</ZIPCd>
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        <EIN>454985731</EIN>
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          <BusinessNameLine1Txt>UPENN MASTER RETIREMENT TRUST</BusinessNameLine1Txt>
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          <AddressLine1Txt>3451 WALNUT STREET ROOM 305</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>UPENN RETIREE BENEFITS TRUST</BusinessNameLine1Txt>
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          <AddressLine1Txt>3451 WALNUT STREET ROOM 329</AddressLine1Txt>
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        <EIN>232769744</EIN>
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          <BusinessNameLine1Txt>WISSAHICKON HOSPICE OF UPHS</BusinessNameLine1Txt>
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          <AddressLine1Txt>150 MONUMENT ROAD SUITE 300</AddressLine1Txt>
          <CityNm>BALA CYNWYD</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19004</ZIPCd>
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        <EIN>232152662</EIN>
        <PrimaryActivitiesTxt>HOSPICE CARE</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>WOMEN'S AND CHILDREN'S HEALTH SERVICES</BusinessNameLine1Txt>
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          <AddressLine1Txt>700 SPRUCE STREET</AddressLine1Txt>
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          <ZIPCd>19106</ZIPCd>
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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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          <BusinessNameLine1Txt>ARI 1740 FUND</BusinessNameLine1Txt>
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          <AddressLine1Txt>180 N SETSON AVE STE 5500</AddressLine1Txt>
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          <AddressLine1Txt>65 E 55TH STREET 35TH FLOOR</AddressLine1Txt>
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          <AddressLine1Txt>ONE FAWCETT PLACE</AddressLine1Txt>
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          <AddressLine1Txt>701 E MARSHALL STREET</AddressLine1Txt>
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          <BusinessNameLine1Txt>FERN HILL PARTNERSHIP III LP</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>701 E MARSHALL STREET</AddressLine1Txt>
          <CityNm>WEST CHESTER</CityNm>
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          <BusinessNameLine1Txt>FERN HILL LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>701 E MARSHALL STREET</AddressLine1Txt>
          <CityNm>WEST CHESTER</CityNm>
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        <PrimaryActivitiesTxt>RENTAL</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GALLOPAVO LP</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>2000 McKINNEY AVE STE 2125</AddressLine1Txt>
          <CityNm>DALLAS</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
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        <EIN>464621967</EIN>
        <PrimaryActivitiesTxt>INVESTMENT</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>JOG V C LIMITED PARTNERSHIP</BusinessNameLine1Txt>
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          <AddressLine1Txt>STE 2370 440 2ND AVE SW</AddressLine1Txt>
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          <ProvinceOrStateNm>AL</ProvinceOrStateNm>
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          <ForeignPostalCd>T2P5E9</ForeignPostalCd>
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        <PrimaryActivitiesTxt>INVESTMENT</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>JOG VI C LIMITED PARTNERSHIP</BusinessNameLine1Txt>
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          <AddressLine1Txt>STE 2370 440 2ND AVE SW</AddressLine1Txt>
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          <ProvinceOrStateNm>AL</ProvinceOrStateNm>
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        <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>BERMUDA</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>
          <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>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>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TRUSTEES</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>
          <ProvinceOrStateNm>CAYMAN ISLANDS</ProvinceOrStateNm>
          <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>
      <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>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>DELANCEY CORPORATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>413800</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
