2017-05-12T11:06:06-05:00 2016-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST STE 1800 PHILADELPHIA PA 19103 990 2015-07-01 230469150 CHESTER COUNTY HOSPITAL % KENNETH E FLICKINGER CHES 6104315000 701 E MARSHALL STREET WEST CHESTER PA 19380 KEITH KASPER TREASURER 6104315000 2017-05-03 true ANTONIO C RUSSO P00858539 2673303000 2015 2021-01-29 14:40:06Z MICHAEL J DUNCAN 701 E MARSHALL STREET WEST CHESTER PA 19380 311165001 false X WWW.CCHOSP.COM X 1892 PA DEDICATED, COMMUNITY-BASED HOSPITAL MAINTAINING HIGH QUALITY STANDARDS IN PATIENT CARE. 11 7 2529 366 0 0 2723343 2806243 268610434 287610993 -641847 -163216 17492646 20910981 288184576 311165001 0 0 0 0 143605021 143543019 19100 0 1077142 130095741 158406395 273719862 301949414 14464714 9215587 241045967 229996566 134600485 118283564 106445482 111713002 X THE CHESTER COUNTY HOSPITAL IS A DEDICATED, COMMUNITY-BASED HOSPITAL COMMITTED TO HEALTH PROFESSIONAL EDUCATION AND THE PROVISION OF HIGH QUALITY PATIENT CARE, CONSISTENT WITH THE IDENTIFIABLE HEALTHCARE NEEDS OF THE CHESTER COUNTY AREA RESIDENTS. false false 291417341 0 308521974 THE CHESTER COUNTY HOSPITAL ("CCH") IS A DEDICATED, COMMUNITY-BASED HEALTH CARE ORGANIZATION WHICH ENJOYS INTEGRATED PROVIDER RELATIONSHIPS THAT FOSTER EXCELLENCE IN CLINICAL AND PERSONAL SERVICE. CCH SEEKS TO DEVELOP AND IMPLEMENT PROGRAMS AND SERVICES WHICH ENHANCE THE HEALTH STATUS OF THE COMMUNITY AND STRIVES TO EXCEED THE EXPECTATIONS OF THOSE IT SERVES, MAINTAIN STANDARDS OF THE HIGHEST QUALITY AND PROMOTE A REWARDING WORK ENVIRONMENT. CCH PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF CCH, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES AND FURTHER THAT OUR MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. THEREFORE, IN KEEPING WITH ITS COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITY, CCH PROVIDES: - FREE CARE AND/OR SUBSIDIZED CARE, - CARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST, - HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY WILL BE CONSIDERED WHERE THE NEED AND/OR AN INDIVIDUAL'S INABILITY TO PAY COEXISTS. THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDERSERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. EMERGENCY CARE IS PROVIDED 24 HOURS A DAY AND IS ACCESSIBLE TO ALL REGARDLESS OF A PERSON'S ABILITY TO PAY. CCH SERVICES 16,233 INPATIENTS AND PROVIDED MORE THAN 489,000 UNITS OF OUTPATIENT SERVICES DURING THE FISCAL YEAR. UNITS OF OUTPATIENT SERVICES INCLUDE: PRE-NATAL CLINIC VISITS, LAB REGISTRATIONS, RADIOLOGY TESTS, PHYSICAL THERAPY TREATMENTS, EMERGENCY ROOM VISITS AND OTHER ANCILLARY SERVICES. ALSO OBSERVATION PATIENTS OF 2,724 WERE SERVED. CCH PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. TO THE EXTENT REIMBURSEMENT IS BELOW COST, CCH RECOGNIZES THESE AMOUNTS AS CHARITY CARE IN MEETING IT'S MISSION TO THE ENTIRE COMMUNITY. DURING THE YEAR ENDING JUNE 30, 2016, COSTS TO PROVIDE THESE SERVICES EXCEEDED REIMBURSEMENT BY APPROXIMATELY $23,900,000 CHARITY CARE IS ALSO PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES WHICH CCH BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED. THESE INCLUDE: - COMMUNITY HEALTH ACTIVITIES & PROGRAMS REACHING MANY MEMBERS OF THE COMMUNITY WITH A COST OF $1,536,000. - COST TO PROVIDE FREE CARE OF $8,500,000 (INCLUSIVE OF BAD DEBTS). - VOLUNTEERS NUMBERED 366 WITH 42,378 HOURS OF SERVICE. 291417341 true true false false false false false false false true true false false true true true false true false false false false false false false false true true false false true true false false false false false true false false false false false false false false false true false false false true 143 0 true 2529 true false false false false false true true false false false false false false false false X 11 7 false false false false false false false true true false false true true true true true true true true true true PA X KENNETH E FLICKINGER 6104315000 701 E MARSHALL STREET WEST CHESTER PA 19380 X WILLIAM W WYLIE JR CHAIRPERSON 2.0 2.0 X X 0 0 0 FRANCIS H ABBOTT JR EX-OFFICIO TRUSTEE 1.0 1.0 X 0 0 0 CHARLES J BARR MD TRUSTEE 1.0 1.0 X 0 0 0 DENNIS A BERMAN MD TRUSTEE 50.0 10.0 X 374109 0 2730 JAMES S DENHAM IV TRUSTEE 1.0 1.0 X 0 0 0 DEBORAH A DRISCOLL MD TRUSTEE 40.0 1.0 X 0 963515 25181 STEVE N FUKUCHI MD TRUSTEE 1.0 1.0 X 0 0 0 PATRICIA KNECHT PHD RN ANEF TRUSTEE 1.0 1.0 X 0 0 0 KEVIN B MAHONEY TRUSTEE 1.0 46.0 X 0 1316417 171033 JOHN J MOLINELLI TRUSTEE 1.0 1.0 X 0 0 0 RALPH W MULLER EX-OFFICIO TRUSTEE 1.0 50.0 X 0 2610717 11913 CATHY A WILSON ESQ TRUSTEE 1.0 1.0 X 0 0 0 MICHAEL J DUNCAN PRES,CEO, & EX-OFFICIO TRUSTEE 49.0 2.0 X X 716329 0 5157 BERT W O'MALLEY JR MD TRUSTEE 39.0 1.0 X 0 1352913 57303 KEITH KASPER TREASURER 49.0 46.0 X 0 1239567 161719 KENNETH E FLICKINGER mba ASST. TREASURER & SVP FINANCE 49.0 1.0 X 466585 0 6618 KEVIN R O'BRIEN JR MLT SECRETARY/SVP DEVELOPMENT 49.0 1.0 X 314041 0 6979 MICHAEL D BARBER MHA COO 49.0 1.0 X 439325 0 1498 RICHARD DONZE DO MPH SVP MEDICAL AFFAIRS 49.0 1.0 X 501109 0 4107 ANGELA R COLADONATO RN MSN NEA-BC SR VP NURSING 49.0 1.0 X 341199 0 7030 KAREN M PINKSKY MD CHIEF MED INFO OFFICER 1.0 1.0 X 0 0 0 KATHLEEN GORMAN SRVP STRATEGIC PLANNING & MKTG 49.0 1.0 X 141037 0 2534 DAVID GROSSMAN PHYSICIAN ONCOLOGIST 40.0 0.0 X 433741 0 4701 JAMES PATTERSON PHYSICIAN PATHOLOGIST 40.0 0.0 X 403016 0 13496 SCOTT H SAUL PHYSICIAN PATHOLOGIST 40.0 0.0 X 368101 0 20130 JAMES I HERALD PHYSICIAN PATHOLOGIST 40.0 0.0 X 370725 0 17506 MOLLY STUMACHER PHYSICIAN ONCOLOGIST 40.0 0.0 X 337007 0 911 5206324 7483129 520546 165 false true false ANCHOR CHESTER MOB LP 1300 N GRANT AVE SUITE 209 WILMINGTON DE 19806 RENTAL SERVICES 5221715 HSC BUILDERS CONSTRUCTION MGRS 304 NEW MILL LN EXTON PA 19341 CONSTRUCTION SRVCS 941624 LF DRISCOLL COMPANY LLC 9 PRESIDENTIAL BLVD BALA CYNWYD PA 19004 CONSTRUCTION SRVCS 727846 MOBILE PET CT ASSOCIATES LLC 485 NORRISTOWN RD BLUE BELL PA 19422 RADIOLOGY PET SRVCS 386340 EMERGENCY CARE SPECIALISTS PC PO BOX 667 TOMS RIVER NJ 08754 MEDICAL PROF SRVCS 361568 17 2806243 2806243 NET PATIENT SERVICE REVENUES 621400 287610993 287610993 287610993 -163216 -163216 0 0 0 0 0 0 0 0 0 3RD PARTY SETTLEMENT 621400 7846745 7846745 PROFESSIONAL FEES INCOME 621400 5243089 5243089 IET SUPPORT & MAPS REVENUE 621400 4815425 4815425 3005722 3005722 20910981 311165001 308521974 -163216 0 0 0 0 1790283 1711511 70716 8056 0 112803769 107840403 4455749 507617 2525415 2414297 99754 11364 18172143 17372568 717800 81775 8251409 7888347 325931 37131 0 13992 13376 553 63 3399 3250 134 15 0 0 0 16696775 15962117 659523 75135 3422 3272 135 15 0 533539 510063 21075 2401 0 6625102 6333597 261692 29813 228623 218563 9031 1029 0 27458 26249 1085 124 303645 290285 11994 1366 0 13953399 13339450 551159 62790 707645 676509 27952 3184 DRUG SUPPLIES 32879296 32879296 0 0 MEDICAL SUPPLIES 29704824 29704824 0 0 CORPORATE SERVICE EXPENSE 27532739 26321299 1087543 123897 GENERAL SUPPLIES 1593455 1523343 62941 7171 27599082 26384722 1090164 124196 301949414 291417341 9454931 1077142 36168274 2421174 2404512 15980864 3440538 1171288 32653067 32685104 0 223660 0 0 0 0 4701677 5677504 3277871 3146408 305520039 169970354 124640180 135549685 3682029 17147628 0 0 0 0 0 0 30077819 15993251 241045967 229996566 15616131 9930863 0 0 0 380813 50000000 50000000 0 0 0 0 0 0 0 0 68984354 57971888 134600485 118283564 X 81358571 92912797 9143355 3516287 15943556 15283918 106445482 111713002 241045967 229996566 X 9215587 -3948067 X false true X true false X 3315227 10619599 18844484 4994740 2806243 40580293 0 0 3315227 10619599 18844484 4994740 2806243 40580293 0 40580293 -205730 256453 1753647 14883836 -162716 16525490 0 5033096 5456101 12258222 13228339 20910540 56886298 113992081 1017303905 0.35599 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 17817270 -50822 53682 17712766 18369000 -530743 20987 17817270 602510 17545490 221000 0 0 0 18369000 594560 0 7950 0 0 0 602510 589819 0 4741 0 0 0 594560 0.00000 0.90180 0.09820 true false 10781080 10781080 99477310 6854145 92623165 195939 195939 191346094 159547469 31798625 3719616 3372801 346815 135549685 INV. IN TURKS HEAD SURGERY CTR 7308856 INT. IN NET ASSETS OF FND 4101836 OTHER ASSETS 4396366 DEFERRED FINANCING COSTS, NET 186193 15993251 0 DUE TO AFFILIATES 45701138 ACCRUED MALPRACTICE & WORKERS' COMP 6709810 EST. THIRD PARTY SETTLEMENTS 5466556 OTHER LIABILITIES 94384 57971888 X SCHEDULE D, PART V, LINE 4 ALL ENDOWMENT FUNDS ARE USED FOR A VARIETY OF PURPOSES IN FURTHERANCE OF THE ORGANIZATION'S TAX-EXEMPT PURPOSES. ------------------------------ SCHEDULE D, PART IX/PART X DETAIL OF OTHER ASSETS/OTHER LIABILITIES THE DUE FROM/DUE TO AFFILIATE ACCOUNTS REPRESENT AMOUNTS OWED TO/OWED FROM THIS ORGANIZATION FROM/TO THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"), A RELATED ORGANIZATION, BASED UPON THE UNIVERSITY'S CENTRAL TREASURY OFFICE MANAGING THE CASH BALANCES OF CERTAIN OF ITS AFFILIATES. ------------------------------ SCHEDULE D, PART X, LINE 2 TEXT OF FIN 48 (ASC 740) FOOTNOTE THIS ORGANIZATION IS AN AFFILIATE OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). THE FIN 48 (ASC 740) FOOTNOTE BELOW DERIVES FROM THE CONSOLIDATED JUNE 30, 2016 FINANCIAL STATEMENTS OF THE UNIVERSITY: THE UNIVERSITY REGULARLY EVALUATES ITS TAX POSITION AND DOES NOT BELIEVE IT HAS ANY UNCERTAIN TAX POSITIONS THAT REQUIRE DISCLOSURE OR ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS. true true X true X 300. true X true false false 2354085 2354085 0.00780 29381921 20109811 9272110 0.03070 31736006 20109811 11626195 0.03850 1789719 253803 1535915 0.00510 1789719 253803 1535915 0.00510 33525725 20363614 13162110 0.04360 false 10001247 0 74086499 96243182 -22156683 X true true TURK'S HEAD SURGERY OUTPATIENT SURGERY FACILITY 0.38 0.0 0.0 1 1 CHESTER COUNTY HOSPITAL 701 E MARSHALL STREET WEST CHESTER PA 19380 WWW.CCHOSP.COM LICENSE# 290801 X X X X CHESTER COUNTY HOSPITAL 1 false false true X X X X X X X X X 17 true true false true X SEE SCHEDULE H, PART V, SECTION C X true 17 true SEE SCHEDULE H, PART V, SECTION C false true X 300. 300. X X X X true true X X X true X SCH H, PART V, SECT C X SCH H, PART V, SECT C X SCH H, PART V, SECT C X X X X X true X false X X X true X false false PART V, SECTION B, LINES 5, 6A & 6B (INPUT FROM COMMUNITY; JOINT CHNA) CHESTER COUNTY HAS CONSISTENTLY BEEN RANKED AS ONE OF THE HEALTHIEST COUNTIES AND BEST PLACE TO LIVE, WORK, AND RAISE A FAMILY. TO MAINTAIN THIS STATUS, AND TO ADDRESS HEALTH NEEDS THAT AFFECT THE SERVED POPULATION, IT WAS RECOGNIZED THAT THE EFFORTS OF MANY INDIVIDUALS, AGENCIES AND ORGANIZATIONS NEEDED TO BE COORDINATED TO HAVE THE GREATEST IMPACT ON THE OVERALL HEALTH OF THE COMMUNITY. TO THIS END A PARTNERSHIP WAS FORMED IN 2011 TO DEVELOP A COMPREHENSIVE PLAN TO SERVE THE HEALTH NEEDS OF THE COUNTY. THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) WAS SELECTED AS THE STRATEGIC PLANNING TOOL TO IMPROVE COMMUNITY HEALTH. THE COMMITTEE WORKED OVER TWO YEARS TO IMPLEMENT THE ROADMAPP TO HEALTH FOR CHESTER COUNTY FOR THE TIMEFRAME OF 2014 - 2019. THE DATA TO ASSESS THE CURRENT HEALTH STATUS OF THE COMMUNITY WAS REFRESHED IN APRIL 2016. AT THE SAME TIME THE ROADMAPP PROCESS WAS ALSO RE-EVALUATED TO FIT THE EVOLVING NEEDS OF THE PARTNERSHIP. 1. BRANDYWINE HEALTH FOUNDATION 2. CHESPENN HEALTH SERVICES 3. CHESTER COUNTY COMMUNITY DENTAL 4. CHESTER COUNTY DEPARTMENT OF AGING 5. CHESTER COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 6. CHESTER COUNTY COMMUNITY FOUNDATION 7. CHESTER COUNTY DEPARTMENT OF HUMAN SERVICES 8. CHESTER COUNTY DRUG AND ALCOHOL 9. CHESTER COUNTY ECONOMIC DEVELOPMENT 10. CHESTER COUNTY EMS COUNCIL 11. CHESTER COUNTY FOOD BANK 12. CHESTER COUNTY FUND FOR WOMEN AND GIRLS 13. CHESTER COUNTY HEALTH DEPARTMENT 14. CHESTER COUNTY PRISON 15. COMMUNITY VOLUNTEERS IN MEDICINE 16. DREXEL UNIVERSITY SCHOOL OF PUBLIC HEALTH 17. FAMILY SERVICE OF CHESTER COUNTY 18. HEALTH CARE ACCESS 19. HEALTH AND WELFARE FOUNDATION 20. HOLCOMB BEHAVIORAL HEALTH 21. HUMAN SERVICES 22. LA COMUNIDAD HISPANA 23. LELAND LEADERSHIP GROUP 24. LIFE TRANSFORMING MINISTRIES 25. MATERNAL AND CHILD HEALTH CONSORTIUM 26. NEIGHBORHOOD HEALTH 27. PAOLI HOSPITAL 28. PENNSYLVANIA DEPARTMENT OF HEALTH 29. PHOENIXVILLE COMMUNITY HEALTH FOUNDATION 30. PHOENIXVILLE HOSPITAL 31. PENN MEDICINE CHESTER COUNTY HOSPITAL 32. THE CLINIC 33. UNITED WAY OF CHESTER COUNTY 34. UNITED WAY OF SOUTHERN CHESTER COUNTY 35. WEST CHESTER UNIVERSITY 36. YMCA OF BRANDYWINE VALLEY 37. CHESTER COUNTY DEPARTMENT OF EMERGENCY SERVICES 38. CHESTER COUNTY LIABRARY AND DISTRICT CENTER 39. ACTIVATE - CHESTER COUNTY 40. CAPACITY FOR CHANGE 41. CATHOLIC SOCIAL SERVICES 42. CEREBRAL PALSY ASSOCIATION OF CHESTER COUNTY 43. CHESTER COUNTY ASSISTANCE OFFICE 44. CHESTER COUNTY FACILITIES AND PARKS 45. CHESTER COUNTY DEPARTMENT OF MH/IDD 46. CHESTER COUNTY HUMAN RESOURCES 47. CHESTER COUNTY INTERMEDIATE UNIT 48. CHESTER COUNTY JUVENILE PROBATION 49. CHESTER COUNTY PLANNING COMMISSION 50. CHESTER COUNTY YOUTH CENTER 51. CHILD AND FAMILY FOCUS 52. THE COAD GROUP 53. COATESVILLE CENTER FOR COMMUNITY HEALTH 54. COMMUNITY CARE BEHAVIORAL HEALTH 55. CRIME VICTIM'S CENTER OF CHESTER COUNTY 56. DOMESTIC VIOLENCE CENTER OF CHESTER COUNTY 57. GROWING HEALTHY FAMILIES, INC. 58. HORIZON HOUSE 59. JENNERSVILLE REGIONAL MEDICAL CENTER 60. MAIN LINE HEALTH 61. MED CENTER 100 62. MLK COMMUNITY DEVELOPMENT COPORATION 63. NEIGHBORS IN ACTION/KENNET SENIOR CENTER 64. OXFORD NEIGHBORHOOD SERVICES CENTER 65. PAM BRYER CONSULTING 66. PATH FORWARD FOUNDATION 67. PHILADELPHIA FREEDOM VALLEY YMCA 68. PATH FORWARD FOUNDATION 69. PHILADELPHIA FREEDOM VALLEY YMCA 70. PLANNED PARENTHOOD SOUTHEASTERN PA 71. THE INSTITUTE FOR BEHAVIOR CHANGE 72. TRANSFORMATION INITIATIVE 73. VISITING NURSE ASSN OF POTTSTOWN AND VICINITY 74. VOULUNTEED ENGLISH PROGRAM 75. WEST CHESTER AREA SCHOOL DISTRICT 76. WEST CHESTER AREA SENIOR CENTER -------------------- PART V, SECTION B, LINE 7 & 10 (CHNA & IMP. PLAN PUBLIC AVAILABILITY) A COPY OF THE ORGANIZATION'S CHNA AND IMPLEMENTATION PLAN CAN BE ACCESSED AT: HTTPS://WWW.CHESTERCOUNTYHOSPITAL.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSM ENT. OUR CHNA AND IMPLEMENTATION/IMPROVEMENT PLAN ARE ALSO AVAILABLE TO THE PUBLIC UPON REQUEST. -------------------- PART V, SECTION B, LINE 11 (ADDRESSING THE NEEDS IDENTIFIED IN THE CHNA) FOR A COMPLETE DESCRIPTION ON HOW THE ORGANIZATION IS ADDRESSING THE NEEDS IDENTIFIED IN THE MOST RECENTLY COMPLETED CHNA, SEE THE FOLLOWING: HTTPS://WWW.CHESTERCOUNTYHOSPITAL.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSM .ENT -------------------- PART V, SECTION B, LINE 16 (FINANCIAL ASSISTANCE POLICY AVAILABILITY) A COPY OF THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT: HTTPS://WWW.PENNMEDICINE.ORG/FOR-PATIENTS-AND-VISITORS/PATIENT-INFORMATION /INSURANCE-AND-BILLING/FINANCIAL-ASSISTANCE -------------------- PART V, SECTION B, LINES 4 & 9 (CHNA & IMPLEMENTATION PLAN) CHESTER COUNTY HOSPITAL ("CCH") INADVERTENTLY DID NOT TIMELY COMPLETE AND APPROVE ITS UPDATED COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") AND IMPLEMENTATION STRATEGY BY THE JUNE 30, 2016 AND NOVEMBER 15, 2016 RESPECTIVE DUE DATES. THIS INADVERTENT FAILURE WAS DUE TO A CHANGE IN THE RESPONSIBLE TEAM THAT HAD OCCURRED AT THE ORGANIZATION. THE FAILURE WAS DISCOVERED IN DECEMBER 2016 AND CCH PROMPTLY ACTED TO CORRECT BY COMPLETING, APPROVING, AND POSTING ITS UPDATED CHNA AND IMPLEMENTATION STRATEGY IN ACCORDANCE WITH IRC SECTION 501(R) REQUIREMENTS. CCH HAS NOW IMPLEMENTED NEW SAFEGUARDS TO ENSURE THAT A SIMILAR OVERSIGHT DOES NOT HAPPEN AGAIN IN THE FUTURE, INCLUDING THE ESTABLISHMENT OF A NEW MANAGEMENT TEAM THAT WILL BE HELD RESPONSIBLE FOR THE CHNA AND IMPLEMENTATION STRATEGY PROCESS GOING FORWARD. -------------------- PART I, LINE 7 (BAD DEBT EXPENSE, COSTING METHODOLOGY USED) CONSISTENT WITH PRIOR YEAR, PATIENT SERVICE BAD DEBTS ARE TREATED AS A CONTRA-REVENUE LINE ITEM ON THE STATEMENT OF REVENUE. THE COSTING METHODOLOGY USED IN CALCULATING THE AMOUNTS REPORTED ON THE LINE 7 TABLE ARE BASED ON A COST TO CHARGE RATIO. THE COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 OF THE FORM 990, SCHEDULE H INSTRUCTIONS. -------------------- PART II (DETAIL OF COMMUNITY BUILDING ACTIVITIES) AT THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("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, WE HAVE CULTIVATED A STRONG AFFINITY WITH THE NEIGHBORHOODS WE SERVE - BECOMING INCREASINGLY RESPONSIVE IN IDENTIFYING NEEDS AND BEING PROACTIVE IN FINDING SOLUTIONS. WE ARE 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 THESE 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. OUR OUTREACH EXTENDS IN MANY DIRECTIONS AND IS DISPLAYED IN MANY WAYS. A LISTING OF SOME OF THE VARIOUS HEALTHCARE-RELATED COMMUNITY OUTREACH ACTIVITIES CONDUCTED BY UPHS IS INCLUDED IN OUR RESPONSE TO SCHEDULE H, PART VI, LINE 2, AS WELL AS IN OUR FORM 990, PART III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. IN ADDITION TO DIRECT HEALTH-CARE RELATED ACTIVITIES, THE UNIVERSITY OF PENNSYLVANIA (THE "UNIVERSITY") ALSO PROMOTES THE HEALTH OF ITS COMMUNITY BY PROVIDING A DIRECT ECONOMIC IMPACT TO ITS SURROUNDING AREA. UNIVERSITY CITY, THE AREA OF WEST PHILADELPHIA THAT HOSTS THE UNIVERSITY'S CAMPUS, IS A NEIGHBORHOOD OF CHOICE FOR FAMILIES, STUDENTS, FACULTY, STAFF AND VISITORS AND A THRIVING LOCATION FOR RETAILERS, RESTAURATEURS, HOTELS, OFFICE-BASED BUSINESSES AND OTHERS. THE UNIVERSITY'S STRATEGIC NEIGHBORHOOD INVESTMENTS AND COMMUNITY PARTNERSHIPS ARE A RECOGNIZED NATIONAL AND GLOBAL MODEL FOR URBAN CAMPUSES. THE IMPACT OF THE UNIVERSITY'S LOCAL COMMUNITY INITIATIVES INCLUDE: - IN FY 2016, PENN CONTINUED ITS FINANCIAL SUPPORT FOR THE UNIVERSITY CITY DISTRICT. THE UNIVERSITY IS THE LARGEST CONTRIBUTOR TO THE UNIVERSITY CITY DISTRICT, WHICH PROVIDES SUPPLEMENTAL SAFETY, CLEANING AND STREETSCAPE IMPROVEMENTS TO THE NEIGHBORHOOD. - IN FY 2016 THE UNIVERSITY CONTINUED TO SUBSIDIZE THE PENN ALEXANDER SCHOOL FINANCIALLY, AS WELL AS PROVED GRADUATE SCHOOL OF EDUCATION STUDENT TEACHER HOURS. THE PENN ALEXANDER SCHOOL IS A TOP-RANKED PUBLIC ELEMENTARY SCHOOL IN UNIVERSITY CITY. - THE UNIVERSITY PROVIDED MILLIONS IN STUDENT AID IN FY 2016 TO PHILADELPHIA RESIDENTS ENROLLED AT THE UNIVERSITY, INCLUDING STUDENTS FROM WEST PHILADELPHIA. - THE UNIVERSITY'S ANNUAL INVESTMENT IN THE NETTER CENTER FOR COMMUNITY PARTNERSHIPS ENABLES AN ARRAY OF LOCAL INITIATIVES INCLUDING TUTORING PUBLIC SCHOOL STUDENTS AND PROVIDING HEALTH AND NUTRITION PROGRAMS. - THE UNIVERSITY PURCHASED MILLIONS IN PRODUCTS AND SERVICES FROM BUSINESSES IN WEST AND SOUTHWEST PHILADELPHIA DURING THE FISCAL YEAR. - HOUSING PRICES IN THE UNIVERSITY CITY AREA CONTINUE TO APPRECIATE BASED IN LARGE PART TO THE CONTINUED INVESTMENTS MADE BY THE UNIVERSITY TO THE SURROUNDING AREA. -------------------- PART III, SECTION A, LINE 2 (BAD DEBT EXPENSE) THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 ARE BASED ON ACTUAL CHARGES WRITTEN OFF (AMOUNTS THAT ARE DEEMED TO BE UNCOLLECTIBLE). -------------------- PART III, SECTION A, LINE 3 (BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIBIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY) UPHS UTILIZES A THIRD-PARTY VENDOR TO POPULATE THE NUMBER OF INDIVIDUALS WITHIN EACH HOUSEHOLD AND THE MEAN HOUSEHOLD INCOME BASED ON THE ACCOUNT ADDRESS. UPHS ESTIMATES THE AMOUNT OF BAD DEBTS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER ITS FINANCIAL ASSISTANCE POLICY BASED UPON 300% OF THE FEDERAL POVERTY GUIDELINES. -------------------- PART III, SECTION A, LINE 4 (BAD DEBT EXPENSE FOOTNOTE) THE BAD DEBT EXPENSE FOOTNOTE DISCLOSURE CAN BE FOUND ON PAGE 14 OF THE ATTACHED CONSOLIDATED FINANCIAL STATEMENTS FOR THE UNIVERSITY OF PENNSYLVANIA. -------------------- PART III, SECTION B, LINE 8 (COSTING METHODOLOGY, MEDICARE SHORTFALL) THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 6 IS BASED ON A COST TO CHARGE RATIO. CONSISTENT WITH THE CHARTIABLE HEALTHCARE MISSION OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM (UPHS) AND THE COMMUNITY BENEFIT STANDARD SET FORTH IN IRS REVENUE RULING 69-545, UPHS PROVIDES CARE FOR ALL PATIENTS COVERED BY MEDICARE SEEKING MEDICAL CARE AT UPHS. SUCH CARE IS PROVIDED REGARDLESS OF WHETHER THE REIMBURSEMENT PROVIDED FOR SUCH SERVICES MEETS OR EXCEEDS THE COSTS INCURRED BY UPHS TO PROVIDE SUCH SERVICES. -------------------- PART III, LINE 9B (COLLECTING PRACTICES) THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM PROVIDES URGENT/EMERGENT MEDICAL SERVICES WITHOUT REGARD TO ABILITY TO PAY. WHEN IT HAS BEEN DETERMINED THAT A PATIENT IS NOT ELIGIBLE FOR COVERAGE BY EXTERNAL SOURCES OF FUNDING, FINANCIAL ASSISTANCE MAY BE AVAILABLE FOR BOTH THE UNINSURED AND UNDERINSURED, THE INDIGENT, HARDSHIP AND MEDICALLY INDIGENT AND MAY BE APPROVED AS EITHER FULL OR PARTIAL FREE CARE. PATIENTS WHO DO NOT COOPERATE WITH THE FINANCIAL COUNSELING PROCESS OR WHOSE APPLICATION FOR FINANCIAL ASSISTANCE IS DENIED BY THE HEALTH SYSTEM MAY BE PURSUED BY COLLECTION EFFORTS, INCLUDING REFERRAL TO AN OUTSIDE COLLECTION AGENCY OR ATTORNEY AS DETERMINED BY OUR PATIENT ACCOUNTING DEPARTMENT. -------------------- PART VI, LINE 2 (NEEDS ASSESSMENT) THE MISSION OF UPHS IS TO PROVIDE THE MOST ADVANCED AND HIGHEST QUALITY PATIENT CARE POSSIBLE; TO PROVIDE A RICH AND DIVERSE EDUCATIONAL ENVIRONMENT FOR STUDENTS AND TRAINEES; AND TO SUPPORT CLINICAL RESEARCH THAT PUSHES THE BOUNDARIES OF CURRENT HUMAN KNOWLEDGE. TO THESE ENDS, UPHS IS AN ACTIVE PARTICIPANT IN THE WEST PHILADELPHIA NEIGHBORHOOD THAT IS OUR HOME. ON ANY GIVEN DAY, UPHS PHYSICIANS, NURSES, MEDICAL STUDENTS AND VOLUNTEERS ARE OUT IN THE COMMUNITY SHARING THEIR SKILLS, THEIR TALENTS AND MOST IMPORTANTLY, THEMSELVES FOR THE BETTERMENT OF THE COMMUNITY. - HOW UPHS IDENTIFIES AND TAKES ACTION TO ADDRESS RACIAL, ETHNIC, AND GENDER DISPARITIES IN MEDICAL CARE EVERY DAY IN OUR NEIGHBORHOOD CLINICS, IN OUR EMERGENCY 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: > PUENTES DE SALUD - A WEEKLY FREE CLINIC THAT SEEKS TO ADDRESS THE HEALTH NEEDS OF THE GROWING LATINO POPULATION BY PROVIDING LOW-COST CARE TO PATIENTS ANNUALLY. > THE UNITY CLINIC - A FREE CLINIC THAT PROVIDES PRIMARY CARE SERVICES TO LOW-INCOME ASIAN IMMIGRANTS IN PHILADELPHIA. > WOMEN AND CHILDREN'S HEALTH SERVICES - AN AMBULATORY CARE FACILITY THAT SPECIALIZES IN THE PROVISION OF OBSTETRICAL, FAMILY PLANNING AND SOCIAL SERVICES THROUGH FREE AND LOW COST PROGRAMS THAT EXTEND WELL BEYOND TRADITIONAL MEDICAL CARE. - HOW THE HEALTH SYSTEM ASSESSES COMMUNITY HEALTH STATUS UPHS PROVIDES VARIOUS COMMUNITY SERVICES WHICH, IN CONJUNCTION WITH PROVIDING PATIENT CARE AND EDUCATIONAL INFORMATION, HELP US ASSESS THE HEALTH STATUS OF OUR COMMUNITY. SOME OF OUR MOST SUCCESSFUL INITIATIVES RESULT FROM APPLYING THE COLLECTIVE RESOURCES OF COMMUNITY RESIDENTS AND ORGANIZATIONS, HEALTH CARE PROFESSIONALS, AND PUBLIC HEALTH AGENCIES WITH THE GOAL OF IDENTIFYING AND ADDRESSING A COMMUNITY PROBLEM. THIS IS ACCOMPLISHED IN MANY WAYS, SUCH AS: FORMAL HEALTH ASSESSMENTS THAT INDIVIDUAL PROGRAMS MAY PERFORM, OPEN DIALOGUE WITH COMMUNITY LEADERS THROUGH PARTICIPATION IN COMMUNITY MEETINGS, OR BY ASSESSING COMMUNITY HEALTH STATUS IN THE WORK WE PERFORM OUT IN THE COMMUNITY. - HOW THE HEALTH SYSTEM COLLABORATES WITH COMMUNITY STAKEHOLDERS, INCLUDING OTHER INSTITUTIONAL PROVIDERS, TO IDENTIFY SPECIFIC COMMUNITY HEALTH NEEDS AND TO DEVELOP AND MEASURE EFFECTIVENESS OF PROGRAMS TO HELP MEET THOSE NEEDS COLLABORATION WITH COMMUNITY STAKEHOLDERS AND OTHER INSTITUTIONAL PROVIDERS IS A PARTICULARLY STRONG AREA FOR UPHS. WORKING IN CONJUNCTION WITH COMMUNITY-BASED NON-PROFIT ORGANIZATIONS, CITY AGENCIES AND OTHER COMMUNITY STAKEHOLDERS, UPHS SEEKS TO IDENTIFY AND ADDRESS COMMUNITY HEALTH NEEDS THROUGH PROGRAMS AND SERVICES, SUCH AS: > SAYRE HEALTH CENTER - RECOGNIZING A NEED FOR PRIMARY CARE SERVICES IN THE NEIGHBORHOOD, PENN JOINED FORCES WITH THE SCHOOL DISTRICT OF PHILADELPHIA TO BRING A STATE-OF-THE-ART HEALTH CARE FACILITY TO SAYRE HIGH SCHOOL IN WEST PHILADELPHIA. IN ADDITION TO PROVIDING PRIMARY CARE SERVICES TO THE COMMUNITY, PENN MEDICINE PHYSICIANS WORK IN PARTNERSHIP WITH SAYRE STUDENTS TO TEACH BASIC MEDICAL SERVICES THAT ONE DAY COULD LEAD TO A CAREER IN THE MEDICAL PROFESSION. > BRIDGING THE GAPS - A PARTNERSHIP OF THE AREA'S FIVE ACADEMIC HEALTH CENTERS, BRIDGING THE GAPS (BTG) LINKS THE TRAINING OF HEALTH PROFESSIONALS WITH THE PROVISION OF CARE TO ECONOMICALLY DISADVANTAGED POPULATIONS. LED BY UPHS PHYSICIANS AND STAFF, BTG GIVES MEDICAL STUDENTS THE OPPORTUNITY TO GAIN FIRST-HAND INSIGHT INTO THE COMPLEX ISSUES AFFECTING UNDERSERVED URBAN COMMUNITIES. IN ADDITION TO THE PROGRAMS OUTLINES ABOVE, UPHS PHYSICIANS AND STAFF PROVIDE EDUCATIONAL PROGRAMS IN CONJUNCTION WITH AREA HIGH SCHOOLS AND VOLUNTEER THEIR EXPERTISE TO NUMEROUS PUBLIC HEALTH COMMITTEES AND AGENCIES AT THE COMMUNITY, STATE AND NATIONAL LEVEL. - HOW THE HEALTH SYSTEM REGULARLY REPORTS TO THE COMMUNITY ON THE ORGANIZATION'S QUALITY PERFORMANCE FOR THE FULL RANGE OF SERVICES IT PROVIDES SINCE 2007, UPHS HAS PUBLISHED AN ANNUAL COMMUNITY BENEFIT REPORT, "SIMPLY BECAUSE," WHICH HIGHLIGHTS SOME OF THE EXTENSIVE WORK UPHS PERFORMS IN THE COMMUNITY. THIS WIDELY DISTRIBUTED REPORT INCLUDES EXAMPLES OF OUR COMMUNITY EFFORTS AS WELL AS STATISTICS RELATED TO THE COMMUNITY BENEFIT WE PROVIDE. https://www.pennmedicine.org/news/publications-and-special-projects/simply -because ADDITIONALLY, UPHS HAS ALSO IMPLEMENTED OUR "PENN MEDICINE CARES" (COMMUNITY ACTIVITY REPORTING E-INITIATIVE) PROGRAM. WHILE THE "SIMPLY BECAUSE" REPORT PROVIDES US A BRIEF GLIMPSE INTO ALL THE GOOD WORK UPHS PERSONNEL ARE INVOLVED IN, IT REPRESENTS ONLY A FRACTION OF THE TOTAL COMMUNITY SERVICE WORK THAT OCCURS. THIS REPORTING PROGRAM HAS BEEN DEVELOPED TO ENCOURAGE UPHS EMPLOYEES TO REPORT ALL OF THE COMMUNITY SERVICES THEY PROVIDE SO THAT WE CAN BETTER TRACK COMMUNITY OUTREACH, ENCOURAGE MORE VOLUNTEERISM AND BETTER TARGET OUR EFFORTS TO MEET THE GREATEST COMMUNITY NEEDS. http://www.pennmedicine.org/health-system/about/community/ - WHETHER AND HOW UPHS IS ADDRESSING THE PER CAPITA COST OF CARE IN THE COMMUNITY. UPHS SUPPORTS EFFORTS TO PROVIDE FREE AND LOW-COST CARE TO THE COMMUNITY THROUGH PARTNERSHIPS WITH BOTH PENN-RELATED AND NON-RELATED PROGRAMS. UPHS PHYSICIANS AND STAFF WORK IN HEALTH CLINICS THROUGHOUT PHILADELPHIA THAT PROVIDE THESE MUCH-NEEDED SERVICES THAT ALSO ADDRESSES THE PER CAPITA COST OF HEALTH CARE IN THE COMMUNITY. IN ADDITION, UPHS HAS A SPECIALTY CARE CONTRACT WITH THE CITY OF PHILADELPHIA THAT ALLOWS PHYSICIANS FROM THE CITY'S DISTRICT HEALTH CENTERS TO REFER PATIENTS INTO THE SYSTEM FOR APPOINTMENTS IN SPECIALTIES SUCH AS CARDIOLOGY, NEUROLOGY AND DERMATOLOGY. THESE SERVICES ARE PROVIDED TO THE CITY AT A SIGNIFICANTLY REDUCED COST - GIVING UNINSURED AND UNDERINSURED PATIENTS ACCESS TO CARE THEY MIGHT NOT OTHERWISE RECEIVE WHILE KEEPING DOWN THE PER CAPITA COST FOR THE CITY AND RESIDENTS OF THE COMMUNITY. AT UPHS, WORKING FOR THE BENEFIT OF THE COMMUNITY IS NOT ONLY A PRIORITY; IT IS ROOTED DEEP IN OUR CULTURE. ALONG WITH OUR ROLE AS A LEADER IN MEDICAL CARE AND RESEARCH, UPHS HAS CULTIVATED A STRONG AFFINITY WITH THE NEIGHBORHOODS WE SERVE- BECOMING INCREASINGLY RESPONSIVE IN IDENTIFYING NEEDS AND PROACTIVE IN FINDING SOLUTIONS. IN ADDITION TO OUR OWN INTERNAL EFFORTS, UPHS ALSO COLLABORATES WITH VARIOUS PUBLIC AND PRIVATE AGENCIES TO HELP DETERMINE COMMUNITY HEALTH NEEDS AND HOW BEST TO ADDRESS THEM. THE SUCCESS OF COMMUNITY OUTREACH REQUIRES A STRONG FOCUS ON SOLUTIONS. AT UPHS, WE CONTINUALLY FIND WAYS TO EXPAND AND STRENGTHEN THE SAFETY NET THAT HELPS ENSURE THE WELL-BEING OF THE COMMUNITIES WE SERVE. IN THAT REGARD, ONE OF OUR MAJOR RESPONSIBILITIES IS TO SHARE KNOWLEDGE. WORKING TOGETHER WITH COMMUNITY PARTNERS ENABLES US TO ACCOMPLISH MORE THAN ANY ONE PERSON COULD INDIVIDUALLY. PLEASE SEE OUR MOST RECENTLY COMPLETED COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN FOR ADDITIONAL INFORMATION. A COPY OF OUR CHNA AND IMPLEMENTATION PLAN CAN BE ACCESSED AT: HTTPS://WWW.PENNMEDICINE.ORG/ABOUT/SERVING-OUR-COMMUNITY/REPORTS. -------------------- PART VI, LINE 3 (PATIENT EDUCATION OF ELIGBILITY FOR ASSISTANCE) UPHS IS COMMITTED TO CARING FOR ALL PATIENTS EQUITABLY, WITH DIGNITY, RESPECT AND COMPASSION WITHOUT REGARD TO AGE, RACE, COLOR, NATIONAL ORIGIN, RELIGIOUS CREED, SEX, PHYSICAL OR MENTAL DISABILITY, MARITAL STATUS OR SEXUAL PREFERENCE. AS PART OF THIS COMMITMENT, UPHS OFFERS FINANCIAL COUNSELING AND ASSISTANCE PROGRAMS TO UNINSURED AND UNDERINSURED PATIENTS TO ASSIST THOSE WHO CANNOT PAY FOR ALL OR PART OF THEIR CARE. PATIENTS WILL BE CONSIDERED FOR FINANCIAL ASSISTANCE ON AN INDIVIDUAL BASIS, TAKING INTO CONSIDERATION TOTAL HOUSEHOLD INCOME AND OTHER RESOURCES. UPHS WILL ALSO CONSIDER OTHER FACTORS IN THE PATIENT/FAMILY FINANCIAL SITUATION, SHOULD THERE BE OTHER CRITICAL EXPENSES, NOT RELATED TO THE PATIENT'S MEDICAL CARE, THAT MAKE PAYMENT OF THE FINANCIAL OBLIGATION IMPOSSIBLE, SUCH AS CARING FOR A DISABLED FAMILY MEMBER. UPHS INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER UPHS'S CHARITY CARE POLICY. PATIENTS ARE INFORMED OF THE AVAILABILITY OF CHARITY CARE IN VARIOUS WAYS (E.G. AT POINT OF REGISTRATION, ON POSTERS THROUGHOUT HOSPITAL, IN PRACTICES, FINANCIAL COUNSELOR INTERVIEW AND WEBSITE). A COPY OF OUR FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT: HTTPS://WWW.PENNMEDICINE.ORG/FOR-PATIENTS-AND-VISITORS/PATIENT-INFORMATION /INSURANCE-AND-BILLING/FINANCIAL-ASSISTANCE -------------------- PART VI, LINE 4 (COMMUNITY INFORMATION) UPHS IS SENSITIVE TO THE DISPARITY IN THE QUALITY OF HEALTH AND HEALTH CARE AMONG THE PEOPLE OF THE PHILADELPHIA AREA. IN NEIGHBORHOODS THROUGHOUT THE CITY, MANY RESIDENTS, OFTEN THE VERY YOUNG OR THE VERY OLD DO NOT HAVE ACCESS TO ADEQUATE CARE. THE QUALITY OF THEIR LIVES IS DIMINISHED BECAUSE THEY ARE UNABLE TO RECEIVE THE SERVICES AND SUPPORT THEY NEED. AWARE OF THE BARRIERS TO HEALTH CARE FACED BY OUR COMMUNITIES, WE USE OUR RESOURCES TO IMPROVE THE HEALTH AND WELLNESS AMONG THE UNDERSERVED. OUR MORAL IMPERATIVE IS TO LOOK, LISTEN, AND ACT IN WAYS THAT WILL MAKE A DIFFERENCE. IN COLLABORATION WITH OUR PHYSICIANS, NURSES, STUDENTS AND COMMUNITY PARTNERS, WE TAKE ACTION TO ENHANCE THE WELL-BEING OF THE NEIGHBORHOODS WE ALL SHARE. -------------------- PART VI, LINE 5 (INFORMATION REGARDING PROMOTION OF COMMUNITY HEALTH) THE CORE COMMUNITY BENEFITS PROGRAMS OF UPHS WERE ESTABLISHED AND CONTINUE TO THRIVE WHETHER OPERATED BY OR ENCOURAGING VOLUNTEERS. HERE IS A LIST OF SOME OF THE COMMUNITY BENEFITS UPHS PROVIDES: - UNIVERSITY CITY HOSPITAL COALITION (UCHC) - PROVIDES MEALS TO THE HOMELESS AND HUNGRY. - UNITED COMMUNITY CLINIC (UCC) - A FREE HEALTH CLINIC IN THE BASEMENT OF A CHURCH IN THE EAST PARKSIDE NEIGHBORHOOD. - PROJECT ME (MIND EMPOWERMENT) - A PROGRAM AT JANE ADDAMS PLACE, AN EMERGENCY SHELTER FOR YOUNG HOMELESS MOTHERS, WHERE NURSES FROM VARIOUS DEPARTMENTS OF THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA (HUP) CONDUCT EDUCATIONAL CLASSES ON A VARIETY OF TOPICS INCLUDING CARING FOR BABY, FLU PREVENTION AND MORE. - ADDICTION UNIT AT PENN PRESBYTERIAN MEDICAL CENTER (PMC) - IS AN 18 BED FACILITY THAT PROVIDES REHAB TREATMENT FOR DRUG ADDICTS AND ALCOHOLICS. - DR. BERNETT L. JOHNSON, JR. SAYER HEALTH CENTER - THE LATE DR. SAYER HAD A VISION: TO CREATE A PRIMARY CARE HEALTH CENTER, WHERE PENN MEDICINE WORKS IN COLLABORATION WITH SAYER HIGH SCHOOL TO BRING STATE-OF-THE-ART HEALTH CARE TO THE NEIGHBORHOOD. SAYER IS ONE OF 30 SCHOOLS IN THE CITY PARTICIPATING IN PROJECT BIOEYES, AN INNOVATIVE EDUCATIONAL INITIATIVE SPONSORED BY THE UNIVERSITY OF PENNSYLVANIA'S INSTITUTE FOR REGENERATIVE MEDICINE AND THE NETTER CENTER FOR COMMUNITY PARTNERSHIPS. - PREVENTION POINT CLINIC - A NON-PROFIT GROUP THAT PRIMARILY SERVES THOSE WHO ARE UNINSURED OR LIVING IN SHELTERS. THE PRESENCE OF PENN DOCTORS AT THE CLINIC HAS BEEN GETTING AROUND BY WORD-OF-MOUTH. PREVENTION POINT OFFERS A VARIETY OF HEALTH SERVICES RANGING FROM TREATING INFECTIONS TO PROVIDING VACCINES FOR HEPATITIS AND TETANUS. PATIENTS WITH MORE CHRONIC ISSUES CAN RECEIVE REFERRALS TO PRIMARY CARE ELSEWHERE IN THE CITY. - PUENTES DE SALUD - THE GOAL OF THE ORGANIZATION IS TO BRIDGE THE GAP BRINGING LOW COST, HIGH QUALITY HEALTH CARE AND SOCIAL SERVICES TO SOUTH PHILADELPHIA'S GROWING LATINO POPULATION. VOLUNTEERS CONSISTING OF PENN PHYSICIANS, NURSES, MEDICAL STUDENTS AND UNDERGRADUATES FROM THE UNIVERSITY OF PENNSYLVANIA PROVIDE CARE FOR NEARLY 1,400 PATIENTS PRIMARILY SPANISH SPEAKING IMMIGRANTS. ROUGHLY 10% OF THEM ARE DIABETIC. - LATINA COMMUNITY HEALTH SERVICES (LCHS) IS THE WOMEN'S HEALTH EXTENSION OF PUENTES DE SALUD. THE PROGRAM WAS CREATED TO PROVIDE QUALITY HEALTH CARE TO HISPANIC WOMEN INCLUDING ULTRASOUND SCREENING AND DIABETES EDUCATION. - A GROUP OF CLERGY MEMBERS FROM CHRISTIAN STRONGHOLD BAPTIST CHURCH FREQUENTLY ADVISE PARISHIONERS SUFFERING FROM DEPRESSION, ANXIETY AND OTHER MENTAL HEALTH ISSUES. IN ORDER TO PROVIDE BETTER COUNSEL, THE CLERGY MEMBERS CONTACTED ASSISTANT PROFESSORS FROM PENN. ALONG WITH OTHER PENN PHYSICIANS, THEY OVERSEE A SERIES OF SEMINARS AT THE CHURCH IN CONJUNCTION WITH THE MAINLINE CHAPTER OF THE NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) TO EDUCATE THE PASTORS ON MENTAL HEALTH ISSUES. - HALL-MERCER HOMELESS PROGRAM - A PROGRAM THAT PROVIDES CARE AND RESOURCES FOR PEOPLE WHO LIVE ON THE STREETS OR HAVE A HISTORY OF HOMELESSNESS. AS THE BEHAVIORAL WING OF PENNSYLVANIA HOSPITAL, HALL-MERCER OFFERS A FULL RANGE OF SERVICES TO THE CITY'S MENTALLY ILL OR DISPLACED POPULATION. - PENN SIGHT SAVERS PROGRAM - A GROUP OF STUDENTS FROM THE PERELMAN SCHOOL OF MEDICINE CONDUCT HUNDREDS OF FREE GLAUCOMA SCREENINGS AND EDUCATE COMMUNITIES ON THE TOPIC OF OCULAR HEALTH. OUR OUTREACH EXTENDS IN MANY DIRECTIONS AND IS DISPLAYED IN MANY WAYS. A LISTING OF SOME OF THE VARIOUS OTHER HEALTHCARE-RELATED COMMUNITY OUTREACH ACTIVITIES CONDUCTED BY UPHS IS INCLUDED IN OUR RESPONSE TO SCHEDULE H, PART VI, LINE 2, AS WELL AS IN OUR FORM 990, PART III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. -------------------- PART VI, LINE 6 (AFFILIATED HEALTHCARE SYSTEM INFORMATION) THE MISSION OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM IS EXCELLENCE IN EDUCATION, RESEARCH, AND CLINICAL CARE. WE STRIVE TO ACHIEVE THESE GOALS BY HAVING THE BEST PEOPLE IN MEDICAL EDUCATION, HEALTH-RELATED RESEARCH, AND PATIENT CARE; MAKING USE OF KNOWLEDGE GAINED FROM NEARLY TWO AND A HALF CENTURIES OF LEARNING AND DISCOVERY AS PART OF A WORLD-CLASS UNIVERSITY; DELIVERING HIGH-QUALITY MEDICINE TO PATIENTS ACROSS A FULLY INTEGRATED ACADEMIC HEALTH SYSTEM; AND FULFILLING A COMMITMENT TO IMPROVE THE HEALTH OF PEOPLE IN THE COMMUNITIES SERVED BY THE HEALTH SYSTEM AND AROUND THE WORLD. AS PART OF AN AFFILIATED HEALTHCARE SYSTEM, THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM CONSISTS OF CERTAIN OPERATING DIVISIONS OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA (THE "UNIVERSITY") AND AFFILIATED ENTITIES, INCLUDING: - THE CHESTER COUNTY HOSPITAL ("CCH"), INCLUDES A 245 BED COMPLEX IN WEST CHESTER, PENNSYLVANIA AND SATELLITE LOCATIONS IN EXTON, WEST GOSHEN, NEW GARDEN, JENNERSVILLE AND KENNETT SQUARE, PENNSYLVANIA. CCH BECAME PART OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM EFFECTIVE SEPTEMBER 1, 2013; - 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 1,355 [FY 16 AMOUNT OUTSTANDING] 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 CURRENTLY EMPLOYING APPROXIMATELY 170 [FY 16 AMOUNT OUTSTANDING] PHYSICIANS AT 51 OFFICE LOCATIONS IN SOUTHEASTERN PENNSYLVANIA AND THROUGH ITS NEW JERSEY AFFILIATE IN SOUTHERN NEW JERSEY; AND - WISSAHICKON HOSPICE, A HOSPICE CARE FACILITY SERVING THE TERMINALLY ILL, LOCATED IN BALA CYNWYD, PENNSYLVANIA. HUP AND CPUP ARE OPERATING DIVISIONS OF THE UNIVERSITY. PRESBYTERIAN, PENNSYLVANIA HOSPITAL, WISSAHICKON HOSPICE AND CCA ARE SEPARATE NONPROFIT CORPORATIONS AFFILIATED WITH AND CONTROLLED BY THE UNIVERSITY. EFFECTIVE AUGUST 1, 2015, LANCASTER GENERAL HEALTH ("LGH") AND ITS AFFILIATES BECAME PART OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM. LGH OPERATES THREE HOSPITALS IN SOUTH CENTRAL PENNSYLVANIA, INCLUDING LANCASTER GENERAL HOSPITAL, A 533-BED GENERAL ACUTE CARE HOSPITAL, WOMEN & BABIES HOSPITAL, A 98-BED FACILITY SPECIALIZING IN WOMENS 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. -------------------- PART VI, LINE 7 (STATE FILING OF COMMUNITY BENEFIT REPORT) N/A false true false false false false false true false DENNIS A BERMAN MD TRUSTEE 323030 0 40000 0 11079 0 0 0 2730 0 376839 0 0 0 DEBORAH A DRISCOLL MD TRUSTEE 0 671724 0 271260 0 20531 0 23850 0 1331 0 988696 0 0 KEVIN B MAHONEY TRUSTEE 0 730115 0 358339 0 227963 0 144201 0 26832 0 1487450 0 158933 RALPH W MULLER EX-OFFICIO TRUSTEE 0 1534477 0 725154 0 351086 0 0 0 11913 0 2622630 0 0 MICHAEL J DUNCAN PRES,CEO, & EX-OFFICIO TRUSTEE 615613 0 82200 0 18516 0 0 0 5157 0 721486 0 0 0 KEITH KASPER TREASURER 0 679002 0 332742 0 227823 0 133900 0 27819 0 1401286 0 120386 KENNETH E FLICKINGER mba ASST. TREASURER & SVP FINANCE 341165 0 106628 0 18792 0 0 0 6618 0 473203 0 0 0 KEVIN R O'BRIEN JR MLT SECRETARY/SVP DEVELOPMENT 239318 0 56207 0 18516 0 0 0 6979 0 321020 0 0 0 MICHAEL D BARBER MHA COO 329102 0 91947 0 18276 0 0 0 1498 0 440823 0 0 0 RICHARD DONZE DO MPH SVP MEDICAL AFFAIRS 366507 0 115810 0 18792 0 0 0 4107 0 505216 0 0 0 ANGELA R COLADONATO RN MSN NEA- SR VP NURSING 265170 0 55649 0 20380 0 0 0 7030 0 348229 0 0 0 DAVID GROSSMAN PHYSICIAN ONCOLOGIST 415598 0 0 0 18143 0 0 0 4701 0 438442 0 0 0 JAMES PATTERSON PHYSICIAN PATHOLOGIST 352318 0 40000 0 10698 0 0 0 13496 0 416512 0 0 0 SCOTT H SAUL PHYSICIAN PATHOLOGIST 367309 0 0 0 792 0 0 0 20130 0 388231 0 0 0 JAMES I HERALD PHYSICIAN PATHOLOGIST 369933 0 0 0 792 0 0 0 17506 0 388231 0 0 0 MOLLY STUMACHER PHYSICIAN ONCOLOGIST 296519 0 32000 0 8488 0 0 0 911 0 337918 0 0 0 BERT W O'MALLEY JR MD TRUSTEE 0 969771 0 381348 0 1794 0 23850 0 33453 0 1410216 0 0 FORM 990, SCHEDULE J, PART I, LINE 3 TOP MANAGEMENT COMPENSATION AS PROVIDED IN THE FORM 990, SCHEDULE J INSTRUCTIONS, SINCE THE ORGANIZATION RELIES ON A RELATED ORGANIZATION WHICH USES ONE OR MORE OF THE METHODS DESCRIBED IN LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION, THIS QUESTION HAS BEEN LEFT UNANSWERED. REFER TO SCHEDULE O FOR A DESCRIPTION OF THE COMPENSATION REVIEW AND APPROVAL PROCESS. ------------------------------ FORM 990, SCHEDULE J, LINE 4B SUPP NONQUALIFIED RET. 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- $120,386 MAHONEY, KEVIN- $158,933 MULLER, RALPH- $302,462 ------------------------------ FORM 990, SCHEDULE J, LINE 7 PROVISION OF NON-FIXED PAYMENTS CHESTER COUNTY HOSPITAL PROVIDES DISCRETIONARY BONUS AND/OR INCENTIVE COMPENSATION PAYMENTS TO ELIGIBLE EMPLOYEES. PAYMENTS MADE TO ANY DISQUALIFIED PERSON IS APPROVED BY THE COMPENSATION COMMITTEE THROUGH THE PROCESS DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 15. SUPPLEMENTAL INFORMATION ON TAX EXEMPT BONDS FORM 990, SCHEDULE K CHESTER COUNTY HOSPITAL HAS BEEN ALLOCATED A PORTION OF THE PA HIGHER ED FACILITIES AUTHORITY- UPHS SERIES A 2014 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 2014 BOND ISSUE HAS BEEN REPORTED ON THE FORM 990, SCHEDULE K OF THE UNIVERSITY. THE TOTAL ALLOCATED OUSTANDING BALANCE FOR CHESTER COUNTY HOSPITAL WAS $50,000,000 AS OF JUNE 30, 2016. MICHAEL DUNCAN OFFICER EMPLOYEE LOAN X 223660 223660 false true true 223660 FORM 990, PART VI, SECTION B, LINE 11 FORM 990 REVIEW PROCESS INFORMATION RELATED TO THIS ORGANIZATION'S FORM 990 FILING IS GATHERED BY FINANCE STAFF AND PROVIDED TO PRICEWATERHOUSECOOPERS LLP FOR REVIEW AND RETURN PREPARATION. A DRAFT COPY OF THE 2015 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 2015 FORM 990 WAS THEN MADE AVAILABLE TO EACH BOARD MEMBER PRIOR TO THE FILING DEADLINE. ------------------------------ FORM 990, PART VI, SECTION A, LINE 12C CONFLICT OF INTEREST POLICY THIS ORGANIZATION IS AN AFFILIATE OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). EACH COVERED PERSON* ANNUALLY SHALL COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE PROVIDED BY THE UNIVERSITY AND SHALL UPDATE SUCH QUESTIONNAIRE PROMPTLY AS NECESSARY TO REFLECT CHANGES DURING THE COURSE OF THE YEAR. FORMER BOARD MEMBERS WHO ARE NOT TRUSTEE EMERITI ARE ENCOURAGED BUT NOT REQUIRED TO COMPLETE THE QUESTIONNAIRE DURING THE FIVE-YEAR PERIOD FOLLOWING COMPLETION OF THEIR TERMS. COMPLETED QUESTIONNAIRES SHALL BE RETURNED TO THE OFFICE OF THE SECRETARY AND SHALL BE SUBJECT TO REVIEW BY SUCH OFFICE AND THE OFFICE OF THE GENERAL COUNSEL, AS WELL AS BY ANY OUTSIDE LEGAL COUNSEL AND/OR AUDITORS WHO MAY BE APPOINTED TO ADVISE THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES APPOINTED TO OVERSEE THIS POLICY. COMPLETED QUESTIONNAIRES ALSO SHALL BE AVAILABLE FOR INSPECTION BY ANY BOARD MEMBER. *COVERED PERSONS INCLUDE: (1) VOTING MEMBERS OF THE BOARD OF TRUSTEES (INCLUDING CHARTER TRUSTEES, TERM TRUSTEES, ALUMNI TRUSTEES, AND COMMONWEALTH TRUSTEES); (2) TRUSTEE EMERITI WHO HAVE SERVED IN THAT CAPACITY FOR FIVE YEARS OR LESS; (3) OTHER FORMER VOTING TRUSTEES FOR A PERIOD OF FIVE YEARS FROM THE END OF THEIR TERM AS SUCH; (4) OFFICERS AS DEFINED IN THE STATUTES; (5) MEMBERS OF THE INVESTMENT BOARD; AND (5) KEY EMPLOYEES. EACH COVERED PERSON (EXCEPT FORMER BOARD MEMBERS WHO ARE NOT TRUSTEE EMERITI) SHALL BE REQUIRED TO ACKNOWLEDGE, NOT LESS THAN ANNUALLY, THAT HE OR SHE HAS READ AND IS IN COMPLIANCE WITH THIS POLICY. ------------------------------ FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION PROCESS THIS ORGANIZATION IS AN AFFILIATE OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). COMPENSATION ARRANGEMENTS INVOLVING ANY OF OUR OFFICERS AND/OR KEY EMPLOYEES ARE ESTABLISHED BY THE UNIVERSITY PURSUANT TO A PROCESS THAT SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR SECTION 4958 EXCESS BENEFIT TRANSACTION TAX PURPOSES (WHICH REQUIRES A REVIEW OF COMPENSATION DETERMINATIONS BY DISINTERESTED PERSONS, USE OF APPROPRIATE COMPARABILITY DATA, AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS). ------------------------------ FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS AVAILABILITY TO PUBLIC OUR FORMS 990, GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. NOTE THAT SINCE THE ORGANIZATION HAS BEEN IN EXISTENCE SINCE 1892, IT WAS NOT REQUIRED TO FILE A FORM 1023 APPLICATION. INSTEAD, THE ORGANIZATION'S IRC SECTION 501(C)(3) TAX-EXEMPT STATUS WAS GRANDFATHERED BY THE IRS. ------------------------------ FORM 990, PART XI, LINE 9 DETAIL OF OTHER CHANGES IN NET ASSETS TRANSFERS TO ENDOWMENT $(1,500) INTEREST IN ASSETS OF FOUNDATION $84,443 TRANSFER FROM FOUNDATION $5,327,977 TRANSFERS TO AFFILIATES $(3,161,230) CHANGE IN INTEREST OF FOUNDATION ASSETS $(5,327,977) VALUATION, BENEFICIAL PERPETUAL FUNDS $(700,002) CHANGES IN PLEDGES $(502,043) DONATIONS $332,285 -------------- TOTAL $(3,948,067) ABRAMSON INSTITUTE 1086 PENLLYN BLUE BELL PIKE BLUE BELL PA 19422 232929823 MED RESEARCH PA 501(c)(3) 4 NA false CARL V S PATTERSON 19 UN OF PA C/O PNC BANK 620 LIBERTY AVE 10FL PITTSBURGH PA 15222 236415355 SUPPORT TRUST PA 4947(A)(1) N/A NA false CHESTER COUNTY HOSPITAL & HEALTH SYSTEM 701 E MARSHALL STREET WEST CHESTER PA 19380 264233321 MGMT SRVCS PA 501(C)(3) 11, I TRUSTEES false CLINICAL CARE ASSOCIATES OF UPHS 250 KING OF PRUSSIA RD 4TH FL RADNOR PA 19087 232729852 HEALTHCARE PA 501(c)(3) 9 TRUSTEES false FRANKLIN SPECIALTY PHYSICIANS 3451 WALNUT STREET PHILADELPHIA PA 19104 232992715 SUPPORT ORG PA 501(c)(3) 11, II PA HOSPITAL false LANCASTER GENERAL HEALTH 555 NORTH DUKE STREET LANCASTER PA 17604 232250941 SUPPORT ORG PA 501(C)(3) 11, II TRUSTEES false LANCASTER GENERAL HEALTH COLUMBIA CENTER 306 NORTH 7TH STREET COLUMBIA PA 17512 230485650 FACILITY MGMT PA 501(C)(3) 3 LG HOSPITAL false LANCASTER GENERAL HEALTH FOUNDATION 555 NORTH DUKE STREET LANCASTER PA 17604 205767147 FUNDRAISING PA 501(C)(3) 11, I NA false LANCASTER GENERAL HEALTH HOLDINGS 555 NORTH DUKE STREET LANCASTER PA 17604 204943109 HEALTHCARE PA 501(C)(3) 3 LG HEALTH false LANCASTER GENERAL HOSPITAL 555 NORTH DUKE STREET LANCASTER PA 17604 231365353 HEALTHCARE PA 501(C)(3) 3 LG HEALTH false LANCASTER GENERAL MEDICAL GROUP 1030 NEW HOLLAND AVENUE LANCASTER PA 17601 232777286 HEALTHCARE PA 501(C)(3) 3 LG HEALTH false MORRIS EST LYDIA T DECD TW 1525 W WT HARRIS BLVD CHARLOTTE NC 28262 236210940 SUPPORT TRUST PA 501(C)(3) 11, III-FI NA false NEIGHBORHOOD HEALTH AGENCIES INC 795 E MARSHALL STREET WEST CHESTER PA 19380 232324782 NURSING PA 501(C)(3) 11, I CCH&HS false NEIGHBORHOOD LEAGUE HEALTH SERVICES 795 E MARSHALL STREET WEST CHESTER PA 19380 232324787 HEALTH SRVCS PA 501(C)(3) 9 CCH&HS false NEIGHBORHOOD VISITING NURSE ASSOCIATION 795 E MARSHALL STREET WEST CHESTER PA 19380 231352243 NURSING PA 501(C)(3) 7 CCH&HS false OAP INC 3451 WALNUT STREET ROOM 329 PHILADELPHIA PA 19104 231986931 SUPPORT ORG PA 501(c)(3) 11, I TRUSTEES false PENN CENTER FOR REHAB AND CARE 3609 CHESTNUT STREET PHILADELPHIA PA 19104 232422635 HEALTHCARE PA 501(c)(3) 3 PMC false PENN CLUB OF NEW YORK INC 30 WEST 44TH STREET NEW YORK NY 10036 232726687 CLUB NY 501(c)(7) N/A NA false PENN PRAXIS INC 210 SOUTH 34TH STREET PHILADELPHIA PA 19104 752974931 SUPPORT ORG PA 501(c)(3) 11, I TRUSTEES false PENN PRESS INC 3905 SPRUCE STREET PHILADELPHIA PA 19107 231876142 PUBLISHING PA 501(c)(3) 11, I TRUSTEES false PENNSYLVANIA COLLEGE OF HEALTH SCIENCES 850 GREENFIELD ROAD LANCASTER PA 17601 061645496 HEALTH EDU PA 501(C)(3) 2 LG HOSPITAL false PENNSYLVANIA HOSPITAL OF UPHS 800 SPRUCE STREET PHILADELPHIA PA 19107 311538725 HEALTHCARE PA 501(C)(3) 3 TRUSTEES false PGH DEVELOPMENT CORP 426 CURIE BLVD PHILADELPHIA PA 19104 232351015 SUPPORT ORG PA 501(c)(3) 11, I NA false PHOENIXVILLE HOSPITAL OF UPHS 3001 MARKET STREET 3RD FLOOR PHILADELPHIA PA 19104 232901089 SUPPORT ORG PA 501(c)(3) 3 TRUSTEES false PRESBYTERIAN ANESTHESIOLOGY FOUNDATION 51 NORTH 39TH STREET PHILADELPHIA PA 19104 232561573 SUPPORT ORG PA 501(c)(3) 11, I PMC false PRESBYTERIAN MEDICAL CENTER OF UPHS 51 NORTH 39TH STREET PHILADELPHIA PA 19104 232810852 HEALTHCARE PA 501(c)(3) 3 TRUSTEES false PRESBYTERIAN MULTI-SPECIALTY GROUP 51 NORTH 39TH STREET PHILADELPHIA PA 19104 232723154 HEALTHCARE PA 501(c)(3) 9 PMC false PRESBYTERIAN PERSONAL CARE RESIDENCE 51 NORTH 39TH STREET PHILADELPHIA PA 19104 232294713 HEALTHCARE PA 501(c)(3) 11, I PMC false SS HUEBNER FOUNDATION FOR INSURANCE EDUC 3000 STEINBERG HALL PHILADELPHIA PA 19104 236297325 EDU SUPPORT PA 501(c)(3) 11, I NA false THE ASC TRUST OF THE UNIV OF PA 1500 MARKET ST STE 3500E PHILADELPHIA PA 19102 810550464 BUS. TRUST PA 501(c)(3) 8 NA false THE HEART GROUP OF LANCASTER GEN HEALTH 217 HARRISBURG AVENUE LANCASTER PA 17603 300634510 CARDIOLOGY PA 501(C)(3) 4 LG HEALTH false TRUSTEES OF THE UNIVERSITY OF PENN 3451 WALNUT STREET ROOM 305 PHILADELPHIA PA 19104 231352685 EDUCATION PA 501(c)(3) 2 NA false UNITED AUXILIARIES TO LANCASTER GEN HOS 555 NORTH DUKE STREET LANCASTER PA 17604 231976868 SUPPORT ORG PA 501(C)(3) 9 NA false UNIVERSITY CITY ASSOCIATES INC 3451 WALNUT STREET ROOM 329 PHILADELPHIA PA 19104 233021159 SUPPORT ORG PA 501(c)(3) 11, I TRUSTEES false UNIVERSITY CLUB AT PENN INC 3611 WALNUT STREET PHILADELPHIA PA 19104 236299508 FAC. CLUB PA 501(c)(3) 11, I TRUSTEES false UPENN INTERNATIONAL 3451 WALNUT STREET SUITE 731 PHILADELPHIA PA 19104 454985731 SUPPORT ORG PA 501(C)(3) 11, I TRUSTEES false UPENN MASTER RETIREMENT TRUST 3451 WALNUT STREET ROOM 305 PHILADELPHIA PA 19104 043574136 RETIRE TRUST PA 501(A) N/A TRUSTEES false UPENN RETIREE BENEFITS TRUST 3451 WALNUT STREET ROOM 329 PHILADELPHIA PA 19104 232769744 BENEFITS PA 501(c)(3) 11, I TRUSTEES false WISSAHICKON HOSPICE OF UPHS 150 MONUMENT ROAD SUITE 300 BALA CYNWYD PA 19004 232152662 HOSPICE CARE PA 501(c)(3) 9 TRUSTEES false WOMEN'S AND CHILDREN'S HEALTH SERVICES 700 SPRUCE STREET PHILADELPHIA PA 19106 232248956 HEALTHCARE PA 501(c)(3) 3 PA HOSPITAL false CHESTER COUNTY HOSPITAL FOUNDATION 701 E MARSHALL STREET WEST CHESTER PA 19380 232267407 SUPPORT PA 501(C)(3) 7 NA false ARI 1740 FUND N SETSON AVE STE 5500 CHICAGO IL 60601 320472404 INVESTMENT IL NA N/A false DVG 1740 FUND LP ONE FAWCETT PLACE GREENWICH CT 06830 800961539 INVESTMENT CT NA N/A false EAST MARSHALL STREET PARTNERSHIP LP 929 SOUTH HIGH STREET WEST CHESTER PA 19382 232902742 INVESTMENT PA NA N/A false FERN HILL PARTNERSHIP III LP 929 SOUTH HIGH STREET WEST CHESTER PA 19382 300409614 RENTAL PA NA N/A false FERN HILL LLC 929 SOUTH HIGH STREET WEST CHESTER PA 19382 233005147 RENTAL PA NA N/A false GALLOPAVO LP 2000 McKINNEY AVE STE 2125 DALLAS TX 75201 464621967 INVESTMENT TX NA N/A false JOG V C LIMITED PARTNERSHIP 2300-440 2ND AVE SW CALGARY ALBERTA CA T2P5E9 INVESTMENT CA NA N/A false LANCASTER PET PARTNERSHIP LLP PO BOX 4216 LANCASTER PA 17604 233102793 MEDICAL SERVICES PA NA N/A false LG HEALTH COMMUNITY CARE COLLABORATIVE 555 NORTH DUKE STREET LANCASTER PA 17604 455542179 ACO PA NA N/A false LIONVILLE MED OFFICE BLDG PARTNERSHIP 929 SOUTH HIGH STREET WEST CHESTER PA 19383 161640799 INVESTMENT PA NA N/A false MRI GROUP LLP PO BOX 4216 LANCASTER PA 17604 331011386 MEDICAL SERVICES PA NA N/A false NEIGHBRHD PRES & DEV FUND LP 240 NEW YORK DR STE 1 FORT WASHINGTON PA 19034 233037919 RENTAL PA NA N/A false OAKLANDS WAY MEDICAL BUILDING ASSOCIATES 929 SOUTH HIGH STREET WEST CHESTER PA 19382 830490251 RENTAL PA NA N/A false SISU CAP PRIV EQUITY FUND B 1 RED PLACE LONDON UK W1K 6PL INVESTMENT UK NA N/A false SISU CAP PRIV EQUITY FUND E 1 RED PLACE LONDON UK W1K 6PL INVESTMENT UK NA N/A false SRP INVESTORS FUND A LP 2001 ROSS AVE SUITE 2800 DALLAS TX 75201 611748291 INVESTMENT TX NA N/A false BARGE GANSE VENACARE BUS TRUST 555 NORTH DUKE STREET LANCASTER PA 17604 232113017 HEALTHCARE PA LGSBT TRUST false CHESTER COUNTY OBGYN ASSOCIATES INC 701 E MARSHALL STREET WEST CHESTER PA 19380 300073633 OB/GYN SRVCS PA CCH&HS C-CORP false CLINICAL HEALTH CARE ASSOC OF NJ PC 250 KING OF PRUSSIA RD 4TH FL RADNOR PA 190875220 232865181 PHYS MGMT PA CCA C-CORP false DELANCEY CORPORATION 510 WALNUT STREET SUITE 420 PHILADELPHIA PA 19106 232060159 RENTAL PA PA HOSPITAL C-CORP false FRANKLIN CASUALTY INSURANCE CO PO BOX 350 BURLINGTON VT 054020530 043378984 INSURANCE VT TRUSTEES C-CORP false LANCASTER GENERAL INSURANCE COMPANY PO BOX 1109 GT GRAND CAYMAN GRAND CAYMAN CJ KYI-1102 980176655 INSURANCE CJ LG HEALTH C-CORP false LANCASTER GENERAL SERVICES BUS TRUST 555 NORTH DUKE STREET LANCASTER PA 17604 232250128 PROPERTY SVCS PA LG HEALTH TRUST false NAYA 1740 FUND LTD PO BOX 309 UGLAND HOUSE GRAND CAYMAN CJ KY1-1104 INVESTMENTS CJ TRUSTEES C-CORP false PENN TOWER HOTEL INC 3401 WALNUT STREET SUITE 440A PHILADELPHIA PA 19104 232812573 HOTEL/RESTAURANT PA TRUSTEES C-CORP false PENN WHARTON CONSULTING (BEIJING) CO LTD CHINA WORLD TOWER 1 14F CHAOYANG DIST BEIJING CH 100004 EDUCATION CH UPENN INT'L C-CORP false PINE RIVER 1740 FUND LTD PO BOX 309 UGLAND HOUSE GRAND CAYMAN CJ KY1-1104 981110661 INVESTMENTS CJ TRUSTEES C-CORP false PINE RIVER 1740 TACTICAL FUND LTD PO BOX 309 UGLAND HOUSE GRAND CAYMAN CJ KY1-1104 981110518 INVESTMENTS CJ TRUSTEES C-CORP false PRESBYTERIAN MEDICAL SERVICES 39TH AND MARKET STREET PHILADELPHIA PA 19104 232307991 HEALTHCARE PA PMC C-CORP false PROFESSIONAL PROVIDERS INC 701 E MARSHALL STREET WEST CHESTER PA 19380 233076589 PHYSICIAN SRVCS PA CCH&HS C-CORP false QUAKER INSURANCE COMPANY LTD 3451 WALNUT ST ROOM 329 PHILADELPHIA PA 19104 300708282 SELF-INSURANCE BD TRUSTEES C-CORP false THE PAM 1740 FUND LTD PO BOX 309 UGLAND HOUSE GRAND CAYMAN CJ KYI-1102 INVESTMENTS CJ TRUSTEES C-CORP false TURK'S HEAD HEALTH SERVICES 701 E MARSHALL STREET WEST CHESTER PA 19380 232329753 MEDICAL SRVCS PA CCH&HS C-CORP false false false false false true false false false false false false false true false true true true true false