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      <Form990PartVIISectionAGrp>
        <PersonNm>ALLEN H BAR MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JILL ROBERTS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KATHY KILLIAN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUEYUN LOCKS MFA</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS J SHARBAUGH JD</PersonNm>
        <TitleTxt>BOARD MEMBER, CHAIR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM H LIPSHUTZ</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <IndivRcvdGreaterThan100KCnt>1060</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>SOCIETY HILL ANESTHESIA CONSULTANTS</PersonNm>
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        <ContractorAddress>
          <USAddress>
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            <CityNm>BOSTON</CityNm>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>13227032</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>LF DRISCOLL COMPANY LLC</PersonNm>
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        <ContractorAddress>
          <USAddress>
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            <CityNm>BALA CYNWYD</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>TOTAL RENAL CARE INC</PersonNm>
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        <ContractorAddress>
          <USAddress>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>SPECIALTYCARE IOM SERVICES LLC</PersonNm>
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        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>TN</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>GHR HEALTHCARE LLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1 VALLEY SQUARE STE 200</AddressLine1Txt>
            <CityNm>BLUE BELL</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19422</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <CntrctRcvdGreaterThan100KCnt>17</CntrctRcvdGreaterThan100KCnt>
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      <NoncashContributionsAmt>324570</NoncashContributionsAmt>
      <TotalContributionsAmt>2626262</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>621110</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>838302974</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OUTPATIENT BEHAVIORAL HEALTH REVENUES</Desc>
        <BusinessCd>621400</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>2950817</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
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      </IncmFromInvestBondProceedsGrp>
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      <NetRentalIncomeOrLossGrp>
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      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA SALES</Desc>
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      <OtherRevenueMiscGrp>
        <Desc>PARKING REVENUES</Desc>
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      <OtherRevenueMiscGrp>
        <Desc>SPONSORED PROGRAMS</Desc>
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      <MiscellaneousRevenueGrp>
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      <GrantsToDomesticOrgsGrp>
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      <OtherExpensesGrp>
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        <EOYAmt>219163676</EOYAmt>
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      <IntangibleAssetsGrp>
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      <OtherAssetsTotalGrp>
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        <EOYAmt>136799951</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>881644134</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>0</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>0</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
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        <EOYAmt>78484017</EOYAmt>
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      <EscrowAccountLiabilityGrp>
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        <EOYAmt>0</EOYAmt>
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      <LoansFromOfficersDirectorsGrp>
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        <EOYAmt>0</EOYAmt>
      </LoansFromOfficersDirectorsGrp>
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        <BookValueAmt>134140</BookValueAmt>
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        <BookValueAmt>140720</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
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      <OtherSecuritiesGrp>
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      <OtherSecuritiesGrp>
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      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
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        <Desc>ASSET RETIREMENT LIABILITY</Desc>
        <Amt>234994</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>ESTIMATED 3RD PARTY PAYABLES</Desc>
        <Amt>2574514</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITY</Desc>
        <Amt>426284</Amt>
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      <TotalLiabilityAmt>3235792</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <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>
        <FormAndLineReferenceDesc>SCHEDULE D, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>USE OF ENDOWMENT FUNDS ALL ENDOWMENT FUNDS ARE USED FOR A VARIETY OF PURPOSES IN FURTHERANCE OF THE ORGANIZATION'S TAX-EXEMPT PURPOSES. ------------------------------</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART IX, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>DETAIL OF OTHER ASSETS THE DUE FROM AFFILIATES 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, 2025 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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        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
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        <ConsultingProcessInd>X</ConsultingProcessInd>
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        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE SCHEDULE H, PART V, SECTION C</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>25</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE SCHEDULE H, PART V, SECTION C</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
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        <FPGFamilyIncmLmtFreeCarePct>300.</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>300.</FPGFamilyIncmLmtDscntCarePct>
        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
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        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
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        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>SCH H, PART V, SECT. C</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SCH H, PART V, SECT. C</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>SCH H, PART V, SECT. C</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicaidMedcrPrvtInd>X</LookBackMedicaidMedcrPrvtInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINES 5, 6A &amp; 6B (INPUT FROM COMMUNITY; JOINT CHNA)</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH ("PDPH") AND HEALTH CARE IMPROVEMENT FOUNDATION ("HCIF") ASSISTED THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("UPHS") AND OTHER PARTICIPATING HOSPITALS AND HEALTH SYSTEMS WITH THE COMPLETION OF THEIR CHNA. PDPH AND HCIF DEVELOPED A COLLABORATIVE, COMMUNITY-ENGAGED APPROACH THAT INVOLVED COLLECTING AND ANALYZING QUANTITATIVE AND QUALITATIVE DATA AND AGGREGATING DATA FROM A VARIETY OF SECONDARY SOURCES TO COMPREHENSIVELY ASSESS THE HEALTH STATUS OF THE REGION. THE ASSESSMENT RESULTED IN A LIST OF PRIORITY HEALTH NEEDS THAT WERE USED BY UPHS AND OTHER PARTICIPATING HOSPITALS AND HEALTH SYSTEMS TO DEVELOP THEIR IMPLEMENTATION PLANS. AMONG OTHERS, THE COLLABORATIVE CHNA INCLUDED THE FOLLOWING PARTNERING UPHS HOSPITAL AFFILIATES: - CHESTER COUNTY HOSPITAL - DOYLESTOWN 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/SUPPORTING-OUR-COMMUNITIES --------------------</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 7 &amp; 10- CHNA &amp; IMP. PLAN PUBLIC AVAILABILITY</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE ORGANIZATION'S CHNA REPORT AND COMMUNITY HEALTH IMPROVEMENT PLAN REPORT ("IMPLEMENTATION PLAN") CAN BE ACCESSED AT: HTTPS://WWW.PENNMEDICINE.ORG/SUPPORTING-OUR-COMMUNITIES OUR CHNA AND IMPLEMENTATION PLAN ARE ALSO AVAILABLE TO THE PUBLIC UPON REQUEST. -------------------- PART V, SECTION B, LINE 9 (TAX YEAR THE MOST RECENT IMPLEMENTATION STRATEGY WAS ADOPTED) THE ORGANIZATION'S MOST RECENT IMPLEMENTATION PLAN WAS ADOPTED BY 11/15/2025, AS PERMITTED UNDER THE REGULATIONS. --------------------</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 11 (ADDRESSING THE NEEDS IDENTIFIED IN THE CHNA)</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT: HTTPS://WWW.PENNMEDICINE.ORG/NEWS/COMMUNITY-IMPACT ------------------</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/PATIENT-RESOURCES/POLICIES/FINANCIAL-ASSISTAN CE ------------------</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>
          </USAddress>
          <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 CAN BE FOUND IN OUR RESPONSE TO FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. --------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, SECTION A, LINE 2 (IMPLICIT PRICE CONCESSIONS/BAD DEBT EXPENSE)</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 ARE BASED ON ACTUAL CHARGES WRITTEN OFF (AMOUNTS THAT ARE DEEMED TO BE UNCOLLECTIBLE AND RECORDED AS IMPLICIT PRICE CONCESSIONS UNDER ACCOUNTING PRONOUNCEMENT ASC 606). -------------------- PART III, SECTION A, LINE 3 (IMPLICIT PRICE CONCESSIONS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY) UPHS UTILIZES A THIRD-PARTY VENDOR TO POPULATE THE NUMBER OF INDIVIDUALS WITHIN EACH HOUSEHOLD AND THE MEAN HOUSEHOLD INCOME BASED ON THE ACCOUNT ADDRESS. UPHS ESTIMATES THE AMOUNT OF BAD DEBTS (IMPLICIT PRICE CONCESSIONS) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER ITS FINANCIAL ASSISTANCE POLICY BASED UPON 300% OF THE FEDERAL POVERTY GUIDELINES. -------------------- PART III, SECTION A, LINE 4 (IMPLICIT PRICE CONCESSION FOOTNOTE) THE IMPLICIT PRICE CONCESSION (BAD DEBT EXPENSE) FOOTNOTE DISCLOSURE CAN BE FOUND ON PAGE 11 OF THE ELECTRONICALLY ATTACHED CONSOLIDATED FINANCIAL STATEMENTS FOR THE UNIVERSITY OF PENNSYLVANIA. --------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, SECTION B, LINE 8 (COSTING METHODOLOGY, MEDICARE SHORTFALL)</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 6 IS BASED ON A COST TO CHARGE RATIO. CONSISTENT WITH THE CHARITABLE HEALTHCARE MISSION OF UPHS AND THE COMMUNITY BENEFIT STANDARD SET FORTH IN IRS REVENUE RULING 69-545, UPHS PROVIDES CARE FOR ALL PATIENTS COVERED BY MEDICARE SEEKING MEDICAL CARE AT UPHS. SUCH CARE IS PROVIDED REGARDLESS OF WHETHER THE REIMBURSEMENT PROVIDED FOR SUCH SERVICES MEETS OR EXCEEDS THE COSTS INCURRED BY UPHS TO PROVIDE SUCH SERVICES. --------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B (COLLECTION PRACTICES)</FormAndLineReferenceDesc>
        <ExplanationTxt>THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM PROVIDES URGENT/EMERGENT MEDICAL SERVICES WITHOUT REGARD TO ABILITY TO PAY. WHEN IT HAS BEEN DETERMINED THAT A PATIENT IS NOT ELIGIBLE FOR COVERAGE BY EXTERNAL SOURCES OF FUNDING, FINANCIAL ASSISTANCE MAY BE AVAILABLE FOR BOTH THE UNINSURED AND UNDERINSURED, THE INDIGENT, HARDSHIP AND MEDICALLY INDIGENT AND MAY BE APPROVED AS EITHER FULL OR PARTIAL FREE CARE. PATIENTS WHO DO NOT COOPERATE WITH THE FINANCIAL COUNSELING PROCESS OR WHOSE APPLICATION FOR FINANCIAL ASSISTANCE IS DENIED BY THE HEALTH SYSTEM MAY BE PURSUED BY COLLECTION EFFORTS, INCLUDING REFERRAL TO AN OUTSIDE COLLECTION AGENCY OR ATTORNEY AS DETERMINED BY OUR PATIENT ACCOUNTING DEPARTMENT. --------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2 (NEEDS ASSESSMENT)</FormAndLineReferenceDesc>
        <ExplanationTxt>PENN MEDICINE IS ONE OF THE WORLD'S LEADING ACADEMIC MEDICAL CENTERS, DEDICATED TO THE RELATED MISSIONS OF MEDICAL EDUCATION, BIOMEDICAL RESEARCH, AND EXCELLENCE IN PATIENT CARE. PENN MEDICINE CONSISTS OF THE RAYMOND AND RUTH PERELMAN SCHOOL OF MEDICINE AT THE UNIVERSITY OF PENNSYLVANIA, FOUNDED IN 1765 AS THE NATION'S FIRST MEDICAL SCHOOL, AND THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM (UPHS) COMPRISED OF THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA (HUP), PENN PRESBYTERIAN MEDICAL CENTER (PPMC), PENNSYLVANIA HOSPITAL (PAH), PRINCETON HEALTH (PH), CHESTER COUNTY HOSPITAL (CCH), AND LANCASTER GENERAL HEALTH (LGH). DOYLESTOWN HEALTH ALSO BECAME PART OF UPHS AS OF APRIL 1, 2025. EVIDENT BY $425.8 MILLION IN CHARITY AND UNDERFUNDED MEDICAID CARE PROVIDED TO FAMILIES, THE PERELMAN SCHOOL OF MEDICINE AND UPHS ARE COMMITTED TO IMPROVING LIVES AND HEALTH THROUGH CLINICAL CARE, RESEARCH, MEDICAL EDUCATION, AND COMMUNITY SERVICE. PENN MEDICINE HAS INVESTED AND SUSTAINED INSTITUTION-WIDE, COMPREHENSIVE PROGRAMS THAT ANCHOR OUR CHARGE IN COMMUNITY HEALTH. THESE PROGRAMS ARE EVIDENCE OF PENN MEDICINE INTEGRATING COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PRIORITIES TO GUIDE STRATEGY, OPERATIONS, AND INVESTMENTS: - THE CENTER FOR HEALTH EQUITY ADVANCEMENT (CHEA) AT PENN MEDICINE COLLABORATES CLOSELY WITH A NETWORK OF HEALTHCARE LEADERS, CLINICAL TEAMS, COMMUNITY PARTNERS, AND RESEARCH FELLOWS TO TRANSFORM SCIENTIFIC RESEARCH INTO PRACTICAL, IMPACTFUL STRATEGIES. THROUGH FOCUSED EFFORTS IN RESEARCH AND EVALUATION, CARE TRANSFORMATION, EDUCATION AND TRAINING, WORKFORCE DEVELOPMENT, AND COMMUNITY ENGAGEMENT, CHEA IS DEDICATED TO ENHANCING CARE DELIVERY, FOSTERING MEANINGFUL CONNECTIONS WITH THOSE LIVING NEAR OUR HOSPITALS, AND INSPIRING THE NEXT GENERATION OF SCIENTISTS AND HEALTHCARE PROVIDERS. - THE CENTER FOR HEALTH JUSTICE (CHJ) WORKS TO ADVANCE HEALTH THROUGH SUPPORT PROVIDED TO COMMUNITIES HARMED BY STRUCTURAL INEQUITY. ITS TWO MAIN GROUPS-URBAN HEALTH LAB AND HEALTH JUSTICE TRANSFORMATION-LEAD RESEARCH, COMMUNITY ACTION, AND HEALTH SYSTEM REFORM. CHJ COLLABORATES ACROSS PENN MEDICINE AND THE UNIVERSITY OF PENNSYLVANIA TO GUIDE STRATEGY AND BUILD INFRASTRUCTURE FOR LASTING CHANGE. THROUGH ITS HEALTH JUSTICE TRANSFORMATION PORTFOLIO, CHJ PARTNERS WITH STAFF AND LEADERS TO EMBED TRANSFORMATIVE COMMUNITY SUPPORT INTO HEALTH SYSTEM OPERATIONS AND POLICY. - THE PENN CENTER FOR COMMUNITY HEALTH WORKERS WORKS TO ADVANCE HEALTH EQUITY AND IMPROVE HEALTH OUTCOMES. SINCE ITS CREATION, THE CENTER HAS SUPPORTED CLOSE TO 25,000 PEOPLE IN OUR REGION BY LEVERAGING THE COMPASSION AND RESOURCEFULNESS OF COMMUNITY HEALTH WORKERS TO PROVIDE TRUSTED, PERSON-CENTERED SUPPORT. COMMUNITY HEALTH WORKERS PARTNER WITH PATIENTS TO ADDRESS VARIOUS ASPECTS OF THEIR LIVES THAT IMPACT HEALTH-FROM NAVIGATING THE HEALTH SYSTEM TO TACKLING UNDERLYING SOCIAL BARRIERS, SUCH AS UNSTABLE HOUSING, SOCIAL ISOLATION, AND UNEMPLOYMENT. - THE PENN MEDICINE WHARTON FUND FOR HEALTH IS IN PARTNERSHIP WITH THE SOCIAL IMPACT INITIATIVE AT THE UNIVERSITY OF PENNSYLVANIA'S WHARTON SCHOOL, AND WORKS TO IMPROVE THE SOCIAL DETERMINANTS OF HEALTH FOR PHILADELPHIANS. INITIALLY COMMITTING $5 MILLION OVER THREE YEARS, THIS INITIATIVE INVESTS IN INNOVATIVE, FORWARD-THINKING VENTURES CREATING MEANINGFUL IMPROVEMENTS IN OUR CITY'S HEALTH WHILE FOSTERING SUSTAINABLE AND PROFITABLE COMPANIES THAT GENERATE JOBS AND ECONOMIC OPPORTUNITIES FOR MORE RESIDENTS. BUILDING ON THE SUCCESS OF THE INITIAL STARTUPS AND THEIR POSITIVE EFFECT ON HEALTH INEQUITIES, INVESTMENT IN FUND FOR HEALTH WILL CONTINUE. - THE PENN MEDICINE CARES GRANT WILL CONTINUE TO EMPOWER COMMUNITY-BASED INITIATIVES LED BY EMPLOYEES AND MEDICAL STUDENTS BY AWARDING FUNDING ON A QUARTERLY BASIS. THESE GRANTS CAN BE USED TO PURCHASE SUPPLIES AND RESOURCES ESSENTIAL TO ADVANCING FAIR HEALTH OUTCOMES WITHIN THE COMMUNITY. SINCE ITS INCEPTION IN 2012, AND INCLUDING FY2025, THE PROGRAM HAS SUPPORTED OVER 1,264 PROJECTS, DISTRIBUTING MORE THAN $1.38 MILLION IN TOTAL FUNDING. WE EAGERLY ANTICIPATE THE INNOVATIVE APPROACHES THAT FACULTY, STAFF, AND STUDENTS AT PENN MEDICINE WILL CONTINUE TO DEVELOP TO ADDRESS COMMUNITY HEALTH NEEDS. COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION IN PHILADELPHIA DEVELOPED BY A COALITION OF AREA HOSPITALS WITH AN AMPLIFIED COMMUNITY VOICE TO GUIDE, THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR PHILADELPHIA AND THE SURROUNDING COUNTIES IN PENNSYLVANIA WAS COMPLETED IN 2025. THE FOLLOWING NEEDS WERE NAMED AS PRIORITY: TRUST AND COMMUNICATION DISCRIMINATION IN HEALTH CARE CHRONIC DISEASE PREVENTION AND MANAGEMENT ACCESS TO CARE (PRIMARY AND SPECIALTY) HEALTHCARE AND HEALTH RESOURCES NAVIGATION MENTAL HEALTH ACCESS SUBSTANCE USE AND RELATED DISORDERS HEALTHY AGING CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES FOOD ACCESS HOUSING INSECURITY NEIGHBORHOOD CONDITIONS YOUTH PRIORITIES: YOUTH MENTAL HEALTH LACK OF RESOURCES/KNOWLEDGE OF RESOURCES SUBSTANCE USE AND RELATED DISORDERS BULLYING GUN VIOLENCE ACCESS TO PHYSICAL ACTIVITY ACTIVITIES FOR YOUTH ACCESS TO GOOD SCHOOLS IN RESPONSE TO THE PRIORITIZED NEEDS OF OUR COMMUNITY, LISTED ABOVE, PENN MEDICINE'S PHILADELPHIA-BASED HOSPITALS, HUP, PPMC, AND PAH, HAVE DEVELOPED NUMEROUS PROGRAMS IN NEIGHBORHOODS NEAR OUR HOSPITALS. FOLLOWING PLEASE FIND A LIST OF PROGRAMS PENN MEDICINE INVESTS IN AND MAINTAINS WITH AN AIM TO IMPROVE COMMUNITY HEALTH IN THE RESPECTIVE CHNA NEED AREAS; THE FOLLOWING REPRESENTS A SELECTION OF KEY INITIATIVES AND IS NOT AN EXHAUSTIVE LIST: BUILDING TRUST AND IMPROVING COMMUNICATION TRUST AND CLEAR COMMUNICATION ARE ESSENTIAL TO STRONG PATIENT-PROVIDER RELATIONSHIPS. BREAKDOWNS IN COMMUNICATION CAN ERODE TRUST AND LEAD TO DISENGAGEMENT AND POORER HEALTH OUTCOMES. TO ADDRESS THIS, PENN MEDICINE EMPHASIZES PROACTIVE STORYTELLING AND OUTWARD-FACING COMMUNICATION THROUGH THE FOLLOWING INITIATIVES: PENN MEDICINE USES ITS COMMUNITY EVENTS CALENDAR TO PROMOTE SUPPORT GROUPS, CLASSES, PROFESSIONAL DEVELOPMENT, AND HEALTH PROGRAMS - THUS IMPROVING CONNECTEDNESS BETWEEN AREA RESIDENTS OUR PHILADELPHIA HOSPITALS. THE COMMUNITY RELATIONS TEAM FACILITATES VOLUNTEER REQUESTS TO BRING EMPLOYEE EXPERTS AND HEALTH SYSTEM SERVICES DIRECTLY INTO NEIGHBORHOODS. ADDITIONALLY, THERE ARE A BREADTH OF EMPLOYEES AND DEPARTMENTS ACROSS THE HEALTH SYSTEM WORKING WITHIN OUR COMMUNITY IN THEIR OWN AREA OF EXPERTISE. TO REDUCE PATIENT FRUSTRATION AND IMPROVE UNDERSTANDING FOR PATIENTS IN PAH'S EMERGENCY DEPARTMENT WAITING ROOM, ANIMATED VIDEOS WERE CREATED AND EXPLAIN THE EMERGENCY DEPARTMENT PROCESSES-SUCH AS TRIAGE, CONDUCT EXPECTATIONS, AND WHAT TO ANTICIPATE DURING A VISIT. THE VIDEOS PLAY AS PATIENTS ENTER AND WAIT AND ARE AVAILABLE IN ENGLISH AND SPANISH FOR ACCESSIBILITY. DEVELOPED WITH INPUT FROM PENN MEDICINE'S COMMUNITY ADVISORY BOARDS AND PATIENT FAMILY ADVISORY COUNCILS, THE VIDEOS ENSURE CONTENT REFLECTS COMMUNITY NEEDS, STRENGTHENS TRUST, AND ENHANCES THE OVERALL EMERGENCY CARE EXPERIENCE. THE PENN MEDICINE LISTENING LAB ELEVATES THE LIVED EXPERIENCES OF PATIENTS, CAREGIVERS, STAFF, AND PROVIDERS TO STRENGTHEN A UNIFIED CULTURE OF CAREGIVING. THROUGH A FACILITATED, HIPAA-COMPLIANT PROCESS, STORIES ARE RECORDED, COLLABORATIVELY EDITED, AND SHARED WITH THE STORYTELLER'S CONSENT. THESE NARRATIVES ARE USED ACROSS THE HEALTH SYSTEM-IN EMPLOYEE ORIENTATION, MEDICAL AND NURSING EDUCATION, PATIENT AND FAMILY ADVISORY COMMITTEE COLLABORATIONS, LEADERSHIP MEETINGS, STAFF HUDDLES, INTERNAL COMMUNICATIONS, AND CLINICAL-ROOM SCREENSAVERS. FOR MANY STORYTELLERS, THE PROCESS IS ALSO VALIDATING, COMFORTING, AND HEALING. IN 2024, PENN MEDICINE INTRODUCED A PATIENT QUALITY AND SAFETY WEBSITE AND DASHBOARD OFFERING TRANSPARENT, REGULARLY UPDATED DATA ON MEASURES SUCH AS PREVENTIVE CARE, INFECTIONS, MORTALITY, AND HOME HEALTH OUTCOMES. WHERE POSSIBLE, RESULTS ARE COMPARED WITH STATE AND NATIONAL BENCHMARKS TO SUPPORT INFORMED DECISION-MAKING. CLEAR NARRATIVES AND SELECT EXPLAINER VIDEOS HELP MAKE THE DATA MORE ACCESSIBLE AND HIGHLIGHT PENN MEDICINE'S QUALITY AND SAFETY STRATEGIES, PATIENT EXPERIENCE INSIGHTS, AND COMMUNITY HEALTH GOALS. THE CENTERS FOR MEDICARE AND MEDICAID SERVICE REQUIRES HOSPITALS TO POST MACHINE-READABLE LISTS OF STANDARD CHARGES, UPDATED ANNUALLY. PENN MEDICINE'S "TRANSPARENCY IN PRICING" WEBPAGE ALLOWS PATIENTS TO ACCESS THESE CHARGEMASTER DETAILS, VIEW NEGOTIATED PRICE LISTS, AND REQUEST COST ESTIMATES THROUGH MYCHART OR BY PHONE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2 (NEEDS ASSESSMENT) CONT.</FormAndLineReferenceDesc>
        <ExplanationTxt>ELIMINATING DISCRIMINATION IN HEALTH CARE THE FOLLOWING PENN MEDICINE PROGRAMS ADDRESS THE DISCRIMINATION IN HEALTH CARE PRIORITY: THE ONCOLINK TEAM IN RADIATION ONCOLOGY HAS PROVIDED TRAUMA-INFORMED CARE TRAINING TO 804 MULTIDISCIPLINARY CARE TEAM MEMBERS ACROSS UPHS' PHILADELPHIA HOSPITALS. THROUGH INTERACTIVE CASE DISCUSSIONS AND EXPERIENTIAL LEARNING, PARTICIPANTS BUILD UNDERSTANDING OF TRAUMA, ADVERSE CHILDHOOD EXPERIENCES (ACES), TRAUMA RESPONSES, AND SENSITIVE PRACTICE TECHNIQUES. PRE- AND POST-TRAINING SURVEYS MEASURE KNOWLEDGE, COMPETENCE, BARRIERS, AND NEEDED SUPPORT. ADDITIONALLY, PENN'S DEPARTMENT OF EMERGENCY MEDICINE IS EMBEDDING TRAUMA-INFORMED CARE INTO ALL ASPECTS OF EMERGENCY MEDICINE'S OPERATIONS, TO REDUCE STIGMA AND CREATE HEALING-CENTERED ENVIRONMENTS. HUP HAS ENHANCED INTERPRETER SERVICES BY PRIORITIZING IN-PERSON SUPPORT, HIRING MORE MULTILINGUAL STAFF, AND STRENGTHENING DOCUMENTATION STANDARDS. UPHS IS CURRENTLY EXPANDING THIS MODEL ACROSS ITS PHILADELPHIA HOSPITALS IN ORDER TO IMPROVE COMMUNICATION FOR PATIENTS WITH LIMITED ENGLISH PROFICIENCY. A JOINT PENN-CHOP INITIATIVE, ALLIANCE OF MINORITY PHYSICIANS SUPPORTS MEDICAL STUDENTS, TRAINEES, AND FACULTY THROUGH MENTORSHIP, NETWORKING, AND PROFESSIONAL DEVELOPMENT-PROMOTING EQUAL TREATMENT, ATTRACTING TALENT, AND FOSTERING INCLUSIVE LEARNING ENVIRONMENTS. THE PERINATAL RESOURCES FOR OPIOID USE DISORDER (PROUD) CLINIC DELIVERS COMPREHENSIVE, AFFIRMING CARE FOR PERINATAL PATIENTS WITH SUBSTANCE USE DISORDERS THROUGH AN INTERDISCIPLINARY TEAM SPANNING SOCIAL WORK, PHARMACY, PSYCHIATRY, OB/GYN, AND FAMILY MEDICINE. THE SICKLE CELL DISEASE TASK FORCE PROMOTES EQUITABLE CARE FOR PATIENTS WITH SICKLE CELL DISEASE BY DEVELOPING STANDARDIZED PROTOCOLS AND USING DATA DASHBOARDS TO TRACK CARE. THIS APPROACH IMPROVES CONSISTENCY, PAIN MANAGEMENT, AND OVERALL QUALITY OF CARE. PENN PSYCHIATRY OFFERS SPECIALIZED BEHAVIORAL HEALTH CLINICS, INCLUDING Q-MUNITY WELLNESS FOR UNINSURED LGBTQ+ PATIENTS, AN LGBTQ+ DBT SKILLS GROUP, A MEDICAID-DESIGNATED PTSD PROGRAM, AND THE SOUTHEAST ASIAN PROGRAM AT HALL-MERCER, PROVIDING MULTILINGUAL, CULTURALLY TAILORED SERVICES. WITH AN AIM TO MONITOR CARE DISPARITIES AND PREVENT DISCRIMINATION, CHEA CREATED THE EQUITY AND QUALITY DASHBOARD AND HEALTH RELATED SOCIAL NEEDS DASHBOARD. PENN MEDICINE IS STANDARDIZING DATA COLLECTION TO BETTER MEASURE POTENTIAL INEQUITIES AND GUIDE DATA-DRIVEN INTERVENTIONS. IMPROVING THE MANAGEMENT AND PREVENTION OF CHRONIC DISEASES CHRONIC DISEASES-SUCH AS HYPERTENSION, DIABETES, COPD, AND STROKE-ARE LEADING CAUSES OF DEATH IN THE PENN MEDICINE SERVICE AREA. PENN MEDICINE ADDRESSES THESE CONDITIONS THROUGH EVIDENCE-BASED SCREENING, DIAGNOSIS, AND MANAGEMENT, WHILE IMPLEMENTING HEALTH SYSTEM AND COMMUNITY STRATEGIES TO PREVENT DISEASE AND OVERCOME BARRIERS TO CARE. EARLY DETECTION ENABLES TIMELY TREATMENT, BETTER OUTCOMES, AND IMPROVED LONG-TERM HEALTH. SINCE 2021, PENN MEDICINE, IN PARTNERSHIP WITH SIEMENS HEALTHINEERS, HAS PROVIDED NEARLY 1,000 FREE MAMMOGRAMS, DETECTING NINE BREAST CANCERS-EXCEEDING THE TYPICAL SCREENING DETECTION RATE. BUILDING ON THE ABRAMSON CANCER CENTER'S SCREENING PROGRAMS FOR UNDERSERVED COMMUNITIES, PENN MEDICINE LAUNCHED ITS OWN MOBILE MAMMOGRAPHY VAN IN JULY 2025. THE VAN OFFERS 3D BREAST IMAGING IN A PRIVATE, COMFORTABLE SETTING AND HAS VISITED HEALTH FAIRS, COMMUNITY EVENTS, AND CORPORATE CAMPUSES ACROSS THE GREATER PHILADELPHIA AREA. PATIENTS' INSURANCE WILL BE BILLED IF APPLICABLE, AND NO ONE IS TURNED AWAY FOR LACK OF COVERAGE. ORGANIZATIONS REQUEST THE VAN ONLINE, WITH A PUBLIC EVENT CALENDAR AVAILABLE. SINCE 2014, THE PENN MEDICINE BREAST HEALTH INITIATIVE HAS PROVIDED FREE BREAST CANCER SCREENINGS, DIAGNOSTICS, AND TREATMENT TO NEARLY 7,000 UNDERSERVED AND UNINSURED WOMEN, PARTNERING WITH REGIONAL NONPROFITS AND CLINICS. FIFTY-SEVEN PERCENT OF PARTICIPANTS DID NOT SPEAK ENGLISH. THROUGH FY2025, 803 BIOPSIES WERE PERFORMED, IDENTIFYING AND TREATING 137 BREAST CANCER CASES. PENN MEDICINE'S ONCOLOGY NURSES AND PATIENT NAVIGATORS GUIDE BREAST CANCER PATIENTS FROM DIAGNOSIS THROUGH SURVIVORSHIP, HELPING THEM PERSONALLY UNDERSTAND TREATMENT OPTIONS, SCHEDULE CARE, ACCESS RESOURCES, AND EXPLORE CLINICAL TRIALS-EMPOWERING PATIENTS AND FAMILIES THROUGHOUT THEIR JOURNEY. PENN MEDICINE'S COLORECTAL CANCER SCREENING OUTREACH PROMOTES COLORECTAL CANCER SCREENING THROUGH COMMUNITY EVENTS, MAILED FIT KITS, AND TEXT REMINDERS. PARTNERING WITH LOCAL GROUPS AND CLINICS, IT TARGETS UNDERSERVED POPULATIONS AND SUPPORTS FOLLOW-UP FOR POSITIVE RESULTS TO CLOSE SCREENING GAPS. THE INNOVATIVE CUT HYPERTENSION PROJECT TURNS THE CORNER BARBER SHOP IN UNDERSERVED COMMUNITIES INTO HEALTH HUBS, OFFERING BLOOD PRESSURE SCREENINGS, EDUCATION ON HYPERTENSION, DIET, AND EXERCISE, WHILE BUILDING TRUST WITH LOCAL RESIDENTS. UNITED COMMUNITY CLINIC (UCC) UCC PROVIDES FREE, LONG-TERM PRIMARY AND PREVENTIVE CARE TO UNDERINSURED INDIVIDUALS IN THE WEST AND SOUTHWEST PHILADELPHIA. PARTNERING WITH LOCAL ORGANIZATIONS, UCC ENGAGES STUDENTS IN DEVELOPING CARE PLANS, OFFERING MEDICATIONS, LIFESTYLE SUPPORT, EDUCATION, AND REGULAR FOLLOW-UP FOR CHRONIC DISEASE MANAGEMENT. SUPPORTING HEALTHCARE AND HEALTH RESOURCES NAVIGATION PENN MEDICINE ADDRESSED THE HEALTHCARE AND HEALTH RESOURCES NAVIGATION PRIORITY BY FINANCING SYSTEMS THAT HELP PATIENTS-PARTICULARLY VULNERABLE POPULATIONS-NAVIGATE HEALTH AND SOCIAL SERVICES. THE PENN CENTER FOR COMMUNITY HEALTH WORKERS, A NATIONAL CENTER OF EXCELLENCE, ADVANCES RESEARCH AND BEST PRACTICES IN COMMUNITY HEALTH WORK AND LEADS IMPLEMENTATION OF THE IMPACT PROGRAM, WHICH INTEGRATES COMMUNITY HEALTH WORKERS INTO CARE TEAMS TO IMPROVE REFERRALS, DATA PROCESSES, AND COMMUNICATION. THESE WORKERS HELP PATIENTS NAVIGATE HEALTH AND SOCIAL SYSTEMS, CONNECT TO APPROPRIATE CARE, AND ADVOCATE FOR THEIR NEEDS. THE PHMC PUBLIC HEALTH CAMPUS ON CEDAR, ANCHORED BY THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA-CEDAR AVENUE, WAS REDEVELOPED BY PENN MEDICINE AND PARTNERS AFTER A PREVIOUS OPERATOR ANNOUNCED PLANS TO CLOSE THE HOSPITAL. TODAY, THE CAMPUS PROVIDES HIGH-QUALITY, COMMUNITY-INFORMED MEDICAL AND SOCIAL SERVICES FOR WEST AND SOUTHWEST PHILADELPHIA. THROUGH A PARTNERSHIP WITH PHMC, PENN MEDICINE MANAGES EMERGENCY, INPATIENT, AND BEHAVIORAL HEALTH SERVICES, ALONGSIDE COALITION PARTNERS INCLUDING CHILDREN'S HOSPITAL OF PHILADELPHIA AND THE INDEPENDENCE BLUE CROSS FOUNDATION. THE CAMPUS FOCUSES ON HEALTH EQUITY AND EXPANDS COMMUNITY ACCESS TO PRIMARY CARE, BEHAVIORAL HEALTH, ACUTE CARE, SUBSTANCE USE TREATMENT, AND OTHER SOCIAL SUPPORTS. PA NAVIGATE IS A STATEWIDE PLATFORM VESTED BY PENN MEDICINE TO CONNECT PATIENTS WITH ESSENTIAL HEALTH AND SOCIAL SERVICES, INCLUDING FOOD, HOUSING, TRANSPORTATION, AND BEHAVIORAL HEALTH SUPPORTS. BY STREAMLINING REFERRALS AND COORDINATING CARE AMONG PROVIDERS AND COMMUNITY ORGANIZATIONS, THE TOOL REDUCES BARRIERS AND IMPROVES EQUITABLE ACCESS TO RESOURCES. INTEGRATED INTO PENN MEDICINE'S CARE COORDINATION WORKFLOWS, PA NAVIGATE IS USED BY COMMUNITY HEALTH WORKERS, SOCIAL WORKERS, AND OTHER STAFF TO PROVIDE TIMELY, CULTURALLY RESPONSIVE ASSISTANCE. THE SOCIAL NEEDS RESPONSE TEAM (SNRT), CREATED BY PENN MEDICINE'S DEPARTMENT OF SOCIAL WORK WITH SUPPORT FROM THE CENTER FOR HEALTH EQUITY ADVANCEMENT, IS A VIRTUAL CALL CENTER PROVIDING PATIENTS AND THE WIDER PHILADELPHIA COMMUNITY WITH ACCESS TO RESOURCES THAT ADDRESS SOCIAL NEEDS. SUPERVISED BY A CLINICAL SOCIAL WORKER, AN INTERDISCIPLINARY TEAM OF HEALTH PROFESSIONALS ASSISTS WITH SAFETY, DISTRESS, AND OTHER UNMET NEEDS TO REDUCE RESIDENTS' IMPACT ON HEALTH. PUENTES DE SALUD IS A NONPROFIT - SUPPORTED BY PENN MEDICINE - SERVING UNINSURED RESIDENTS OF PHILADELPHIA, HELPING PATIENTS WITH COMPLEX MEDICAL NEEDS NAVIGATE THE HEALTH CARE SYSTEM, ACCESS APPROPRIATE CARE, SCHEDULE APPOINTMENTS, AND OBTAIN SUPPORTIVE SERVICES. PENN MEDICINE'S LGBTQ+ PATIENT NAVIGATION PROGRAM ADVANCES HEALTH EQUITY BY HELPING LGBTQ+ PATIENTS ACCESS HIGH-QUALITY CARE. NAVIGATORS ASSIST WITH FINDING KNOWLEDGEABLE PROVIDERS, COORDINATING APPOINTMENTS, AND ADDRESSING INSURANCE AND SPECIALIZED CARE BARRIERS, FOSTERING TRUST AND ENSURING CARE IS RESPECTFUL AND RESPONSIVE TO THE UNIQUE NEEDS OF LGBTQ+ COMMUNITIES. THE CENTER FOR SURGICAL HEALTH (CSH) HELPS UNINSURED AND UNDERINSURED PATIENTS ACCESS NECESSARY SURGICAL CARE BY PROVIDING NAVIGATION THROUGHOUT THE SURGICAL JOURNEY AND ADDRESSING BARRIERS SUCH AS INSURANCE, LANGUAGE, TRANSPORTATION, AND CARE COORDINATION. WORKING WITH FINANCIAL ADVOCATES AND COMMUNITY PARTNERS, CSH INTEGRATES CLINICAL, FINANCIAL, AND SOCIAL SUPPORT TO ENSURE EQUITABLE ACCESS TO LIFESAVING AND LIFE-IMPROVING SURGERIES, ADVANCING HEALTH EQUITY AND REDUCING DISPARITIES IN OUR LOCAL COMMUNITIES.</ExplanationTxt>
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        <FormAndLineReferenceDesc>PART VI, LINE 2 (NEEDS ASSESSMENT) CONT.</FormAndLineReferenceDesc>
        <ExplanationTxt>MAKING MENTAL HEALTHCARE MORE ACCESSIBLE PENN MEDICINE RECOGNIZES MENTAL HEALTH AS A CRITICAL NEED IN PHILADELPHIA AND IS COMMITTED TO PROVIDING HIGH-QUALITY, ACCESSIBLE, TEAM-BASED, AND CULTURALLY RESPONSIVE CARE, PARTICULARLY FOR VULNERABLE POPULATIONS IN OUR LOCAL COMMUNITIES. WE ALSO WORK TO EXPAND THE MENTAL HEALTH WORKFORCE AND ENHANCE SERVICES THROUGH COMMUNITY ENGAGEMENT, ADDRESSING THE MENTAL HEALTH ACCESS PRIORITY: THE HALL-MERCER COMMUNITY BEHAVIORAL HEALTH CENTER - WITHIN PENN MEDICINE - IS PENNSYLVANIA'S FIRST OUTPATIENT COMMUNITY MENTAL HEALTH CENTER AND SERVES INDIVIDUALS WITH MENTAL ILLNESS OR DEVELOPMENTAL DISABILITIES. PROVIDING COMPREHENSIVE SERVICES FOR ALL AGES, IT ADVANCES CARE AND ACCEPTANCE FOR PEOPLE WITH PSYCHIATRIC OR INTELLECTUAL DISABILITIES AND IS PART OF PHILADELPHIA'S NETWORK OF 11 COMMUNITY MENTAL HEALTH CENTERS. THE PENN CENTER FOR YOUTH AND FAMILY TRAUMA RESPONSE AND RECOVERY (CYFTRR) PROVIDES SPECIALIZED INTERVENTIONS FOR CHILDREN AND FAMILIES TO ADDRESS TRAUMA-RELATED PHYSICAL AND PSYCHOLOGICAL EFFECTS, SERVING AS THE ONLY EARLY-INTERVENTION PROVIDER OF ITS KIND IN THE PHILADELPHIA AREA. PENN PSYCHIATRY'S FELLOWSHIP IN COMMUNITY PSYCHIATRY IS A ONE-YEAR PROGRAM IN WHICH 4 BOARD-ELIGIBLE COMMUNITY FELLOWS PROVIDE ATTENDING-LEVEL SERVICES TO PARTNERING COMMUNITY AGENCIES, ENHANCING ACCESS TO PSYCHIATRIC CARE. PROVIDING QUALITY CARE FOR SUBSTANCE USE AND RELATED DISORDERS PHILADELPHIA CONTINUES TO BE SEVERELY AFFECTED BY THE OPIOID CRISIS. IN 2023, THE CITY RECORDED APPROXIMATELY 1,315 OVERDOSE DEATHS-THE SECOND-HIGHEST TOTAL ON RECORD-WITH MOST INVOLVING POLYSUBSTANCE EXPOSURES REFLECTING AN INCREASINGLY TOXIC DRUG SUPPLY. ALTHOUGH OVERDOSE DEATHS DECLINED SLIGHTLY IN 2024, DATA TENDS TO DEMONSTRATE THAT BLACK AND INDIGENOUS PEOPLE LIVING IN PHILADELPHIA CONTINUE TO EXPERIENCE DISPROPORTIONATE HARM RELATED TO SUBSTANCE USE AND RELATED DISORDERS, HIGHLIGHTING THE NEED FOR CULTURALLY RESPONSIVE, EQUITY-FOCUSED INTERVENTIONS. PENN MEDICINE REMAINS COMMITTED TO ADDRESSING THESE CHALLENGES BY EXPANDING ACCESS TO EVIDENCE-BASED TREATMENT, DELIVERING HIGH-QUALITY CARE IN THE NEIGHBORHOODS MOST AFFECTED, TRAINING HEALTH PROFESSIONALS IN ADDICTION MEDICINE, AND ADVOCATING FOR SYSTEMS-LEVEL SOLUTIONS THROUGH THE FOLLOWING STRATEGIES AND PROGRAMS: FOUNDED IN 2019, PENN MEDICINE'S CENTER FOR ADDICTION MEDICINE AND POLICY (CAMP) IS A MULTIDISCIPLINARY INITIATIVE ADVANCING EDUCATION, TREATMENT, AND RESEARCH IN ADDICTION MEDICINE. CAMP PARTNERS WITH RECOVERY SPECIALISTS AND STAFF ACROSS DISCIPLINES TO PROVIDE EVIDENCE-BASED, STIGMA-FREE CARE FOR PATIENTS WITH SUBSTANCE USE DISORDERS, EXPAND TREATMENT IN CLINICAL SETTINGS, AND DELIVER HARM REDUCTION AND OVERDOSE PREVENTION RESOURCES TO THE COMMUNITY. PENN MEDICINE INTEGRATES MEDICATION FOR OPIOID USE DISORDERS (MOUD) INTO PRIMARY CARE TO EXPAND ACCESS, REDUCE STIGMA, AND PROVIDE HARM REDUCTION SERVICES. SIX PHILADELPHIA PRACTICES NOW OFFER MOUD, TREATING OVER 800 PATIENTS WITH BUPRENORPHINE WITHIN ROUTINE PRIMARY CARE. PREVENTION POINT PHILADELPHIA (PPP), A NONPROFIT PUBLIC HEALTH ORGANIZATION, PROVIDES HARM REDUCTION SERVICES IN THE REGION. PENN MEDICINE SUPPORTS PPP THROUGH COUNSELING, CASE MANAGEMENT, LEGAL AID, AND OVERDOSE PREVENTION TRAINING, WHILE FACULTY AND RESIDENTS STAFF THE SANA CLINIC AND MOBILE UNIT TO DELIVER INTEGRATED HIV AND OUD CARE, INCLUDING FOR INDIVIDUALS EXPERIENCING STREET HOMELESSNESS. THE CARECONNECT WARMLINE, A PARTNERSHIP WITH THE PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH, IS A SUBSTANCE USE NAVIGATION LINE THAT IMPROVES SAME-DAY ACCESS TO TREATMENT. LAUNCHED DURING THE COVID-19 PANDEMIC, IT RECENTLY EXPANDED TO INCLUDE CLINICAL CONSULTATIONS WITH EXPERTS IN PERINATAL SUD AND REPRODUCTIVE PSYCHIATRY FOR PHILADELPHIA AND SURROUNDING COUNTIES. OTHER PROGRAMS SUPPORTED BY PENN MEDICINE ADDRESS OPIOID AND SUBSTANCE USE DISORDERS THROUGH A COMPREHENSIVE, EQUITY-FOCUSED APPROACH THAT INTEGRATES PREVENTION, TREATMENT, AND RECOVERY SUPPORT. KEY INITIATIVES INCLUDE PERINATAL AND PRIMARY CARE MOUD PROGRAMS, MOBILE AND VIRTUAL HARM REDUCTION SERVICES, PEER NAVIGATION, AND JUSTICE-INVOLVED SUPPORT, ALONGSIDE SYSTEMWIDE EFFORTS LIKE THE ADDICTION MEDICINE CONSULT SERVICE AND OPIOID TASK FORCE TO STANDARDIZE CARE AND REDUCE OPIOID-RELATED HARM. EMERGENCY DEPARTMENT-BASED PROGRAMS EXPAND ACCESS TO TREATMENT AND SAFER-USE RESOURCES, WHILE DATA-DRIVEN STRATEGIES GUIDE EQUITABLE, EVIDENCE-BASED CARE. COLLECTIVELY, THESE PROGRAMS ADVANCE RECOVERY, CONNECT PATIENTS TO ESSENTIAL SERVICES, AND REDUCE DISPARITIES ACROSS THE COMMUNITY. PROVIDING CARE AND RESOURCES TO SUPPORT HEALTHY AGING PENN MEDICINE ADDRESSES THE GROWING NEEDS OF OLDER ADULTS-DEFINED AS AGE 65 AND OLDER-THROUGH PERSONALIZED CARE AND SPECIALIZED PROGRAMS VIA PENN GERIATRIC MEDICINE AND THE PENN MEMORY CENTER. THESE INITIATIVES PROVIDE COMPREHENSIVE TREATMENTS AND SUPPORT FOR AGING INDIVIDUALS, REFLECTING PENN MEDICINE'S COMMITMENT TO HEALTHY AGING AND RESPONSE TO THE "HEALTHY AGING" PRIORITY: PENN MEDICINE PARTICIPATES IN GUIDING AN IMPROVED DEMENTIA EXPERIENCE (GUIDE), A MEDICARE MODEL TO PROVIDE HIGH-QUALITY, AT-HOME CARE FOR PEOPLE WITH DEMENTIA WHILE SUPPORTING CAREGIVERS. GUIDE OFFERS PERSONALIZED DEMENTIA CARE, CAREGIVER RESOURCES, SOCIAL AND WELLNESS ACTIVITIES, RESPITE SERVICES, AND A DEDICATED CARE NAVIGATOR TO REDUCE STRESS AND MAXIMIZE TIME AT HOME. SUPPORTING OLDER ADULTS AT RISK (SOAR) HELPS OLDER ADULTS RETURN HOME SOONER AND RECOVER SAFELY THROUGH THREE PHASES: - PREPARE: GERIATRIC NURSE CONSULTANTS IDENTIFY ELIGIBLE PATIENTS, PERFORM ASSESSMENTS, AND CREATE TAILORED CARE PLANS WHILE KEEPING CARE TEAMS AND CAREGIVERS INFORMED. - TRANSITION: COLLABORATIVE DISCHARGE PLANNING ENSURES TIMELY HANDOFFS, TRANSPORTATION HOME, AND SAME- OR NEXT-DAY NURSING VISITS AND MEDICATION DELIVERY. - SUPPORT: PATIENTS RECEIVE HOME EVALUATIONS FOR THERAPY SERVICES, TELEMEDICINE MONITORING, VIRTUAL CASE MANAGEMENT, AND CONNECTION TO COMMUNITY RESOURCES TO SUPPORT RECOVERY AND INDEPENDENCE. RIDE4HEALTH MEDICAL TRANSPORTATION R4H HELPS REDUCE MISSED APPOINTMENTS-NEARLY FOUR MILLION ANNUALLY-BY PROVIDING TRANSPORTATION FOR OLDER ADULTS FACING BARRIERS. WITH THE SENIOR POPULATION SET TO DOUBLE, PENN MEDICINE OUTPATIENT PRACTICES PARTNER WITH R4H TO ENSURE TIMELY ACCESS TO CARE FOR THIS SPECIAL POPULATION. HOSPITAL ELDER LIFE PROGRAM (HELP) IS AN EVIDENCE-BASED, NONPHARMACOLOGICAL PROGRAM FOR HOSPITALIZED PATIENTS OVER 70, DESIGNED TO PREVENT DELIRIUM, FUNCTIONAL DECLINE, AND FALLS. ESTABLISHED IN 1999 BY DR. SHARON INOUYE, IT IS WIDELY STUDIED AND ENDORSED BY THE AMERICAN GERIATRICS SOCIETY. IMPLEMENTED IN HOSPITAL MEDICINE, ONCOLOGY, AND HEART FAILURE UNITS, INTERVENTIONS INCLUDE DAILY VISITS, THERAPEUTIC ACTIVITIES, MOBILITY SUPPORT, AND ASSISTANCE WITH VISION, HEARING, FEEDING, AND FLUIDS. PENN MEDICINE'S PROGRAM USES PAID STUDENT GERIATRIC ASSOCIATES, JUNIOR AND SENIOR NURSING STUDENTS, RATHER THAN VOLUNTEERS. HELP PROMOTES INDEPENDENCE, PERSON-CENTERED CARE, SAFE TRANSITIONS HOME, REDUCED READMISSIONS, AND COST-EFFECTIVE RESOURCE USE. ADDITIONALLY, PENN MEMORY CENTER CONCENTRATES ON THE FOLLOWING PROGRAMS TO SUPPORT OUR NEIGHBORS WITH COGNITIVE IMPAIRMENT AND THEIR CAREGIVERS: - GRIEF YOGA: RESTORATIVE CLASSES FOR CAREGIVERS TO REFLECT, CONNECT, AND FIND RELEASE. - MEMORY CAF: MONTHLY POP-UP GATHERINGS WITH MUSIC, EXPERT TALKS, AND SOCIAL CONNECTION. - CREATIVE EXPRESSION THROUGH MUSIC: INTERACTIVE MUSIC COMPOSITION SESSIONS LED BY CURTIS INSTITUTE MUSICIANS. - COGNITIVE FITNESS PROGRAM: LAUNCHED IN 2017 FOR ADULTS WITH MILD COGNITIVE IMPAIRMENT, OFFERING SKILLS, THERAPY, AND SOCIAL GROUP OPTIONS - MINDFULNESS MEDITATION: SHORT EXERCISES FOR INDIVIDUAL OR GROUP PRACTICE. - COGNITIVE COMEDY: FREE IMPROV-BASED SESSIONS PROMOTING SOCIAL ENGAGEMENT AND COGNITIVE STIMULATION. - THE CARING COLLECTIVE: STRUCTURED MATCHING OF FORMER AND SEASONED FAMILY CAREGIVERS WITH CURRENT FAMILY CAREGIVERS TO PROVIDE SUPPORT THROUGH THEIR CAREGIVING JOURNEY. ENSURING CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES IN HEALTHCARE EFFECTIVE CLINICIAN-PATIENT COMMUNICATION IS ESSENTIAL FOR EQUITABLE CARE, YET LANGUAGE BARRIERS AND CULTURAL DIFFERENCES CAN DISCOURAGE PATIENTS FROM SEEKING CARE. NEARLY 10% OF PHILADELPHIANS REPORT LIMITED ENGLISH PROFICIENCY, CREATING CHALLENGES IN ACCESS AND QUALITY OF HEALTH SERVICES. PENN MEDICINE ADDRESSES THIS THROUGH HIGH-QUALITY LANGUAGE SERVICES, INCLUDING ORAL INTERPRETATION AND WRITTEN TRANSLATION, AND BY ASSESSING INTERPRETER NEEDS DURING SCHEDULING. RECOGNIZING THE IMPACT OF CULTURAL IDENTITY, RELIGIOUS NORMS, AND STIGMA, PENN MEDICINE INTEGRATES LANGUAGE SUPPORT WITH CULTURALLY RESPONSIVE CARE TO REDUCE BARRIERS, FOSTER TRUST, AND ENSURE ALL FEEL VALUED AND SUPPORTED THROUGH THE FOLLOWING INITIATIVES:</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2 (NEEDS ASSESSMENT) CONT.</FormAndLineReferenceDesc>
        <ExplanationTxt>PENN MEDICINE STAFF USE CYRACOM MOBILE TABLETS FOR QUICK, HIPAA-COMPLIANT INTERPRETATION IN MULTIPLE LANGUAGES, INCLUDING SPANISH, ARABIC, ASL, AND RUSSIAN, SERVING NON-ENGLISH SPEAKERS AND THE DEAF OR HARD-OF-HEARING, SUPPORTING EQUITABLE HEATH CARE DELIVERY. THE REFUGEE CLINIC AT PENN PRESBYTERIAN MEDICAL CENTER PROVIDES INITIAL AND FOLLOW-UP HEALTH ASSESSMENTS FOR REFUGEES, OFFERING NEEDED CULTURALLY SENSITIVE CARE IN PARTNERSHIP WITH VARIOUS AGENCIES, TRANSLATORS, AND PHYSICIANS FAMILIAR WITH REFUGEE HEALTH. THE PENN MEDICINE LGBTQ+ HEALTH PROGRAM SUPPORTS ACCESS, QUALITY, AND PATIENT EXPERIENCE FOR LGBTQ+ PATIENTS. PROVIDERS DELIVER CULTURALLY COMPETENT CARE, AND THE PATIENT NAVIGATION PROGRAM CONNECTS PATIENTS TO OUTPATIENT OR SPECIALTY CARE WHILE OFFERING SYSTEM-WIDE SUPPORT. CHAPLAINS WITHIN PENN MEDICINE PASTORAL CARE AND EDUCATION PROVIDE CULTURALLY COMPETENT, INTERFAITH SPIRITUAL SUPPORT TO HELP PATIENTS COPE WITH ILLNESS. ACCREDITED BY ACPE, THE PROGRAM INCLUDES CHAPELS AND PRAYER ROOMS FOR PATIENTS, VISITORS, AND STAFF. FINALLY, PENN MEDICINE DIETARY SERVICES OFFERS CUSTOMIZED DIETARY OPTIONS RESPECTING RELIGIOUS AND CULTURAL PREFERENCES, INCLUDING KOSHER, HALAL, VEGETARIAN, AND OTHER MEALS AVAILABLE UPON REQUEST ENSURING CULTURAL SENSITIVITY FOR OUR PATIENTS. IMPROVING ACCESS TO FOOD FOOD INSECURITY AND LIMITED ACCESS TO FRESH, AFFORDABLE PRODUCE REMAIN CRITICAL ISSUES IN PENN MEDICINE'S PHILADELPHIA COMMUNITY, PARTICULARLY IN FOOD DESERTS AND AREAS WHERE SNAP AND WIC ARE NOT ACCEPTED. HOUSING INSTABILITY AND NEIGHBORHOOD SAFETY FURTHER UNDERSCORE THE NEED FOR COMMUNITY-DRIVEN SOLUTIONS ADDRESSING SOCIAL DETERMINANTS OF HEALTH. THE BELOW PROGRAMS REPRESENTING COMMUNITY INVESTMENTS OF PENN MEDICINE RESPOND TO THE FOOD ACCESS PRIORITY: HUP HARVEST: PARTNERS WITH PHILABUNDANCE TO PROVIDE 500+ POUNDS OF FOOD WEEKLY, EXPANDED TO HUP-CEDAR, OFFERING CLIENT-CHOICE SHOPPING FOR PATIENTS AND STAFF. MARKET ON 8TH STREET: SERVES PATIENTS AND COMMUNITY MEMBERS WITH PRE-MADE GROCERY BAGS AND REFERRAL-BASED PICKUP. FOOD FOR HEALTH: MATERNAL HEALTH PROGRAM PROVIDING NUTRITION EDUCATION AND CHW SUPPORT FOR PATIENTS EXPERIENCING FOOD INSECURITY, SOURCING FOOD FROM HUP HARVEST. FOOD ACCESS SUPPORT TECHNOLOGY (FAST): CHEA-DEVELOPED PLATFORM CONNECTING HEALTH SYSTEMS, FOOD ACCESS ORGANIZATIONS, AND MINORITY-OWNED BUSINESSES TO STREAMLINE FOOD DELIVERY TO VULNERABLE HOUSEHOLDS. FOOD CONNECT: CONTRACTED BY HUP, THIS COMMUNITY-BASED FOOD RELIEF DELIVERS WEEKLY FOOD FROM HUP HARVEST TO PATIENTS' HOMES. SHARING EXCESS: PARTNERING WITH PENN MEDICINE, THIS NATIONAL PROGRAM PROVIDES RESCUED RETAIL PRODUCE TO OUR FOOD BANKS READY FOR DISTRIBUTION TO OUR LOCAL COMMUNITY. PENN MEDICINE ASSIST PROGRAM: A HIGH-PROFILE PARTNERSHIP, PENN MEDICINE DONATES FOOD TO PHILABUNDANCE FOR EACH PHILADELPHIA FLYERS ASSIST. FOR FY25, 12,090 POUNDS OF FOOD WAS DONATED FOR LOCAL COMMUNITIES. CHOSEN 300: SUPPORTED BY PENN MEDICINE WITH FUNDING AND VOLUNTEER EFFORTS, THIS NONPROFIT SERVES HOT MEALS FIVE DAYS A WEEK AT TWO PHILADELPHIA LOCATIONS. GOOD FOOD, HEALTHY HOSPITALS: ALL PHILADELPHIA HOSPITALS MAINTAIN HEALTHIER AND SUSTAINABLE FOOD OPTIONS; HUP AND PENNSYLVANIA HOSPITAL RECEIVED PUBLIC HEALTH FUNDING FOR FOOD BANKS. MANNA: DELIVERS MEDICALLY TAILORED MEALS TO SUPPORT PATIENT HEALTH POST-DISCHARGE. IMPROVING CONDITIONS OF HOUSING AND NEIGHBORHOODS IN OUR LATEST CHNA, COMMUNITY MEMBERS HIGHLIGHTED CHALLENGES INCLUDING AFFORDABLE HOUSING SHORTAGES, EVICTIONS, UNSAFE LIVING CONDITIONS, AND ENVIRONMENTAL HAZARDS, PARTICULARLY AFFECTING OLDER ADULTS, VETERANS, AND OTHER POPULATIONS. IN RESPONSE, PENN MEDICINE SUPPORTS PROGRAMS THAT IMPROVE ACCESS TO SAFE HOUSING, ENHANCE NEIGHBORHOOD ENVIRONMENTS, AND FOSTER HEALTHIER, MORE CONNECTED COMMUNITIES. THE FOLLOWING INITIATIVES FOCUS ON CREATING SAFE, CLEAN, AND ACCESSIBLE SPACES, WHILE ADDRESSING UNDERLYING SOCIAL AND STRUCTURAL BARRIERS TO HEALTH: PENN CENTER OF EXCELLENCE IN ENVIRONMENTAL TOXICOLOGY (CEET) ENGAGES WITH REGIONAL COMMUNITIES TO ADDRESS ENVIRONMENTAL HEALTH CONCERNS, INCLUDING AIR POLLUTION AND LUNG HEALTH, AND COLLABORATES WITH LOCAL STAKEHOLDERS TO REDUCE EXPOSURE TO AIRBORNE TOXINS. ADVOCACY EFFORTS SUPPORT POLICY AND REGULATORY IMPROVEMENTS AT LOCAL, STATE, AND FEDERAL LEVELS. A $6 MILLION COMMUNITY-ACADEMIC COLLABORATIVE LED BY PENN'S URBAN HEALTH LAB, DEEPLY ROOTED PROMOTES HEALTH AND WELL-BEING THROUGH GREEN SPACE EXPANSION, YOUTH WORKFORCE DEVELOPMENT, AND ENVIRONMENTAL JUSTICE. THE INITIATIVE HAS PLANTED OVER 1,000 TREES, STABILIZED 1,073 VACANT LOTS, AWARDED $212,000 IN COMMUNITY GREEN GRANTS, AND IS DEVELOPING SIX COMMUNITY-LED MINI-PARKS. EXPANSION PLANS WILL CONNECT GREEN SPACES ACROSS EIGHT WEST AND SOUTHWEST PHILADELPHIA NEIGHBORHOODS. PENN MEDICINE IS REDUCING ITS ENVIRONMENTAL FOOTPRINT THROUGH ITS CLIMATE AND SUSTAINABILITY ACTION PLAN (CSAP) WITH GOALS TO HALVE EMISSIONS BY 2030 AND ACHIEVE NET-ZERO BY 2042. ACTIONS INCLUDE INCREASING RENEWABLE ENERGY USE, PHASING OUT ENVIRONMENTALLY HARMFUL ANESTHETIC GASES, REDUCING SURGICAL WASTE, AND PROMOTING RECYCLING AND REUSE. FINALLY, PENN MEDICINE SEEKS OUT TARGETED PARTNERSHIPS WITH ORGANIZATIONS SUCH AS A HOME IS A RIGHT AND THE AMERICAN RED CROSS TO SUPPORT THIS COMMUNITY HEALTH NEED BY SUPPORTING EMERGENCY SHELTER, TRANSITIONAL HOUSING, AND WRAPAROUND SERVICES FOR VULNERABLE POPULATIONS ACROSS SOUTHEASTERN PENNSYLVANIA. YOUTH COMMUNITY HEALTH PRIORITIES THE 2025 CHNA IDENTIFIED YOUTH-FOCUSED PRIORITIES BASED ON INPUT FROM SCHOOLS, YOUTH-SERVING ORGANIZATIONS, AND YOUNG RESIDENTS THEMSELVES. YOUTH HIGHLIGHTED COMMUNITY STRENGTHS SUCH AS SUPPORTIVE RELATIONSHIPS AND ACCESS TO PARKS AND SCHOOLS, ALONGSIDE CHALLENGES INCLUDING BULLYING, GUN VIOLENCE, MENTAL HEALTH NEEDS, AND LIMITED ACCESS TO FOOD, SAFE TRANSPORTATION, AND QUALITY EDUCATION. THE YOUTH ALSO OFFERED SOLUTIONS, EMPHASIZING THE NEED FOR MENTAL HEALTH SUPPORT, SAFER NEIGHBORHOODS, STRONGER SCHOOLS, AND PROGRAMS THAT PREPARE THEM FOR FUTURE SUCCESS. THE BELOW PROGRAMS ARE SPONSORED BY PENN MEDICINE IN AN EFFORT TO RELIEVE THESE RESPECTIVE COMMUNITY NEEDS WITHIN OUR YOUTH COMMUNITIES: MENTAL HEALTH SERVICES: - HUP-CEDAR MENTAL HEALTH HUB IS A LICENSED CRISIS INTERVENTION FACILITY PROVIDING TRIAGE, EVALUATION, TREATMENT, AND SOCIAL SUPPORT FOR SERIOUS PSYCHIATRIC CONDITIONS AND SUBSTANCE USE, WITH SEAMLESS TRANSITIONS TO INPATIENT CARE. THE CO-LOCATION OF THE PENN MEDICINE CRISIS RESPONSE CENTER (CRC) WITH THE CHILDREN'S HOSPITAL OF PHILADELPHIA'S CRC AND CRISIS STABILIZATION UNIT AND INPATIENT HOSPITAL CARE ENABLE A SEAMLESS TRANSITION OF CARE FOR PATIENTS ACROSS THE AGE CONTINUUM, ELIMINATING THE WAIT TIME AND ADDITIONAL STEPS REQUIRED TO TRANSFER PATIENTS TO INPATIENT UNITS AT OTHER FACILITIES-A COMMON OCCURRENCE IN A CITY WHERE EMERGENCY PSYCHIATRIC RESOURCES REMAIN IN SHORT SUPPLY. - HALL-MERCER COMMUNITY MENTAL HEALTH CENTER, UNDER THE PENN MEDICINE UMBRELLA, PROVIDES OUTPATIENT EVALUATIONS AND TREATMENT FOR CHILDREN AND ADOLESCENTS, INCLUDING SPECIALTY PROGRAMS SUCH AS THE CONNECTION CLINIC, EARLY CHILDHOOD PROGRAM (AUTISM SUPPORT), PHIICAPS (TRAUMA-INFORMED HOME-BASED THERAPY), PHIIPATCH (ANXIETY/OCD SUPPORT), JCAPS (JUVENILE JUSTICE-FOCUSED THERAPY), AND PATCH (ANXIETY TREATMENT). - PENN INTEGRATED CARE (PIC) IS A COLLABORATIVE CARE MODEL INTEGRATING MENTAL AND PHYSICAL HEALTH IN PRIMARY CARE WITHIN OUR HEALTH SYSTEM. - OPERATED BY PENN MEDICINE DEPARTMENT OF FAMILY MEDICINE AND COMMUNITY HEALTH, THE WELLNESS CENTER AT WEST PHILADELPHIA HIGH SCHOOL PROVIDES BEHAVIORAL HEALTH ASSESSMENT, COUNSELING, MEDICATION MANAGEMENT, AND REFERRALS FOR STUDENTS. RESOURCE NAVIGATION: - PA NAVIGATE: ONLINE TOOL CONNECTING YOUTH TO COMMUNITY RESOURCES INCLUDING FOOD, SHELTER, AND TRANSPORTATION. BULLYING AND VIOLENCE PREVENTION: - OPERATED BY THE DEPARTMENT OF FAMILY MEDICINE AND COMMUNITY HEALTH'S CENTER FOR PUBLIC HEALTH AND THE NETTER CENTER FOR COMMUNITY PARTNERSHIP IN 3 PARTNER WEST PHILADELPHIA SCHOOLS, THE HEALTH AND HUMAN DEVELOPMENT PROGRAM IS A SCHOOL-BASED CURRICULUM ADDRESSING BULLYING, HEALTHY RELATIONSHIPS, SEXUAL HEALTH, AND ONLINE SAFETY. - THE PENN TRAUMA VIOLENCE RECOVERY PROGRAM (PTVRP) IS A HOSPITAL-BASED INTERVENTION FOR YOUTH INJURED BY VIOLENCE, PROVIDING TRAUMA-INFORMED CARE, PSYCHOSOCIAL SUPPORT, AND WRAPAROUND SERVICES INCLUDING HOUSING ASSISTANCE. PHYSICAL ACTIVITY &amp; WELLNESS: - COMMUNITY PARTNERSHIPS FOR WELLNESS (CP4W): SCHOOL- AND COMMUNITY-BASED PREVENTIVE CARE, HEALTH EDUCATION, AND ACCESS TO ATHLETIC ACTIVITIES FOR YOUTH. PROVIDES SCHOOL-BASED HEALTH SERVICES, OVER 1,000 SPORTS PHYSICALS ANNUALLY, AND MOBILE CARE AT 20+ PARTNER SCHOOLS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2 (NEEDS ASSESSMENT) CONT.</FormAndLineReferenceDesc>
        <ExplanationTxt>YOUTH ENGAGEMENT &amp; WORKFORCE DEVELOPMENT: - PUBLIC HEALTH PIPELINE PLUS (PHPP) AND PIPELINE PROGRAMS: SUMMER INTERNSHIPS, MENTORSHIP, AND HANDS-ON PUBLIC HEALTH EXPERIENCES FOR HIGH SCHOOL STUDENTS. - PENN MEDICINE PATHWAYS-EMERGING CAREERS AND PIPELINE PLUS: CAREER EXPOSURE, MENTORSHIP, AND TUITION BENEFITS FOR HIGH SCHOOL GRADUATES ENTERING HEALTH SYSTEM ROLES. - ASPIRE NURSE SCHOLARS PROGRAM: INTRODUCES HIGH SCHOOL STUDENTS TO NURSING CAREERS, WITH MENTORSHIP, STIPENDS, AND PATHWAYS TO COLLEGE AND HOSPITAL EMPLOYMENT. - PENN PRESBYTERIAN MEDICAL CENTER EMERGING CAREER PIPELINE: TRAINS LOCAL HIGH SCHOOL GRADUATES FOR HOSPITAL CAREERS, PROVIDING COACHING, TRAINING, AND MENTORSHIP. IN ADDITION TO THE SECTION 501(R) COMMUNITY HEALTH NEEDS ASSESSMENT INFORMATION OUTLINED IN THIS FORM 990, SCHEDULE H, PART V, DOYLESTOWN HOSPITAL CONDUCTS REGULAR REVIEWS OF HEALTHCARE UTILIZATION IN ITS SERVICE AREA FOR BOTH CLINICAL QUALITY AND TO DETERMINE PATIENT PREFERENCES. CURRENT DATA ON SERVICE LINE UTILIZATION (CARDIOLOGY, OBSTETRICS AND GYNECOLOGY, ORTHOPEDICS, ETC.) IS USED TO FORECAST HEALTHCARE NEEDS, TO ESTIMATE PROJECTED INPATIENT AND OUTPATIENT ACTIVITY, AND TO PLAN FOR CAPITAL AND STAFF RESOURCES TO BETTER MEET THE NEEDS OF OUR PATIENTS. REAL-TIME REVIEWS OF QUALITY INDICATORS HELP TO IMPROVE SYSTEMS AND PROCESSES. PATIENT AND VISITOR FEEDBACK, ALONG WITH QUARTERLY REVIEWS OF PATIENT SATISFACTION AND EXPERIENCE SURVEYS FOR EACH UNIT OF THE HOSPITAL, ARE INSTRUMENTAL IN PROCESS AND QUALITY IMPROVEMENT INITIATIVES. EVERY TWO YEARS, DOYLESTOWN HOSPITAL CONDUCTS A SURVEY OF COMMUNITY MEMBERS, MEDICAL STAFF AND HOSPITAL BOARD MEMBERS AS PART OF ITS MEDICAL STAFF DEVELOPMENT PLAN. RESPONSES TO THE SURVEY ARE THE BASIS FOR IDENTIFYING GAPS IN SPECIALIST AND/OR PRIMARY CARE MEDICAL SERVICES. THE SURVEYS HELP GUIDE THE MEDICAL STAFF DEVELOPMENT COMMITTEE IN REVIEWING APPLICATIONS FOR MEMBERSHIP, AND DIRECT RECRUITING EFFORTS FOR SPECIALTIES IDENTIFIED BY THE SURVEY RESPONDENTS. IN ADDITION, DOYLESTOWN HOSPITAL COOPERATES CLOSELY WITH THE BUCKS COUNTY DEPARTMENT OF HEALTH AND COMMUNITY PHYSICIANS TO MONITOR THE HEALTH NEEDS OF THE POPULATION. AMONG THE MANY COMMUNITY HEALTH ORGANIZATIONS DOYLESTOWN HOSPITAL WORKS WITH AND SUPPORTS, IS THE BUCKS COUNTY HEALTH IMPROVEMENT PARTNERSHIP, A COLLABORATION OF THE SEVEN HOSPITALS IN BUCKS COUNTY, ALONG WITH THE COUNTY HEALTH DEPARTMENT, BUCKS COUNTY MEDICAL SOCIETY, CENTRAL BUCKS SCHOOL DISTRICT AND BUCKS COUNTY AREA AGENCY ON AGING. DOYLESTOWN HOSPITAL WAS A FOUNDING MEMBER OF THE BUCKS COUNTY HEALTH IMPROVEMENT PARTNERSHIP. TO READ MORE WAYS PENN MEDICINE SERVES ITS COMMUNITY, PLEASE VISIT HTTPS://WWW.PENNMEDICINE.ORG/NEWS/COMMUNITY-IMPACT --------------------</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 (INCLUDING LIMITED ENGLISH PROFICIENCY), ETHNICITY, RELIGION, CREED, SEX, PHYSICAL OR MENTAL DISABILITY, MARITAL STATUS OR SEXUAL PREFERENCE, ANCESTRY, SEXUAL ORIENTATION, GENETIC INFORMATION, CULTURE, SOCIOECONOMIC STATUS, DOMESTIC OR SEXUAL VIOLENCE VICTIM STATUS, SOURCE OF INCOME, SOURCE OF PAYMENT, OR VETERAN STATUS. AS PART OF THIS COMMITMENT, UPHS OFFERS FINANCIAL COUNSELING AND ASSISTANCE PROGRAMS TO UNINSURED AND UNDERINSURED PATIENTS TO ASSIST THOSE WHO CANNOT PAY FOR ALL OR PART OF THEIR CARE. PATIENTS WILL BE CONSIDERED FOR FINANCIAL ASSISTANCE ON AN INDIVIDUAL BASIS, TAKING INTO CONSIDERATION TOTAL HOUSEHOLD INCOME AND OTHER RESOURCES. UPHS WILL ALSO CONSIDER OTHER FACTORS IN THE PATIENT/FAMILY FINANCIAL SITUATION, SHOULD THERE BE OTHER CRITICAL EXPENSES, NOT RELATED TO THE PATIENT'S MEDICAL CARE, THAT MAKE PAYMENT OF THE FINANCIAL OBLIGATION IMPOSSIBLE, SUCH AS CARING FOR A DISABLED FAMILY MEMBER. UPHS INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER UPHS'S CHARITY CARE POLICY. PATIENTS ARE INFORMED OF THE AVAILABILITY OF CHARITY CARE IN VARIOUS WAYS (E.G. AT POINT OF REGISTRATION, ON POSTERS THROUGHOUT HOSPITAL, IN PRACTICES, FINANCIAL COUNSELOR INTERVIEW AND WEBSITE). A COPY OF OUR FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT: HTTPS://WWW.DOYLESTOWNHEALTH.ORG/PATIENTS-AND-VISITORS/ BILLING-AND-FINANCE https://www.pennmedicine.org/patient-resources/policies/ --------------------</ExplanationTxt>
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      <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. DOYLESTOWN HOSPITAL SERVES A GEOGRAPHIC AREA THAT SPANS RURAL AND SUBURBAN TOWNSHIPS AND DENSELY POPULATED TOWNS. IT IS SITUATED IN DOYLESTOWN TOWNSHIP, ON THE BORDER WITH DOYLESTOWN BOROUGH, THE BUCKS COUNTY SEAT OF GOVERNMENT. BUCKS COUNTY IS AMONG THE MOST POPULATED AND FASTEST GROWING COUNTIES IN PENNSYLVANIA. --------------------</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5 (INFORMATION REGARDING PROMOTION OF COMMUNITY HEALTH)</FormAndLineReferenceDesc>
        <ExplanationTxt>DETAILS REGARDING THE VARIOUS COMMUNITY OUTREACH ACTIVITIES CONDUCTED BY UPHS DESIGNED TO PROMOTE COMMUNITY HEALTH IS INCLUDED IN OUR RESPONSE TO SCHEDULE H, PART VI, LINE 2, AS WELL AS IN FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. --------------------</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6 (AFFILIATED HEALTHCARE SYSTEM INFORMATION)</FormAndLineReferenceDesc>
        <ExplanationTxt>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; - WISSAHICKON HOSPICE, A HOSPICE CARE FACILITY SERVING THE TERMINALLY ILL, LOCATED IN BALA CYNWYD, PENNSYLVANIA; AND - PRINCETON HEALTHCARE SYSTEM ("PRINCETON") AND ITS AFFILIATES. PRINCETON INCLUDES A COMPREHENSIVE HEALTHCARE PROVIDER LOCATED IN CENTRAL NEW JERSEY THAT PRINCIPALLY INCLUDES THE MEDICAL CENTER OF PRINCETON, A GENERAL ACUTE CARE HOSPITAL FACILITY IN PLAINSBORO, NJ, WITH 319 INPATIENT BEDS (PLUS 24 NEWBORN BASSINETS), AND PRINCETON HOUSE BEHAVIORAL HEALTH, WHICH INCLUDES A 116 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. - PENN MEDICINE DOYLESTOWN HEALTH - ON APRIL 1, 2025, THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA AND DOYLESTOWN HEALTH ENTERED INTO AN AFFILIATION AGREEMENT WITH DOYLESTOWN HEALTH FOUNDATION (THE "FOUNDATION"), DOYLESTOWN HOSPITAL (THE "HOSPITAL"), AND DOYLESTOWN HEALTH PHYSICIANS ("DH PHYSICIANS TOGETHER WITH THE FOUNDATION AND THE HOSPITAL, "DOYLESTOWN HEALTH"), PURSUANT TO WHICH DOYLESTOWN BECAME A CLINICAL COMPONENT OF PENN MEDICINE THROUGH A MEMBERSHIP SUBSTITUTION IN WHICH THE UNIVERSITY BECAME THE SOLE MEMBER OF THE HOSPITAL, AND THE HOSPITAL BECAME THE SOLE MEMBER OF THE FOUNDATION AND DH PHYSICIANS. --------------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7 (STATE FILING OF COMMUNITY BENEFIT REPORT)</FormAndLineReferenceDesc>
        <ExplanationTxt>N/A</ExplanationTxt>
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        <PersonNm>GLEN BIANCHINI</PersonNm>
        <TitleTxt>DIRECTOR OF PHARMACY SERVICES</TitleTxt>
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        <PersonNm>JULIA W PUCHTLER</PersonNm>
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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>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PARTICIPATION 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: KEITH KASPER - $189,584 THERESA M. LARIVEE - $80,573 MICHELLE M. VOLPE - $176,800 JULIA W. PUCHTLER - $66,211 -------------------- THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM (THE "HEALTH SYSTEM" MAINTAINS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") DESIGNED FOR THE CHIEF EXECUTIVE OFFICER OF THE HEALTH SYSTEM. VESTING IN THE SERP OCCURS ON JUNE 30, 2027 OR UPON THE OCCURRENCE OF CERTAIN EVENTS (DEATH, DISABILITY, OR INVOLUNTARY TERMINATION WITHOUT "CAUSE"). 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 HEALTH SYSTEM SERP PLAN DURING THE YEAR AND/OR RECEIVED EMPLOYER PAID AMOUNTS DURING THE YEAR: KEVIN B. MAHONEY - NO DISTRIBUTION --------------------</ExplanationTxt>
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      <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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    <IRS990ScheduleK documentId="IRS990ScheduleK">
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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 $15,448,450 AS OF JUNE 30, 2025. 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 $28,708,617 AS OF JUNE 30, 2025. 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 $7,010,119 AS OF JUNE 30, 2025. 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 $3,845,338 AS OF JUNE 30, 2025. PENNSYLVANIA HOSPITAL HAS BEEN ALLOCATED A PORTION OF THE PA HIGHER ED FACILITIES AUTHORITY- UPHS SERIES B 2021 BOND ISSUE FROM THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA (EIN: 23-1352685) ("UNIVERSITY"), A RELATED IRC SECTION 501(C)(3) ORGANIZATION. SINCE THE UNIVERSITY REMAINS AS THE PRIMARY OBLIGOR OF THE BOND, ALL INFORMATION REGARDING THE UPHS SERIES B 2021 BOND ISSUE HAS BEEN REPORTED ON THE FORM 990, SCHEDULE K OF THE UNIVERSITY. THE TOTAL ALLOCATED OUTSTANDING BALANCE FOR PENNSYLVANIA HOSPITAL WAS $19,156,988 AS OF JUNE 30, 2025.</ExplanationTxt>
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        <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>
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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 $7,289,874 OF COSTS WERE INCURRED DURING FY25. 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 FY25, $17,766,960 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 $37,407,874 IN FY25. 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 FY25, PENNSYLVANIA HOSPITAL ADMITTED 19,770 ADULT PATIENTS; AND RECORDED 5,163 BIRTHS.THERE WERE ALSO A TOTAL OF 391,284 OUTPATIENT VISITS.THERE WERE 51,138 OP PSCYIATRY PATIENTS TREATED, AND THE EMERGENCY DEPARTMENT TREATED 45,598 PATIENTS IN FY25. 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. COMMUNITY SERVICES &amp; PROGRAMS THE DIABETES EDUCATION CENTER PROVIDES COMPREHENSIVE OUTPATIENT EDUCATION AND TRAINING FOR PEOPLE LIVING WITH DIABETES, THEIR FAMILY MEMBERS, AND MEMBERS OF THE COMMUNITY. OUR TEAM CURRENTLY CONSISTS OF THREE REGISTERED DIETITIANS. DURING FY25, THE DIABETES EDUCATION CENTER CONTINUED TO OFFER: - COMPREHENSIVE DIABETES SELF MANAGEMENT EDUCATION AND NUTRITION COUNSELING FOR BOTH INDIVIDUALS AND GROUPS. - ACCREDITED DIABETES EDUCATION SERVICES, MEETING NATIONAL STANDARDS THROUGH ONGOING ACCREDITATION FROM THE AMERICAN DIABETES ASSOCIATION. - MEDICAL NUTRITION THERAPY FOR DIABETES RELATED NUTRITION COUNSELING. - INDIVIDUALIZED DIABETES EDUCATION TAILORED TO SPECIFIC MANAGEMENT NEEDS, INCLUDING SELF BLOOD GLUCOSE MONITORING, CONTINUOUS GLUCOSE SENSOR USE, AND INSULIN PUMP EDUCATION. THE TEAM ALSO REMAINED ACTIVE IN COMMUNITY OUTREACH AND DIABETES AWARENESS EDUCATION, SUPPORTING LOCAL AND REGIONAL ORGANIZATIONS THROUGH ON SITE PARTICIPATION AND DISTRIBUTION OF EDUCATIONAL MATERIALS. PROFESSIONAL EDUCATION EFFORTS CONTINUED IN FY25 AS THE TEAM PROVIDED LEARNING OPPORTUNITIES FOR A VARIETY OF HEALTHCARE PROFESSIONALS: - HOSTING FIRST YEAR PHYSICIAN INTERNS FROM THE WOOD CLINIC THROUGHOUT THE YEAR. - OFFERING SHADOWING EXPERIENCES FOR NURSE PRACTITIONERS NEW TO THE SYSTEM, INCLUDING THOSE FROM ENDOCRINOLOGY AT PMUC. - SUPPORTING THE TRAINING OF UNDERGRADUATE STUDENTS IN DIETETICS AND PUBLIC HEALTH THROUGH EXPERIENTIAL LEARNING PLACEMENTS AND SHADOWING EXPERIENCES. 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 GROUPS: PARTNERSHIP WITH PERELMAN ABRAMSON CANCER CENTER PATIENT SUPPORT GROUPS. ALL SUPPORT GROUPS ARE FACILITATED VIRTUALLY BY A SOCIAL WORKER OR PSYCHOLOGIST. VIRTUAL YOGA SERIES: AVAILABLE TWICE WEEKLY FOR PATIENTS AND CAREGIVERS. SESSIONS INCLUDE GENTLE MOVEMENT ADAPTED TO PATIENT ABILITIES, BREATHING TECHNIQUES, AND MINDFULNESS PRACTICES. 781 PARTICIPANTS FOR FY25. VIRTUAL PEACEFUL SLEEP SERIES: A 3 PART SERIES FOCUSING ON BUILDING BETTER SLEEP HABITS AND PRACTICING MINDFULNESS. 37 PARTICIPANTS. 7/16/24, 7/23/24, 7/30/24 ANNUAL SERIES (INCLUDING SCREENINGS, AWARENESS PROGRAMS, WALKS AND RACES, AND FUNDRAISERS): THE TASTING TABLE: AN INTERACTIVE TABLING EVENT WITH OUR NUTRITION COUNSELORS. - 4/18/25, 65 ATTENDEES - 6/12/25, 65 ATTENDEES CANCER SURVIVORS DAY: IN-PERSON TABLING EVENTS FEATURING INFORMATION ON CANCER SURVIVORSHIP, EDUCATIONAL MATERIALS, A COMMUNITY ART PROJECT, AND OPPORTUNITIES TO INTERACT WITH CANCER CENTER STAFF. 6/2/25 DRESS IN BLUE DAY: STAFF FROM THE ENDOSCOPY CENTER AND PAH ABRAMSON CANCER CENTER LED AN EVENT TO HIGHLIGHT COLON CANCER AWARENESS MONTH. AN EDUCATION TABLE WAS SET UP AT THE CAFETERIA WITH INFORMATION ABOUT COLON CANCER PREVENTION, RISK FACTORS, AND SIGNS AND SYMPTOMS. 3/7/25 GYN CANCER AWARENESS DAY: STAFF FROM THE GYN ONCOLOGY PRACTICE AND PAH ABRAMSON CANCER CENTER OFFERED A TABLE WITH INFORMATION AND RESOURCES REGARDING PREVENTION, RISK FACTORS, AND SYMPTOMS OF GYNECOLOGICAL CANCERS. 9/5/24 FAMILY HEALTH HISTORY DAY: STAFF FROM THE CANCER RISK EVALUALTION PROGRAM SET UP AN EDUCATIONAL TABLE IN THE CAFETERIA WITH INFORMATION ABOUT THE IMPORTANCE OF UNDERSTANDING CANCER RISK AND HOW TO SET UP AN APPOINTMENT WITH A GENETIC COUNSELOR. 11/19/24 CAREGIVER AWARENESS MONTH: AWARENESS TABLE WITH CAREGIVER RESOURCES SET UP IN THE CANCER CENTER. 11/1/24 - 11/30/24 OTHER SUPPORT/COMMUNITY EVENTS: PATIENTS AND STAFF ATTENDED 10TH ANNUAL STEPS TO CURE SARCOMA 5K EVENT. 5/18/25</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A CONT.</FormAndLineReferenceDesc>
        <ExplanationTxt>THE INTENSIVE CARE NURSERY, TOGETHER WITH THE ASSOCIATED DELIVERY AND TERM NURSERIES, SERVES MORE THAN 5,000 INFANT-PARENT PAIRS EACH YEAR, PROVIDING ESSENTIAL NEONATAL SERVICES TO FAMILIES IN OUR COMMUNITY. APPROXIMATELY 40% OF THE FAMILIES WE SERVE UTILIZE PUBLIC INSURANCE, WHILE 60% ARE PRIVATELY INSURED OR SELF PAY, REFLECTING OUR COMMITMENT TO EQUITABLE ACCESS TO HIGH QUALITY PERINATAL AND NEONATAL CARE FOR ALL PATIENTS, REGARDLESS OF FINANCIAL STATUS. THE ICN CARES FOR AN AVERAGE OF 1,000 INFANTS ANNUALLY, DELIVERING COMPREHENSIVE, MULTIDISCIPLINARY INTENSIVE CARE FOR CRITICALLY ILL AND MEDICALLY VULNERABLE NEWBORNS. THE UNIT PROVIDES SPECIALIZED TREATMENT FOR: - ALL PREMATURE INFANTS BORN AT LESS THAN 36 WEEKS GESTATIONAL AGE AT PENNSYLVANIA HOSPITAL - NEWBORNS REQUIRING INTENSIVE SUPPORT DUE TO CONDITIONS SUCH AS: - HYPOXIC ISCHEMIC INJURY - CARDIAC DYSFUNCTION - RESPIRATORY DISTRESS - SEPSIS AND SEVERE INFECTIONS - HYPOGLYCEMIA - HYPERBILIRUBINEMIA - NEONATAL SEIZURES - CONGENITAL ANOMALIES - PRENATAL SUBSTANCE EXPOSURE THROUGH ADVANCED CLINICAL PROTOCOLS, FAMILY CENTERED CARE MODELS, AND CLOSE COLLABORATION AMONG NEONATOLOGISTS, NURSES, THERAPISTS, AND SOCIAL WORK STAFF, THE ICN PROVIDES HIGHLY SPECIALIZED, EVIDENCE BASED TREATMENT TAILORED TO THE COMPLEX NEEDS OF EACH INFANT AND FAMILY. EVERY OTHER YEAR, THE ICN HOSTS A LARGE SCALE REUNION CELEBRATION FOR FORMER PATIENTS, THEIR FAMILIES, AND STAFF. THIS EVENT SERVES AS A MEANINGFUL TOUCHPOINT FOR FAMILIES TO RECONNECT WITH CAREGIVERS, CELEBRATE DEVELOPMENTAL MILESTONES, AND HONOR THE PROGRESS MADE SINCE DISCHARGE. IN OCTOBER OF THIS YEAR, MORE THAN 700 ATTENDEES JOINED THE CELEBRATION ON THE PENNSYLVANIA HOSPITAL CAMPUS. THIS GATHERING STRENGTHENS COMMUNITY RELATIONSHIPS AND HIGHLIGHTS THE LONG TERM IMPACT OF COMPASSIONATE, HIGH QUALITY NEONATAL CARE ACROSS THE LIFESPAN. THE ICN'S COMPREHENSIVE SERVICES, ITS ACCESSIBILITY TO FAMILIES ACROSS SOCIOECONOMIC BACKGROUNDS, AND ITS SUSTAINED INVESTMENT IN FAMILY ENGAGEMENT REPRESENT SIGNIFICANT COMMUNITY BENEFIT. THE UNIT CONTINUES TO ADVANCE ITS MISSION BY DELIVERING EQUITABLE, EVIDENCE BASED NEONATAL CARE WHILE PROVIDING EMOTIONAL SUPPORT, EDUCATION, AND CONTINUITY OF CARE FOR FAMILIES NAVIGATING MEDICALLY COMPLEX NEWBORN JOURNEYS. PENN PARENTING RESOURCE CENTER: OUR PRACTICE OFFERS CHILDBIRTH AND PRENATAL EDUCATION, PARENTING EDUCATION, BREASTFEEDING SUPPORT, AND PERINATAL MENTAL HEALTH AND TRAUMA SUPPORT THROUGHOUT PREGNANCY AND BEYOND. WE ALSO PARTNER WITH COMMUNITY ORGANIZATIONS TO SUPPORT AND EDUCATE FAMILIES THROUGHOUT THE CITY OF PHILADELPHIA. WAYS WE WERE ADDITIONALLY INVOLVED IN COMMUNITY IN FY25: - PARTICIPATED IN SEVERAL COMMUNITY BABY SHOWERS AND COMMUNITY FAMILY EVENTS WHERE WE BROUGHT FREE SUPPLIES AND RESOURCES AND PROVIDED EDUCATION - CONTINUED PARTNERSHIP WITH THE PROUD (PERINATAL RESOURCES FOR OPIOID USE DISORDER) CLINIC TO PROVIDE PATIENTS WITH A CLASS ON BABY CARE BASICS, SAFE SLEEP, AND SAFE CAR-SEAT USE - CELEBRATED WORLD BREASTFEEDING WEEK THROUGHOUT THE HOSPITAL SUPPORTED THE INTENSIVE CARE NURSERY REUNION - APPLIED FOR AND WAS AWARDED $9,000 FROM THE HARRISON GRANT TO PROVIDE DOULA SERVICES TO PATIENTS IN NEED WHO OTHERWISE WOULD NOT HAVE ACCESS TO THIS CARE - ORGANIZED AND HELD RESPECTFUL CARE 6 BREAKFASTS TO HEAR FROM PATIENTS ABOUT THEIR EXPERIENCES RECEIVING PERINATAL CARE AT PENNSYLVANIA HOSPITAL AND AFFILIATED OUTPATIENT PRACTICES OUR PRACTICE RENTS HOSPITAL-GRADE BREAST PUMPS AND BABY SCALES, AND STOCKS PUMPING SUPPLIES FOR NEW PARENTS, INCLUDING BRA AND FLANGE FITTING. THE OUTPATIENT LACTATION CARE PROVIDES PATIENTS WITH A 1:1 CONSULTATION AND SUPPORT WITH AN INTERNATIONAL BOARD-CERTIFIED LACTATION CONSULTANT. AREAS OF SUPPORT INCLUDE PRENATAL ASSESSMENT AND PLANNING, LATCHING, PUMPING, MILK-SUPPLY, BREAST CARE, WEANING, TRANSITION TO WORK, BOTTLE REFUSAL, AND MORE. WE ALSO HOST REGULAR-SCHEDULED, FREE, BREASTFEEDING SUPPORT GROUPS THAT MEET HYBRID (VIRTUAL AND IN-PERSON). OUR PRACTICE OFFERS TWICE MONTHLY SUPPORT GROUPS THROUGH THE BEYOND BIRTH PROGRAM. THESE GROUPS PROVIDE SOCIAL/EMOTIONAL SUPPORT FOR PATIENTS WHO EXPERIENCED BIRTH TRAUMA OR ARE WORKING THROUGH A PERINATAL MOOD DISORDER. WEALSO HAVE INDIVIDUAL THERAPY SESSIONS AVAILABLE FOR SHORT-TERM PERINATAL MENTAL HEALTH CONCERNS. OUR PRACTICE OFFERS A MONTHLY, FREE, LIVE WEBINAR FOR PATIENTS WHO PLAN TO DELIVER AT PENNSYLVANIA HOSPITAL. THIS WEBINAR COVERS EVERYTHING PATIENTS NEED TO KNOW ABOUT DELIVERING A BABY AT THE HOSPITAL INCLUDING WHERE TO PARK, WHAT TO BRING, WHAT MEDICAL CARE THEY CAN EXPECT TO RECEIVE, AND MORE. THIS PAST YEAR WE ADDED A MONTHLY, FREE, LIVE WEBINAR AROUND INFANT FEEDING TO HELP PARENTS-TO-BE MAKE INFORMED AND EVIDENCE BASED DECISIONS ABOUT HOW THEY PLAN TO FEED THEIR NEWBORN. FOR FY25, PENN PARENTING RESOURCE CENTER - 1,850 OUTPATIENT LACTATION VISITS - SUPPORTED 90 INDIVIDUAL SESSIONS THROUGH THE BEYOND BIRTH PROGRAM AND HELD 24 BEYOND BIRTH SUPPORT GROUPS - &gt;1200 REGISTRANTS IN THE FREE MONTHLY WEBINAR, PREGNANCY AND CHILDBIRTH AT PENNSYLVANIA HOSPITAL - STARTED A NEW MONTHLY INFANT FEEDING WEBINAR TO SUPPORT PATIENTS MAKING INFORMED DECISIONS ABOUT INFANT FEEDING PLANS - DEVELOPED A NEW CLASS SPECIFICALLY AROUND CESAREAN DELIVERY TO SUPPORT THOSE PATIENTS WHO ARE PLANNING TO DELIVER A BABY BY CESAREAN 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 FY25, 662 PATIENTS RECEIVED 963 PRESCRIPTIONS IN THE AMOUNT OF $50,410.95. 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 DATA RELATED TO PATIENT AND GUEST RELATIONS FOR FY25: - NOTARY SERVICE INSTANCES - 71 - MEAL VOUCHERS PROVIDED FOR FREE (FOR SERVICE RECOVERY) - 228 - PARKING PROVIDED FOR FREE (FOR SERVICE RECOVERY) - 195 - PATIENT COMPLAINTS - 257 - PATIENT GRIEVANCES - 402 - PATIENT PRAISES - 62 - SERVICE RECOVERY - 202 - PATIENT REQUESTS - 224 - TRANSLATION SERVICES - 29,091 CALLS LASTING 351,197 MINUTES - 54 DOCUMENT TRANSLATIONS - 64 IN-PERSON INTERPRETERS LASTING 9,360 MINUTES IN ADDITION, CHAPLAIN SERVICES PROVIDED THE FOLLOWING FOR FY25: - EUCHARISTIC MINISTER VISITS: 4,029 - CHAPLAIN VISITS: 4,239 WITH 2,997 UNIQUE PATIENTS SEEN PIPELINE PROGRAM: IN PARTNERSHIP WITH THE MAST COMMUNITY CHARTER SCHOOL, POINT BREEZE PREPARATORY SCHOOL AND OTHER LOCAL PHILADELPHIA HIGH SCHOOLS, ALONG WITH THE WEST PHILADELPHIA SKILLS INITIATIVE AND PHILAWORKS, PENN MEDICINE CONTINUED THE PENN PATHWAYS PROGRAM, A PIPELINE TO PROFESSIONAL PLACEMENT AT PENNSYLVANIA HOSPITAL. THIS WORKFORCE DEVELOPMENT PROGRAM, IN ITS FOURTH YEAR, FOCUSED ON PROVIDING ECONOMIC OPPORTUNITIES FOR RECENT HIGH SCHOOL GRADUATES WHILE DEVELOPING THE LEADERS OF TOMORROW. PENNSYLVANIA HOSPITAL INTRODUCED TEN GRADUATES FROM PHILADELPHIA HIGH SCHOOLS' GRADUATING CLASS OF 2025 TO 6 KEY ROLES WITHIN THE HEALTH SYSTEM. DURING THIS 4-MONTH PROGRAM, THESE INDIVIDUALS RECEIVED ON-SITE CAREER TRAINING, DIDACTIC EDUCATION SESSIONS, FULL-TIME COMPETITIVE COMPENSATION, ACCESS TO PENN MEDICINE'S COMPREHENSIVE BENEFITS PACKAGE, AND AN INVITATION TO CONTINUE THEIR CAREER DEVELOPMENT AS STAFF UPON THE PROGRAM'S COMPLETION IN OCTOBER 2025. NINE MEMBERS FROM THE 2025 PENN PATHWAYS PROGRAM WERE PLACED INTO LONG TERM POSITIONS TO WHICH THEY APPLIED. THE PENNSYLVANIA HOSPITAL DEPARTMENT OF NURSING ENGAGES IN NUMEROUS OUTREACH EFFORTS FOR THE BENEFIT OF OUR COMMUNITY. BELOW ARE THE COMMUNITY OUTREACH ACTIVITIES COMPLETED IN FY25 BY THE NOTED DEPARTMENTS: CRITICAL CARE: - MICU - HOLIDAY TOY DRIVE - COLLECTED OVER 250 TOYS TO DONATE BETWEEN 4 ORGANIZATIONS - DECEMBER 2024 - MICU/SICU - ANIMAL SHELTER DRIVE - COLLECTED PET SUPPLIES TO DONATE TO THE LOCAL ANIMAL SHELTER: STREET TAILS - JUNE 2025 MEDICAL SURGICAL DIVISION: - 7 CATHCART - PARTICIPATED IN HALL MERCER'S ADOPT A FAMILY HOLIDAY GIVING INITIATIVE PROVIDING HOLIDAY GIFTS FOR CLIENTS AND FAMILIES, DECEMBER 2024</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A CONT.</FormAndLineReferenceDesc>
        <ExplanationTxt>PERIOP/PROCEDURAL - PERIANESTHESIA AND CARDIOLOGY SERVICES PARTICIPATED IN HALL MERCER'S ADOPT A FAMILY HOLIDAY GIVING INITIATIVE PROVIDING HOLIDAY GIFTS FOR CLIENTS AND FAMILIES, DECEMBER 2024 - CARDIOLOGY SERVICE ALSO SPONSORED SEVERAL FUNDRAISING EVENTS TO SUPPORT THE AHA PHILADELPHIA HEART WALK, NOVEMBER 2024 - PERIANESTHESIA AND THE OPERATING ROOM'S PACU/OR WORKGROUP PARTNERED TO COOK A MEAL FOR THOSE AWAITING ORGAN TRANSPLANTS AND THEIR FAMILIES AT GIFT OF LIFE'S HOWIE'S HOUSE ON JUNE, 2025. WOMEN'S HEALTH INTENSIVE CARE NURSERY: - APRIL 2025 MARCH OF DIMES WALK EVERY APRIL AT THE PHILLY NAVY YARD. "MARCH FOR BABIES". WE DO FUND RAISERS TO RAISE MONEY FOR THE MARCH OF DIMES TO TACKLE AMERICA'S MATERNAL AND INFANT HEALTH CRISIS, AND PARTICIPATE IN A TEAM WALK - DECEMBER 2024 COLLECTED GIFTS AND GIFT CARDS TO DONATE TO THE MCCALL ELEMENTARY AND MIDDLE SCHOOL - HALL MERCER COLLECTIONS FOR FOOD PANTRY, SCHOOL BAGS, CHRISTMAS GIFTS WOMEN'S HEALTH INTENSIVE CARE NURSERY AND LABOR &amp; DELIVERY - INFANT REMEMBRANCE CEREMONY IN OCTOBER 2024. WE HOLD A BEAUTIFUL CEREMONY IN THE PHYSICS GARDEN TO REMEMBER OUR BABIES WHO PASSED AWAY BEFORE OR AFTER DELIVERY. WE INVITE ALL FAMILY MEMBERS AND READ ALOUD THE NAMES IF THE PARENTS WISH US TO. FAMILIES PLACE A ROSE IN THE VASES DURING THE CEREMONY WHICH WE DISPLAY ON THE TWO UNITS IN REMEMBRANCE OF THOSE BABIES AND THEIR FAMILIES. EVERY YEAR WE ALSO PROVIDE A KEEPSAKE OR MEMENTO AND PROVIDE LIGHT REFRESHMENTS. WOMEN'S HEALTH WHO COUNCIL - OCTOBER 2024- BREAST CANCER T-SHIRT AND SWEATSHIRT FUNDRAISER - DECEMBER 2024- MCCALL ELEMENTARY AND MIDDLE SCHOOL, GROUP VOLUNTEERED TO ASSIST THE SCHOOL RN WITH SCREENING TESTS FOR THE STUDENTS ONCOLOGY SERVICES: - 7 SCHIEDT, PROJECT PINK HAT, COLLABORATED WITH SICU TO HAND-KNIT AND PROVIDE HATS TO OUR BREAST CANCER PATIENTS, ONGOING THROUGH 2025 NURSING EDUCATION: - DECEMBER 2024- SUPPORTED A FAMILY FROM HALL MERCER TO PROVIDE GIFTS FOR THE HOLIDAYS ALL NURSING DEPARTMENTS WERE REPRESENTED AT THE MAY 3, 2025 PENN MEDICINE NURSES WEEK COMMUNITY DAY, AT MALCOM X PARK FOR A COMMUNITY HEALTH FAIR ------------------------------</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 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 REVIEW PROCESS INFORMATION RELATED TO THIS ORGANIZATION'S FORM 990 FILING IS GATHERED BY FINANCE STAFF AND PROVIDED TO PWC US TAX LLP FOR REVIEW AND RETURN PREPARATION. A DRAFT COPY OF THE 2024 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 2024 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 TRANSFER TO AFFILIATES $17,154,420 OTHER CHANGES IN TEMP &amp; PERM RESTRICTED NET ASSETS $1,430,492 ---------- TOTAL OTHER CHANGES IN NET ASSETS $18,584,912 --------------------------------</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>AFFILIA HOME HEALTH</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>1811 OLDE HOMESTEAD LANE</AddressLine1Txt>
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          <AddressLine1Txt>116 ALLEGHENY CENTER MAIL P8YB3502L</AddressLine1Txt>
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        <PrimaryActivitiesTxt>SUPPORT TRUST</PrimaryActivitiesTxt>
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        <PublicCharityStatusTxt>N/A</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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          <AddressLine1Txt>701 E MARSHALL STREET</AddressLine1Txt>
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          <BusinessNameLine1Txt>CCH&amp;HS</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <ZIPCd>19380</ZIPCd>
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        <EIN>264233321</EIN>
        <PrimaryActivitiesTxt>MGMT SRVCS</PrimaryActivitiesTxt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>CLINICAL CARE ASSOCIATES OF UPHS</BusinessNameLine1Txt>
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          <AddressLine1Txt>250 KING OF PRUSSIA RD 4TH FL</AddressLine1Txt>
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          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>HAJOCA 3025 INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>3451 WALNUT STREET ROOM 737</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
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          <ZIPCd>19104</ZIPCd>
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          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LANCASTER GENERAL HEALTH</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>555 NORTH DUKE STREET</AddressLine1Txt>
          <CityNm>LANCASTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17602</ZIPCd>
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        <EIN>232250941</EIN>
        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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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>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17512</ZIPCd>
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        <EIN>230485650</EIN>
        <PrimaryActivitiesTxt>FACILITY MGMT</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LANCASTER GENERAL HEALTH FOUNDATION</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>555 NORTH DUKE STREET</AddressLine1Txt>
          <CityNm>LANCASTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17602</ZIPCd>
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        <EIN>205767147</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
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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>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17602</ZIPCd>
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        <EIN>204943109</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>LG HEALTH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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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>17602</ZIPCd>
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        <EIN>231365353</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</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>LANCASTER GENERAL MEDICAL GROUP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1097 COMMERCIAL AVE</AddressLine1Txt>
          <CityNm>EAST PETERSBURG</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17520</ZIPCd>
        </USAddress>
        <EIN>232777286</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>LG HEALTH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MORRIS EST LYDIA T DECD TW</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>6325 S RAINBOW BLVD STE 300</AddressLine1Txt>
          <CityNm>LAS VEGAS</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
          <ZIPCd>89118</ZIPCd>
        </USAddress>
        <EIN>236210940</EIN>
        <PrimaryActivitiesTxt>SUPPORT TRUST</PrimaryActivitiesTxt>
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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>
          <ZIPCd>19380</ZIPCd>
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        <EIN>232324782</EIN>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NEIGHBORHOOD LEAGUE HEALTH SERVICES</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>795 E MARSHALL STREET</AddressLine1Txt>
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          <ZIPCd>19380</ZIPCd>
        </USAddress>
        <EIN>232324787</EIN>
        <PrimaryActivitiesTxt>HEALTH SRVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NEIGHBORHOOD VISITING NURSE ASSOCIATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>795 E MARSHALL STREET</AddressLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OAP INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>3451 WALNUT STREET ROOM 748</AddressLine1Txt>
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        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PENN CENTER FOR REHAB AND CARE</BusinessNameLine1Txt>
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          <AddressLine1Txt>3609 CHESTNUT STREET</AddressLine1Txt>
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          <BusinessNameLine1Txt>PMC</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PENN CLUB OF NEW YORK INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>30 WEST 44TH STREET</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
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        </USAddress>
        <EIN>232726687</EIN>
        <PrimaryActivitiesTxt>CLUB</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PENN PRAXIS INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>210 SOUTH 34TH STREET</AddressLine1Txt>
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        <EIN>752974931</EIN>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PGH DEVELOPMENT CORP</BusinessNameLine1Txt>
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          <AddressLine1Txt>426 CURIE BLVD</AddressLine1Txt>
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          <BusinessNameLine1Txt>PRESBYTERIAN MEDICAL CENTER OF UPHS</BusinessNameLine1Txt>
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          <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>PRINCETON CAREGIVERS INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>ONE PLAINSBORO ROAD</AddressLine1Txt>
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          <BusinessNameLine1Txt>PRINCETON HEALTHCARE AFFILIATED PHYS PC</BusinessNameLine1Txt>
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          <AddressLine1Txt>ONE PLAINSBORO ROAD</AddressLine1Txt>
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        <EIN>264203938</EIN>
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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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        <EIN>210635009</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>PHCS HOLDING</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>PRINCETON HEALTHCARE SYSTEM FDN INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>ONE PLAINSBORO ROAD</AddressLine1Txt>
          <CityNm>PLAINSBORO</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
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        </USAddress>
        <EIN>222225911</EIN>
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          <BusinessNameLine1Txt>PHCS HOLDING</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PRINCETON HLTHCARE SYSTEM HOLDING INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>ONE PLAINSBORO ROAD</AddressLine1Txt>
          <CityNm>PLAINSBORO</CityNm>
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        <EIN>223493256</EIN>
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          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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          <BusinessNameLine1Txt>PRINCETON MEDICAL PROPERTIES INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>ONE PLAINSBORO ROAD</AddressLine1Txt>
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        <PrimaryActivitiesTxt>REAL ESTATE</PrimaryActivitiesTxt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE ASC TRUST OF THE UNIV OF PA</BusinessNameLine1Txt>
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          <AddressLine1Txt>1500 MARKET ST STE 3500E</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19102</ZIPCd>
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        <EIN>810550464</EIN>
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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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        <USAddress>
          <AddressLine1Txt>217 HARRISBURG AVENUE</AddressLine1Txt>
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          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17603</ZIPCd>
        </USAddress>
        <EIN>300634510</EIN>
        <PrimaryActivitiesTxt>CARDIOLOGY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>LG HEALTH</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <AddressLine1Txt>421 CURIE BLVD 450 BRB II/III</AddressLine1Txt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>TRUSTEES OF THE UNIVERSITY OF PENN</BusinessNameLine1Txt>
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          <AddressLine1Txt>3451 WALNUT STREET ROOM 305</AddressLine1Txt>
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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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          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UNIVERSITY CLUB AT PENN INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>3611 WALNUT STREET</AddressLine1Txt>
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          <ZIPCd>19104</ZIPCd>
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        <EIN>236299508</EIN>
        <PrimaryActivitiesTxt>FAC. CLUB</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>UPENN INTERNATIONAL</BusinessNameLine1Txt>
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          <AddressLine1Txt>3451 WALNUT STREET SUITE 731</AddressLine1Txt>
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          <ZIPCd>19104</ZIPCd>
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        <EIN>454985731</EIN>
        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
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      <IdRelatedTaxExemptOrgGrp>
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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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          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19104</ZIPCd>
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        <EIN>043574136</EIN>
        <PrimaryActivitiesTxt>RETIRE TRUST</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(A)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UPENN RETIREE BENEFITS TRUST</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>3451 WALNUT STREET ROOM 329</AddressLine1Txt>
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          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19104</ZIPCd>
        </USAddress>
        <EIN>232769744</EIN>
        <PrimaryActivitiesTxt>BENEFITS</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12, I</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <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>
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          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
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      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PENN MEDICINE-PMA</BusinessNameLine1Txt>
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          <AddressLine1Txt>5 ATRIUM 3400 CIVIC CTR BLVD</AddressLine1Txt>
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          <ZIPCd>19104</ZIPCd>
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        <EIN>863800365</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>CCA</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>CLINICAL SPECIALTY ASSOCIATES</BusinessNameLine1Txt>
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          <AddressLine1Txt>150 MONUMENT ROAD FL 4TH</AddressLine1Txt>
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          <BusinessNameLine1Txt>DH</BusinessNameLine1Txt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>AUSTIN 512 LP</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>5914 W COURTYARD DRIVE SUITE 340</AddressLine1Txt>
          <CityNm>AUSTIN</CityNm>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>AXIS UKA GP LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>240 NEW YORK DRIVE SUITE 1</AddressLine1Txt>
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          <BusinessNameLine1Txt>BEXP II (PARALLEL) LP</BusinessNameLine1Txt>
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          <AddressLine1Txt>5914 W COURTYARD DRIVE</AddressLine1Txt>
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          <AddressLine1Txt>65 E 55TH STREET 35TH FLOOR</AddressLine1Txt>
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          <BusinessNameLine1Txt>CYRUS 1740 MASTER FUND LP</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>DVG 1740 FUND LP</BusinessNameLine1Txt>
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          <AddressLine1Txt>ONE FAWCETT PLACE</AddressLine1Txt>
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          <BusinessNameLine1Txt>EAST MARSHALL STREET PARTNERSHIP LP</BusinessNameLine1Txt>
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          <AddressLine1Txt>701 E MARSHALL STREET</AddressLine1Txt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>FERN HILL PARTNERSHIP III LP</BusinessNameLine1Txt>
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          <AddressLine1Txt>701 E MARSHALL STREET</AddressLine1Txt>
          <CityNm>WEST CHESTER</CityNm>
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      <IdRelatedOrgTxblPartnershipGrp>
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          <BusinessNameLine1Txt>FERN HILL LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>701 E MARSHALL STREET</AddressLine1Txt>
          <CityNm>WEST CHESTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19380</ZIPCd>
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        <EIN>233005147</EIN>
        <PrimaryActivitiesTxt>RENTAL</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>FORERUNNER BUILDERS F-G LP</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>ONE LETTERMAN DR BLDG C SUITE C5</AddressLine1Txt>
          <CityNm>SAN FRANCISCO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
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        </USAddress>
        <EIN>873427543</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>GALLOPAVO LP</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>4215 WEST LOVERS LANE SUITE 100</AddressLine1Txt>
          <CityNm>DALLAS</CityNm>
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          <ZIPCd>75209</ZIPCd>
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        <PrimaryActivitiesTxt>INVESTMENT</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GCM CARRIAGE SPV LP</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>250 WEST 55TH STREET 36TH FLOOR</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10019</ZIPCd>
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        <EIN>872075062</EIN>
        <PrimaryActivitiesTxt>INVESTMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>INITIALIZED CBH SPV LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>464 TEHAMA STREET</AddressLine1Txt>
          <CityNm>SAN FRANCISCO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>94103</ZIPCd>
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        <EIN>871123527</EIN>
        <PrimaryActivitiesTxt>INVESTMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>JOG V C LIMITED PARTNERSHIP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
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          <AddressLine1Txt>STE 2370 440 2ND AVE SW</AddressLine1Txt>
          <CityNm>CALGARY</CityNm>
          <ProvinceOrStateNm>ALBERTA</ProvinceOrStateNm>
          <CountryCd>CA</CountryCd>
          <ForeignPostalCd>T2P5E9</ForeignPostalCd>
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          <AddressLine1Txt>180 SUTTER STREET SUITE 400</AddressLine1Txt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PHCS HOLDING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C-CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PRINCETON HEALTH INC &amp; SUBS</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>ONE PLAINSBORO ROAD</AddressLine1Txt>
          <CityNm>PLAINSBORO</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>08536</ZIPCd>
        </USAddress>
        <EIN>223450093</EIN>
        <PrimaryActivitiesTxt>MEDICAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NJ</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PHCS HOLDING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C-CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>QUAKER INSURANCE COMPANY LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>VICTORIA STREET PO BOX HM 1826</AddressLine1Txt>
          <CityNm>VICTORIA HALL</CityNm>
          <ProvinceOrStateNm>HAMILTON</ProvinceOrStateNm>
          <CountryCd>BD</CountryCd>
          <ForeignPostalCd>HM HX</ForeignPostalCd>
        </ForeignAddress>
        <EIN>300708282</EIN>
        <PrimaryActivitiesTxt>SELF-INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>BD</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C-CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>THE PAM 1740 FUND LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>PO BOX 309</AddressLine1Txt>
          <CityNm>GEORGE TOWN</CityNm>
          <ProvinceOrStateNm>GRAND CAYMAN</ProvinceOrStateNm>
          <CountryCd>CJ</CountryCd>
          <ForeignPostalCd>KYI-1104</ForeignPostalCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>INVESTMENTS</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C-CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>TURK'S HEAD HEALTH SERVICES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>701 E MARSHALL STREET</AddressLine1Txt>
          <CityNm>WEST CHESTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19380</ZIPCd>
        </USAddress>
        <EIN>232329753</EIN>
        <PrimaryActivitiesTxt>MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CCH&amp;HS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C-CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>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>CLINICAL HEALTHCARE ASSOC OF NJ SP PC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>150 MONUMENT ROAD FL 4TH</AddressLine1Txt>
          <CityNm>BALA CYNWYD</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19004</ZIPCd>
        </USAddress>
        <EIN>331946468</EIN>
        <PrimaryActivitiesTxt>PHYS MGMT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CCA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C-CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>DH PHYSICIANS AMBULATORY SERVICES</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>595 WEST STATE STREET</AddressLine1Txt>
          <CityNm>DOYLESTOWN</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18901</ZIPCd>
        </USAddress>
        <EIN>812885619</EIN>
        <PrimaryActivitiesTxt>MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>DHP</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C-CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>COVERED BRIDGE RECIP RISK RETENTION GRP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>146 FAIRCHILD STREET STE 135</AddressLine1Txt>
          <CityNm>CHARLESTON</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29492</ZIPCd>
        </USAddress>
        <EIN>871236417</EIN>
        <PrimaryActivitiesTxt>FINANCIAL VEHICLE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>DH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C-CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>FRANKLIN HOLDINGS 1740 FUND LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>PO BOX 309</AddressLine1Txt>
          <CityNm>GEORGE TOWN</CityNm>
          <ProvinceOrStateNm>GRAND CAYMAN</ProvinceOrStateNm>
          <CountryCd>CJ</CountryCd>
          <ForeignPostalCd>KYI-1104</ForeignPostalCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>INVESTMENTS</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TRUSTEES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>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>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>DELANCEY CORPORATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>1409323</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>