Penn Medicine

What it reported doing in 2024

Cca program services accomplishments: clinical care associates of the university of Pennsylvania health system (cca) is part of the university of Pennsylvania health system (uphs). In keeping with its charitable purpose, uphs accepts patients in serious need of medical care regardless of their financial status. Uphs maintains records to identify and monitor levels of charity care provided, including the amount of payment forgone, based on established rates, for services and supplies furnished under its charity care policy. Uphs also provides care to patients who do not have health insurance or meet the criteria to qualify for its charity care policy, and certain amounts charged for such services are deemed to be uncollectible. In fy 2025, cca provided $32 million in charity and underfunded care for medicare and medicaid families. Cca was formed in june 1993 to develop a geographically distributed network of primary care physicians. As of june 30, 2025, cca and its New Jersey affiliate, clinical health care associates of New Jersey, p.c., employed or contracted with 353 physicians and 216 physician extenders at 112 office locations throughout the five county southeastern Pennsylvania area and three county southern New Jersey area. Cca has grown to be a primary and specialty care network with approximately 37% of cca physicians providing primary care, 10% providing obgyn care, and 53% a variety of specialty services. Cca physicians serve as teachers for students and residents of the perelman school of medicine, and the health system has realized, and continues to realize, increased access to patients for teaching and research purposes as a result of cca's development. Hup, cpup, presbyterian, Pennsylvania, princeton, and chester county hospitals also expect to attract incremental admissions and outpatient visits because of the unique and specialized services they can provide to cca patients. The penn medicine cares grant continues 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. The following community-based projects were supported by clinical care associates and funding from penn medicine within fy25: christmas celebration for libertae freedom recovery: breath of life ministries - made up of three churches in philadelphia - has sponsored events in which members give back to those in need during thanksgiving and christmas. This year, in coordination with the occupational medicine department, the ministries will host a christmas celebration where members will provide lunch for staff and residents, along with their children. In addition, gifts will be provided for the children and "special ideas" for the mothers. Coatesville 2-mile walk and wellness fair: coatesville's annual 2-mile walk and its 3-hour wellness fair are hosted by an outreach group from forward impact life ministry. There have been presentations on pre-diabetes, hypertension, healthy nutrition, and diabetes. The fair also includes chair exercise, strength training, and zumba sessions. Funds will go to help pay for costs associated with the event. Good neighbors: good neighbors had been repairing homes at no cost to the homeowner for low-income residents in southern chester county for 33 years. Funding will to the good neighbors program, providing repairs for low-income homeowners and patients who have been discharged from chester county hospital. The goal is to reduce falls by providing wheelchair ramps, grab bars, or tub cut-outs for safe showering. Such assistance

Financial Efficiency

• Mission deployment rate: 91.1%; rating input score 91
• Program expense ratio: 89.9%; rating input score 90
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
• Pay-setting controls: 0 of 6 controls in place; rating input score 0
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Missing
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Limited
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 11.1%; rating input score 11; 8th percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -2.3%; rating input score 18; 18th percentile among comparable filings
• Total-asset coverage ratio: 0.45; rating input score 16; 16th percentile among comparable filings
• Liabilities to assets ratio: 2.17; rating input score 1; 1st percentile among comparable filings
• Officer compensation ratio: 2%; rating input score 55; 55th percentile among comparable filings

Growth

• Program expense growth: 10.6% per year; rating input score 100; 76th percentile among comparable filings
• Revenue growth: 11.2% per year; rating input score 100; 81st percentile among comparable filings
• Asset growth: 8% per year; rating input score 100; 59th percentile among comparable filings