efile Public Visual Render
ObjectId: 201601319349302115 - Submission: 2016-05-10
TIN: 23-1352685
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Information about Schedule R (Form 990) and its instructions is at
www.irs.gov/form990
.
OMB No. 1545-0047
20
14
Open to Public Inspection
Name of the organization
Trustees of the University of Pennsylvania
Employer identification number
23-1352685
Part I
Identification of Disregarded Entities
Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Total income
(e)
End-of-year assets
(f)
Direct controlling
entity
(1)
RA CITRUS-HEIGHT REMAINDERCO LLC
6162 SAN JUAN AVE
CITRUS HEIGHTS
,
CA
95610
13-4018559
REMAINDER
CA
0
0
N/A
(2)
RA FLINT REMAINDERCO LLC
5014 CLIO ROAD
FLINT
,
MI
48501
13-4018594
REMAINDER
MI
0
0
N/A
(3)
RA GIBBSTOWN REMAINDERCO LLC
380 HARMONY ROAD
GIBBSTOWN
,
NJ
08027
23-1352685
REMAINDER
NJ
0
0
N/A
(4)
RA BLYTHE REMAINDERCO LLC
890 EAST HOBSON WAY
BLYTHE
,
CA
92225
23-1352685
REMAINDER
CA
0
0
N/A
(5)
RA CLAREMONT REMAINDERCO LLC
45-99 WASHINGTON STREET
CLAREMONT
,
NH
03743
23-1352685
REMAINDER
NH
0
0
N/A
(6)
UNIV OF PENN USA FOUNDATION LTD
19 NORCOTT ROAD
LONDON
,
ENGLAND
N167EJ
UK
98-0387770
CHARITY
UK
-1,356,985
798,865
TRUSTEES
(7)
UNIV OF PENN HK FND LIMITED
ROOM 8 7F K WAH CENTRE
191 JAVA RD
ROOM 8 7F K WAH CENTRE
HONG KONG
,
HONG KONG
HK
CH
98-1062727
CHARITY
CH
-6,109
643,682
TRUSTEES
(8)
LEARNING ALLIANCE LLC
1398 WLIMINGTON PIKE
WEST CHESTER
,
PA
19383
56-2351966
EDUCATIONAL
PA
39,417
2,813,921
TRUSTEES
(9)
RA03 NEW OXFORD REMAINDERCO LLC
5675 YORK ROAD
NEW OXFORD
,
PA
17350
23-1352685
REMAINDER
PA
0
0
N/A
Part II
Identification of Related Tax-Exempt Organizations
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))
(f)
Direct controlling
entity
(g)
Section 512(b)(13) controlled entity?
Yes
No
(1)
ABRAMSON INSTITUTE
1086 PENLLYN BLUE BELL PIKE
BLUE BELL
,
PA
19422
23-2929823
MED RESEARCH
PA
501(C)(3)
4
N/A
No
(2)
CLINICAL CARE ASSOCIATES OF UPHS
250 KING OF PRUSSIA RD 4TH FL
RADNOR
,
PA
19087
23-2729852
HEALTHCARE
PA
501 (C) (3)
9
TRUSTEES
Yes
(3)
UNIVERSITY CLUB AT PENN INC
3611 WALNUT STREET
PHILADELPHIA
,
PA
19104
23-6299508
FAC. CLUB
PA
501(C)(3)
11, A
TRUSTEES
Yes
(4)
FRANKLIN SPECIALTY PHYSICIANS
3451 WALNUT STREET
PHILADELPHIA
,
PA
19104
23-2992715
SUPPORT ORG
PA
501 (C) (3)
11, B
PA HOSPITAL
Yes
(5)
OAP INC
3451 WALNUT STREET ROOM 329
PHILADELPHIA
,
PA
19104
23-1986931
SUPPORT ORG
PA
501 (C) (3)
11, A
TRUSTEES
Yes
(6)
PENN CENTER FOR REHAB AND CARE
3609 CHESTNUT STREET
PHILADELPHIA
,
PA
19104
23-2422635
HEALTHCARE
PA
501 (C) (3)
3
PMC
Yes
(7)
PENN CLUB OF NEW YORK INC
30 WEST 44TH STREET
NEW YORK
,
NY
10036
23-2726687
CLUB
NY
501 (C) (7)
N/A
N/A
No
(8)
PENN PRAXIS INC
210 SOUTH 34TH STREET
PHILADELPHIA
,
PA
19104
75-2974931
SUPPORT ORG
PA
501 (C) (3)
11, A
TRUSTEES
Yes
(9)
PENN PRESS INC
3905 SPRUCE STREET
PHILADELPHIA
,
PA
19107
23-1876142
PUBLISHING
PA
501(C)(3)
11, A
TRUSTEES
Yes
(10)
PENNSYLVANIA HOSPITAL OF UPHS
800 SPRUCE STREET
PHILADELPHIA
,
PA
19107
31-1538725
HEALTHCARE
PA
501(C)(3)
3
TRUSTEES
Yes
(11)
PGH DEVELOPMENT CORP
426 CURIE BLVD
PHILADELPHIA
,
PA
19104
23-2351015
SUPPORT ORG
PA
501(C)(3)
11, A
N/A
No
(12)
PHOENIXVILLE HOSPITAL OF UPHS
3001 MARKET STREET 3RD FLOOR
PHILADELPHIA
,
PA
19104
23-2901089
SUPPORT ORG
PA
501(C)(3)
3
TRUSTEES
Yes
(13)
PRESBYTERIAN ANESTHESIOLOGY FOUNDATION
51 NORTH 39TH STREET
PHILADELPHIA
,
PA
19104
23-2561573
SUPPORT ORG
PA
501(C)(3)
11, A
PMC
Yes
(14)
PRESBYTERIAN MEDICAL CENTER OF UPHS
51 NORTH 39TH STREET
PHILADELPHIA
,
PA
19104
23-2810852
HEALTHCARE
PA
501(C)(3)
3
TRUSTEES
Yes
(15)
THE ASC TRUST OF THE UNIV OF PA
1500 MARKET ST STE 3500E
PHILADELPHIA
,
PA
19102
81-0550464
SUPPORT ORG
PA
501(C)(3)
11, D
N/A
No
(16)
UPENN INTERNATIONAL
3451 WALNUT STREET SUITE 731
PHILADELPHIA
,
PA
19104
45-4985731
SUPPORT ORG
PA
501(C)(3)
11, A
TRUSTEES
Yes
(17)
THE CHESTER COUNTY HOSPITAL
701 EAST MARSHALL STREET
WEST CHESTER
,
PA
19380
23-0469150
HOSPITAL
PA
501(C)(3)
3
CCH&HS
Yes
(18)
NEIGHBORHOOD HEALTH AGENCIES INC
795 EAST MARSHALL STREET
WEST CHESTER
,
PA
19380
23-2324782
NURSING
PA
501(C)(7)
11, A
CCH&HS
Yes
(19)
NEIGHBORHOOD VISITING NURSE ASSOCIATION
795 EAST MARSHALL STREET
WEST CHESTER
,
PA
19380
23-1352243
NURSING
PA
501(C)(3)
9
CCH&HS
Yes
(20)
NEIGHBORHOOD LEAGUE HEALTH SERVICES
795 EAST MARSHALL STREET
WEST CHESTER
,
PA
19380
23-2324787
HEALTH SERVICES
PA
501(C)(3)
9
CCH & HS
Yes
(21)
CHESTER COUNTY HOSPITAL & HEALTH SYSTEM
701 EAST MARSHALL STREET
WEST CHESTER
,
PA
19380
26-4233321
MANAGEMENT SERVICES
PA
501(C)(3)
11, A
TRUSTEES
Yes
(22)
UPENN MASTER RETIREMENT TRUST
3451 WALNUT STREET ROOM 305
PHILADELPHIA
,
PA
19106
04-3574136
RETIRE TRUST
PA
501(A)
N/A
TRUSTEES
Yes
(23)
CARL V S PATTERSON 19 UN OF PA
CO PNC BANK 620 LIBERTY AVE
PITTSBURGH
,
PA
15222
23-6415355
SUPPORT TRUST
PA
4947(A)(1)
N/A
N/A
No
(24)
MORRIS EST LYDIA T DECD TW
1525 W WT HARRIS BLVD
CHARLOTTE
,
NC
28262
23-6210940
SUPPORT TRUST
PA
501(C)(3)
11, C
N/A
No
(25)
PRESBYTERIAN MULTI-SPECIALTY GROUP
51 NORTH 39TH STREET
PHILADELPHIA
,
PA
19104
23-2723154
HEALTHCARE
PA
501(C)(3)
9
PMC
Yes
(26)
PRESBYTERIAN PERSONAL CARE RESIDENCE
51 NORTH 39TH STREET
PHILADELPHIA
,
PA
19104
23-2294713
HEALTHCARE
PA
501(C)(3)
11,A
PMC
Yes
(27)
SS HUEBNER FOUNDATION FOR
INSURANCE EDUCATION
3000 STEINBERG HALL
PHILADELPHIA
,
PA
19104
23-6297325
EDUCATIONAL SUPPORT
PA
501(C)(3)
11, A
N/A
No
(28)
UNIVERSITY CITY ASSOCIATES INC
3451 WALNUT STREET ROOM 329
PHILADELPHIA
,
PA
19104
23-3021159
SUPPORT ORG
PA
501(C)(3)
11, A
TRUSTEES
Yes
(29)
UPENN RETIREE BENEFITS TRUST
3451 WALNUT STREET ROOM 329
PHILADELPHIA
,
PA
19104
23-2769744
BENEFITS
PA
501(C)(3)
11, A
TRUSTEES
Yes
(30)
WISSAHICKON HOSPICE OF UPHS
150 MONUMENT ROAD SUITE 300
BALA CYNWYD
,
PA
19004
23-2152662
HOSPICE CARE
PA
501(C)(3)
9
TRUSTEES
(31)
WOMEN'S AND CHILDREN'S HEALTH SERVICES
700 SPRUCE STREET
PHILADELPHIA
,
PA
19106
23-2248956
HEALTHCARE
PA
501(C)(3)
3
PA HOSPITAL
Yes
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2014
Page 2
Schedule R (Form 990) 2014
Page
2
Part III
Identification of Related Organizations Taxable as a Partnership
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
(1)
NEIGHBRHD PRES & DEV FUND LP
240 NEW YORK DR STE 1
Fort Washington
,
PA
19034
RENTAL
PA
UCA
Unrelated
0
0
No
0
No
0 %
(2)
SISU CAP PRIV EQUITY FUND B
1 RED PLACE W1K 6PL
London
W1K 6PL
UK
INVESTMENT
UK
TRUSTEES
Excluded
-1,100,263
2,584,412
No
0
No
56.98 %
(3)
SISU CAP PRIV EQUITY FUND E
1 RED PLACE
London
W1K 6PL
UK
INVESTMENT
UK
TRUSTEES
Excluded
-17,668
2,735,283
No
0
No
74.548 %
(4)
DVG 1740 FUND LP
ONE FAWCETT PLACE
Greenwich
,
CT
06830
80-0961539
INVESTMENT
CT
TRUSTEES
Excluded
965,774
165,234,028
No
0
No
100 %
(5)
GALLOPAVO LP
2000 MCKINNEY AVE STE 2125
Dallas
,
TX
75201
46-4621967
INVESTMENT
TX
TRUSTEES
Excluded
-18,675,282
81,819,504
No
0
No
100 %
(6)
SRP INVESTORS FUND A LP
2001 ROSS AVE SUITE 2800
Dallas
,
TX
75201
INVESTMENT
TX
TRUSTEES
Excluded
-51,228
1,400,919
No
0
No
94.261 %
(7)
FERN HILL LLC
2001 ROSS AVE SUITE 2800
West Chester
,
PA
19380
23-3005147
RENTAL
PA
THHS
Excluded
0
0
No
0
No
0 %
(8)
OAKLANDS WAY MEDICAL BUILDING
929 SOUTH HIGH STREET
West Chester
,
PA
19380
RENTAL
PA
THHS
Excluded
0
0
No
0
No
0 %
(9)
FERN HILL PARTNERSHIP III LP
929 SOUTH HIGH STREET
West Chester
,
PA
19380
RENTAL
PA
THHS
Excluded
0
0
No
0
No
0 %
(10)
SPRUCE MRI ASSOCIATES
801 SPRUCE STREET - LOWER LEVEL
Philadelphia
,
PA
19107
INVESTMENT
PA
PAH
Excluded
0
0
No
0
No
0 %
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes
No
(1)
CLINICAL HEALTH CARE ASSOC
250 KING OF PRUSSIA ROAD 4TH FLOOR
RADNOR
,
PA
190875220
23-2865181
PHYS MGMT
PA
CCA
C
0
0
0 %
Yes
(2)
DELANCEY CORPORATION
510 WALNUT STREET SUITE 420
PHILADELPHIA
,
PA
19106
23-2060159
RENTAL
PA
CCA
C
0
0
0 %
Yes
(3)
FRANKLIN CASUALTY INSURANCE CO
PO BOX 350
BURLINGTON
,
VT
054010530
04-3378984
INSURANCE
VT
TRUSTEES
C
-162,732
30,586,057
100 %
Yes
(4)
PENN TOWER HOTEL INC
3401 WALNUT STREET SUITE 440A
PHILADELPHIA
,
PA
19104
23-2812573
HOTEL/RESTAURANT
PA
TRUSTEES
C
726,373
12,418,559
100 %
Yes
(5)
PRESBYTERIAN MEDICAL SERVICES
39TH AND MARKET STREET
PHILADELPHIA
,
PA
19104
23-2307991
HEALTHCARE
PA
PMC
C
0
0
0 %
Yes
(6)
QUAKER INSURANCE COMPANY LTD
3451 WALNUT ST ROOM 329
PHILADELPHIA
,
PA
19104
30-0708282
SELF INSURANCE
BD
TRUSTEES
C
7,144,638
181,717,374
100 %
Yes
(7)
PENN WHARTON CONSULTING (BEIJING) CO LTD
CHINA WORLD TOWER 1
14F 100004 CHAOYANG DIST
BEIJING
100000
CH
EDUCATION
CH
UPENN INTERNATIONAL
C
0
0
0 %
Yes
(8)
NAYA 1740 FUND LTD
PO BOX 309
UGLAND HOUSE
KY11104
CJ
RENTAL
CJ
TRUSTEES
C
100 %
Yes
(9)
PINE RIVER 1740 TACTICAL FUND LTD
PO BOX 309
UGLAND HOUSE
KY1-1104
CJ
98-1110518
INVESTMENT
CJ
TRUSTEES
C
100 %
No
(10)
PINE RIVER 1740 FUND LTD
PO BOX 309
UGLAND HOUSE
KY1-1104
CJ
98-1110661
INVESTMENTS
CJ
TRUSTEES
C
0
0
0 %
Yes
(11)
THE PAM 1740 FUND LTD
PO BOX 309
UGLAND HOUSE
KY1-1104
CJ
INVESTMENTS
CJ
TRUSTEES
C
0
0
100 %
Yes
(12)
PROFESSIONAL PROVIDERS INC
701 E MARSHALL STREET
WEST CHESTER
,
PA
19380
23-3076589
PHYSICIAN SERV.
PA
CCH&HS
C
0
0
0 %
No
(13)
CHESTER COUNTY OBGYN ASSOCIATES INC
701 E MARSHALL STREET
WEST CHESTER
,
PA
19380
30-0073633
OBGYN SERVICES
PA
CCH&HS
C
0
0
0 %
Yes
(14)
TURK'S HEAD HEALTH SERVICES
701 EAST MARSHALL STREET
WEST CHESTER
,
PA
19380
23-2329753
MEDICAL SERVICES
PA
CCH & HS
C
0
0
0 %
Yes
(15)
CHARITABLE REMAINDER TRUSTS (65)
3451 Walnut Street
Room 305
Philadelphia
,
PA
19104
N/A
PA
N/A
T
0
0
0 %
No
Schedule R (Form 990) 2014
Page 3
Schedule R (Form 990) 2014
Page
3
Part V
Transactions With Related Organizations
Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note.
Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1
During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a
Receipt of
(i)
interest,
(ii)
annuities,
(iii)
royalties, or
(iv)
rent from a controlled entity
.....................
1a
Yes
b
Gift, grant, or capital contribution to related organization(s)
............................
1b
Yes
c
Gift, grant, or capital contribution from related organization(s)
............................
1c
No
d
Loans or loan guarantees to or for related organization(s)
............................
1d
Yes
e
Loans or loan guarantees by related organization(s)
............................
1e
No
f
Dividends from related organization(s)
............................
1f
No
g
Sale of assets to related organization(s)
............................
1g
No
h
Purchase of assets from related organization(s)
............................
1h
No
i
Exchange of assets with related organization(s)
............................
1i
No
j
Lease of facilities, equipment, or other assets to related organization(s)
.......................
1j
No
k
Lease of facilities, equipment, or other assets from related organization(s)
......................
1k
Yes
l
Performance of services or membership or fundraising solicitations for related organization(s)
.....................
1l
No
m
Performance of services or membership or fundraising solicitations by related organization(s)
.................
1m
No
n
Sharing of facilities, equipment, mailing lists, or other assets with related organization(s)
...................
1n
Yes
o
Sharing of paid employees with related organization(s)
............................
1o
Yes
p
Reimbursement paid to related organization(s) for expenses
............................
1p
Yes
q
Reimbursement paid by related organization(s) for expenses
............................
1q
Yes
r
Other transfer of cash or property to related organization(s)
............................
1r
Yes
s
Other transfer of cash or property from related organization(s)
............................
1s
Yes
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1)
DVG 1740 FUND LP
b
120,000,000
fmv
(2)
FRANKLIN CASUALTY INSURANCE CO
r
43,235,872
FMV
(3)
PENN PRAXIS INC
o
521,236
fmv
(4)
PENN TOWER HOTEL INC
a-i
1,500,000
fmv
(5)
PENNSYLVANIA HOSPITAL OF UPHS
k
40,826,490
fmv
(6)
PRESBYTERIAN MEDICAL CENTER OF UPHS
k
64,869,110
FMV
(7)
SRP INVESTORS FUND A LP
b
1,457,854
fmv
(8)
UPENN INTERNATIONAL
b
33,504,292
fmv
(9)
THE PAM 1740 FUND LTD
b
93,792,754
FMV
(10)
UPENN RETIREE BENEFITS TRUST
b
93,792,754
FMV
(11)
WISSAHICKON HOSPICE OF UPHS
o
2,810,780
FMV
Schedule R (Form 990) 2014
Page 4
Schedule R (Form 990) 2014
Page
4
Part VI
Unrelated Organizations Taxable as a Partnership
Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)
(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income
(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
Yes
No
Schedule R (Form 990) 2014
Page 5
Schedule R (Form 990) 2014
Page
5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference
Explanation
Schedule R, Part IV
SCHEDULE R, PART IV, LINE 4 DETAIL OF LEGAL DOMICLES FOR CHARITABLE REMAINDER TRUSTS AS OF JUNE 30, 2015, THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA (THE "UNIVERSITY") HELD INTERESTS IN 2 CHARITABLE REMAINDER TRUSTS IN FLORIDA, 1 CHARITABLE REMAINDER TRUST IN NEW YORK AND 62 CHARITABLE REMAINDER TRUSTS IN PENNSYLVANIA WHERE THE UNIVERSITY HAD MORE THAN 50% OF THE BENEFICIAL INTERESTS IN THE TRUSTS.
Schedule R (Form 990) 2014
Additional Data
Software ID:
14000267
Software Version:
v1.00