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        <CYTotalAnnualDistributionsAmt>1065000</CYTotalAnnualDistributionsAmt>
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        <RemainingUnderdistriCYAmt>0</RemainingUnderdistriCYAmt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SECTION D, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>EPISCOPAL HEALTHCARE FOUNDATION (THE "FOUNDATION") IS A NONPROFIT ORGANIZATION, WHICH WAS INCORPORATED UNDER THE LAWS OF THE COMMONWEALTH OF PENNSYLVANIA ON OCTOBER 15, 1998. THE FOUNDATION'S MISSION IS TO PROVIDE FOR THE HEALTHCARE NEEDS OF THE COMMUNITY SERVED BY EPISCOPAL HOSPITAL AND TO DISCHARGE ITS RESPONSIBILITIES IN CONNECTION WITH THE ACQUISITION OF EPISCOPAL HOSPITAL BY TEMPLE UNIVERSITY HEALTH SYSTEMS, INC. ON DECEMBER 7, 1998, EPISCOPAL HOSPITAL WAS ACQUIRED BY TEMPLE UNIVERSITY HEALTH SYSTEM, INC. AT THE TIME OF THE ACQUISITION, EPISCOPAL HOSPITAL HAD AN ENDOWMENT FUND, COMPRISED PRIMARILY OF MARKETABLE SECURITIES, OF $26,467,520. ON DECEMBER 7, 1998, THE FOUNDATION, TEMPLE UNIVERSITY HEALTH SYSTEMS, INC. AND EPISCOPAL HOSPITAL ENTERED INTO A CONTRIBUTION AND INDEMNITY AGREEMENT (THE "AGREEMENT") PURSUANT TO WHICH (1) EPISCOPAL HOSPITAL TRANSFERRED THE ENDOWMENT FUND TO THE FOUNDATION AND (2) THE FOUNDATION AGREED TO TRANSFER, SUBJECT TO SPECIFIED CONDITIONS, CERTAIN INCOME EARNED BY THE ENDOWMENT FUND TO EPISCOPAL HOSPITAL IN ACCORDANCE WITH FEDERAL AND STATE LAW. THAT AGREEMENT WAS AMENDED IN 2012 (THE "FIRST AMENDMENT") BY THE PARTIES TO BRING THE PAYOUT PERCENTAGE IN LINE WITH CHANGES TO PENNSYLVANIA LAW AND TO MODIFY THE PURPOSES FOR WHICH EPISCOPAL HOSPITAL COULD BE OPERATED. THE AGREEMENT HAD SPECIFIED THAT EPISCOPAL WOULD OWN AND OPERATE AN ACUTE CARE HOSPITAL AT 100 EAST LEHIGH AVENUE. THE FIRST AMENDMENT PROVIDED THAT EPISCOPAL COULD, DIRECTLY OR THROUGH TEMPLE UNIVERSITY HOSPITAL, PROVIDE "SIGNIFICANT COMMUNITY-BASED HEALTHCARE SERVICES" AT 100 EAST LEHIGH AVENUE. THE TRANSFER OF THE ENDOWMENT FUND TO THE FOUNDATION, AS WELL AS THE ACQUISITION AGREEMENT BETWEEN EPISCOPAL HOSPITAL AND TEMPLE UNIVERSITY HEALTH SYSTEM, INC. WERE APPROVED BY THE COURT OF COMMON PLEAS OF PHILADELPHIA COUNTY, ORPHANS' COURT DIVISION, ON SEPTEMBER 30, 1998. THE FIRST AMENDMENT WAS APPROVED BY THE COURT ON MAY 7, 2019.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <BeginningYearBalanceAmt>28118133</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>2611798</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>1112881</OtherExpendituresAmt>
        <EndYearBalanceAmt>29617050</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>32483976</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>-2815520</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>1550323</OtherExpendituresAmt>
        <EndYearBalanceAmt>28118133</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>26884443</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>6571412</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>971879</OtherExpendituresAmt>
        <EndYearBalanceAmt>32483976</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>28155771</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>-287543</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>983785</OtherExpendituresAmt>
        <EndYearBalanceAmt>26884443</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>28405813</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>772002</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>1022044</OtherExpendituresAmt>
        <EndYearBalanceAmt>28155771</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>1.00000</PrmnntEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <TotalBookValueLandBuildingsAmt>0</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>2611798</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>2304700</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>2304700</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>307098</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>136966</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>136966</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>444064</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>1112881</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>1112881</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>136966</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>136966</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>1249847</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>INTENDED USE OF ENDOWMENT FUNDS PURSUANT TO AN AGREEMENT BETWEEN THE FOUNDATION, AND ITS SUPPORTED ORGANIZATION, EPISCOPAL HOSPITAL, THE FOUNDATION DISTRIBUTES INCOME TO EPISCOPAL HOSPITAL, WITH SUCH AMOUNT TO BE DETERMINED IN ACCORDANCE WITH STATE AND FEDERAL LAW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>UNCERTAIN TAX POSITIONS UNDER ASC 740 THE FOUNDATION HAS ADOPTED AN ACCOUNTING STANDARD REGARDING UNCERTAIN TAX POSITIONS. THE STANDARD PRESCRIBES A MINIMUM THRESHOLD THAT A TAX POSITION IS REQUIRED TO MEET IN ORDER TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS. THE FOUNDATION BELIEVES THAT IT HAD NO UNCERTAIN TAX POSITIONS AS DEFINED IN THE STANDARD.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>EPISCOPAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>100 E LEHIGH AVE</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19125</ZIPCd>
        </USAddress>
        <RecipientEIN>231365351</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>1065000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TO PROVIDE FOR THE HEALTHCARE NEEDS OF THE COMMUNITY</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION IS IN CONSTANT CONTACT WITH EPISCOPAL HOSPITAL AND RECEIVES INTERIM FINANCIAL STATEMENTS AND UPDATES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING BODY REVIEW OF FORM 990 PRIOR TO ITS FILING WITH THE IRS, A COPY OF FINAL FORM 990 IS PROVIDED TO EACH VOTING MEMBER OF THE FOUNDATION'S GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>MONITORING AND ENFORCEMENT OF CONFLICTS POLICY ALL TRUSTEES PROVIDE THE CHAIR WITH A COMPLETED CONFLICT OF INTEREST DISCLOSURE STATEMENT ON AN ANNUAL BASIS. THE CHAIR THEN REVIEWS THE DISCLOSURE STATEMENTS AND MAKES A REPORT TO THE BOARD OF TRUSTEES AT THE NEXT REGULAR MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS FOR DETERMINING COMPENSATION THE QUESTIONS WERE ANSWERED "NO" BECAUSE THE FOUNDATION DID NOT HAVE EMPLOYEES DURING THE REPORTING YEAR AND DOES NOT ANTICIPATE THAT IT WILL HAVE EMPLOYEES IN THE FUTURE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>PUBLIC AVAILABILITY OF OTHER DOCUMENTS COPIES OF THE FOUNDATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND FORM 990 WILL BE PROVIDED ON REQUEST. THEY ARE ALSO AVAILABLE FOR INSPECTION AT THE FOUNDATION'S OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 8B: DOCUMENTATION OF MEETINGS AND ACTION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION DID NOT HAVE A SEPARATE COMMITTEE. THE GOVERNING BODY ASSUMES ALL RESPONSIBILITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>EPISCOPAL HOSPITAL (A SUB OF TEMPLE UNIVERSITY HEALTH SYSTEM)</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 E LEHIGH AVENUE</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19125</ZIPCd>
        </USAddress>
        <EIN>231365351</EIN>
        <PrimaryActivitiesTxt>TO PROVIDE HEALTHCARE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R, PART V, TRANSACTIONS WITH RELATED ORGANIZATIONS</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 1B: GRANT TO OTHER ORGANIZATION PURSUANT TO AN AGREEMENT BETWEEN THE FOUNDATION (SUPPORTING ORGANIZATION) AND EPISCOPAL HOSPITAL (SUPPORTED ORGANIZATION), THE FOUNDATION DISTRIBUTED $1,065,000 FROM ITS INCOME EARNED BY THE ENDOWMENT FUND TO EPISCOPAL HOSPITAL FOR ITS GENERAL OPERATING PURPOSES DURING THE REPORTING YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
