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      <ActivityOrMissionDesc>See Schedule OOur mission is to support Temple University and its Health Sciences Center academic programs by providing the clinical environment and service to support the highest quality teaching and training programs for health care students and professionals, and to support the highest quality research programs.</ActivityOrMissionDesc>
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      <Desc>See Schedule OTemple University Hospital was founded in 1892 as "Samaritan Hospital," with the mission of caring for patients with limited incomes and ensuring access to medical care in its surrounding neighborhoods. As the chief academic teaching hospital of the Lewis Katz School of Medicine at Temple University, Temple University Hospital (TUH) is an 879-bed non-profit acute care hospital that provides a comprehensive range of medical services to its low-income communities, and a broad spectrum of secondary, tertiary, and quaternary care to patients throughout Southeastern Pennsylvania and beyond. TUH is accredited as an Adult Level 1 Trauma Center by the Pennsylvania Trauma Systems Foundation.TUH is an indispensable provider of health care in the largest city in America without a public hospital. Within our immediate service area, about 30% of individuals live below the federal poverty level. Among Pennsylvania's full-service safety-net providers, Temple University Hospital serves the greatest volume and highest percentage of patients covered by Medicaid.In addition to its main campus in North Philadelphia, TUH includes its Episcopal, Jeanes and Northeastern campuses, which all serve economically and socially disadvantaged communities.As our chief clinical teaching site, TUH is staffed by over 400 physicians of Temple Faculty Physicians as well as physician scientists from our affiliated Fox Chase Cancer Center and our community-based Temple Physicians, Inc. The Temple Faculty Practice Plan represents about 20 academic departments including subspecialties in emergency medicine, oncology, gastroenterology, obstetrics, gynecology, orthopedics, neurosurgery, neurology, general and specialty surgery, and psychiatry. Temple University Hospital's Episcopal Campus provides a recovery oriented behavioral health treatment program, offering a welcoming approach and hope for those whose lives have been affected by mental illness and/or co-occurring disorders. It serves adults, age 18 or older, experiencing severe psychiatric symptoms that markedly impair their capacity to function adequately within the community. Many of its patients are diagnosed with psychiatric plus one or more substance/alcohol disorders. Almost half have one or both diagnosis of hypertension and or diabetes. Many have multiple co-existing medical illnesses. Temple physicians also staff important clinics that address major public health concerns, such as the Comprehensive Neuroaids Center at Temple University, which is dedicated to improving the public health impact of bench-to-clinic research associated with HIV-induced neurological diseases and cognitive disorders.Among our distinctions is the achievement of Magnet status from the American Nurses Credentialing Center, a prestigious recognition of quality nursing care, community commitment and staff dedication.Temple's nationally renowned physicians offer state of the art treatment options for patients with complex medical problems, some of whom were previously considered untreatable. Using sophisticated technologies and personalized treatments, Temple physicians are working to alter the course of serious disease. In over a dozen research centers, our faculty is speeding the transformation of fundamental scientific discoveries into practical therapies with the potential to dramatically improve human health.As a premier transplant center, Temple University Hospital performed 342 transplants last year, including 99 lung transplants and 154 bone marrow transplants. We also participate in countless research studies to promote life-saving treatment modalities. Our affiliated Temple Center for Population Health, LLC, (TCPH) promotes and manages our population health efforts. Its mission is to attain a sustainable model of health care delivery through clinical and business integration, community engagement, and academic distinction to promote healthy populations. The TCPH includes an extensive network of Patient Centered Medical Homes; chronic disease management programs for high risk populations utilizing nurse navigators; an extensive inpatient and outpatient community health worker program, peer coaching, and a central access center for appointment scheduling and acute care follow-up. The TCPH ambulatory performance improvement platform provides the infrastructure on which outpatient clinics can continue to achieve better care, smarter spending and healthier communities. The TCPH collaborates closely with TUH to assure smooth transitions of care, access to community resources and management of value-based purchasing. Virtually all Temple physicians, whether faculty or community-based, care for patients covered by Medicaid in both the inpatient and outpatient setting. About 86% of Temple University Hospital's inpatients are covered by government programs: 42% by Medicare and 44% by Medicaid. Patients dually eligible for both Medicare and Medicaid comprise about half of our Medicare inpatient base. Approximately 49% of our total inpatient cases include a behavioral health diagnosis.TUH serves as a critical access point for vital public health services. Last year we handled over 160,000 patients in our Emergency Department; about 11,000 patients in our Psychiatric Crisis Response Center. We delivered over 2,000 babies, of whom nearly 85% were covered by Medicaid. Below we summarize a few of our clinical premier programs. For a summary of our key community engagement programs please refer to our Schedule H.Temple Heart &amp; Vascular Institute Our Heart &amp; Vascular Institute is a hub of innovative clinical care, research, and education. The Institute has 27 specialized programs and over 100 cardiovascular caregivers, many nationally renowned. Our staff draw upon their collective experience and our state-of-the-art facilities and technology to deliver high-quality, personalized care for the entire range of cardiovascular conditions from high blood pressure to advanced heart failure and transplantation. We offer patients the newest minimally invasive procedures, mechanical assist devices, artificial hearts, and advanced surgeries, including complex hybrid procedures and multi-organ transplantation. Temple is the fastest list-to-transplant site in the Philadelphia region, excelling in donor heart assessment, resulting in higher transplant rates and shorter times on the wait-list for candidates.Temple Lung Center Temple is an international leader in developing new therapies for serious lung diseases. Our Lung Center has over 20 specialized lung disease programs that provide highly focused care from physicians who are trained in specific conditions. A distinguishing feature of the Center is its innovative research program that is unraveling the mechanisms of lung disease, discovering new treatments and testing lifesaving devices. Our robust slate of clinical trials the largest in the nation for non-cancer related pulmonary disease provides patients with access to novel therapies. TUH also is one of the highest volume transplant programs in the nation with the best one-year survival rates in the Philadelphia region and the state of Pennsylvania.</Desc>
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        <Desc>Transplant Program Temple University Hospital has a 40-year history of excellence in organ transplantation, having performed Philadelphia's first heart transplant in 1984. Today, we have transplant programs for lungs, livers, kidneys, and pancreases, and bone marrow with excellent results. Our transplant teams have pioneered methods to improve organ donor health and avoid post-transplant complications. Digestive Disease CenterOur Digestive Disease Center's large clinical practice and active research program enable us to apply the latest techniques to treat even the most challenging cases involving the esophagus, stomach, small intestine, gallbladder, colon, and liver. Our areas of specialization include colorectal surgery, esophageal disorders, bariatric surgery, gastrointestinal cancer, inflammatory bowel disease, motility disorders, and therapeutic endoscopy. In addition, our thoracic surgeons are part of the Digestive Disease Center team, performing upper gastrointestinal surgeries, often robotically. These include surgeries for esophageal cancers, Barrett's esophagus, gastroesophageal reflux disease and achalasia.Neurosciences CenterThe Temple Neurosciences Center offers advanced care for conditions of the brain, spine, and nerves. Specialized neurological programs contained within our Center address medical conditions such as stroke, multiple sclerosis, epilepsy, movement disorders, neuromuscular disease, and amyotrophic lateral sclerosis (ALS). Our Center is home to the nationally respected Muscular Dystrophy Association/ALS Center of Hope and a stroke program that has been nationally recognized for its high success rate in treating complex stroke patients. The Center's strong basic science and clinical research program provides patients with options for complex neurological conditions that other hospitals may not offer. Orthopaedics &amp; Sports Medicine Temple's Orthopaedics and Sports Medicine team includes many of Southeast Pennsylvania's most respected surgeons and rehabilitation specialists. Our team provides advanced, personalized treatments for a wide range of injuries and conditions. This includes injuries of the foot and ankle, hand, knee, shoulder, elbow, and spine. Our orthopedic specialists also have special expertise in orthopedic trauma, joint replacement, sports medicine, and physical therapy. Our experts combine their experience and research with the latest technology and minimally invasive treatment techniques to help patients achieve a pain-free life.Notable Awards &amp; DistinctionsOur commitment to health equity drives every aspect of our business model. It's one of the reasons TUH was named one of the most socially responsible hospitals in the nation by the Lown Institute, ranking in the top 2%, and earning 'A' grades for community benefit, inclusivity, clinical outcomes, patient safety, avoiding overuse, and cost efficiency. Temple University Hospital recently earned its 7th Safety Grade 'A' from Leapfrog, a national quality award for Stroke Care from the American Heart Association, and recognition by Healthgrades with the 2024 Patient Safety Excellence Award, putting TUH in the top 10% of hospitals nationwide for patient safety.</Desc>
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        <PersonNm>Dr Eugene M Smolens</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Michael Bradshaw</PersonNm>
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        <PersonNm>Rebecca Rakoski Isbill</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <PersonNm>Martin Ogletree</PersonNm>
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        <PersonNm>Mitchell Morgan</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
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        <PersonNm>Charlotte E Morris</PersonNm>
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        <PersonNm>Christine Tartaglione</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Joyce Salzberg</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Abhinav Rastogi</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>John Ryan</PersonNm>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Tausha Saunders</PersonNm>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Christopher Snyder</PersonNm>
        <TitleTxt>Treasurer</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Michael DiFranco</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Timothy Cyphers</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Patrick Schmincke</PersonNm>
        <TitleTxt>Chief Operating Officer</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Chaudron Carter</PersonNm>
        <TitleTxt>Chief Nurse Executive</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Rebecca Armbruster</PersonNm>
        <TitleTxt>Chief Medical Officer</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Daniel del Portal</PersonNm>
        <TitleTxt>Chief Clinical Officer</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Susan Coull</PersonNm>
        <TitleTxt>Chief GME Officer</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Shidong Li</PersonNm>
        <TitleTxt>Chief Physicist</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Steven Carson</PersonNm>
        <TitleTxt>SVP Population Health</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Joseph Kosich</PersonNm>
        <TitleTxt>AVP Health Info Management</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Sean Rowland</PersonNm>
        <TitleTxt>VP Perioperative Services</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Matthew Shelak</PersonNm>
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        <PersonNm>Nicholas Barcellona</PersonNm>
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        <PersonNm>Lisa Corbin</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Ray Lefton</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Temple University Health System</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3509 N Broad Street No 936</AddressLine1Txt>
            <CityNm>Philadelphia</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19140</ZIPCd>
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        <ServicesDesc>Purchased Services, Related Organization</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Temple Faculty Practice Plan Inc</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3509 N Broad Street No 936</AddressLine1Txt>
            <CityNm>Philadelphia</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19140</ZIPCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Temple University</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>400 Carnell Hall1803 N Broad Stree</AddressLine1Txt>
            <CityNm>Philadelphia</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19121</ZIPCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>America Oncologic Hospital</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3509 N Broad Street No 936</AddressLine1Txt>
            <CityNm>Philadelphia</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19140</ZIPCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Fox Chase Medical Group Inc</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3509 N Broad Street No 936</AddressLine1Txt>
            <CityNm>Philadelphia</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19140</ZIPCd>
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        <Desc>Patient Service Revenu</Desc>
        <BusinessCd>621110</BusinessCd>
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        <TotalRevenueColumnAmt>-744977</TotalRevenueColumnAmt>
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      <ContriRptFundraisingEventAmt>1792412</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>426850</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-266065</TotalRevenueColumnAmt>
        <ExclusionAmt>-266065</ExclusionAmt>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>2309839577</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>59710754</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
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        <TotalAmt>91195923</TotalAmt>
        <ProgramServicesAmt>91195923</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>3715077</TotalAmt>
        <ManagementAndGeneralAmt>3715077</ManagementAndGeneralAmt>
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          <AddressLine1Txt>333 Cottman Avenue</AddressLine1Txt>
          <CityNm>Philadelphia</CityNm>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Section B</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility Reporting Group A</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility Reporting Group A consists of:</FormAndLineReferenceDesc>
        <ExplanationTxt>- Facility 1: Temple University Hospital, Inc, - Facility 3: Temple Univ. Hosp @ Episcopal Campus, - Facility 4: Northeastern Ambulatory Care Center, - Facility 5: Temple Univ Hosp Infusion Rm @Fox Chase Cancer, - Facility 2: Temple University Hospital @ Jeanes Campus</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 1 -- Temple University Hospital, Inc Part V, Section B, line 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>In conducting its Community Health Needs Assessment (CHNA), Temple University Hospital took into account input from representatives of the community served by its facility, including those with special knowledge or expertise in public health. Our processes, as well as the persons with whom Temple University Hospital consulted are set forth on pages 19-32 of its CHNA posted in plain view on the hospital's website at https://www.templehealth.org/locations/temple-university-hospital/about/community-health .</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 1 -- Temple University Hospital, Inc Part V, Section B, line 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>Temple University Hospital is addressing most needs identified in our CHNA. Our approach to addressing additional needs is identified in our CHNA Implementation strategy on pages 23-25 , which is posted in plain view on the hospital's websites at https://www.templehealth.org/locations/temple-university-hospital/about/community-health .</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 2 -- Temple University Hospital @ Jeanes Camp Part V, Section B, line 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>Refer to Facility 1 description.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 2 -- Temple University Hospital @ Jeanes Camp Part V, Section B, line 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>Refer to Facility 1 description.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 3 -- Temple Univ. Hosp @ Episcopal Campus Part V, Section B, line 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>Refer to Facility 1 description.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 3 -- Temple Univ. Hosp @ Episcopal Campus Part V, Section B, line 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>Refer to Facility 1 description.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 4 -- Northeastern Ambulatory Care Center Part V, Section B, line 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>Refer to Facility 1 description.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 4 -- Northeastern Ambulatory Care Center Part V, Section B, line 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>Refer to Facility 1 desription.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 5 -- Temple Univ. Hosp Infusion Rm @Fox Chase Part V, Section B, line 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>Refer to Facility 1 description.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 5 -- Temple Univ. Hosp Infusion Rm @Fox Chase Part V, Section B, line 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>Refer to Facility 1 description.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>As set forth in the Temple University Hospital Emergency Care, Charity Care, Financial Assistance, and Uninsured Discount Policy, it is the policy of Temple University Health System to provide all necessary urgent and emergent care to patients without regard to their ability to pay for such care. Given this mission and within the guidelines of prudent business management, it is further the policy of Temple University Health System (TUHS) that an orderly and controlled system for the write-off of all types of Bad Debt and Charity Care balances is in effect to ensure maximum collections. All patients have the option to apply for the TUHS Charity Care Program. The guiding principles behind this policy are to treat all patients equally, with dignity and respect, to serve the emergency healthcare needs of everyone in the community, to assist patients who cannot pay and to balance appropriate financial assistance for patients with fiscal responsibility. Patients and their families have a responsibility to assist TUHS in qualifying them for financial assistance. TUH Inc.'s cost to charge ratio for Part 1, lines 7a through 7d is derived by total expenses divided by the total gross charges.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7g:</FormAndLineReferenceDesc>
        <ExplanationTxt>Temple University Hospital invested about $44 million to subsidize critical health care services needed in our community. This includes support for our outpatient emergency, acute care and psychiatric services, as well the inpatient psychiatric services on our Episcopal Campus. These physical and mental health services are critical to the health and welfare of our vulnerable communities.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II, Community Building Activities:</FormAndLineReferenceDesc>
        <ExplanationTxt>Temple University Hospital engages in numerous community building activities throughout the year. These activities, separate from our "community health improvement" activities, advance the health or safety of the neighborhoods we serve.A summary of our community building and other community benefit activities is provided in our Community Benefit Report posted in plain view on our hospital's website at https://www.templehealth.org/locations/temple-university-hospital/about/community-healthCOMMUNITY SUPPORT.(1) Emergency Preparedness and Research: This program helps ensure that our staff and hospital facilities are prepared to continue to provide safe, quality patient care under the most austere conditions. This program is a critical link in federal, state and local disaster response plans. Our Emergency Preparedness Department is involved in three local committees, including the North Philadelphia Emergency Healthcare Support Zone, the Regional Hospital Subcommittee, and the Emergency Support Function-8 Work Group. These committees focus on creation of drills, policy development, and continuing education.(2) Employee Community Engagement: Temple University Hospital conducts numerous engagement activities throughout the year, including collections for new coats and clothing, holiday gifts, food, and school supplies to benefit low-income families living in our communities. We are particularly proud of the support that we provide to local public schools, where many families have limited resources to purchase cold weather clothing and school supplies for young children. (3) At Your Service: Temple University Hospital's volunteer intern program connected undergraduate students with interest in medical careers who engage in non-clinical rounding on inpatient and outpatient units and interact with patients and families. Interns gain familiarity with hospital settings while enhancing the experience of patients and visitors. (4) Support for Early Learning: Temple University Hospital's Episcopal Campus provides facility use for the charitable purpose of providing early learning education for low-income children with intellectual and developmental disabilities.(5) Southeast Pennsylvania Collaborative Opportunities to Advance Community Health (COACH) initiative: In partnership with the U.S. Department of Health &amp; Human Services, Philadelphia Department of Health and the Healthcare Improvement Foundation, Temple helps address food insecurity. (6) Hospital to Housing: As a foundational partner in the Estadt-Lubert Collaborative for Housing and Recovery, Temple University Hospital is working with Project Home to address the opioid epidemic in our Kensington community. This unified approach eliminates gaps in treatment and helps ensure a seamless transition from hospital discharge to temporary housing for individuals experiencing homelessness.WORKFORCE DEVELOPMENT(1) Investment in Community's Healthcare Workforce: The purpose of this partnership with the District Council 1199C Training and Upgrade Fund is to build our local workforce and improve skills sets needed to deliver quality healthcare. This involves comprehensive training and education for workers living in our community, which helps to adapt and improve skills that enable them to participate in a changing healthcare workplace. About half the students are union members and half from the general community, including laid-off workers and those receiving public assistance. Career pathways include nursing, behavioral health, allied health, childcare, and health IT. Education services include GED classes and testing as well as ESL and safety instruction.(2) TEACH High School Mentorship: Our Technical Education and Careers in Healthcare (TEACH) collaborative with the Philadelphia School District provides paid internships for high school seniors. We recruit from local schools and expose students to roles in outpatient rehabilitation, supply chain, dietary, patient transport, and environmental services. We provide on the job training and help develop resume and interview skills. After completing their first semester, interns have an option to return for a second semester with a goal of employment upon graduation.(3) Community Health Worker Program: In partnership with Temple University's Center for Social Policy, District Council 1199c Training and Upgrade Fund and Philadelphia Workforce Development Corporation, this program trains unemployed members of our community to become Community Health Workers. Through this program, we are helping residents develop valuable job skills while also achieving national goals of improving healthcare quality, outcomes and cost.(4) Learn to Earn: Through unique partnerships with external job-training organizations who provide free instruction and certifications, we recruit local community members as medical assistants, pharmacy technicians and information technology professionals. (5) Nursing Scholars Program: Operated through innovative partnerships, this program provides students applying to or enrolled in an RN or CRNA program with up to $40,000 of loan sponsorship if they commit to working for Temple Health upon graduation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Effective July, 1, 2018, the Health System adopted a new revenue recognition accounting standard that resulted in significant changes to the methodology for reporting bad debt expense. Under the previous standard, estimates for amounts not expected to be collected based on historical experience were recorded within net patient service revenue and then recognized as bad debt expense. Under the new standard, estimates for unrealizable amounts are recognized as implicit price concessions that are a direct reduction to net patient service revenues. As a result, the amount of bad debt expense reported in the Health System's financial statements has been greatly reduced, despite the fact that overall collection rates have not changed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>Community Benefit as in Charity Care is when estimated cost of providing services is in excess of payments received. In 2024, the cost of providing services to the Medicare population was $24,453,162 higher than revenue. Medicare allowable cost was based on cost apportionment derived from the Medicare Cost Report. The Medicare shortfall carried by TUH provides a community benefit because it benefits a charitable class, the elderly.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 9b:</FormAndLineReferenceDesc>
        <ExplanationTxt>Temple University Hospital's collection policy contains provisions on the collection practices to be followed for patients who are known to qualify for charity care. If a patient does not qualify for charity care or qualifies for only a charity care discount, the normal billing process of four (4) statements over a span of at least 120 days will occur. If no patient response is received, a write-off request form will be completed by the collection specialist and submitted for proper signature authority for agency referral. Once approved, the account will be transferred to the Bad Debt Financial Class. The account will be forwarded to the collection agency for additional collection effort. Collection vendors are required to include in their collection notifications notice that TUH provides free and/or reduced price care to persons who qualify, that TUH provides assistance in applying for and obtaining government funded insurance, and that patients can contact TUH's Financial Services Department for assistance.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>In addition to our Community Health Needs Assessment described in Part V Section B, Temple University Hospital (TUH) further assesses community health needs using comprehensive sets of internal and external data sources. Externally, we rely largely on health data compiled by federal, state, city, and community-based health organizations, including the following:*Pennsylvania Department of Health -http://www.statistics.health.pa.gov/Pages/default.aspx#.WoIMY1Qo6Un*Pennsylvania and County Health Profiles- Philadelphia | Pennsylvania County Health Profiles (pa.gov)*Pennsylvania Health Care Cost Containment Council (PHC4) - http://www.phc4.org/reports/utilization/inpatient/Philadelphia Department of Public Health, including the Philadelphia Vital Statistics Report, the Philadelphia Vital Statistics Report by Census Tract and Zip Code Report; the annual Health Center Service Area Report; the Maternal and Child Family Health Data Watch, the Report on Selected Maternal &amp; Child Health Indicators for the City of Philadelphia, 1995-2005 and the Taking Philadelphia's Temperature report. http://www.phila.gov/health/Commissioner/DataResearch.html*County Health rankings: Pennsylvania | County Health Rankings &amp; Roadmaps*Centers for Medicare and Medicaid Services (CMS) Medpar data. https://www.cms.gov/Research-Statistics-Data-and-Systems/Files-for-Order/LimitedDataSets/MEDPARLDSHospitalNational.html*Vizient (University Healthcare Consortium) Clinical Database*Current literature on evolving health care delivery issues and care delivery models.*Participation in the Southeast Pennsylvania Collaborative Opportunities to Advance Community Health (COACH) initiative in partnership with the U.S. Department of Health &amp; Human Services, Philadelphia Department of Health and the Healthcare Improvement Foundation. Internally, we rely on the following sources:*Feedback from the Temple University Hospital Community Advisory Council. The purpose of the Community Advisory Council is to help Temple University Hospital achieve its mission, including its responsibility to Medicare and Medicaid to achieve equitable and high quality care, with a focus on the following community health goals: To promote access to quality healthcare, with emphasis on those residing in the communities served by the Temple University Hospital; To advise Temple University Hospital clinical and administrative leadership on community health needs and barriers to care; To develop innovative approaches for reducing health disparities; for enhancing care quality and affordability; and for promoting access to clinical and social services. *Feedback from our various Patient and Family Advisory Councils (PFAC), including the separate Temple Physicians, Inc. These groups are organized under Temple University Hospital's Department of Patient Experience.*Collaboration of Medical School and Hospital leadership.*Consensus discussion with key clinical providers and community service organizations.*Performance Improvement, Risk Management and Patient Safety outcomes.*Feedback from community members of our board of directors and routine interaction with neighborhood community organizations.*Historic, service line specific utilization data.*Organizational community risk assessments (Infection Control, Environment of Care, Emergency Management, Fire Safety Management, Disaster Response).*In addition to assessing data sources, we work closely with the City of Philadelphia Department of Public Health's Health Centers, other local Federally Qualified Health Centers (FQHCs), the City's Police and Fire Departments and other community-based health and social services organizations to address specific needs of vulnerable populations. These partnerships enable us to coordinate care delivery in both inpatient and outpatient settings and improve health outcomes for the communities we serve.To support moms and newborns, we collaborate with Esperanza Community Health Center (Esperanza), Delaware Valley Community Health, and Greater Philadelphia Health Action to provide a full range of obstetrical services. Temple University Hospital also works closely with our community partners to provide adult health services. Esperanza Physicians maintain staff privileges and provide continuity of care for their patients at our hospital. Additionally, Esperanza participates in our Internal Medicine Residency Programs. Delaware Valley Community Health and the Greater Philadelphia Health Action also refer their patients to Temple University Hospital for inpatient care.Representatives of Temple University Hospital serve on several health-and safety related boards and committees of the City of Philadelphia, including the Office of Managing Director, Health Department, Department of Behavioral Health and Intellectual Disability Services.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>34 Financial Counselors assigned to Temple University Hospital screen all uninsured and underinsured patients (including those with high deductibles and co-pays) who are hospitalized or require elective outpatient hospital services to determine their eligibility for government funded medical insurance coverage such as Medicaid and CHIP. *Patients that meet the qualifications for these programs are assisted by financial counseling staff throughout each step of the application process. Medicaid applications are submitted by TUH on the patient's behalf and tracked until final determination. *Patients who do not qualify for government-funded programs are screened for Temple University Health System's Charity Care program to determine their eligibility for free or reduced cost care. *Temple's Charity Care discounting policy is not restricted to Emergency Department patients, but is available to inpatients and outpatients as well.*Patients who contact the Hospital's Business Office concerning bills they have received that they cannot afford to pay are also screened for Charity Care eligibility. *The Financial Counseling Staff at Temple University Hospital also offers assistance in obtaining supplemental coverage as well as prescription drug benefits. *Patients are informed of Temple's Financial Services, and direction on how to access these services, through the following means:*Posters in plain view at inpatient, outpatient and emergency registration areas and billing offices;*Patient discharge summaries, billing invoices and vendor collection notices; and *Hospital website.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>As indicated in Temple University Hospital's Community Health Needs Assessment available at https://www.templehealth.org/locations/temple-university-hospital/about/community-health and https://www.templehealth.org/locations/jeanes-campus-tuh/about/community-health, our primary service area (TUH Service Area) is comprised of the following zip codes: 19111, 19120; 19121;19122; 19124; 19125; 19132; 19133; 19134; 19135; 19140; 19144 and 19149. These zip codes represent about 70% of where our patients reside seen on an inpatient and observation basis. Our service area's population has a disproportionally high percentage of non-college educated residents living in poverty compared to the city, state, and nation.The following data is current as of the time of conducting our most recent 3-year Community Health Needs Assessment referenced above.A. Population and Population GrowthThe TUH Service Area's includes a population of about 550,000, which is about one-third of Philadelphia's population of about 1.5 million.B. Age DistributionThe TUH Service Area's age distribution reveals an overall younger population with 25.8% under the age of 17; 27.1% age 18-34; 34.8% age 35-64; and 12.3% age 65 and up.C. Education LevelThe population in the TUH service area consisted of 61.6% with a high school education or less compared with national average of 61.5%%. The TUH service area population consists of 38.4% with education beyond high school, compared with national average of 61.5%. D. Unemployment and Household IncomeUnemploymentPhiladelphia's unemployment rate is 9.2% compared with the 3.4% national average. (Source: Bureau of Labor Statistics, Local Area Unemployment Statistics, CY 2022)Household Income 59.5% of households in the TUH service area earn less than $50,000 per year, compared with the national rate of 34.8%. E. Population Below Federal Poverty LevelApproximately 30% of the population living within TUH's service area lives at or below the federal poverty level. F. Race/EthnicityIn TUH's service area, 35.4% of the population identifies as Black; 31.5% as Hispanic, non-black; 21.4% as White Non-Hispanic; 7.7% as Asian&amp; Pacific; and 4.1% as others.G. Payer Mix Approximately 79% of TUH service area's residents were covered by either Medicaid or Medicare: 49.1% for Medicaid, and 29.9% for Medicare.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>In addition to the Community Building activities described in Section V above, Temple University Hospital organized or participated as a key partner in several community health improvement activities. These activities are free to the community, subsidized by Temple University Hospital, do not generate a patient bill, and are carried out for the sole purpose of improving community health.TUH is an indispensable provider of health care in the largest city in America without a public hospital. Among Pennsylvania's full-service safety-net providers, Temple University Hospital serves the greatest volume and highest percentage of patients covered by Medicaid. About 86% of our inpatients are covered by government programs: 42% by Medicare and 44% by Medicaid. Temple University Hospital is in a medically underserved area. During our FYE June 30, 2024, Temple University Hospital engaged in numerous programs and events serving thousands of community members. Below are selected highlights.(1) Addressing the Opioid Epidemic: Temple University is on the front line addressing this public health crisis: 25% of our inpatients have a substance use disorder; our service area's drug overdose mortality rate is seven-times the national rate and has the highest opioid mortality rate in the City of Philadelphia. Our Temple Recovery Using Scientific Treatment (TRUST) Clinic, which is integrated into our family medicine and general internal medicine practices, provides low-barrier substance use disorder treatment with on-site peer recovery and case management services. The TRUST Clinic supports community-based primary care providers and Temple University Hospital's Emergency Departments at its main, Episcopal and Jeanes campuses.(2) Addressing Public Health Impact of Gun Violence: Temple University Hospital's prevention and intervention programs provide a comprehensive approach to addressing this public health crisis. With the addition of a full-time psychologist, Turning Point offers cognitive-based and trauma-informed mental health services to patients. Cradle to Grave is our collaborative program with the Juvenile Justice Department and local schools that works with at-risk youth to break the cycle of gun violence. Our Fighting Chance program is one of the nation's few initiatives that teach community members how to provide basic first aid to gunshot wound victims. (3) Healing Through Work: Our partnership with the Pennsylvania Commission on Crime and Delinquency and Philadelphia Works connects victims of gun violence with gainful employment to disrupt the cycle of interpersonal violence, open pathways, and bring stability to lives. A workforce development specialist enrolls participants, helps set career goals, creates access to career pathways, and provides ongoing training and mentorship. (4) Trauma Victim Advocate Program: We provide social, emotional, and material support to patients and families from their time of entry into our hospital through discharge. Our 24/7 advocate team offers counseling and facilitates access to victim's services that aid with post-traumatic recovery and community re-integration. We provide referrals to crime agencies to assist with relocation, recovery of lost wages, unpaid medical bills, and mental health services. In FY24, we linked more than 1,300 patients to North Philadelphia-based crime victim service agencies through TUH's 24-hour Trauma Advocate Program.(5) Cure Violence Philadelphia (CVP): This structured violence intervention program is based on the premise that violence is a public health issue. The program is designed to reduce the spread of violence through interrupting its transmission, concentrating on those at highest risk, and changing social norms that propagate violence. Trained outreach workers identify and mediate conflicts in the community. They help high-risk individuals obtain the social services they need -- making them less likely to commit violence.(6) Improving Maternal Health Outcomes: In pursuit of our mission to improve health outcomes for birthing people, Temple is opening the Philadelphia region's only hospital dedicated to women and family health. The campus offers OB/GYN, pediatrics, and radiology outpatient services. The hospital will open in 2025 with state-of-the-art Level III Intensive Care Unit, Labor and Delivery services, Maternal Intensive Care, Medical Surgical Units, and a Fetal Care Center. Outpatient offerings include maternal fetal medicine, family practice, and other wraparound services.(7) Care Transitions &amp; Community Health Workers (CHW) Programs: Our CHWs conduct home visits, schedule and attend doctor appointments, coordinate transportation, and connect with social supports to improve quality of life and treatment outcomes. Our EPIC social determinants of health survey tool helps identify gaps in patient needs such as housing, food, access to internet, transportation, utility assistance, and general health literacy. (8) Multi-Visit Patient Clinic: Provides a full continuum of care for patients with high emergency department use and frequent inpatient admissions. Upon discharge, patients are linked with a Community Health Worker (see above). Patients enrolled in the clinic show a a 68% reduction in inpatient utilization, demonstrating that patients are seeking care in a more appropriate setting.(9) Certified Peer Recovery Specialist Team: We hired a team with lived experience and specialized training that links overdose patients and families with needed social services after treatment in our Emergency Departments and Crisis Response Center. (10) Food Insecurity &amp; Nutrition: Our Farm to Families program brings fresh, low-cost produce to North Philadelphia families through home delivery and neighborhood distribution to address obesity, food insecurity, cardiovascular disease, and diabetes related to poor diet and lifestyle. Families can use SNAP benefits and a "prescription" from a Temple doctor to purchase local fruits and vegetables helping them build capacity for healthier eating habits. In partnership with the Lewis Katz School of Medicine, St. Christopher's Foundation for Children and the Lancaster Farm Fresh Cooperative, food is sourced, packaged, and delivered to community food hubs. Our Jeanes Campus offers a seasonal fresh farm market, nutritional cooking demonstrations, and community access to its walking trail. Our Episcopal Campus operates a free food pantry, providing fresh fruits, vegetables, dairy, meats and canned goods to the community weekly.(11) Community Health Outreach: Temple University Hospital participated in numerous health fairs serving our immediate community to build trust and break down barriers to care. We often collaborate with Temple University's Schools of Medicine, Public Health, Dentistry, and Pharmacy to provide health screenings and education on a variety of health issues affecting residents, including diabetes, obesity, cancer, depression, anxiety, addiction, and PTSD. Health professionals from across Temple University Hospital's departments engaged in numerous outreach activities with government offices and community-based organizations. These include free health screenings and education on cancer, behavioral health, substance abuse, burn prevention, childbirth education and yoga instruction for expecting moms, diabetes care, smoking cessation, LGBTQ health, stroke prevention, and other topics.(12) Social Supports: Our Social workers connected thousands of people with community-based social services, including free transportation, legal services, clothing, pharmaceuticals, co-pays, and medical supplies. We provide these supports for our vulnerable patient population to ease their transition to home after discharge or outpatient treatment.(13) Behavioral Health Community Education. Our physicians and staff provide community-based education on seeking help for depression, suicidal behavior, and other mental health issues. In addition to the above, Temple University Hospital offers several culturally competent services to augment our ability to provide access to high quality care and improve outcomes for our patients and their caregivers. Below are selected highlights.NOTE: Part VI, Line 5 continues after Part VI, Line 6</ExplanationTxt>
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        <PersonNm>Michael DiFranco</PersonNm>
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    <IRS990ScheduleL documentId="RetDoc1042800001">
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          <BusinessName>
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        <TransactionDesc>Supplies &amp; Purchased Services</TransactionDesc>
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          <BusinessName>
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      <BusTrInvolveInterestedPrsnGrp>
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          <BusinessName>
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          </BusinessName>
        </NameOfInterested>
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        <TransactionAmt>67200</TransactionAmt>
        <TransactionDesc>Supplies &amp; Professional Fees</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>Aramark Services Inc</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Substantial Contributor</RelationshipDescriptionTxt>
        <TransactionAmt>51676</TransactionAmt>
        <TransactionDesc>Supplies &amp; Purchased Services</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>LabCorp of America Holdings</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Substantial Contributor</RelationshipDescriptionTxt>
        <TransactionAmt>38112</TransactionAmt>
        <TransactionDesc>Supplies &amp; Purchased Services</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>Harry J Lawall &amp; Son Inc</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Substantial Contributor</RelationshipDescriptionTxt>
        <TransactionAmt>30931</TransactionAmt>
        <TransactionDesc>Supplies</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>Target Building Construction Inc</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Substantial Contributor</RelationshipDescriptionTxt>
        <TransactionAmt>19093</TransactionAmt>
        <TransactionDesc>Purchased Services</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>America's Essential Hospitals</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Substantial Contributor</RelationshipDescriptionTxt>
        <TransactionAmt>17000</TransactionAmt>
        <TransactionDesc>Purchased Services</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>Hospital &amp; Health Sys Assoc of PA</BusinessNameLine1Txt>
          </BusinessName>
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        <RelationshipDescriptionTxt>Substantial Contributor</RelationshipDescriptionTxt>
        <TransactionAmt>14750</TransactionAmt>
        <TransactionDesc>Professional Fees &amp; Purchased Services</TransactionDesc>
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      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>Caring Heart Rehab and Nursing Ctr</BusinessNameLine1Txt>
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        <RelationshipDescriptionTxt>Substantial Contributor</RelationshipDescriptionTxt>
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        <TransactionDesc>Purchased Services</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>Pennsylvania Department of Health</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Substantial Contributor</RelationshipDescriptionTxt>
        <TransactionAmt>3904</TransactionAmt>
        <TransactionDesc>Professional Fees &amp; Purchased Services</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>American Academy of Sleep Medicine</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Substantial Contributor</RelationshipDescriptionTxt>
        <TransactionAmt>3400</TransactionAmt>
        <TransactionDesc>Supplies &amp; Professional Fees</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>Dept of Health and Human Services</BusinessNameLine1Txt>
          </BusinessName>
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        <RelationshipDescriptionTxt>Substantial Contributor</RelationshipDescriptionTxt>
        <TransactionAmt>756</TransactionAmt>
        <TransactionDesc>Purchased Services</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <ClothingAndHouseholdGoodsGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>2792</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </ClothingAndHouseholdGoodsGrp>
      <CollectiblesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>16</ContributionCnt>
        <NoncashContributionsRptF990Amt>2655</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </CollectiblesGrp>
      <DrugsAndMedicalSuppliesGrp>
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        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>170</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
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      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Trips/Outings/Consultations</Desc>
        <ContributionCnt>18</ContributionCnt>
        <NoncashContributionsRptF990Amt>20303</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Tickets/Memberships</Desc>
        <ContributionCnt>25</ContributionCnt>
        <NoncashContributionsRptF990Amt>6403</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Dining/Wine</Desc>
        <ContributionCnt>14</ContributionCnt>
        <NoncashContributionsRptF990Amt>3173</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>1</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>1</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 32b:</FormAndLineReferenceDesc>
        <ExplanationTxt>Temple University Institutional Advancement department manages the fundraising for Temple University Hospital, Inc.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>Pursuant to the organization's bylaws, the Executive Committee consists of no less than seven members of the Board, including the President of Temple University, the Chair, the Vice Chair, and the Chairs of the Standing Committees. The Executive Committee is authorized to act for the Board between its regular meetings.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>The sole member of the organization is Temple University Health System, Inc. The member has the power to appoint and remove the organization's Board of Governors. The approval of the member is required for any of the following actions by the organization: (a)any dissolution or liquidation; (b)any merger; (c)any amendments to the Articles of Incorporation; (d)any amendments to the Bylaws regarding the member, the number of Governors, quorum or voting requirements; (e)the sale, pledge, lease (but only a lease from the organization of substantially all of the organization's real property), or other transfer of the assets of the organization other than transactions occurring in the ordinary course of business; (f)any decision resulting in the organization's ceasing to provide appropriate sites for Temple University School of Medicine for comprehensive tertiary acute care services through the organization; (g)any decision to merge with, acquire, or enter into an affiliation with medical schools or medical school hospitals other than the University's; (h)the deletion of any clinical programs that are needed for the accreditation of Temple University School of Medicine or the Temple University School of Podiatric Medicine; (i)the adoption of the organization's annual capital and operating budgets; (j)the issuance or assumption of any indebtedness in excess of Two Million Five Hundred Thousand Dollars ($2,500,000); and (k)the execution of any contract providing for the management of the organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>See Part VI Section A Line 6 Statement above</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>See Part VI Section A Line 6 Statement above</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>After review by management and outside tax counsel, the 990 and 990T (if any) are posted to the website of the Secretary's Office. Each Board Member is contacted and provided with the web address. A Board Member without internet access is provided a paper copy to review. The website and paper mailing have an overview of the 990 and 990T preparation process and internal reviews. Each Board Member is asked to review the 990 and 990T within 2 weeks and contact the Chief Financial Officer about any questions. In addition to the above process, the Audit Committee is provided a copy and the 990 and 990T are reviewed at a regularly scheduled meeting.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The Office of the Secretary provides each director and officer with copies of the conflicts of interest policy and a disclosure statement to be completed on an annual basis. The Office of the Secretary reviews the completed disclosure statements which are then reviewed in summary format by a committee of the Board of Directors and any recommended actions presented to the full Board of Directors. In addition to completing the annual disclosure statement, directors and officers must disclose potential or actual conflicts on an ongoing basis as matters arise. All disclosures are evaluated and a determination of whether a conflict exists is made by the Board or a committee of the Board. All employees are subject to a conflicts of interest policy that is monitored by the Office of the Secretary.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>There is a compensation committee that reviews and approves all total compensation of executive/key personnel at Temple University Health System through an evaluation performed by an external compensation expert before the compensation is approved.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The unaudited internal financial statements of Temple University Health System and certain of its related organizations are distributed and made available to the public at the end of each quarter as per the System's Continuing Disclosure Agreement through the Digital Assurance Corp (DAC), the Municipal Services Reporting Board's EMMA disclosure site, and the Health System's financial web site. The annual audited financial statements are also released to the public in the same manner. To the extent required by applicable law, the organization makes its governing documents available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Corporate Charge: Program service expenses 278,278. Management and general expenses 180,262,948. Fundraising expenses 0. Total expenses 180,541,226. Healthcare Professional: Program service expenses 277,065,268. Management and general expenses 5,569,057. Fundraising expenses 0. Total expenses 282,634,325. Professional Fees: Program service expenses 23,656,923. Management and general expenses 2,531,862. Fundraising expenses 0. Total expenses 26,188,785. Purchased Services: Program service expenses 86,001,290. Management and general expenses 20,404,305. Fundraising expenses 0. Total expenses 106,405,595.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Other Comprehensive Pension Income -1,779,319.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <CityNm>Philadelphia</CityNm>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Temple University Health System Foundation Inc</BusinessNameLine1Txt>
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        <DisregardedEntityName>
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          <StateAbbreviationCd>PA</StateAbbreviationCd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Temple Physicians Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>3509 N Broad Street Room 936 c/o TU</AddressLine1Txt>
          <CityNm>Philadelphia</CityNm>
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          <BusinessNameLine1Txt>Temple University Health System Inc</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Temple Health System Transport Team Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>3509 N Broad Street Room 936 c/o TU</AddressLine1Txt>
          <CityNm>Philadelphia</CityNm>
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          <CityNm>Philadelphia</CityNm>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>Fox Chase Network Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>3509 N Broad Street Room 936 c/o TU</AddressLine1Txt>
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        </USAddress>
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        <PublicCharityStatusTxt>Line 12b, II</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>American Oncologic Hospital</BusinessNameLine1Txt>
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      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Institute for Cancer Research</BusinessNameLine1Txt>
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          <AddressLine1Txt>3509 N Broad Street Room 936 c/o TU</AddressLine1Txt>
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          <BusinessNameLine1Txt>American Oncologic Hospital</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Temple University Health System Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Anna T Jeanes Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>7600 Central Avenue</AddressLine1Txt>
          <CityNm>Philadelphia</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19111</ZIPCd>
        </USAddress>
        <EIN>232203406</EIN>
        <PrimaryActivitiesTxt>Health Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 12d, III-O</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHH Community Health</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>8835 Germantown Ave</AddressLine1Txt>
          <CityNm>philadelphia</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19118</ZIPCd>
        </USAddress>
        <EIN>883577015</EIN>
        <PrimaryActivitiesTxt>Health Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Temple University Health System Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Temple Health Physicians PC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>100 Charles Ewing Blvd Suite 160</AddressLine1Txt>
          <CityNm>Ewing</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
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        </USAddress>
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        <LegalDomicileStateCd>NJ</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Fox Chase Cancer Center Medical Group Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>TUHS Insurance Company LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3509 N Broad Street Room 936 c/o TU</AddressLine1Txt>
          <CityNm>Philadelphia</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19140</ZIPCd>
        </USAddress>
        <EIN>981203189</EIN>
        <PrimaryActivitiesTxt>Reinsurance</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>BD</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Temple University Health System</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Fox Chase LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3509 N Broad Street Room 936 c/o TU</AddressLine1Txt>
          <CityNm>Philadelphia</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19140</ZIPCd>
        </USAddress>
        <EIN>232396731</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>American Oncologic Hospital</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>1</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>1</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Episcopal Hospital</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>2595569</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Negotiated Rate</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Episcopal Hospital</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>2078120</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Actual Hours Worked</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Episcopal Hospital</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>422580</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Actual Cost</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>