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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Part V, 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 Temple University Hospital - Episcopal Campus AND TO DISCHARGE ITS RESPONSIBILITIES IN CONNECTION WITH THE ACQUISITION OF Temple University Hospital - Episcopal Campus BY TEMPLE UNIVERSITY HEALTH SYSTEMS, INC. ON DECEMBER 7, 1998, Temple University Hospital - Episcopal Campus WAS ACQUIRED BY TEMPLE UNIVERSITY HEALTH SYSTEM, INC. AT THE TIME OF THE ACQUISITION, Temple University Hospital - Episcopal Campus 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 Temple University Hospital - Episcopal Campus ENTERED INTO A CONTRIBUTION AND INDEMNITY AGREEMENT (THE "AGREEMENT") PURSUANT TO WHICH (1) Temple University Hospital - Episcopal Campus 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 Temple University Hospital - Episcopal Campus 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 Temple University Hospital - Episcopal Campus 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 Temple University Hospital - Episcopal Campus 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>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Part V, Section B, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>Exception rule applied Reg 53,4942(A)-2(c)(3)(IV): Facts and circumstances indicate a higher amount should be used.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>INTENDED USE OF ENDOWMENT FUNDS PURSUANT TO AN AGREEMENT BETWEEN THE FOUNDATION, AND ITS SUPPORTED ORGANIZATION, Temple University Hospital - Episcopal Campus, THE FOUNDATION DISTRIBUTES INCOME TO Temple University Hospital - Episcopal Campus, WITH SUCH AMOUNT TO BE DETERMINED IN ACCORDANCE WITH STATE AND FEDERAL LAW.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>GAAP requires entities to evaluate, measure, recognize and disclose any uncertain tax positions. GAAP 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 GAAP.</ExplanationTxt>
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          <CityNm>Philadelphia</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
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          <CityNm>Philadelphia</CityNm>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>In addition to the $1,916,000 grant paid to Temple University Hospital - Episcopal Campus, an additional $900,000 of grants has been accrued and has not yet been paid to the hospital.</ExplanationTxt>
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      <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:</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTATION OF MEETINGS AND ACTION THE FOUNDATION DID NOT HAVE A SEPARATE COMMITTEE. THE GOVERNING BODY ASSUMES ALL RESPONSIBILITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Temple University Hospital-Episcopal Cam</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 E LEHIGH AVENUE</AddressLine1Txt>
          <CityNm>Philadelphia</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19125</ZIPCd>
        </USAddress>
        <EIN>231365351</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</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 Temple University Hospital - Episcopal Campus (SUPPORTED ORGANIZATION), THE FOUNDATION DISTRIBUTED $1,916,000 FROM ITS INCOME EARNED BY THE ENDOWMENT FUND TO Temple University Hospital - Episcopal Campus FOR ITS GENERAL OPERATING PURPOSES AND FOR CERTAIN PROGRAMMATIC PURPOSES DURING THE REPORTING YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>