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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Leon OMoulder</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>4.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Dr Thomas Shenk</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>4.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Lewis Katz</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>6.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Dr Richard Fisher</PersonNm>
        <TitleTxt>President &amp; CEO</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>44.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>637500</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Beth Koob</PersonNm>
        <TitleTxt>Secretary</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>49.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Betty McAdams</PersonNm>
        <TitleTxt>Asst Secretary</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>99080</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Carmel Vahey</PersonNm>
        <TitleTxt>Asst Secretary</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>49.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>56357</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Ray Lefton</PersonNm>
        <TitleTxt>Treasurer</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>49.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>137697</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15164</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Judith Bachman</PersonNm>
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        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
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        <ReportableCompFromRltdOrgAmt>348384</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23882</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Anthony Diasio</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>43.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Robert Lux</PersonNm>
        <TitleTxt>Asst Treasurer</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>49.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>554459</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>78414</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Robert Uzzo MD</PersonNm>
        <TitleTxt>Chair Surgical Oncology</TitleTxt>
        <AverageHoursPerWeekRt>18.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>32.00</AverageHoursPerWeekRltdOrgRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Eric Horwitz</PersonNm>
        <TitleTxt>Chair Radiation Oncology</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>David Weinberg</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Rosaleen Parsons</PersonNm>
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        <OtherCompensationAmt>26456</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Arthur Patchefsky</PersonNm>
        <TitleTxt>Chair Pathology</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Alexander Kutikov</PersonNm>
        <TitleTxt>Associate Professor</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28612</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Michael Seiden MD</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>43.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
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        <ReportableCompFromRltdOrgAmt>448220</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9372</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Thomas Albanesi</PersonNm>
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        <AverageHoursPerWeekRt>7.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>43.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>110870</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>6424</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Gary Weyhmuller</PersonNm>
        <TitleTxt>COO (Former)</TitleTxt>
        <AverageHoursPerWeekRt>7.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>43.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>376583</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>1866</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>3502377</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>4106004</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>463606</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>123</IndivRcvdGreaterThan100KCnt>
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      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>FORNANCE PHYSICIAN SERVICES INC</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>1330 POWELL STREET</AddressLine1>
            <City>NORRISTOWN</City>
            <State>PA</State>
            <ZIPCode>19401</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RADIOLOGY SERVICES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>COTTMAN PHYSICIAN ASOCIATES</BusinessNameLine1>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>66 WEST GILBERT STREET</AddressLine1>
            <City>RED BANK</City>
            <State>NJ</State>
            <ZIPCode>07701</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROFESSIONAL SERVICE</ServicesDesc>
        <CompensationAmt>591018</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>PREFERRED TRANSCRIPTION</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>PO BOX 1369</AddressLine1>
            <City>EXTON</City>
            <State>PA</State>
            <ZIPCode>19341</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROFESSIONAL SERVICE</ServicesDesc>
        <CompensationAmt>490852</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>PST SERVICES</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>PO BOX 742526</AddressLine1>
            <City>ATLANTA</City>
            <State>GA</State>
            <ZIPCode>30374</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROFESSIONAL SERVICE</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>WEATHERBY LOCUMS</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>PO Box 972633</AddressLine1>
            <City>Dallas</City>
            <State>TX</State>
            <ZIPCode>30374</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RADIATION THERAPY SERVICES</ServicesDesc>
        <CompensationAmt>247169</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>8</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>10928619</RelatedOrganizationsAmt>
      <TotalContributionsAmt>10928619</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Surgery</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>19585837</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>19585837</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Medicine</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>6183817</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6183817</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Medical Oncology</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>6177211</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6177211</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Radiation Therapy</Desc>
        <BusinessCd>621110</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>4619134</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>Radiology</Desc>
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        <TotalRevenueColumnAmt>4458027</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4458027</RelatedOrExemptFuncIncomeAmt>
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      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>3781685</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3781685</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>44805711</TotalProgramServiceRevenueAmt>
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        <TotalRevenueColumnAmt>123021</TotalRevenueColumnAmt>
        <ExclusionAmt>123021</ExclusionAmt>
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        <Desc>Other Miscellaneous</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>6696</TotalRevenueColumnAmt>
        <ExclusionAmt>6696</ExclusionAmt>
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        <ProgramServicesAmt>3502377</ProgramServicesAmt>
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        <TotalAmt>43231342</TotalAmt>
        <ProgramServicesAmt>41442319</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1789023</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>2406450</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27288</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>3491939</TotalAmt>
        <ProgramServicesAmt>3438269</ProgramServicesAmt>
        <ManagementAndGeneralAmt>53670</ManagementAndGeneralAmt>
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      <FeesForServicesManagementGrp>
        <TotalAmt>217342</TotalAmt>
        <ManagementAndGeneralAmt>217342</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>73993</TotalAmt>
        <ProgramServicesAmt>11105</ProgramServicesAmt>
        <ManagementAndGeneralAmt>62888</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
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        <ProgramServicesAmt>1149</ProgramServicesAmt>
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        <ProgramServicesAmt>2739185</ProgramServicesAmt>
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        <ProgramServicesAmt>265218</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6656</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>33377</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40</ManagementAndGeneralAmt>
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        <TotalAmt>932810</TotalAmt>
        <ProgramServicesAmt>932810</ProgramServicesAmt>
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        <ProgramServicesAmt>513043</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3278</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>5944</TotalAmt>
        <ProgramServicesAmt>5944</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>57370</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ManagementAndGeneralAmt>45429</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>3900525</TotalAmt>
        <ProgramServicesAmt>3869435</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31090</ManagementAndGeneralAmt>
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        <Desc>Professional Developmen</Desc>
        <TotalAmt>305749</TotalAmt>
        <ProgramServicesAmt>305749</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Biostatistics Charges</Desc>
        <TotalAmt>67425</TotalAmt>
        <ProgramServicesAmt>67425</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Minor Equipment</Desc>
        <TotalAmt>24770</TotalAmt>
        <ProgramServicesAmt>24770</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>63212425</TotalAmt>
        <ProgramServicesAmt>59558625</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3653800</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>665566</BOYAmt>
        <EOYAmt>171112</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <BOYAmt>6105974</BOYAmt>
        <EOYAmt>6492813</EOYAmt>
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      <ReceivablesFromOfficersEtcGrp>
        <BOYAmt>272</BOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>13653</BOYAmt>
        <EOYAmt>240</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>170843</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>115565</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>100707</BOYAmt>
        <EOYAmt>55278</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>126398</BOYAmt>
        <EOYAmt>672525</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>7012570</BOYAmt>
        <EOYAmt>7391968</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>4201369</BOYAmt>
        <EOYAmt>5195240</EOYAmt>
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      <GrantsPayableGrp>
        <BOYAmt>15288</BOYAmt>
        <EOYAmt>22788</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>2695206</BOYAmt>
        <EOYAmt>9485557</EOYAmt>
      </OtherLiabilitiesGrp>
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        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>457592</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Thomas Albanesi</PersonNm>
        <TitleTxt>CFO &amp; Treasurer (Former)</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>105094</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Gary Weyhmuller</PersonNm>
        <TitleTxt>COO (Former)</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>49750</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>23233</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>303600</OtherCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
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        <PersonNm>Robert Uzzo</PersonNm>
        <RelationshipWithOrgTxt>Chair</RelationshipWithOrgTxt>
        <LoanPurposeTxt>Mortgage</LoanPurposeTxt>
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      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Paula Ryan</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Wife of Dr. Michael Seiden</RelationshipDescriptionTxt>
        <TransactionAmt>249803</TransactionAmt>
        <TransactionDesc>Full time employee of Fox Chase Medical Group.</TransactionDesc>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Pursuant to the organization's bylaws, the members of the Executive Committee of the sole member, The American Oncologic Hospital, serve as the members of the Executive Committee of the organization. These individuals also serve on the organization's Board of Directors. 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 The American Oncologic Hospital. The Board of Directors of the member, which is appointed by and subject to removal by Temple University Health System, Inc, serves as the organizations Board of Directors. 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 Temple University Health System, Inc, the member, the number of Directors, quorum or voting requirements, (e) the sale, pledge, lease (but only a lease from the organization of substantially all of the organizations real property), or other transfer of the assets of the organization other than transactions occurring in the ordinary course of business, (f) any decision to merge with, acquire, or enter into an affiliation with medical schools or medical school hospitals other than Temple University's, (g) the deletion of any clinical programs that are needed for the accreditation of Temple University School of Medicine, (h) the adoption of the organizations annual capital and operating budgets, (i) the issuance or assumption of any indebtedness in excess of Five Hundred Thousand Dollars ($500,000), and (j) the execution of any contract providing for the management of the organization. The Audit and Compliance Committee and the Finance and Investment Committee of Temple University Health System, Inc became the organization's Audit and Compliance Committee and Finance and Investment Committee also.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>Please refer to question #6</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>Please refer to question #6</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11</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 with any questions.</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 Conflict 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 are 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 conflict 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 the Temple University Health System and certain of its related organizations are distributed and made available to the public at the end of each quarter per the Systems Continuing Disclosure Agreement (Series of 2012 Bonds) through Digital Assurance Corp (DAC), the Municipal Services Reporting Board EMMA disclosure site and the Health Systems 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 XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in Pension Liability -63,946.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1>Temple East Inc</BusinessNameLine1>
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          <City>Philadelphia</City>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1>Temple University Health System Foundation</BusinessNameLine1>
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          <City>Philadelphia</City>
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      <IdRelatedTaxExemptOrgGrp>
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          <AddressLine1>3509 N Broad Street - 9th Flr</AddressLine1>
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          <BusinessNameLine1>Jeanes Hospital Auxillary</BusinessNameLine1>
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          <AddressLine1>7600 Central Avenue</AddressLine1>
          <City>Philadelphia</City>
          <State>PA</State>
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        <DisregardedEntityName>
          <BusinessNameLine1>American Oncologic Hospital</BusinessNameLine1>
        </DisregardedEntityName>
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          <AddressLine1>3509 N Broad Street - 9th Flr</AddressLine1>
          <City>Philadelphia</City>
          <State>PA</State>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
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          <City>Philadelphia</City>
          <Country>BD</Country>
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