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        <CurrentYearMinus2>61948</CurrentYearMinus2>
        <CurrentYearMinus1>47718</CurrentYearMinus1>
        <CurrentYear>34211</CurrentYear>
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        <CurrentYear>250000</CurrentYear>
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      <Form990ScheduleCPartIV>
        <Identifier>Part IV, Supplemental Information:</Identifier>
        <Explanation>Schedule C, Part II-a - Affiliated Group Attachment The American Oncologic Hospital Inc. - EIN 23-1352156 3509 N Broad Street - Philadelphia, PA 19140 Expenses $23,000 The Institute for Cancer Research - EIN 23-6296135 3509 N Broad Street - Philadelphia, PA 19140 Expenses $10,903 Fox Chase Cancer Center Medical Group - EIN 45-4540585 3509 N Broad Street - Philadelphia, PA 19140 Expenses $0 Fox Chase Network - EIN 23-2467337 3509 N Broad Street - Philadelphia, PA 19140 Expenses $0 Schedule C - Part II-A Line 1 Management has direct contact with Legislators, their staff and Goverment officials to advocate the Hospital's position on key issues affecting the hospital. Frequently, these contacts are made to educate the appropriate representative or official on the implications of specific policy/legislation on the industry in general and/or implications to Fox Chase. At the federal level, during FY 2013 the Hospital advocated for increased medicare reimbursement under the cancer center rules and advocated for increased research funding for the NIH and NCI. Management also provided input on various issues including health care reform and important issues such as drug shortages legislation. Additionally, to assist the Fox Chase entities obtain needed funding for cutting edge technologies and resources used by the scientific and clinical faculty, the hospital affiliate submitted federal grants through the appropriate mechanisms. At the state level, management advocated for the sustained use of Tobacco Funds to support the various cancer programs in the Commonwealth. This funding is central to the programs conducted by the Fox Chase in cancer research, prevention, screenings and treatment. Management also met with various state representatives to obtain funding for capital and operating programs under the various appropriations mechanisms to support economic development opportunities.</Explanation>
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        <AdministrativeExpenses>0</AdministrativeExpenses>
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        <AdministrativeExpenses>0</AdministrativeExpenses>
        <EndOfYearBalance>8903362</EndOfYearBalance>
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        <AdministrativeExpenses>0</AdministrativeExpenses>
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      <OtherLandBuildings>
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        <BookValue>2563684</BookValue>
      </OtherLandBuildings>
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        <Description>Wells Fargo Collateral</Description>
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      <OtherAssets>
        <Description>Board of Associates - Bank Accounts</Description>
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      <OtherAssets>
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      <OtherAssets>
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      <OtherAssets>
        <Description>ACE Bond Collateral</Description>
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      </OtherAssets>
      <OtherAssets>
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      <OtherAssets>
        <Description>Beneficial Interest in FCCC Foundation</Description>
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      <OtherAssets>
        <Description>Security Deposits</Description>
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      <OtherAssets>
        <Description>Other Assets</Description>
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        <Description>Post Retirement Benefits</Description>
        <Amount>3025595</Amount>
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      <OtherLiabilities>
        <Description>Other Liabilities</Description>
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      <OtherLiabilities>
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      <OtherLiabilities>
        <Description>Intercompany Debt</Description>
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      <Form990ScheduleDPartXIII>
        <Identifier>Description of Intended Use of Endowment Funds:</Identifier>
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        <Explanation>The American Oncologic Hospital periodically receives endowment gifts from individuals and other entities that provide a steady stream of income to the respective purpose to which the donor intended. This typically would be to support patient care programs and patient care activities at the hospital. Part V Line 1b: This amount includes the transfer of endowed funds from a former related organization.</Explanation>
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        <NetCommunityBenefitExpense>3231000</NetCommunityBenefitExpense>
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      </UnreimbursedCosts>
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        <NetCommunityBenefitExpense>29055</NetCommunityBenefitExpense>
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      <HealthProfessionsEducation>
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        <NetCommunityBenefitExpense>5555000</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02380</PercentOfTotalExpense>
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      <TotalCommunityBenefits>
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      </CoalitionBuilding>
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        <PercentOfTotalExpense>0.00050</PercentOfTotalExpense>
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        <NetCommunityBuildingExpense>993000</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00430</PercentOfTotalExpense>
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      <BadDebtExpenseReported>1</BadDebtExpenseReported>
      <BadDebtExpenseAmount>3490000</BadDebtExpenseAmount>
      <AmountAttributableTo>0</AmountAttributableTo>
      <AmountReimbursedByMedicare>67080000</AmountReimbursedByMedicare>
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      <CostingMethodologyUsed>
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      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
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        <Name>
          <BusinessNameLine1>The American Oncologic Hospital</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>333 Cottman Avenue</AddressLine1>
          <City>Philadelphia</City>
          <State>PA</State>
          <ZIPCode>19111</ZIPCode>
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        <Name>
          <BusinessNameLine1>The American Oncologic Hospital</BusinessNameLine1>
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          <AddressLine1>2365 Heritage Center Drive</AddressLine1>
          <City>Furlong</City>
          <State>PA</State>
          <ZIPCode>18925</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
        <FacilityReportingGroup>A</FacilityReportingGroup>
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      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>3</FacilityNumber>
        <Name>
          <BusinessNameLine1>The American Oncologic Hospital</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>8 Huntingdon Pike</AddressLine1>
          <City>Jenkintown</City>
          <State>PA</State>
          <ZIPCode>19046</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
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        <TeachingHospital>X</TeachingHospital>
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        <HospitalFacilityName>
          <BusinessNameLine1>The American Oncologic Hospital</BusinessNameLine1>
        </HospitalFacilityName>
        <CHNAConducted>1</CHNAConducted>
        <CommunityDefinition>X</CommunityDefinition>
        <CommunityDemographics>X</CommunityDemographics>
        <HowDataObtained>X</HowDataObtained>
        <CommunityHealthNeeds>X</CommunityHealthNeeds>
        <OtherHealthIssues>X</OtherHealthIssues>
        <IdentifyingProcess>X</IdentifyingProcess>
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        <TakeIntoAccount>1</TakeIntoAccount>
        <OtherFacilities>0</OtherFacilities>
        <CHNAWidelyAvailable>1</CHNAWidelyAvailable>
        <OwnWebsite>X</OwnWebsite>
        <OnRequest>X</OnRequest>
        <AdoptImplementStrategy>X</AdoptImplementStrategy>
        <ExecuteImplementStrategy>X</ExecuteImplementStrategy>
        <DevelopCommunityPlan>X</DevelopCommunityPlan>
        <ParticipateCommunityPlan>X</ParticipateCommunityPlan>
        <AdoptBudget>X</AdoptBudget>
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        <PrioritizeServices>X</PrioritizeServices>
        <AllNeedsAddressed>0</AllNeedsAddressed>
        <OrganizationIncurExciseTax>0</OrganizationIncurExciseTax>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
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        <UsesFPGDiscounted>1</UsesFPGDiscounted>
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        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
        <AvailableOnRequest>X</AvailableOnRequest>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <CollectionActivities>0</CollectionActivities>
        <OtherActionsTaken>X</OtherActionsTaken>
        <NondiscrimEmergencyCarePolicy>0</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <Explanation>Part I, Line 3c: Not applicable. The American Oncologic Hospital does use Federal Poverty Guidelines.The Hospital provides patient care services without charge, or at amounts less than established rates, to patients who meet the criteria of its charity care policy. Criteria for consideration under the charity care policy is based primarily on family income and worth, but also recognizes other circumstances where undue financial hardships exist. The Hospital maintains records to identify and monitor the level of charity care it provides. Because collection of amounts determined to qualify as charity care are not pursued, patient service revenues are reduced by such amounts. The Hospital also provides services and supplies below cost to patients covered by government insurance programs, including the Medicare and Medicaid programs.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part I, Line 6a: The community health needs assessment (CHNA) was completed in December of 2012 with input from primary and secondary data including U.S. Census, Pennsylvania Department of Health vital statistics, Claritas Inc., and tumor registry data from Fox Chase Cancer Center (FCCC). See Part V, Section B for further information.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part I, Line 7: The net community benefit expense was $5,584,055.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part II: The net community building expense was $993,000. See Part VI, Line 5 for description of the organization's community building activities and how they promote the health of the communities served.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 4: There is no footnote specific to bad debt at this time.This expense is related to services rendered for which payment is anticipated and credit is extended. These patients do not meet the established Charity Care policy and may therefore have the ability to pay. The cost method is determined based on the patient's liability for services rendered and is a community benefit because it is a cost of providing health care to the general public.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 8: In 2012, the cost of providing services to the Medicare population was $4,649,000 (Part III, Line 7) higher than revenue. Medicare allowable cost (Part III, Line 6) was based on cost apportionment derived from the Medicare Cost Report. The Medicare shortfall carried by FCCC provides a community benefit because it benefits a charitable class, the elderly.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 9b: Yes, the organization's written collection policy contains provisions on the collection practices to be followed for patients who are known to quality for charity care or financial assistance.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 2: QUESTION 2 - The community health needs assessment (CHNA) was completed in December of 2012 with input from primary and secondary data including U.S. Census, Pennsylvania Department of Health vital statistics, Claritas Inc., and tumor registry data from Fox Chase Cancer Center (FCCC). The target area included in the CHNA is the primary service area for the institution and comprises 87 zip codes in Bucks, Montgomery and Philadelphia counties with a total population of 1,857,000. In addition to the quantitative data utilized for the CHNA, additional community input was derived from three meetings with our Community Advisory Council (CAC) members and the Southeastern Pennsylvania Household Health Survey with questions based on validated instruments such as the National Center for Health Statistics (NCHS) for the National Health Interview Survey (NHIS), The Behavioral Risk Factor Surveillance System (BRFSS), The California Womens Health Survey, The Social Capital Community Benchmark Survey (Kennedy School of Government, Harvard University) and The Survey on Childhood Obesity (Kaiser Family Foundation/San Jose Mercury News). In total, 4,354 interviews were conducted with adults from the targeted region.The final CHNA is available to the public via the organizations website http://fccc.edu/information/Community-Health/FCCC-CHNA-April-2013.pdf. Additional dissemination of its findings have been presented to the Board of Directors, senior leadership, CAC members and to multiple entities within FCCC including: American College of Surgeons (ACoS) Commission on Cancer, Cancer Committee, Cancer Prevention and Cancer Control (Behavioral Research team) and staff from the Office of Health Communications and Health Disparities, the primary education and outreach arm for the institution. The CNHA provided a broad overview of the needs of our community, however, as an NCI Comprehensive Cancer Center, our sole focus is cancer. Within the cancer control realm, we address the entire cancer continuum from prevention to survivorship. An implementation plan has been developed to address the needs which include lack of knowledge regarding cancer, access to care, specifically screening, complexity of the healthcare system, obesity which has been associated with increasing the risk of certain cancers, cultural and language needs to address the evolving changes in the community population. During the reporting period, the CHNA was completed, an implementation plan has been developed and approved by the Board of Directors and teams have been tasked with implementing specific tasks and/or projects to address the identified needs. Additionally, the plan has been posted to the FCCC website http://fccc.edu/information/Community-Health/FCCC-Implementation-Strategy-5-10-13.pdf</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 3: QUESTION 3 - Fox Chase Cancer Centers mission is to prevail over cancer. Activities include basic, clinical and prevention research; detection and treatment of cancer; and community outreach programs. Consistent with this mission, the AOH will consider the inability of its patients to meet the financial burden of cancer care that may arise during treatment. The AOH is committed to treating patients who experience financial difficulties with the same dignity and care extended to all other patients. Procedure: When a patient calls in to schedule an appointment, the new patient office will notify patient financial services (PFS) of anyone who is either a) not insured b) participates in a health plan that AOH does not accept or is out of network or c) communicates a concern regarding the ability to meet financial obligation. All such patients will be contacted by a financial counselor. No financial assistance will be extended to a patient until a plan of treatment has been established.External community screening is provided via the mobile screening unit. This vehicle is outfitted with state-of-the-art breast cancer screening equipment equal in quality to the equipment on-site. During 2013, we provided breast and skin cancer screenings to 3,845 persons in community settings (CBO, FBO, business/corporations, academic institutions). Through the Office of Health Communications and Health Disparities we have secured external funding via grants (i.e. PA Healthy Women Program (PAHWP), foundations) and other fundraising activity to off-set and/or cover associated costs to screening and diagnostic testing for the uninsured. PAHWP currently provides AOH with 240 slots to be allocated as following: 120 for women 40-49 and 120 for women 50-64. Procedure: At time of screening, a patient who presents as uninsured will be provided with an application for the Pennsylvania Healthy Women Program (breast and cervical cancer screening program). If the eligibility criteria are met, all screening costs are covered. If further diagnosis is required, PAHW will also provide coverage. Should a cancer diagnosis be discovered, AOH prepares and submits a Medicaid application. Reimbursement for treatment will be retroactive. Should the patient not be eligible for Medicaid, AOH will work with Patient Financial Services for financial counseling.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 4: QUESTION 4 - The majority of AOH patients reside in the target area identified in the CHNA (see needs assessment section for demographics and target region). A special emphasis has been given to a 12 zip code region referred to as Neighbors surrounding AOH. Education, screening and research programs enable AOH to create stronger partnerships with organizations and provide opportunities for these organizations to become involved in shaping future activities. Several individuals from these efforts have joined steering and advisory committees, advocating on behalf of the community.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 5: QUESTION 5 - Through our Community Speakers Bureau program, we reached 5,001 individuals in calendar 2013. 48% of these individuals were educated in Spanish. A wide array of cancer topics is available, including: breast, cervical, colorectal, ovarian, prostate, lung and skin. All of the programs include general cancer information about the site, risk factors, screening guidelines, diagnosis and treatment. As part of our partnership development strategies, we have developed relationships with community-based organizations (CBO), faith-based organizations (FBO), business and academic institutions. These partnerships enable us to successfully fulfill our mandate to disseminate evidence-based information to increase the publics understanding of cancer, to promote prevention and lifestyle changes to reduce cancer risk and to support informed decision-making. Through our Resource and Education Center, staff provides patients, families and community members with access to free cancer information and resources that address the cancer continuum. Trained health educators assist persons seeking information increase their understanding of the cancer diagnosis, resources to treatment, how to improve communications with the healthcare team, support services and survivorship. In total, the REC staff reached 3,845 persons in the reporting period.Targeted media education campaigns focused on clinical trials were designed by the OHCHD health educators. The campaigns provided general information on clinical trials, the importance of participation and included culturally competent videos. This was a successful education campaign reaching 190 persons.Cultural Competence and Language Services As part of our implementation plan, our cultural competence team will assess the language services at FCCC. This will include data collection regarding language services, assessment of equipment, review of policies and procedures and staff development and training. In May 2013, FCCC participated in a system-wide cultural competence symposium to begin sharing information with staff regarding the federal mandates for Cultural and Linguistically Appropriate Services (CLAS Standards). Community Support Psychosocial support is provided to patients individually but also via monthly and/or quarterly support groups facilitated by social services and clinical staff. In total, there are nine groups. Monthly meetings include those for breast cancer, esophagectomy, head and neck cancer, laryngectomy, ostomy, and prostate cancer; an additional group is the Look Good Feel Better group co-facilitated with our community partner American Cancer Society. Quarterly meetings are provided for lymphedema and we also offer an 8-week bereavement support group.Community Building - Through our Immersion Science High School Program, FCCC provided free education programming to diverse high school students from the target region. In total, 157 students from 47 Philadelphia school participated in the program. The Immersion Science program provides staged, comprehensive exposure of high school students to increase careers in science, and to provide direct instruction in basic lab practices and scientific thought. There is no cost to participate, and in fact, summer salaries were provided to students in the Phase 3 segment of the program. In total eight (8) students were paid; 3 were awarded half-time fellowships ($1125) and 5 got full-time fellowships ($2250).</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 6: American Oncologic Hospital is a part of Fox Chase Cancer Center, which is member of the Temple University Health System, Inc. (TUHS). Its mission is to prevail over cancer marshaling heart and mind in bold scientific discovery, pioneering prevention, and compassionate care. The missions of other members of the Temple University Health System similarly advance the health systems goals, as follows: Temple University Hospitals mission to provide access to the highest quality of health care in both the community and academic setting and it supports 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; Jeanes Hospital's mission is to maintain and enhance the quality of life for individuals in the communities it serves; the Temple Health System Transport Team, Inc. mission is to provide the highest level of critical care transport services available in the mid-Atlantic region; and, Temple Physicians, Inc., (TPI) mission is to provide the highest quality of clinical care as well as to support the clinical, administrative and corporate activities of the Temple University Health System. TPI is a network of about 110 community-based physicians, nurse practitioners, and physician assistants in about 48 practice sites, with a focus on family medicine, internal medicine, gynecology, and pediatrics. All Temple physicians accept patients covered by Medicaid.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
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        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>3509 N Broad Street</AddressLine1>
          <City>Philadelphia</City>
          <State>PA</State>
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        </AddressUS>
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          <BusinessNameLine1>The Institute for Cancer Research</BusinessNameLine1>
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          <AddressLine1>3509 N Broad Street</AddressLine1>
          <City>Philadelphia</City>
          <State>PA</State>
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        <Identifier>Procedure for Monitoring Grants in the U.S.:</Identifier>
        <ReturnReference>Part I, Line 2:</ReturnReference>
        <Explanation>Schedule I, Part I, Line 2: The organization made grants for tax-exempt purposes only to related organizations under common control. The Board of Directors of the organization serves as the Board of Directors of the grantees.</Explanation>
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        <NamePerson>Verdi DiSesa MD</NamePerson>
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        <NamePerson>Robert Lux</NamePerson>
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        <NamePerson>Gary Weyhmuller</NamePerson>
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        <NamePerson>Robert J Beck MD</NamePerson>
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        <NamePerson>Robert Uzzo MD</NamePerson>
        <Title>Chair Surgical Oncology</Title>
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        <NamePerson>Chang Ma</NamePerson>
        <Title>Vice Chair Rad Onc</Title>
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        <NamePerson>Robert Price</NamePerson>
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        <NamePerson>Lu Wang</NamePerson>
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        <NamePerson>LiLi Chen</NamePerson>
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        <NamePerson>Jinsheng Li</NamePerson>
        <Title>Assoc Professor</Title>
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      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 4a</ReturnReference>
        <Explanation>Part I, Line 4a: Michael Seiden served as CEO of The American Oncologic Hospital until the lay-off date of 2/28/2013 and received severance compensation in the amount of $176,923 during fiscal year 2013 from the Hospital upon termination of his employment. Gary Weyhmuller served as COO of The American Oncologic Hospital until the lay-off date of 1/11/2013 and received severance compensation in the amount of $132,000 during fiscal year 2013 from the Hospital upon termination of his employment.</Explanation>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 1</ReturnReference>
        <Explanation>Pursuant to the organization's bylaws, the Executive Committee consists of no less than five members of the Board, including 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 4</ReturnReference>
        <Explanation>Significant amendments were made to the organizations articles of incorporation and bylaws to effect its affiliation with Temple University Health System, Inc on July 1, 2012. Temple University Health System Inc became the sole member of the organization.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 6</ReturnReference>
        <Explanation>The sole member of the organization is Temple Unversity Health System, Inc. Effective July 1, 2012, the member has the power to appoint and remove 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 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 resulting in the organizations ceasing to provide appropriate sites for Temple University School of Medicine for cancer care services through the organization, (g) any decision to merge with, acquire or enter into an affiliation with a medical school other than Temple University's or a medical school hospital other than Temple University Hospital, Inc., (h) the deletion of any clinical programs that are needed for the accrediation of Temple University School of Medicine, (i) the adoption of the organizations annual capital and operating budgets, (j) the issuance or assumption of any indebtedness in excess of five hundred thousand ($500,000), and (k) 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 organizations Audit and Compliance Committee and Finance and Investment Committee also. Upon dissolution, the organization's assets will be distributed to Temple University Health System, Inc. with the exception of land, which reverts back to the yearly meeting.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 7a</ReturnReference>
        <Explanation>Please refer to the response for question #6</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 7b</ReturnReference>
        <Explanation>Please refer to the response for question #6</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 11</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>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 statement 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15b</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>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 Aggreement (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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Other Fees</Identifier>
        <ReturnReference>Form 990, Part IX, line 11g</ReturnReference>
        <Explanation>Service Contracts: Program service expenses 4,089,678. Management and general expenses 2,514,607. Fundraising expenses 0. Total expenses 6,604,285. Corporate Charges: Program service expenses 8,486,149. Management and general expenses -1,485,604. Fundraising expenses 190,900. Total expenses 7,191,445. Other: Program service expenses 13,096,578. Management and general expenses 3,274,144. Fundraising expenses 0. Total expenses 16,370,722.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Changes in Net Assets or Fund Balances:</Identifier>
        <ReturnReference>Form 990, Part XI, line 9:</ReturnReference>
        <Explanation>Decrease/Increase in Post Retirement Plan Liability 290,433. Inherent Contribution 5,159,587. Purchase Accounting for Temple Acquisition -37,215,828.</Explanation>
      </GeneralExplanation>
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