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        <Identifier>Part X</Identifier>
        <ReturnReference>Part X : FIN48 Footnote</ReturnReference>
        <Explanation>ASC 740-10, as it relates to accounting for uncertainty in income taxes, requires entities to disclose in their financial statements the nature of any uncertainties in their tax position. Tax years ended June 30, 2009 and later are subject to examination by tax authorities. Areas that the Internal Revenue Service and state tax authorities consider when examining tax returns of a charity include, but may not be limited to, tax-exempt status and the existence and amount of unrelated business income. The Center, Foundation and Network do not believe that they have any uncertain tax positions with respect to these or other matters, and have not recorded any unrecognized tax benefits or liability for penalties or interest, nor are they aware of any circumstances or events that make it reasonably possible that tax benefits may increase or decrease within 12 months of the date of these financial statements.</Explanation>
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        <Identifier>Part XI, Line 8</Identifier>
        <ReturnReference>Part XI, Line 8: Other Changes in Net Assets or Fund Balances</ReturnReference>
        <Explanation>Change in Interest in Receipient Organization $20193 Temporarily Restricted Contributions $268037 Benefits Conferred on Member for Charitable Purpose $ -5800000</Explanation>
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        <NamePerson>Surendar Rao</NamePerson>
        <BaseCompensationFilingOrg>171495</BaseCompensationFilingOrg>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>The Regional Cancer Center makes its form 990 available to the public upon request.At this time, The Regional Cancer Center does not make its governing documents, conflict of interest policies, and financial statements available to the general public.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>The compensation of all officers and key employees is determined by the executive director of the UPMC Cancer Center, an organization that provides management services to The Regional Cancer Center, as well as the director of operations of The Regional Cancer Center. Salaries are reviewed annually by the board of directors.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>The Regional Cancer Center does not annually require its board members, officers, and key employees to fill out a conflicts of interest form. However, if an interested party has a conflict of interest during a board meeting, he or she recuses themselves from voting.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>The Regional Cancer Center has a CPA firm prepare its form 990. The return is completed in draft form and reviewed by management of the organization. The form 990 is then provided to the board of directors for review before it is filed.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 7b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders</ReturnReference>
        <Explanation>The members of The Regional Cancer Center have the sole power and authority to amend, alter, supplement, or repeal the articles of incorporation and bylaws and any provision of them.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 7a</Identifier>
        <ReturnReference>Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body</ReturnReference>
        <Explanation>The members of the organization have the responsibility at each annual meeting to appoint original member directors to hold office until the next annual meeting or to appoint a new successor. Regional Health Services, Inc. shall appoint two original member directors from Hamot Health Foundation's administration and one original member director from Hamot Health Foundation's board of trustees. Saint Vincent Health System shall appoint two original member directors from Saint Vincent Health System's administration and one original member director from Saint Vincent Health System's board of trustees.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 6</Identifier>
        <ReturnReference>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</ReturnReference>
        <Explanation>The members of The Regional Cancer Center are Saint Vincent Health System and Regional Health Services, Inc., both of which are Pennsylvania non-profit corporations.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 3</Identifier>
        <ReturnReference>Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company</ReturnReference>
        <Explanation>On September 15, 2008, The Regional Cancer Center entered into an agreement with the University of Pittsburgh Cancer Institute Cancer Services d/b/a UPMC Cancer Centers, a 501(c)(3) organization, to provide management services to the organization. These duties include, but are not limited to, all functions and services to reasonably manage all clinical day to day operations of the organization. The manager will inform the organization of any and all material events, activities or issues that involve or relate to management.</Explanation>
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        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
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        <PrimaryActivities>Supports The Regional Cancer Center by Raising Funds</PrimaryActivities>
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