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      <FeesForServicesAccounting>
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        <ManagementAndGeneral>41689</ManagementAndGeneral>
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      <FeesForServicesOther>
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        <ProgramServices>2515281</ProgramServices>
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        <Total>142093</Total>
        <ManagementAndGeneral>142093</ManagementAndGeneral>
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      <OfficeExpenses>
        <Total>190258</Total>
        <ProgramServices>133413</ProgramServices>
        <ManagementAndGeneral>56845</ManagementAndGeneral>
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      <Occupancy>
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        <ProgramServices>605740</ProgramServices>
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      <Travel>
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        <ProgramServices>28626</ProgramServices>
        <ManagementAndGeneral>11573</ManagementAndGeneral>
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      <Interest>
        <Total>153876</Total>
        <ProgramServices>153876</ProgramServices>
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      <DepreciationDepletion>
        <Total>2404332</Total>
        <ProgramServices>2400879</ProgramServices>
        <ManagementAndGeneral>3453</ManagementAndGeneral>
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        <ProgramServices>347210</ProgramServices>
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        <Description>SUPPLIES</Description>
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        <ProgramServices>21214274</ProgramServices>
        <ManagementAndGeneral>59979</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>Professional Fees</Description>
        <Total>6480721</Total>
        <ManagementAndGeneral>6480721</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>REPAIRS &amp; MAINTENANCE</Description>
        <Total>873141</Total>
        <ProgramServices>873141</ProgramServices>
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      <OtherExpenses>
        <Description>IMPAIRMENT LOSS ON LONG</Description>
        <Total>457861</Total>
        <ManagementAndGeneral>457861</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>Miscellaneous</Description>
        <Total>130865</Total>
        <ProgramServices>99189</ProgramServices>
        <ManagementAndGeneral>31676</ManagementAndGeneral>
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      <AllOtherExpenses>
        <Total>187301</Total>
        <ProgramServices>181065</ProgramServices>
        <ManagementAndGeneral>6236</ManagementAndGeneral>
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      <TotalFunctionalExpenses>
        <Total>49950031</Total>
        <ProgramServices>38875524</ProgramServices>
        <ManagementAndGeneral>11074507</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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        <BOY>3386</BOY>
        <EOY>3367</EOY>
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        <EOY>3853437</EOY>
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        <EOY>655845</EOY>
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        <EOY>9590500</EOY>
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        <EOY>22735</EOY>
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      <OtherAssetsTotal>
        <BOY>2884884</BOY>
        <EOY>3925522</EOY>
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      <TotalAssets>
        <BOY>34582613</BOY>
        <EOY>31916870</EOY>
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      <AccountsPayableAccruedExpenses>
        <BOY>2728030</BOY>
        <EOY>4521460</EOY>
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      <MortNotesPyblSecuredInvestProp>
        <BOY>3574063</BOY>
        <EOY>2852778</EOY>
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      <TotalLiabilities>
        <BOY>6302093</BOY>
        <EOY>7374238</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>28229416</BOY>
        <EOY>24353771</EOY>
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      <TemporarilyRestrictedNetAssets>
        <BOY>51104</BOY>
        <EOY>188861</EOY>
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      <TotalNetAssetsFundBalances>
        <BOY>28280520</BOY>
        <EOY>24542632</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>34582613</BOY>
        <EOY>31916870</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
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        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <OtherCostOrOtherBasis>727342</OtherCostOrOtherBasis>
        <BookValue>727342</BookValue>
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      <Buildings>
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        <Depreciation>5917915</Depreciation>
        <BookValue>4213116</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>21978214</OtherCostOrOtherBasis>
        <Depreciation>17686105</Depreciation>
        <BookValue>4292109</BookValue>
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      <OtherLandBuildings>
        <OtherCostOrOtherBasis>610448</OtherCostOrOtherBasis>
        <Depreciation>252515</Depreciation>
        <BookValue>357933</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>9590500</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>other receivableS</Description>
        <BookValue>1461074</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>interest in net assets of recipient organization</Description>
        <BookValue>1921948</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>ASSETS HELD FOR SALE</Description>
        <BookValue>542500</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>3925522</TotalBookValueOtherAssets>
      <TotalRevenue>52388938</TotalRevenue>
      <TotalExpenses>49950031</TotalExpenses>
      <ExcessOrDeficitForYear>2438907</ExcessOrDeficitForYear>
      <OtherAmount>-6176795</OtherAmount>
      <TotalAdjustments>-6176795</TotalAdjustments>
      <ExcessOrDeficitPerFS>-3737888</ExcessOrDeficitPerFS>
      <Form990ScheduleDPartXIV>
        <Identifier>Part X:</Identifier>
        <ReturnReference>Description of Uncertain Tax Positions Under FIN 48:</ReturnReference>
        <Explanation>The Center, Foundation, and Network adopted the standard for accounting for uncertainty in income taxes recognized in a company's financial statements that prescribes a recognition threshold of more-likely-than-not to be sustained upon examination by the appropriate taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold has been met. The standard also provides guidance on derecognition, classification, interest and penalties, accounting in interim periods, and disclosure. Management has determined that the adoption of the standard did not have a material effect on the financial statements. The Center, Foundation, and Network's policy is to recognize interest related to unrecognized tax benefits in interest expense and penalties in operating expenses. There were no interest or penalties recognized on the consolidated statements of operations as a result of the adoption. The Center and Foundation's federal Returns of Organization Exempt from Income Tax for the years ended June 30, 2009, 2008, and 2007, remain subject to examination by the Internal Revenue Service.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XI, Line 8 - Other Adjustments:</Identifier>
        <Explanation>Benefits Conferred on Members for Charitable Purposes: -6400000. NET DECREASE IN ASSETS LIMITED AS TO USE, INVENTORY: -12243. CHANGE IN INTEREST IN RECIPIENT ORGANIZATION: 85448. TEMPORARILY RESTRICTED CONTRIBUTIONS: 150000.</Explanation>
      </Form990ScheduleDPartXIV>
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      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
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      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
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      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>MOHAMMAD VARGHAI</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>686123</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>13502</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>699625</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>KANDY SUSI</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>64440</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 3</Identifier>
        <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>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 6</Identifier>
        <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, Section A, line 7a</Identifier>
        <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, Section A, line 7b</Identifier>
        <Explanation>THE MEMBERS OF THE REGIONAL CANCER 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, Section B, line 11</Identifier>
        <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, Section B, line 12c</Identifier>
        <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, Section B, line 15b</Identifier>
        <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, Section C, line 18</Identifier>
        <Explanation>THE REGIONAL CANCER CENTER MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>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 XI, LINE 2C:</Identifier>
        <Explanation>THE REGIONAL CANCER CENTER HAS A FINANCE COMMITTEE THAT IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT AUDITORS. The process has not changed from prior year.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE REGIONAL CANCER CENTER FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2500 WEST 12TH STREET</AddressLine1>
          <City>ERIE</City>
          <State>PA</State>
          <ZIPCode>16505</ZIPCode>
        </AddressUS>
        <EIN>251631855</EIN>
        <PrimaryActivities>SUPPORTS THE REGIONAL CANCER CENTER BY RAISING FUNDS</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(a)(1)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NOT APPLICABLE</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Physicians Oncology Network</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2500 WEST 25TH STREET</AddressLine1>
          <City>ERIE</City>
          <State>PA</State>
          <ZIPCode>16505</ZIPCode>
        </AddressUS>
        <EIN>200641999</EIN>
        <PrimaryActivity>PROVIDE MEDICAL SERVICES FOR PATIENTS WITH CANCER AND BLOOD DISORDERS.</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NOT APPLICABLE</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfTotalIncome>6777581</ShareOfTotalIncome>
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        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
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      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
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      <ExchangeOfAssets>0</ExchangeOfAssets>
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      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
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      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>1</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Physicians Oncology Network</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>474443</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Physicians Oncology Network</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>402012</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Physicians Oncology Network</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>6400000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>