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          <BusinessNameLine1>Robert E Pezzoli</BusinessNameLine1>
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      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 4a</ReturnReference>
        <Explanation>Joseph W. Marshall, III also served as Chief Executive Officer of Temple University Health System, Inc. and was paid a severance by the Health System upon his termination from that role. His severance payment was $447,844. Robert E. Pezzoli also served as Chief Executive Officer of Temple University Hospital, Inc. and was paid a severance by the Health System upon his termination from that role. His severance payment was $641,688.</Explanation>
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    </IRS990ScheduleJ>
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          <BusinessNameLine1>HOSPITALS &amp; HIGHER ED FAC AUTH OF PHILA</BusinessNameLine1>
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        <CUSIPNumber>717903C55</CUSIPNumber>
        <DateIssued>2007-08-17</DateIssued>
        <IssuePrice>149898643</IssuePrice>
        <DescriptionOfPurpose>REFUND OF SERIES 97,99,03,05</DescriptionOfPurpose>
        <Defeased>0</Defeased>
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        <DateIssued>2007-08-17</DateIssued>
        <IssuePrice>71051466</IssuePrice>
        <DescriptionOfPurpose>REFUNDING OF SERIES 97,99,03,05</DescriptionOfPurpose>
        <Defeased>0</Defeased>
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        <YearOfSubstCompletion>2007</YearOfSubstCompletion>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
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        <YearOfSubstCompletion>2007</YearOfSubstCompletion>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>1</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
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        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>1</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.01920</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.01920</TotalPrivateBusinessUse>
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        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.03650</TotalPrivateBusinessUse>
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        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
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          <BusinessNameLine1>na</BusinessNameLine1>
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        <GrossProceedsInvestedInGIC>1</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>Defpa BankHypo -</BusinessNameLine1>
          <BusinessNameLine2>Term'd in 09</BusinessNameLine2>
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        <NameOfInterestedPerson>
          <NamePerson>Marc Polett</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Son of Mr.Polett Director at TUHS</Relationship>
        <AmountOfTransaction>57224</AmountOfTransaction>
        <DescriptionOfTransaction>Empld TUHS</DescriptionOfTransaction>
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        <NameOfInterestedPerson>
          <NamePerson>John Testa</NamePerson>
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        <Relationship>Brother in law Ms.Scaccetti Director at TUHS</Relationship>
        <AmountOfTransaction>75859</AmountOfTransaction>
        <DescriptionOfTransaction>Empld TUHS</DescriptionOfTransaction>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 6</Identifier>
        <Explanation>The sole member of the organization is Temple University Of The Commonwealth System of Higher Education. 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 comprehensive tertiary acute care services through the organization or related organizations; (g)any decision to merge with, acquire, or enter into an affiliation with medical schools or medical school hospitals other than the Universitys; (h)the deletion of any clinical programs that are needed for the accreditation 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 Two Million Five Hundred Thousand Dollars ($2,500,000); and (k)the execution of any contract providing for the management of the organization.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7a</Identifier>
        <Explanation>See Part VI, Section A, Line 6 above.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7b</Identifier>
        <Explanation>See Part VI, Section A, Line 6 above.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>After review by management and outside tax counsel, the 990 and 990T (if any) are posted to the website of the Secretarys 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 about any questions. In addition to the above process, the Audit Committee is provided a copy and the 990 and 990T are reviewed at a regularly scheduled meeting.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>The Office of the Secretary provides each director and officer with copies of the conflicts 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 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 conflicts of interest policy that is monitored by the Office of the Secretary.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15</Identifier>
        <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>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <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 as per the Systems Continuing Disclosure Agreement (Series of 2007 Bond Issue) through the Digital Assurance Corp (DAC), the Municipal Services Reporting Boards 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>Schedule K Supplental Information</Identifier>
        <Explanation>Schedule A, Part I, Line h: Temple University Health System, Inc. is organized to support Temple University - Of The Commonwealth System of Higher Education and organizations that are affiliated with Temple University. Although certain supported organizations are not named in the organizations governing documents, they fall within the class of permitted beneficiaries.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Community Benefit Overview Temple University Health System, through its affiliates and as the sole member of its affiliated hospitals, physician group and other health providers, provides sites, programs and other resources to help carry out a broad array of community services. We take great pride in our comprehensive efforts to improve the health and quality of living in North Philadelphia and the Southeast Pennsylvania region. Our services are especially important in the diverse, economically challenged neighborhood of Temple University Hospital where 82% of residents are of minority status, including 51% African American, 25% Hispanic, and 6% other minorities. The average household income in our direct service area barely reached $20,000, with over 40% of residents in our immediate zip codes living at or below the federal poverty level. Temple University Hospital serves one of our nations most economically challenged urban areas, with more than 80% of its patients covered by government programs,including 30% covered by Medicare and 52% covered by Medicaid. Temple University Hospital also provides more inpatient days of care to Medical Assistance recipients than any other hospital in the Commonwealth. As the hospital serving the greatest volume of Medicaid patients in the Commonwealth, it is de facto Philadelphias public hospital. Hospitals of the Temple University Health System provide substantial charitable care to its community, with a total of nearly $37 million in charity and unreimbursed care, at cost, provided last year. With our main hospital campus located in a federally designated Primary Care Professional Shortage Area, a Medically Underserved Area, and an urban Renewal Area, and with our Episcopal campus situated in a federal Empowerment Zone, Temple is firmly committed to advancing the health and quality of living in our communities. Temple University Health System takes great pride in the broad array of community services that we provide to our economically challenged neighborhoods and the Southeast Pennsylvania region. Below is a summary of some of this years programs and activities that advance the health of people and the quality of life in our communities: PROVIDING CRITICAL SOCIAL RESOURCES: At a cost of $1.3 million, Temple connected nearly 12,000 people with community-based social services, including free transportation services and clothing to destitute patients upon discharge, as well as free pharmaceuticals, co-pays and medical supplies that provide our most vulnerable patients with the resources they need to help them heal after discharge. REACHING OUT TO THE COMMUNITY: At a cost of nearly $600,000.00, Temple University Hospital and Jeanes Hospital reached more than 30,000 people, providing free health screenings; support groups for patients and families dealing with alcoholism, narcotics abuse, behavioral health disorders, cancer and other diseases; providing free immunization for flu in cooperation with the City Health Department; offering education on childbirth, mental health, burn prevention, diabetes care and other topics; and providing many other outreach activities. STRENGTHENING ACCESS TO CARE: Temple Physicians, Inc. (TPI) is Temples network of community-based physicians with offices concentrated in North Philadelphia and surrounding communities. TPI has about 110 physicians, nurse practitioners, and physician assistants in 48 practice sites with a focus on family medicine, internal medicine, obstetrics and gynecology, and pediatrics. All of its practice sites accept patients covered under Medicaid, including about 50% of its OB/GYN patients and 80% of its pediatric patients. In 2010, TPI reached about 3,500 community members through free health outreach and education events. CONNECTING PATIENTS WITH FINANCIAL RESOURCES: Temple employs 35 Financial Counselors dedicated to helping un-and under-insured patients obtain medical coverage. At a cost of about $1.4 million, this team processes about 5,500 applications annually. COMBATING GUN VIOLENCE: Temples Cradle to Grave program works with at-risk youth to help break the cycle of gun violence. With an annual investment of about $120,000.00, Cradle to Grave engaged 750 teens this year, and engaged more than 3,000 teens since the program began in 2006. INVESTING IN HEALTH PROFESSIONS EDUCATION: Temple incurs a net expense of $37 million to provide the education and training necessary to develop a professional healthcare workforce to benefit the broader community. This includes part of the cost of training more than 500 residents and fellows in over 45 teaching programs. Our residents and fellows are involved in various efforts that directly impact the community, including our Cradle to Grave program, the Temple CAREs primary clinic, our HIV clinic, and other community outreach initiatives. The Residents exposure to our diverse, low-income community helps Temple address health disparities while developing our nations future physicians. Our investment in health professions also includes part of the cost of operating the Northeastern School of Nursing RN Diploma Program, providing an affordable option for diverse, community members who would not otherwise be able to attend traditional collegiate programs. INVESTING IN OUR HOSPITAL WORKFORCE: Temple University Hospital invested nearly $700,000.00 to develop our local workforce through three comprehensive initiatives. Our investment in the Community Healthcare Workforce provided comprehensive training and education to help frontline workers living in the community adapt and build skills to enable them to participate in a changing healthcare workplace. Our additional investment in the Workforce Learning Initiative for Mental Health Workers provided frontline workers with a platform of college-accredited work from which they can continue their education and career advancement. In addition, Temples Opportunities in Healthcare program exposed area high school students to a variety of healthcare careers through a structured after-school program. FOSTERING VOLUNTEERISM: A majority of the members of Temple University Health Systems Board of Directors is comprised of dedicated volunteers from diverse backgrounds who offer expertise and govern the organization without compensation. Similarly, members of the Health Systems executive staff routinely participate in not-for-profit community health and social service organizations, as volunteer members of their boards-of-directors and in partnership with their outreach services. Similarly, Temple University Hospital and Jeanes Hospital engage volunteer community members to help advance it healthcare mission. Through their chaplaincy, family support, and other programs, our volunteers help advance healing through their compassionate services to patients and their families. PROMOTING MULTI-CULTURAL SERVICES: With an investment of about $1.5 million, Temple employs a team of 11 professional medical interpreters who provide personal language assistance for our Spanish-speaking population. Supplementing this are 65 specially trained dual-role interpreters, representing seven languages. These groups performed about 20,000 bedside interpretations annually, which is in addition to interpretations performed via telephone by contracted agency interpreters.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>EMERGENCY PREPAREDNESS AND RESEARCH: With an investment of more than $150,000.00, this program helps ensure our staff and hospital facilities are prepared to continue to provide safe, quality patient care even under the most austere conditions. We work on many levels, both inside and outside the Health System, educating our communities about the importance of personal preparedness. Temples Emergency Preparedness and Research Program is a critical link in the federal, state, and local disaster response plans. HAITI RELIEF: With an investment of more than $85,000.00 Temple University Hospital readied medical supplies and equipment to treat the sick and injured victims of the earthquake. Together with the Temple University School of Medicine, we connected physicians who were traveling to Haiti with community-based organizations. We also provided helicopter services to transport patients upon their arrival in Philadelphia to appropriate hospital care in our region. DONATING BLOOD: Working with the American Red Cross, Temple University Health System helps ensure that our nation has a safe and reliable blood supply. Through an investment of nearly $70,000.00, Temples hospitals helped collect more than 800 pints of blood from employees, physicians and community members. FUELING OUR COMMUNITYS ECONOMIC ENGINE: Temple University Health System employed nearly 7,000 people and paid $510 million in salaries and benefits. As a critical employer for North Philadelphia, about 22% of its employees live within its immediate zip codes. For every hospital job, about 1.2 additional jobs are generated elsewhere. For every $1.00 of hospital employee compensation, about $.92 additional compensation is spent elsewhere in the community (about $470 million). REDUCING THE GOVERNMENT BURDEN: In 2010, Temple University Hospital and Jeanes Hospital together incurred around $37 million in net charity care expenses. In addition, Temple maintains strong affiliations with the City of Philadelphia, Federally Qualified Health Centers and other community health organizations to help ensure access to care for our vulnerable population. KEEPING PATIENTS OUT OF THE EMERGENCY DEPARTMENT: Temple University Hospitals Northeastern Campus includes its unique ReadyCare physician practice. Ready Care offers expanded hours 365 days per year, and provides care that is specifically designed to meet the needs of the community and to prevent unnecessary visits to area hospital emergency rooms. SUBSIDIZING CRITICAL HEALTH SERVICES: Temple University Hospital invested nearly $15 million to subsidize critical health care services needed in our community. This includes support for our outpatient emergency, acute care and psychiatric services, as well the inpatient psychiatric services on our Episcopal Campus. These physical and mental health services are critical to the health and welfare of our vulnerable communities.</Explanation>
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        <PublicCharityStatus>Line 9</PublicCharityStatus>
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        <PublicCharityStatus>Line 2</PublicCharityStatus>
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        <DirectControllingEntityName>
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        <NameOfDisregardedEntity>
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          <State>PA</State>
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        </AddressUS>
        <EIN>231365351</EIN>
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        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 11a, I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Temple University Hospital</BusinessNameLine1>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Greater Philadelphia Health Services III Corp</BusinessNameLine1>
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          <AddressLine1>3509 N Broad Street Room 936 or c/o</AddressLine1>
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          <State>PA</State>
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        <EIN>232989581</EIN>
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        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>PF</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>TUHS Insurance Company Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3509 N Broad Street Room 936 or c/o</AddressLine1>
          <City>Philadelphia</City>
          <State>PA</State>
          <ZIPCode>19140</ZIPCode>
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        <PrimaryActivity>Reinsurance</PrimaryActivity>
        <LegalDomicileForeignCountry>BD</LegalDomicileForeignCountry>
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        <ShareOfTotalIncome>11117356</ShareOfTotalIncome>
        <ShareOfEOYAssets>68794865</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Fortress Properties Trust co Fortress Properties Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>3 Village Road - Suite 100</AddressLine1>
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          <State>PA</State>
          <ZIPCode>19044</ZIPCode>
        </AddressUS>
        <EIN>266241201</EIN>
        <PrimaryActivity>Trust for the benefit of Temple University Hospital, Inc.</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <TypeOfEntity>T</TypeOfEntity>
        <ShareOfEOYAssets>4582881</ShareOfEOYAssets>
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      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>1</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Temple University Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Jeanes Hospital</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Temple Health Transport Team</BusinessNameLine1>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Temple Physicians Inc</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>Temple University Hospital</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>Temple University Hospital</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>Temple University Hospital</BusinessNameLine1>
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          <BusinessNameLine1>Jeanes Hospital</BusinessNameLine1>
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        <TransactionType>K</TransactionType>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>