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        <EOY>-18290099</EOY>
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        <EOY>16756407</EOY>
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      <AuditCommittee>1</AuditCommittee>
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        <ListedInGoverningDoc>1</ListedInGoverningDoc>
        <Amount>13596</Amount>
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        <InvestmentEarningsOrLosses>30897</InvestmentEarningsOrLosses>
        <OtherExpenditures>105257</OtherExpenditures>
        <EndOfYearBalance>539895</EndOfYearBalance>
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        <BookValue>433304</BookValue>
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        <Description>SELF-INSURANCE ASSETS HELD BY TEMPLE UNIVERSITY</Description>
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        <Description>ASSETS LIMITED TO USE OTHER GENERAL</Description>
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        <BookValue>106802</BookValue>
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        <Description>DUE FROM AFFILIATES</Description>
        <BookValue>2533263</BookValue>
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        <Description>DUE TO AFFILIATES</Description>
        <Amount>11883265</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>SELF-INSURANCE LIABILITIES</Description>
        <Amount>10078233</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ESTIMATED RETROACTIVE ADJUSTMENTS, THIRD PARTY</Description>
        <Amount>559607</Amount>
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      <OtherLiabilities>
        <Description>OTHER LIABILITIES</Description>
        <Amount>7264780</Amount>
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      <OtherLiabilities>
        <Description>UNFUNDED ACCUMULATED POST RETIREMENT OBLIGATION</Description>
        <Amount>4070646</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>33856531</TotalOfAmounts>
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        <Identifier>Part V, Line 4:</Identifier>
        <ReturnReference>Description of Intended Use of Endowment Funds:</ReturnReference>
        <Explanation>PART V, LINE 4: PRINCIPAL BALANCE FOR ALL ENDOWMENT FUNDS ARE TO BE MAINTAINED IN PERPETUITY. INTEREST INCOME ON THE EDWARD HYDE TRUST IS TO BE USED FOR MEDICAL SERVICES PROVIDED AT NORTHEASTERN HOSPITAL. THE INTEREST INCOME ON THE OTHER TRUSTS IS TO BE USED FOR GENERAL OPERATIONS.</Explanation>
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          <AddressLine2>TUCMC C/O TUHS LEGAL</AddressLine2>
          <City>PHILADELPHIA</City>
          <State>PA</State>
          <ZIPCode>19140</ZIPCode>
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        <EINOfRecipient>232825878</EINOfRecipient>
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        <AmountOfCashGrant>13596</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
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          <BusinessNameLine1>JEANES HOSPITAL</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>3509 N BROAD STREET 9TH FLOOR -</AddressLine1>
          <AddressLine2>TUCMC C/O TUHS LEGAL</AddressLine2>
          <City>PHILADELPHIA</City>
          <State>PA</State>
          <ZIPCode>19140</ZIPCode>
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        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
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        <Identifier>Other Information:</Identifier>
        <ReturnReference>Part IV:</ReturnReference>
        <Explanation>Grants were made only for tax-exempt purposes to related organizations under common control. Grants are subject to review by the governing bodies and management of the related organizations and their common parent.</Explanation>
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          <BusinessNameLine1>KATHLEEN BARRON</BusinessNameLine1>
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      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>JOSEPH MARSHALL</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>70000</BonusRelatedOrgs>
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        <OtherCompensationRelatedOrgs>351968</OtherCompensationRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Part III</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.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part III, line 2</Identifier>
        <ReturnReference>New Program Services</ReturnReference>
        <Explanation>For many years, Temple East, Inc., doing business as Northeastern Hospital, operated an acute care hospital at 2301 Allegheny Avenue, Philadelphia, PA. Because of substantial changes in the provision of health care and financial exigencies, Northeastern Hospital ceased to operate an inpatient hospital after June 30, 2009. However, the corporate entity, Temple East, Inc., did not dissolve but is continuing in existence and engaging in other healthcare-related activities. Temple East, Inc.s hospital building is now used for hospital outpatient services operated under the license of Temple University Hospital, Inc., another affiliate of Temple University Health System, Inc. Temple University Hospital, Inc. is providing the following health care services at the Northeastern Hospital site: Chemotherapy; Endoscopy and Colonoscopy; Lab (To support the Chemo Infusion Program and Walk In Center); Pharmacy (To support the Chemo Infusion Program and the Endoscopy Suite); Radiology Tests (General Diagnostic Imaging; Ultrasound; Cat Scan; MRI; Mammograms; Nuclear Medicine); Vascular Lab (Non-invasive vascular lab services and endovascular studies); and Cardiac Testing ( Echocardiograms; EKGs; Stress Testing). In addition, Temple Physicians, Inc., another affiliate of Temple University Health System, Inc., has an office at the Northeastern Hospital campus known as Readycare that is open 7 days a week, 10 hours a day with no appointment necessary and that is staffed by trained emergency room doctors. Today Temple East, Inc. essentially owns health care facilities and makes them available for use by its 501(c)(3) affiliates that provide health care services</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part III, line 3</Identifier>
        <ReturnReference>Changes in Program Services</ReturnReference>
        <Explanation>For many years, Temple East, Inc., doing business as Northeastern Hospital, operated an acute care hospital at 2301 Allegheny Avenue, Philadelphia, PA. Because of substantial changes in the provision of health care and financial exigencies, Northeastern Hospital ceased to operate an inpatient hospital after June 30, 2009. However, the corporate entity, Temple East, Inc., did not dissolve but is continuing in existence and engaging in other healthcare-related activities. Temple East, Inc.s hospital building is now used for hospital outpatient services operated under the license of Temple University Hospital, Inc., another affiliate of Temple University Health System, Inc. Temple University Hospital, Inc. is providing the following health care services at the Northeastern Hospital site: Chemotherapy; Endoscopy and Colonoscopy; Lab (To support the Chemo Infusion Program and Walk In Center); Pharmacy (To support the Chemo Infusion Program and the Endoscopy Suite); Radiology Tests (General Diagnostic Imaging; Ultrasound; Cat Scan; MRI; Mammograms; Nuclear Medicine); Vascular Lab (Non-invasive vascular lab services and endovascular studies); and Cardiac Testing ( Echocardiograms; EKGs; Stress Testing). In addition, Temple Physicians, Inc., another affiliate of Temple University Health System, Inc., has an office at the Northeastern Hospital campus known as Readycare that is open 7 days a week, 10 hours a day with no appointment necessary and that is staffed by trained emergency room doctors. Today Temple East, Inc. essentially owns health care facilities and makes them available for use by its 501(c)(3) affiliates that provide health care services</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 6</Identifier>
        <Explanation>The sole member of the organization is Temple University Health System, Inc. Temple University Hospital, Inc. 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 of the Corporation; B. any merger of the Corporation; C. any amendments to the Articles of Incorporation of the Corporation; D. any amendments to these Bylaws regarding the Member, the number of Directors, quorum or voting requirements; E. the sale, pledge, lease (but only a lease from the Corporation of substantially all of the Corporations real property), or other transfer of the assets of the Corporation other than transactions occurring in the ordinary course of business; F. the adoption of the Corporations annual capital and operating budgets; G. the issuance or assumption of any indebtedness by the Corporation; and H. the execution of any contract providing for the management of the Corporation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7a</Identifier>
        <Explanation>SEE DISCLOSURE FOR FORM 990, PART VI, SECTION A, LINE 6</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7b</Identifier>
        <Explanation>SEE DISCLOSURE FOR FORM 990, PART VI, SECTION A, LINE 6</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.</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>
    </IRS990ScheduleO>
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        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>300 SULLIVAN HALL 1330 W BERKS ST</AddressLine1>
          <City>PHILADELPHIA</City>
          <State>PA</State>
          <ZIPCode>19125</ZIPCode>
        </AddressUS>
        <PrimaryActivities>EDUCATION</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 2</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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          <AddressLine1>3509 N BROAD STREET 9TH FLOOR - TUC</AddressLine1>
          <City>PHILADELPHIA</City>
          <State>PA</State>
          <ZIPCode>19140</ZIPCode>
        </AddressUS>
        <EIN>232825881</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 11a, I</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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          <AddressLine1>3509 N BROAD STREET 9TH FLOOR - TUC</AddressLine1>
          <City>PHILADELPHIA</City>
          <State>PA</State>
          <ZIPCode>19140</ZIPCode>
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        <LegalDomicileState>PA</LegalDomicileState>
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        <PublicCharityStatus>Line 11a, I</PublicCharityStatus>
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          <State>PA</State>
          <ZIPCode>19140</ZIPCode>
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        <PublicCharityStatus>Line 3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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          <BusinessNameLine1>JEANES HOSPITAL</BusinessNameLine1>
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          <AddressLine1>3509 N BROAD STREET 9TH FLOOR - TUC</AddressLine1>
          <City>PHILADELPHIA</City>
          <State>PA</State>
          <ZIPCode>19140</ZIPCode>
        </AddressUS>
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        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>JEANES HOSPITAL AUXILIARY</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>7600 CENTRAL AVENUE</AddressLine1>
          <City>PHILADELPHIA</City>
          <State>PA</State>
          <ZIPCode>19111</ZIPCode>
        </AddressUS>
        <EIN>231917776</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 9</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>TEMPLE EAST REAL ESTATE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>3509 N BROAD STREET 9TH FLOOR - TUC</AddressLine1>
          <City>PHILADELPHIA</City>
          <State>PA</State>
          <ZIPCode>19140</ZIPCode>
        </AddressUS>
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        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 11a, I</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>TEMPLE PHYSICIANS INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3509 N BROAD STREET 9TH FLOOR - TUC</AddressLine1>
          <City>PHILADELPHIA</City>
          <State>PA</State>
          <ZIPCode>19140</ZIPCode>
        </AddressUS>
        <EIN>232790607</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>TEMPLE HEALTH SYSTEM TRANSPORT TEAM INC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>3509 N BROAD STREET 9TH FLOOR - TUC</AddressLine1>
          <City>PHILADELPHIA</City>
          <State>PA</State>
          <ZIPCode>19140</ZIPCode>
        </AddressUS>
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        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>EPISCOPAL HOSPITAL</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>3509 N BROAD STREET 9TH FLOOR - TUC</AddressLine1>
          <City>PHILADELPHIA</City>
          <State>PA</State>
          <ZIPCode>19140</ZIPCode>
        </AddressUS>
        <EIN>231365351</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 11a, I</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GREATER PHILADELPHIA HEALTH SERVICES III CORP DBA TEMPLE CONTINUING CARE</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>3509 N BROAD STREET 9TH FLOOR - TUC</AddressLine1>
          <City>PHILADELPHIA</City>
          <State>PA</State>
          <ZIPCode>19140</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>PF</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>TUHS INSURANCE COMPANY LTD</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3509 N BROAD ST 9TH FLOOR - TUCMC C</AddressLine1>
          <City>PHILADELPHIA</City>
          <State>PA</State>
          <ZIPCode>19140</ZIPCode>
        </AddressUS>
        <PrimaryActivity>MALPRACTICE INSURANCE</PrimaryActivity>
        <LegalDomicileForeignCountry>BD</LegalDomicileForeignCountry>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>FORTRESS PROPERTIES TRUST</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>C/O FORTRESS PROPERTIES INC 3 VILLA</AddressLine1>
          <City>HORSHAM</City>
          <State>PA</State>
          <ZIPCode>19044</ZIPCode>
        </AddressUS>
        <EIN>266241201</EIN>
        <PrimaryActivity>TRUST FOR THE BENEFIT OF TEMPLE UNIVERSITY HOSPITAL, INC.</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>T</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>1</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>1</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>1</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>