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        <PersonNm>Jane Scaccetti</PersonNm>
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        <PersonNm>Joyce Salzberg</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Laura Sparks</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>John Ryan</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Tausha Saunders</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Gerald Oetzel</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Michael DiFranco</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Timothy Cyphers</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>John Lasky</PersonNm>
        <TitleTxt>VP, CHRO</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Deborah Cancilla</PersonNm>
        <TitleTxt>EVP Data Strategy / CIO</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
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        <OtherCompensationAmt>29787</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Carl Sirio</PersonNm>
        <TitleTxt>Chief Medical Officer</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Jeremy Slaga</PersonNm>
        <TitleTxt>Chief Integration Officer</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Jack Ludmir</PersonNm>
        <TitleTxt>Chief Physician Officer</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Charles Soltoff</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Maribel Valentin</PersonNm>
        <TitleTxt>Sr Counsel Corp Compliance</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>John O'Donnell</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Anita Colon</PersonNm>
        <TitleTxt>VP Revenue Cycle Operations</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Jerome Maddox</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Vinay Bharel</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Nicholas Barcellona</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Lisa Corbin</PersonNm>
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          <BusinessName>
            <BusinessNameLine1Txt>Epic Systems Corporation</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 88314</AddressLine1Txt>
            <CityNm>Milwaukee</CityNm>
            <StateAbbreviationCd>WI</StateAbbreviationCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Chi-Matic Inc</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>Department 5925</AddressLine1Txt>
            <CityNm>Carol Stream</CityNm>
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            <ZIPCd>60122</ZIPCd>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Price Waterhouse Coopers LLP</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>2 Commerce Square Suite 1700</AddressLine1Txt>
            <CityNm>Philadelphia</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19103</ZIPCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Ricoh USA</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 4245</AddressLine1Txt>
            <CityNm>Carol Stream</CityNm>
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            <ZIPCd>60197</ZIPCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Grant Thornton LLP</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>33562 Treasury Center</AddressLine1Txt>
            <CityNm>Chiacgo</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60694</ZIPCd>
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        <Desc>Related Org Srvcs</Desc>
        <BusinessCd>561000</BusinessCd>
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        <BusinessCd>621400</BusinessCd>
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        <Desc>TCPH Revenue</Desc>
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      <OtherRevenueMiscGrp>
        <Desc>Equity Method Investment Loss</Desc>
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        <ManagementAndGeneralAmt>95289516</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>5480717</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>12645081</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>2164046</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>1057239</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>407125</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>70033398</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>23971533</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>578725</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>8162258</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>453027</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>71727</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>16287525</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>12970444</ManagementAndGeneralAmt>
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        <TotalAmt>106917</TotalAmt>
        <ManagementAndGeneralAmt>106917</ManagementAndGeneralAmt>
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        <Desc>All other expenses</Desc>
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        <ManagementAndGeneralAmt>4227</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>265049087</ManagementAndGeneralAmt>
        <FundraisingAmt>223212</FundraisingAmt>
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        <DeferredCompensationFlngOrgAmt>14305</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>678020</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jack Ludmir</PersonNm>
        <TitleTxt>Chief Physician Officer</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>11300</BonusFilingOrganizationAmount>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>14850</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>31129</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>649798</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Michael Gebhardt</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>473000</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>43191</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>29243</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>545434</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Paul Curcillo II MD</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>421229</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>33000</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>32792</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>487021</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jerome Maddox</PersonNm>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>22208</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>14850</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>26345</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>471987</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Nicholas Barcellona</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>68254</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>14850</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18696</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>460638</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jeremy Slaga</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>443084</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Charles Soltoff</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>9855</BonusFilingOrganizationAmount>
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        <DeferredCompensationFlngOrgAmt>14841</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>29676</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>397723</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Vinay Bharel</PersonNm>
        <TitleTxt>SVP Info Systems Operations</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13598</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>27417</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>365318</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Michael DiFranco</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompensationFlngOrgAmt>10972</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>32948</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>John O'Donnell</PersonNm>
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        <NontaxableBenefitsFilingOrgAmt>29712</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>362874</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Anita Colon</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Maribel Valentin</PersonNm>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Timothy Cyphers</PersonNm>
        <TitleTxt>Asst Treasurer</TitleTxt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>26009</NontaxableBenefitsFilingOrgAmt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>THE HOSP &amp; HIGHER ED FACS AUTH</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>231929132</BondIssuerEIN>
        <CUSIPNum>717903L97</CUSIPNum>
        <BondIssuedDt>2017-11-02</BondIssuedDt>
        <IssuePriceAmt>262605237</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>THE HOSP &amp; HIGHER ED FACS AUTH</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>231929132</BondIssuerEIN>
        <CUSIPNum>717825QD8</CUSIPNum>
        <BondIssuedDt>2022-04-05</BondIssuedDt>
        <IssuePriceAmt>188842687</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>Pursuant to the organization's bylaws, the Executive Committee consists of at least five (5) Directors including the Chair, the Vice-Chair and the Chief Executive Officer of the organization. The Executive Committee is authorized to act for the Board between its regular meetings.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>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 organization's 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 organization's real property), or transfer of the assets of the organization other than transactions occurring in the ordinary course of business, (f) any decision resulting in the organization's 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 University's (h) the deletion of any clinical programs that are needed for the accreditation of Temple University School of Medicine (i) the adoption of the organization's annual capital and operating budgets (j)the issuance or assumption of any indebtedness in excess of two million five hundred thousand ($2,500,000) and (k) the execution of any contract providing for the management of the organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>Please refer to the response for question 6</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>Please refer to the response for question 6</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>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 statements 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. All employees are subject to a conflict of interest policy that is monitored by the Office of the Secretary.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The unaudited internal financial statements of 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 Health System's Continuing Disclosure Agreement through Digital Assurance Corp (DAC), the Municipal Services Reporting Boards EMMA disclosure site and the Health System's 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Purchased services: Program service expenses 0. Management and general expenses 70,033,398. Fundraising expenses 223,003. Total expenses 70,256,401.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>TU Funding -11,237,346. TCPH Beginning Net Assets 1,470,526. Other Items 74,504.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Community Benefits Overview</FormAndLineReferenceDesc>
        <ExplanationTxt>Temple University Health System (TUHS), as the sole member of its affiliated hospitals and physician practices, provides access to facilities, programs, and other resources to conduct a broad array of community services. Through the employees and physicians of Temple University Hospital, Fox Chase Cancer Center, Chestnut Hill Hospital and our faculty and community-based Physician practices, we provide comprehensive services to improve the health and quality of living in North Philadelphia and our Southeast Pennsylvania region. TUHS is dedicated to ensuring access to comprehensive primary and specialty quality patient care through population health, linked to academic excellence in medical education and research. Our health outreach and education services are critically important in the diverse, economically challenged neighborhoods surrounding our hospitals. TUHS hospitals provide indispensable health care services to residents of Philadelphia, which is the largest city in America without a public hospital. Among Pennsylvania's full-service safety-net providers, Temple University Hospital (TUH) serves the greatest volume and highest percentage of patients covered by Medicaid. TUH is an 879-bed non-profit acute care hospital that provides a broad spectrum of primary, secondary, tertiary, and quaternary care to patients throughout Southeastern Pennsylvania and beyond. TUH is accredited as an Adult Level 1 Trauma Center by the Pennsylvania Trauma Systems Foundation and is a Regional Burn Center. Among our recent distinctions is the achievement of Magnet status from the American Nurses Credentialing Center, a prestigious recognition of quality nursing care, community commitment and staff dedication bestowed upon only 8% of U.S. healthcare organizations. In addition to our main campus on North Broad Street, TUH includes the Episcopal, Northeastern, Jeanes and Women &amp; Families campuses, all of which serve economically and socially disadvantaged communities. Our Episcopal Campus provides a recovery-oriented behavioral health treatment program, offering a welcoming approach and hope for those whose lives have been affected by mental illness and co-occurring disorders. It serves adults, age 18 or older, experiencing severe psychiatric symptoms that markedly impair their capacity to function adequately within the community. Many are diagnosed with psychiatric plus one or more substance or alcohol disorders. Almost half have diagnoses of hypertension, diabetes, or both. Many have multiple co-existing medical illnesses. Our Women's &amp; Families Campus, set to open for inpatient care in 2025, currently offers outpatient services including physician practices in OB/GYN. family medicine and pediatrics as well as radiology services such as MRI and CT. Virtually all Temple physicians, whether faculty or community-based, care for patients covered by Medicaid in both the inpatient and outpatient setting. About 86% of TUH's inpatients are covered by government programs: 42% by Medicare and 44% by Medicaid. About half of our inpatient cases include a behavioral health diagnosis Similarly, patients dually eligible for both Medicare and Medicaid comprise about half of our Medicare inpatient base.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Community Benefits Overview (Cont'd)</FormAndLineReferenceDesc>
        <ExplanationTxt>TUH serves as a critical access point for vital public health services. Last year we handled over 160,000 patients in our Emergency Department and about 11,000 patients in our Psychiatric Crisis Response Center. We delivered about 2,000 babies, of whom about 85% were covered by Medicaid. Temple physicians also staff important clinics that address major public health concerns, such as the Comprehensive Neuroaids Center at Temple University, which is dedicated to improving the public health impact of bench-to clinic research associated with HIV-induced neurological diseases and cognitive disorders. Temple's nationally renowned physicians offer state-of-the-art treatment options for patients with complex medical problems, some of whom were previously considered untreatable. Using sophisticated technologies and personalized treatments, Temple physicians are working to alter the course of serious disease. In over a dozen research centers, our faculty is speeding the transformation of fundamental scientific discoveries into practical therapies that may one day dramatically improve human health. Below we summarize a few of our clinical premier programs. Temple Heart &amp; Vascular Institute Our Heart &amp; Vascular Institute is a hub of innovative clinical care, research, and education. The Institute has 27 specialized programs and over 100 cardiovascular caregivers, many nationally renowned. Our staff draw upon their collective experience and our state-of-the-art facilities and technology to deliver high-quality, personalized care for the entire range of cardiovascular conditions from high blood pressure to advanced heart failure and transplantation. We offer patients the newest minimally invasive procedures, mechanical assist devices, artificial hearts, and advanced surgeries, including complex hybrid procedures and multi-organ transplantation. Temple is the fastest list-to-transplant site in the Philadelphia region, excelling in donor heart assessment, resulting in higher transplant rates and shorter times on the wait-list for candidates. Temple Lung Center Temple is an international leader in developing new therapies for serious lung diseases. Our Lung Center has over 20 specialized lung disease programs that provide highly focused care from physicians who are trained in specific conditions. A distinguishing feature of the Center is its innovative research program that is unraveling the mechanisms of lung disease, discovering new treatments and testing lifesaving devices. Our robust slate of clinical trials the largest in the nation for non-cancer related pulmonary disease provides patients with access to novel therapies. TUH also is one of the highest volume transplant programs in the nation with the best one-year survival rates in the Philadelphia region and the state of Pennsylvania. Transplant Program Temple University Hospital has a 40-year history of excellence in organ transplantation, having performed Philadelphia's first heart transplant in 1984. Today, we have transplant programs for lungs, livers, kidneys, and pancreases, and bone marrow with excellent results. The Fox Chase-Temple Bone Marrow Transplant Program, a formal affiliation between Fox Chase Cancer Center and TUH, is an example of this type of transformative medicine. Last year it performed 154 transplants and has participated in countless research studies to promote life-saving treatment modalities. Our transplant teams have pioneered methods to improve organ donor health and avoid post-transplant complications.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Community Benefits Overview (Cont'd)</FormAndLineReferenceDesc>
        <ExplanationTxt>Digestive Disease Center Our Digestive Disease Center's large clinical practice and active research program enable us to apply the latest techniques to treat even the most challenging cases involving the esophagus, stomach, small intestine, gallbladder, colon, and liver. Our areas of specialization include colorectal surgery, esophageal disorders, bariatric surgery, gastrointestinal cancer, inflammatory bowel disease, motility disorders, and therapeutic endoscopy. In addition, our thoracic surgeons are part of the Digestive Disease Center team, performing upper gastrointestinal surgeries, often robotically. These include surgeries for esophageal cancers, Barrett's esophagus, gastroesophageal reflux disease and achalasia. Neurosciences Center The Temple Neurosciences Center offers advanced care for conditions of the brain, spine, and nerves. Specialized neurological programs contained within our Center address medical conditions such as stroke, multiple sclerosis, epilepsy, movement disorders, neuromuscular disease, and amyotrophic lateral sclerosis (ALS). Our Center is home to the nationally respected Muscular Dystrophy Association/ALS Center of Hope and a stroke program that has been nationally recognized for its high success rate in treating complex stroke patients. The Center's strong basic science and clinical research program provides patients with options for complex neurological conditions that other hospitals may not offer. Orthopedics &amp; Sports Medicine Temple's Orthopedics and Sports Medicine team includes many of Southeast Pennsylvania's most respected surgeons and rehabilitation specialists. Our team provides advanced, personalized treatments for a wide range of injuries and conditions. This includes injuries of the foot and ankle, hand, knee, shoulder, elbow, and spine. Our orthopedic specialists also have special expertise in orthopedic trauma, joint replacement, sports medicine, and physical therapy. Our experts combine their experience and research with the latest technology and minimally invasive treatment techniques to help patients achieve a pain-free life. Temple Center for Population Health The Temple Center for Population Health is committed to maintaining a sustainable model of healthcare delivery through clinical and business integration, community engagement and academic distinction to promote healthy communities. The Center includes an extensive network of Patient Centered Medical Homes, chronic disease management programs, an extensive community health worker program, peer coaching, and a central patient access center. Our mission is aligned with the goals of the United States Department of Health and Human Services' three-part aim of achieving better care for patients, better health for our communities, and lower costs through health care system improvement.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Community Benefits Overview (Cont'd)</FormAndLineReferenceDesc>
        <ExplanationTxt>Fox Chase Cancer Center With respect to prevention, education and outreach related to cancer, we are proud of the services provided through Fox Chase Cancer Center, a National Cancer Institute Comprehensive Cancer Center. Among major cancers treated are those of the prostate, breast, lung, and skin. Fox Chase has also been designated a National Pancreas Foundation Center by the National Pancreas Foundation, a nonprofit organization that provides support for patients with pancreatic cancer and other pancreas-related diseases. Fox Chase is the only institution in the Philadelphia region to earn this designation. Fox Chase is also recognized for high performance in leukemia, lymphoma, and myeloma, and for surgery related to colon, lung, ovarian, prostate, and uterine cancers. Fox Chase's Community Outreach programs are available to everyone, but the center makes a special effort to reach populations and neighborhoods that experience health disparities, which includes populations that experience a higher cancer burden. Chestnut Hill Hospital Chestnut Hill Hospital is an alliance of Temple Health, Redeemer Health, and Philadelphia College of Osteopathic Medicine. Together, our passion for quality patient care and commitment to community ensures reliable access to a trusted community hospital, while giving patients better access to the advanced services of a world-class academic medical center including cancer care and pulmonology. Chestnut Hill also provides specialized care for seniors facing mental health challenges. Its Senior Behavioral Health program includes a 20-bed inpatient care unit offering treatment for depressions, psychosis, bipolar disorder, anxiety, and other mental health conditions. Temple University Health System takes great pride in the broad array of services it provides to the community. Below we describe a few programs and activities conducted this past year to help advance wellness and improve the quality of life in our communities. Multi-Visit Patient Clinic: Provides a full continuum of care for patients with high emergency department use and frequent inpatient admissions. Upon discharge, patients are linked with a Community Health Worker who connects patients to healthcare and social services, providing meals, transportation, and home visits. Patients enrolled in the clinic show a 68% reduction in inpatient utilization, demonstrating that patients are seeking care in a more appropriate setting. The clinic expedites diagnostic work-ups for potential cancer findings and provides a navigator for care coordination. Investment in Community's Healthcare Workforce: The purpose of this partnership with the District Council 1199C Training and Upgrade Fund is to build our local workforce and improve skills sets needed to deliver quality healthcare. This involves comprehensive training and education for workers living in our community, which helps to adapt and improve skills that enable them to participate in a changing healthcare workplace. About half the students are union members and half from the general community, including laid-off workers and those receiving public assistance. Career pathways include nursing, behavioral health, allied health, childcare, and health IT. Education services include GED classes and testing as well as ESL and safety instruction. Immersion Science Program: Fox Chase Cancer Center (FCCC) recognizes that the beginning of its compassionate culture begins with cultivating interest among young adults in STEM programs. Under the Immersion Science Program, FCCC established classroom laboratories in 11 Philadelphia schools. The program enhances the science and math foundation of participants, thus building confidence and preparing students for rigorous science, technology, engineering, and math majors. Of the 1,000 students who benefit from the program annually, 80% are from the School District of Philadelphia; 75% receive paid positions in research labs as undergraduates and 22% become published authors prior to college graduation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Charity and Under-Reimbursed Care</FormAndLineReferenceDesc>
        <ExplanationTxt>Our hospitals provided $49 million in charity and under-reimbursed care.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Subsidizing Critical Health Services</FormAndLineReferenceDesc>
        <ExplanationTxt>Our hospitals invested $44 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 as 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Investing in Health Professions Education</FormAndLineReferenceDesc>
        <ExplanationTxt>Temple invested $152 million in the education and training necessary to develop a professional healthcare workforce to benefit the broader community. Our residents and fellows participate in various efforts that directly impact the community, including effort to address the epidemics of opioid misuse and gun violence as well as other public health issues. The exposure that our residents receive caring for our diverse, low-income community helps Temple address health disparities while developing our nation's future physicians.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Research</FormAndLineReferenceDesc>
        <ExplanationTxt>Our hospitals invested $39 million in internally funded medical research. This included investigations to increase knowledge of the causes, prevention and diagnosis of cancer and substance use disorders.</ExplanationTxt>
      </SupplementalInformationDetail>
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