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      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
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      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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      <SupportingOrgType1Ind>X</SupportingOrgType1Ind>
      <IRSWrittenDeterminationInd>X</IRSWrittenDeterminationInd>
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      <SupportedOrgInformationGrp>
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      <SupportedOrgInformationGrp>
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        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
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    </IRS990ScheduleC>
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        <BookValueAmt>8635</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>Investment in TUHIC</Desc>
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        <Desc>Other Assets</Desc>
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      <OtherAssetsOrgGrp>
        <Desc>Self Insurance Assets</Desc>
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      <OtherAssetsOrgGrp>
        <Desc>Other investment - cost/valuation</Desc>
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        <Desc>PA UC Liabilities</Desc>
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      <RecipientTable>
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      <RecipientTable>
        <RecipientBusinessName>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part II, Line 2:</FormAndLineReferenceDesc>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Verdi DiSesa</PersonNm>
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        <PersonNm>Robert Lux</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Herbert White</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Lisa Corbin</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>David Kamowski</PersonNm>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
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    <IRS990ScheduleL documentId="RetDoc1042800001">
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          <PersonNm>Marc Polett</PersonNm>
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        <RelationshipDescriptionTxt>Son of Daniel Polett - Director of TUHS</RelationshipDescriptionTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 1</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 organizations 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 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 ($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 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 per the Systems Continuing Disclosure Agreement (Series of 2007 Bond Issue) through 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Purchased services: Program service expenses 0. Management and general expenses 12,017,531. Fundraising expenses 702,035. Total expenses 12,719,566. Professional Fees: Program service expenses 0. Management and general expenses 5,638,451. Fundraising expenses 0. Total expenses 5,638,451.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Welfare Benefit Trust reserve adjustment -37,581. TUHIC Dividend -5,000,000.</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 carry out a broad array of community services. Through the employees and physicians of Temple University Hospital, Fox Chase Cancer Center, Jeanes Hospital, 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 a 722-bed non-profit acute care hospital that provides a broad spectrum of primary, secondary, tertiary, and quaternary care to patients in 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. In addition to our main campus on North Broad Street, TUH includes the Episcopal and Northeastern campuses, both of which are in economically distressed areas within three miles of the TUH and medical school campus. 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. 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: 40% by Medicare and 46% by Medicaid. Patients dually eligible for both Medicare and Medicaid comprise about 52% of our Medicare inpatient base. Approximately 50% of our total inpatient cases include a behavioral health diagnosis. TUH serves as a critical access point for vital public health services. Last year we handled more than 135,000 patients in our Emergency Department; about 11,000 patients in our Psychiatric Crisis Response Center; 2,300 discharges from our inpatient Behavioral Health unit; 557 victims of gun and stab violence in our Trauma Unit, the highest number in Pennsylvania; and more than 300 patients in our Burn Center. We delivered about 2,650 babies, of whom 88% 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. As indicated in the 2016 Community Health Needs Assessment of the Philadelphia Department of Health, poverty, and poor living conditions are prevalent in the City's Lower North and North planning districts served by TUH, in which 46% of the population live at incomes below 100% of the Federal Poverty Level, and conditions of living and housing are suboptimal, illustrated by rat complaints of 20-42/10,000 population. The homicide mortality rate in these planning districts is also the highest in the City of Philadelphia. In CY 2016, there were 907 opioid related deaths in Philadelphia, many of which occurred within the immediate service area of TUH. The disease burden in North Philadelphia is significant, including high prevalence of obesity, diabetes, hypertension, asthma, chronic obstructive pulmonary disease and heart disease. 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. 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. Since its inception in 1988, the program has performed over 1,500 transplants, and has participated in countless research studies to promote life-saving treatment modalities. Complementing our academic mission, The Temple Center for Population Health, LLC, (TCPH) promotes and supports the population health efforts of TUH and North Philadelphia. We align our efforts 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. With respect to prevention, education and outreach related to cancer, we are especially proud of the services provided through Fox Chase Cancer Center. As a National Cancer Institute Comprehensive Cancer Center, Fox Chase is one of only 47 centers in the country to qualify for this designation. Its Office of Health Communications and Disparities addresses the cancer needs of its geographically, racially and ethnically diverse population through individual contact, group teaching and other modes to educate about cancer and link to screenings. Temple University Health System takes great pride in the broad array of services it provides to the community. Below we describe a few of the programs and activities conducted this past year to help advance the wellness and improve the quality of life in our communities. CHARITY AND UNDER-REIMBURSED CARE: Our hospitals provided more than $75 million in charity and under-reimburse care. COMMUNITY EDUCATION AND OUTREACH. We reached more than 175,000 community members through free community-based healthcare outreach, educational and community building programs that strengthen the health and safety of the neighborhoods we serve. We provide free health screenings and support groups on a variety of topics including alcohol and substance abuse, burn prevention, childbirth, diabetes and stroke prevention. This past year, we implemented a free prenatal yoga class to help new and expecting moms appreciate the value of a sound mind, healthy body and newborn bonding. Our extensive community building programs include efforts to advance early childhood education, food access and other social determinants of health. TEMPLE HEALTH FEST. Temple University Hospital conducted a comprehensive health festival for its immediate community to help break down barriers to care. Programming including a physician-led TED style talk on cancer, ethnically appropriate nutritious cooking demonstration, 20+ interactive educational stations on a variety of health issues with a diverse group of physicians, nurses, social workers, dieticians, financial counselors, community health workers and other professionals. WORKFORCE DEVELOPMENT. Invested more than $800,000 in nationally-recognized partnership with our labor union to build our local workforce and improve skills needed in an evolving healthcare industry. VIOLENCE PREVENTION AND INTREVENTION. Our 360 degree approach addresses gun violence through prevention and intervention at the bedside, in high schools and on the streets. Programs include Cradle to Grave, Turning Point, fighting Chance and other youth programs. Our newest program "Healing Thorough Arts" ties in Philadelphia's arts community.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>OPIOID RESPONSE.</FormAndLineReferenceDesc>
        <ExplanationTxt>We are a key partner with the city and state to address the opioid epidemic. Working closely with the Mayor's Task Force to Combat the Opioid Epidemic and the Philadelphia Departments of Health and Behavioral Health and Intellectual Disability Services, we began planning for the Recovery Overdose Survivor Engagement (warm handoff) project in our emergency department and expansion of our crisis response center. We continue to explore opportunities for a unique opioid respite center on our Episcopal Campus, and are developing a coordinated network of providers to integrate and facilitate medical care and social supports for those suffering from Opioid Use Disorder. PROVIDING CRITICAL SOCIAL RESOURCES. Temple connected more than 14,000 people with community-based social services, including free transportation services, legal services, and clothing to destitute patients upon discharge, and free pharmaceuticals, co-pays and medical supplies that provide our most vulnerable patients with the resources they need to help them heal after discharge. ENSURING SAFE SLEEP AND A HEALTHY START FOR MOMS AND NEWBORNS. Our Sleep Awareness Family Education at Temple (SAFE-T) educates new moms and families about safe infant sleep through one-on-one education in the hospital and a certificate upon discharge. Families receive a Safe Sleeper kit complete with a sleep-safe baby box, layette items such as fleece and cotton clothing, sheets and blanket, a baby book, (English and Spanish language), diapers, a thermometer, nasal aspirator, baby wash, smoke detectors (provided by the Philadelphia Fire Department) and educational materials and resource referral for cribs, car seats and other necessities. The program served nearly 5,000 caregivers and newborn infants this year. PHILADELPHIA "MOM" PROGRAM. Temple's nursing staff and social workers assist the City in enrolling the new mothers shortly after delivering their infant and prior to discharge. New mothers and their babies from birth through the child's 6th birthday are connected with social, educational, and healthcare supports. PREVAILING UPON CANCER. The Fox Chase Cancer Center operates several comprehensive screening and education programs, including its Community Cancer Screening Program which connects individuals with breast, skin, head, neck, and prostate cancer screenings. Fox Chase Speakers Bureau educates the community on breast, cervical, ovarian, colorectal, prostate, lung, skin and other cancers. Through our Resource and Education Center, Fox Chase provides patients, families, and community members with access to free cancer information and resources that address the cancer continuum. Fox Chase also provides psychosocial supports through several support groups. Our community partnerships include diverse entities including community-based, faith-based, business, legislative, and academic partners. Through these partnerships, we successfully educated, screened audiences and developed relationships to support community wellness. IMMERSION IN SCIENCE HIGH SCHOOL PROGRAM. Through its Immersion in Science High School Program, Fox Chase Cancer Center provided free education programming to diverse high school students from the region. The Immersion Science program provides staged, comprehensive exposure of high school students to increase retention in biomedical careers and to provide direct instruction in laboratory techniques and scientific thinking. There is no cost to participate, and summer salaries are provided to students in the Phase 3 segment of the program. PROMOTING COMMUNITY WELLNESS: Jeanes Hospital, our premier community hospital, is working beyond its hospital walls to address social determinants of health and improve the quality of living in our communities. We work with local community organizations to address the dangers of obesity by bringing a farmer's market to our campus, offering nutritional cooking demonstrations and partnering with food kitchens. Jeanes offers a safe, park-like walking trail for community members to enjoy healthy outdoor exercise. We also host some of our community education sessions outdoors on this track, where cardiologists and other health professionals explain firsthand the need to stay fit and healthy. Similarly, we work with community organizations to improve the community's access to mental health resources. FOSTERING VOLUNTEERISM. Temple University Hospital's volunteer intern program connected undergraduate students who engage in pro-active non-clinical rounding on inpatient and outpatient units and interact with patients and families. Volunteer interns gain familiarity with hospital settings while enhancing the experience of patients and visitors. Total volunteer hours logged last year was 14,924 serving 65,614 patients, helping to advance healing through their compassionate services to patients and their families. EMERGENCY PREPAREDNESS AND RESEARCH. 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 Temple Health System, educating our communities about the importance of personal preparedness. Temple's Emergency Preparedness and Research Program is a critical link in the federal, state, and local disaster response plans. TEMPLE CENTER FOR POPULATION HEALTH. This center serves as an interface with federal, state and local agencies and with community based organizations to collaborate on initiatives to improve the health of our low-income, diverse, medically complex population. It served more than 2,000 community members last year. COACH INITIATIVE. Southeast Pennsylvania Collaborative Opportunities to Advance Community Health (COACH) initiative. In partnership with the U.S. Department of Health &amp; Human Services, Philadelphia Department of Health and the Healthcare Improvement Foundation, Temple helps address food insecurity. In selected clinical settings, a member of our hospital staff asks patients about their access to sufficient food. If a patient indicates food insecurity, we refer the patient to community resources for SNAP food assistance, food banks and other needs. FINANCIAL SERVICES. Working within and beyond our hospital walls, our team of 38 Financial Counselors are dedicated to helping uninsured and underinsured patients obtain medical coverage. MULTI-CULTURAL SERVICES. With a budget of about $1.8 million, TUHS has credentialed 17 Dual Role Interpreters, 166 Language Proficient Physicians, 31 language proficient RNs and 172 Language Proficient Bilingual Staff. Our team of 397 language proficient staff also includes 9 dedicated medical interpreters, a manger and a director. This unique program helps break down health disparities and improve health outcomes. PATIENT FAMILY ADVISORY COUNCILS (PFACS). Under the leadership of Temple University Hospital's Office of Patient Experience, we implemented the six (6) Temple Physicians Incorporated (TPI) PFACs and the Temple Heart and Vascular Institute (THVI) PFAC. The common mission of these committees is to foster dignity and respect by engaging diverse community stakeholders to collaborate, share information and improve patient and caregiver experience. The initial goals of the committee were to evaluate patient satisfaction and patient education in each council's location and develop priorities for the purpose of action planning. The committees are currently developing the action steps to address their priorities with the full support of Temple Health leadership. AMERICAN RED CROSS BLOOD DRIVES. We help ensure that our nation has a safe and reliable blood supply. Temple hospitals helped collect more than 500 pints of blood from employees, physicians and community members. INVESTING IN HEALTH PROFESSIONS EDUCATION. Temple provides a significant investment in 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, our HIV clinic, and other community outreach initiatives. 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>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SUBSIDIZING CRITICAL HEALTH SERVICES.</FormAndLineReferenceDesc>
        <ExplanationTxt>Temple University Hospital invested about $26 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. TUHS ECONOMIC IMPACT: Annual budget of $1.6 billion and more than 8,000 employees make us one of the largest academic medical centers in region. This produces additional economic impact by stimulating the growth of indirect jobs and business in the local community and region. (Estimated $2.9 billion total economic impact within Pennsylvania supporting nearly 16,000 direct and indirect jobs.)</ExplanationTxt>
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      <TransactionsRelatedOrgGrp>
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      <TransactionsRelatedOrgGrp>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
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      <TransactionsRelatedOrgGrp>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>