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        <Explanation>MANAGEMENT HAS DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, AND GOVERMENT OFFICIALS TO ADVOCATE THE CENTER'S POSITION ON KEY ISSUES AFFECTING THE CENTER. FREQUENTLY, THESE CONTACTS ARE MADE TO EDUCATE THE APPROPRIATE REPRESENTATIVE OR OFFICIAL ON THE IMPLICATIONS OF SPECIFIC POLICY/LEGISLATION ON THE INDUSTURY IN GENERAL AND/OR IMPLICATIONS TO FOX CHASE. AT THE FEDERAL LEVEL, DURING FY 2010, THE CENTER ADVOCATED FOR INCREASED MEDICARE REIMBURSEMENT UNDER THE CANCER CENTER RULES AND ADVOCATED FOR INCREASED RESEARCH FUNDING FOR THE NIH AND NCI. MANAGEMENT ALSO PROVIDED INPUT ON VARIOUS ISSUES INCLUDING HEALTH CARE REFORM AND IMPORTANT ISSUES SUCH AS DRUG SHORTAGES LEGISLATION. ADDITIONALLY, TO ASSIST THE CENTER OBTAIN NEEDED FUNDING FOR CUTTING EDGE TECHNOLOGIES AND RESOURCES USED BY THE SCIENTIFIC AND CLINICAL FACULTY, THE CENTER SUBMITTED FEDERAL GRANTS THROUGH THE APPROPRIATION MECHANISMS. AT THE STATE LEVEL, MANAGEMENT ADVOCATED FOR THE SUSTAINED USE OF TOBACCO FUNDS TO SUPPORT THE VARIOUS CANCER PROGRAMS IN THE COMMONWEALTH. THIS FUNDING IS CENTRAL TO THE PROGRAMS CONDUCTED BY THE CENTER IN CANCER RESEARCH, PREVENTION, SCREENING AND TREATMENT. MANAGEMENT ALSO MET WITH VARIOUS STATE REPRESENTATIVES TO OBTAIN FUNDING FOR CAPITAL AND OPERATING PROGRAMS UNDER THE VARIOUS APPROPRIATION MECHANISMS TO SUPPORT ECONOMIC DEVELOPMENT OPPORTUNITIES.</Explanation>
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    </IRS990ScheduleC>
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      <HeldWorksOfArtAmts />
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        <BeginningOfYearBalance>1606575</BeginningOfYearBalance>
        <Contributions>2056274</Contributions>
        <InvestmentEarningsOrLosses>63620</InvestmentEarningsOrLosses>
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        <BookValue>37185499</BookValue>
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      <LeaseholdImprovements />
      <Equipment>
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        <Description>POST-RETIREMENT BENEFIT (FAS 1</Description>
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      <OtherLiabilities>
        <Description>MALPRACTICE INSURANCE</Description>
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      <OtherLiabilities>
        <Description>FAS 112 COSTS</Description>
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      <OtherLiabilities>
        <Description>EXCESS INSURANCE PREMIUM LIABILITY</Description>
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      <OtherLiabilities>
        <Description>MARK-TO-MARKET LIABILITY</Description>
        <Amount>3728944</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ASSET RETIREMENT OBLIGATION</Description>
        <Amount>88708</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>OTHER LIABILITIES</Description>
        <Amount>7045731</Amount>
      </OtherLiabilities>
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        <Identifier>PART V LINE 4</Identifier>
        <Explanation>APPOINTMENT TO AN ENDOWED CHAIR REWARDS A SCIENTIST'S PROFESSIONAL CONTRIBUTIONS, RECOGNIZES THE VALUE OF HIS OR HER RESEARCH ENDEAVORS AND SAFEGUARDS THE FUNDING NEEDED TO CONTINUE THESE PIONEERING INQUIRIES. THOSE WHO SUPPORT A CHAIR ENDOWMENT BECOME VITAL PARTNERS IN OUR SCIENTIST GROUNDBREAKING, LIFESAVING DISCOVERIES. ENDOWING AND NAMING A CHAIR PROVIDES THE OPPORTUNITY TO HONOR A LOVED ONE WITH A MEMORIAL THAT WILL LAST FOR MANY YEARS. ENDOWED CHAIRS PROVIDE A STEADY AND PREDICTABLE FLOW OF FUNDS IN PERPETUITY ALLOWING THE INSTITUTIONS TO STRENGTHEN THE QUALITY OF ITS PROGRAMS AND SERVICES BEYOND LEVELS THAT OTHER FUNDING SOURCES ALONE COULD SUPPORT. BOARD DESIGNATED FUNDS GIVE RESEARCHERS THE FLEXIBLE FUNDING TO INITIATE NEW PROGRAMS FOR THE PREVENTION, DETECTION, AND TREATMENT OF CANCER.</Explanation>
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    </IRS990ScheduleD>
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        <NetCommunityBuildingExpense>1229944</NetCommunityBuildingExpense>
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      <AmountAttributableTo>2387653</AmountAttributableTo>
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      <CostOfCareReimbursedByMedicare>51679009</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>1259385</MedicareSurplusOrShortfall>
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        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
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      <ProvisionForCharityCare>true</ProvisionForCharityCare>
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        <Name>
          <BusinessNameLine1>AMERICAN ONCOLOGIC HOSPITAL</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>333 COTTMAN AVENUE</AddressLine1>
          <City>PHILADELPHIA</City>
          <State>PA</State>
          <ZIPCode>19111</ZIPCode>
        </Address>
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        <TeachingHospital>X</TeachingHospital>
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      <Form990ScheduleHPartVI>
        <IncomeBasedCriteria>Not Applicable. Fox Chase Cancer Center does use Federal Poverty Guidelines.</IncomeBasedCriteria>
        <AnnualCommunityBenefitExpln>Not Applicable. Fox Chase Cancer Center did not prepare a community benefit report during the tax year.</AnnualCommunityBenefitExpln>
        <BadDebtFootnote>THE TOTAL EXPENSES INCLUDE BAD DEBT EXPENSE OF $4,472,655. WHEN THIS AMOUNT IS TAKEN OUT OF THE DENOMINATOR THE CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS AS COST PERCENTAGE CHANGES BY 01 PERCENT WHICH IS AN IMMATERIAL AMOUNT.</BadDebtFootnote>
        <ShortfallAsCommunityBenefit>COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE.</ShortfallAsCommunityBenefit>
        <DebtCollectionPolicy>THE ORGANIZATIONS WRITTEN POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE.</DebtCollectionPolicy>
        <PatientEducationAssistance>THE HOSPITAL PROVIDES PATIENT CARE SERVICES WITHOUT CHARGE, OR AT AMOUNT LESS THAN ESTABLISHED RATES TO PATIENTS WHO MEET THE CRITERIA OF ITS CHARITY POLICY. CRITERIA FOR CONSIDERATION UNDER THE CHARITY CARE POLICY IS BASED PRIMARILY ON FAMILY INCOME AND NET WORTH, BUT ALSO RECOGNIZES OTHER CIRCUMSTANCES WHERE UNDUE FINANCIAL HARDSHIP EXISTS. THE HOSPITAL MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. BECAUSE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE ARE NOT PURSUED, PATIENT SERVICE REVENUES ARE REDUCED BY SUCH AMOUNTS. THE HOSPITAL ALSO PROVIDES SERVICES AND SUPPLIES BELOW COST TO PATIENTS COVERED BY GOVERNMENT INSURANCE PROGRAMS, INCLUDING THE MEDICARE AND MEDICAID PROGRAMS.</PatientEducationAssistance>
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    </IRS990ScheduleH>
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      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>true</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
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        <NamePerson>MICHAEL V SEIDEN MD PHD</NamePerson>
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        <NamePerson>PAUL F ENGSTROM MD</NamePerson>
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        <BonusFilingOrg>0</BonusFilingOrg>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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        <NamePerson>SUSAN H TOFANI</NamePerson>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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        <NamePerson>LU WANG</NamePerson>
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        <NameOfInterestedPerson>
          <NamePerson>PETER McCAUSLAND - AIRGAS</NamePerson>
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        <AmountOfTransaction>34248</AmountOfTransaction>
        <DescriptionOfTransaction>ACQUISITION OF SPECIALTY GASES</DescriptionOfTransaction>
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    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>FORM 990, PART III, LINE 2</Identifier>
        <Explanation>AMERICAN ONCOLOGIC HOSPITAL'S TEAM UNDER FOX CHASE CANCER CENTER OPENED A NEW FACILITY IN BUCKINGHAM, PA. THE NEW FACILITY GIVES BUCKS COUNTY RESIDENTS MORE CONVENIENT ACCESS TO FOX CHASE'S NATIONALLY RECOGNIZED CANCER TREATMENT REGIMENS, ALONG WITH ACCESS TO INNOVATIVE CARE, CLINICAL TRIALS AND ALL THE RESOURCES OF AN NCI-DESIGNATED COMPREHENSIVE CANCER CENTER AND HAVING THE ADVANTAGE OF THE LATEST ADVANCES IN RADIATION THERAPY PROVIDED BY SOME OF THE NATIONS MOST EXPERENCIED DOCTORS USING THE STATE OF THE ART TECHNOLOGIES SUCH AS THE CYBERKNIFE ROBOTIC RADIOSURGERY SYSTEM, TRIOLOGY LINEAR ACCELERATOR WITH RAPID ARC, LIGHTSPEED RT16 SIMULATOR, CALYPSO 4D LOCALIZATION SYSTEM. FORM 990, PART VI, SECTION A, LINE 11A THE FORM 990 IS PREPARED BY PWC AND REVIEWED BY SEVERAL MEMBERS OF THE FINANCE DEPARTMENT INCLUDING BOTH THE VICE PRESIDENT - FINANCE AND THE SR. VICE PRESIDENT - FINANACE, CFO, MEMBERS OF THE SENIOR LEADERSHIP COMMITTEE AND THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS IS PROVIDED A COPY OF THE FORM 990 AT THEIR NEXT BOARD MEETING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 12C</Identifier>
        <Explanation>In the case of potential conflict of interest or commitment, the President of FCCC shall be responsible for administering all matters. All disclosures shall be kept confidential, in a separate file under the control of the Office of the President. They shall not be made part of any personnel record or the basis for any review of the performance of the individual staff member. Access to these records shall be made available only to Board members, the President or his designee or a properly authorized governmental body, acting under statutory or regulatory authority. Records will be maintained for three years unless the materials are subject to governmental action. Disclosures shall be required of all staff and board members as follows: By Board Members: All Board Members of FCCC shall be required to complete a Conflict of Interest Disclosure form at the time of appointment, annually and whenever a new potential conflict arises. By Employees: All scientists, physicians and administrative employees at the management level and above of FCCC shall be required to complete a Conflict of Interet form at the time of employment, annually and whenever a new potential conflict arises and submit such disclosure forms to the Chief Academic Officer or his designee. By Consultants and Subcontractors: Consultants and Subcontractors shall certify to FCCC that they are not in a position to influence Center business, research or other decisions in ways that could lead to any form of personal gain from them or their family or give improper advantage to others to the Center's detriment.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 15B</Identifier>
        <Explanation>THE ORGANIZATION'S COMPENSATION POLICY FOR THE POSITIONS OF CEO, EXECUTIVE DIRECTORS, SENIOR MANAGEMENT, OFFICERS AND OR KEY EMPLOYEES IS TO UTILIZE A NATIONAL SURVEY FACILITY FOR COMPENSATION INFORMATION. IT IS REVIEWED BY THE ORGANIZATION'S COMPENSATION COMMITTEE AS WELL AS THE BOARD FOR APPROVAL.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION C, LINE 19</Identifier>
        <Explanation>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC WHEN REQUESTED. FORM 990, PART VII Certain officers and directors of Fox Chase Cancer Center and its affiliates devote significant time each week to other related organizations. These hours are reflected on each organization's respective tax returns.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>BOND DISCLOSURE - SCHEDULE K</Identifier>
        <Explanation>THE BONDS WERE ISSUED BY THE FOX CHASE CANCER CENTER, INSTITUTE FOR CANCER RESEARCH AND AMERICAN ONCOLOGIC HOSPITAL VIA MASTER TRUST INDENTURES. UNDER THE TERMS OF THE INDENTURES, THE BONDS ARE JOINT AND SEVERAL LIABILITIES OF FOX CHASE CANCER CENTER, INSTITUTE FOR CANCER RESEARCH AND AMERICAN ONCOLOGIC HOSPITAL AND MAY ISSUE ADDITIONAL DEBT BASED UPON COMPLIANCE WITH THE TERMS AND CONDITIONS PRESCRIBED IN THE MASTER INDENTURE.</Explanation>
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