And those are just the charges involving Gosnell, 72, owner and operator of the Women's Medical Society clinic at 3801 Lancaster Ave.
The jury will also have to weigh counts of theft by deception and participating in a corrupt organization against Eileen O'Neill, 56, an unlicensed doctor who worked in the family practice section of Gosnell's clinic.
For O'Neill, of Phoenixville, a guilty verdict would likely mean prison and the end of any chance of a future in medicine for a woman described as an intelligent and skilled doctor but one who let a Louisiana medical license lapse in 2000 and never got another.
For Gosnell, a fixture of community medicine in West Philadelphia for more than 30 years, the stakes are life and death - his.
If the jury finds Gosnell guilty of any of the first-degree murder counts - babies said to have been born alive during illegal late-term abortions and killed when Gosnell "snipped" their spines with scissors - the jury would begin hearing evidence to decide whether Gosnell should be sentenced to death or life in prison without chance of parole.
In his closing argument to the jury, Gosnell attorney Jack McMahon accused prosecutors of "the most extraordinary hype and exaggeration in the history of the justice system."
Flashing through a series of photos of the interior of Gosnell's clinic, McMahon maintained that none showed the bloody, filthy "house of horrors" that prosecutors described in news conferences announcing the charges in 2011.
Both McMahon and James Berardinelli, O'Neill's lawyer, argued that their clients had been swept away in a tide of prejudicial news conferences by the District Attorney's Office, the "manipulation of witnesses," and a "rush to judgment" by the news media.
"You have a choice, a real choice . . . to roll with the tsunami of simplistic press and rhetoric, or the choice to stand against the power of that tsunami," McMahon told the jury.
Berardinelli told the jurors that they could "go through all 600 pages of criminal charges, and there is no crime called practicing without a license."
Berardinelli argued that O'Neill was a medical school graduate trying to obtain a Pennsylvania medical license while working under Gosnell's tutelage.
The charges against O'Neill - theft by deception involving patient fees and insurance claims for services she was not qualified to provide, and participating in a corrupt organization - were not supported by prosecution evidence during six weeks of testimony, Berardinelli said.
Assistant District Attorney Edward Cameron spent almost three hours reviewing the testimony of 54 witnesses and numerous exhibits.
Cameron argued that both Gosnell and O'Neill had violated their oaths as doctors.
Referring to O'Neill, Cameron noted that she had complained to coworkers about the abortion practice and unsanitary clinic conditions and a burgeoning clinic business selling prescriptions for dangerous narcotics to street addicts.
"What kind of person works in a facility like this for eight to 10 years and does not say anything about it?" Cameron asked. "What kind of doctor gets a degree in the '90s and never got a license?"
As for Gosnell, Cameron asked how any doctor could kill babies born alive during abortions - acts witnessed and testified to by clinic workers who cooperated with the prosecution in guilty-plea deals.
Cameron's voice cracked when he described for the jury how he recently had to have his family dog put down. Cameron said the veterinarian first put the dog to sleep and then injected the lethal drug.
"My dog was treated better than he treated these babies and women, and that's because he didn't care," Cameron said.
The prosecutor said the evidence showed Gosnell had "adopted a Henry Ford way of doing business: He created an assembly line."
"Are you human?" Cameron asked, turning and walking several steps to face Gosnell. "He's the one case that doesn't deserve to be called human."
Gosnell returned Cameron's gaze without apparent emotion, except for the slight smile he often exhibited during difficult moments at trial.
Gosnell did not testify in his defense, and McMahon presented no witnesses.
But in questioning prosecution witnesses, McMahon argued that none of the fetuses could have survived because all had been given a fatal abortion drug. Any movement in an aborted fetus was involuntary, McMahon argued.
Gosnell is also charged with third-degree murder in the Nov. 19, 2009 death of Karnamaya Mongar, 41, of Virginia. Prosecutors allege that Mongar died during an abortion when Gosnell's untrained staff overdosed her on Demerol, a painkiller he used as anesthesia during abortions.
McMahon argued that Mongar died through an unpredictable drug interaction - an accident, not homicide.
McMahon urged the jurors to live up to their oath and demand that the charges have been proven beyond a reasonable doubt: "Just because they want it to be that way, and people [courtroom spectators] want it to be that way, doesn't mean that's the way it is."
Contact Joseph A. Slobodzian at 215-854-2985, firstname.lastname@example.org, or @joeslobo on Twitter.