Very strong list -- and very LONG list!
Impressive that you were able to go through the virtual zoom interviews that many times and keep your sanity.
Thanks for including your goals, that is very helpful.
What I see is a graduating resident that has no geographic preference and picture themselves working on the palliative end of things while being involved with research/teaching at an academic cancer hospital. Did I get that right?
If so, your list is in good shape! Your top 5 programs check pretty much all the boxes you could want -- academic institutions, good volume patients with some zebras thrown in, research opportunities, co-fellows/residents/medical students to teach during fellowship, AND pedigree branding to add a touch of extra shine to your CV if you wish to enter academia. I wouldn't change the order of your top five (going only off of our summary sentence above as parameters).
Besides that, I would move U Wisconsin to the 6/7 spot and UT Houston way up given it's breadth and close relationship/rotations(?) at MD Anderson Cancer Center. (In my mind you don't get more "academic oncology hospital" than MD Anderson.) That said UAB should also likely creep up a little higher on the ROL than currently placed.
Statistically, it is very likely you will match in your top 5, and extremely likely in your top 10. Fret over who is in your top 10 more than who is 14 vs 19 spot.
Really try to decide what part of the country/climate you want to live in, despite you noting no strong geographic preferences -- location, program size, and benefits/COL can make reasonable tie-breakers... How about longer term? Do you want that faculty job to be in the upper midwest? Deep south? New England?
Good luck