2024-05-09T13:46:52-05:00 2023-06-30 990 2022-07-01 231352156 The American Oncologic Hospital AMER 2157076686 3509 N Broad St Rm 936 Philadelphia PA 19140 Michael DiFranco Assistant Treasurer 2157076686 2024-05-09 Michael DiFranco 999009999 0 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Hosp of the Fox Chase Cancer Center Michael DiFranco 3509 N Broad St Philadelphia PA 19140 346943437 0 X www.foxchase.org X 1904 PA To prevail over cancer marshaling heart and mind in bold scientific discovery, pioneering prevention, and compassionate care. 15 13 1557 380 0 0 47647526 90497082 226910757 234921528 -2978491 3001760 875886 973320 272455678 329393690 47164493 39414221 0 0 115861103 115624604 0 0 2050181 118015653 140224079 281041249 295262904 -8585571 34130786 178448371 198736695 156402989 141864467 22045382 56872228 To prevail over cancer marshaling heart and mind in bold scientificdiscovery, pioneering prevention, and compassionate care. 0 0 193732690 39414221 238407712 Healthcare professionals at the American Oncologic Hospital focus on developing and participating in clinical trials to broaden our knowledge of cancer treatments. Our multidisciplinary staff provides a coordinated approach to treatment to best meet the needs of each patient. Specialists at the American Oncologic Hospital are recognized nationally and internationally in all areas of cancer care. 35357829 The mission of the Nursing department is to prevail over cancer by providing patient and family centered, quality, safe, compassionate, expert, holistic, evidence-based nursing care to adult oncology patients and their families. 13272187 At the American Oncologic Hospital, we believe that cancer care goes beyond medical diagnosis and treatment. For patients and their families we offer an array of support services, including complete care, nutrition support services, pain management, palliative care, pastoral care, social work services, support groups and medical records. 242362706 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 91 0 1 1557 1 0 0 0 0 0 0 0 0 0 0 X 15 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 PA X X Michael DiFranco 2157076686 3509 N Broad St Rm 936 Philadelphia PA 19140 Lewis Gould Director/Chair 1.00 12.50 X X 0 0 0 Christopher McNichol Director/Vice Chair 1.00 8.00 X X 0 0 0 Michael Young Director 1.00 49.00 X 0 1714324 33367 Amy Goldberg Director 1.00 49.00 X 0 1087500 40945 Tina Pidgeon Director 1.00 4.00 X 0 0 0 Dr Solomon Luo Director 1.00 13.50 X 0 0 0 Edward Glickman Director 1.00 6.00 X 0 0 0 Thomas Hofmann Director 1.00 6.00 X 0 0 0 David Marshall Director 1.00 4.00 X 0 0 0 Dr Donald Morel Director 1.00 4.00 X 0 0 0 William Federici Director 1.00 4.00 X 0 0 0 Sandra Harmon-Weiss Director 1.00 8.00 X 0 0 0 Leon O Moulder Director 1.00 4.00 X 0 0 0 Chip W Marshall III Director 1.00 10.00 X 0 0 0 Carl Sottosanti Director 1.00 3.00 X 0 0 0 Dr Robert Uzzo President & CEO 1.00 49.00 X 0 1344951 60588 John Ryan Assistant Secretary 1.00 49.00 X 0 726123 44812 Tausha Saunders Assistant Secretary (from 10/20/22) 1.00 49.00 X 0 72616 4194 Jerome Maddox Secretary 1.00 49.00 X 0 262555 26883 Charna Wright Assistant Secretary (until 10/20/22) 1.00 49.00 X 0 89226 19576 Jarred Matchett Treasurer & CFO 46.00 4.00 X 120232 0 11496 Michael DiFranco Assistant Treasurer 1.00 49.00 X 0 313586 31332 Chang Ma Vice Chair Rad Onc 50.00 0.00 X 453504 0 30509 Robert Price Assoc Professor 50.00 0.00 X 362826 0 56249 Anna Liza Rodgriguez Chief Nursing Officer 50.00 0.00 X 357169 0 47080 Lili Chen Assoc Professor 50.00 0.00 X 309133 0 54082 Lu Wang Professor 50.00 0.00 X 296927 0 55117 1899791 5610881 516230 321 0 1 0 Temple University Health System 3509 N Broad Street Philadelphia PA 19140 Professional Service 18198682 FCC Medical Group Inc 3509 N Broad Street Philadelphia PA 19140 Professional Service 10401811 The Institute For Cancer Research 3509 N Broad Street Philadelphia PA 19140 Professional Service 9669952 Harmelin Media Inc 525 Righters Ferry Road Bala Cynwyd PA 19004 Professional Service 1369514 Society Hill Anesthesia Consultants 301 S 8th Street Suite 2L Philadelphia PA 19106 Professional Service 872660 18 1927092 83281462 4521327 767201 90497082 Net Patient Service Re 621110 227227917 227227917 TUH and Jeanes BMT Rev 621110 4130644 4130644 Government Plan Revenu 621110 2306123 2306123 Food Revenue 621110 874578 874578 Patient TV & Gift Shop 621110 381534 381534 732 732 234921528 -261693 -261693 92814 0 92814 92814 92814 20483619 17220166 3263453 3263453 3263453 725663 1927092 329581 396082 396082 Miscellaneous Revenue 900099 484424 484424 484424 329393690 235144259 0 3752349 X 39414221 39414221 1026874 1026874 89614764 80661272 8953492 5438144 4867194 570950 12329530 11014058 1315472 7215292 6425486 789806 3404977 3404977 255793 255793 58450756 49435108 7060733 1954915 4290391 45649 4244742 4259431 3424963 751449 83019 861614 313610 548004 12084944 12084944 418484 231713 186439 332 140199 100878 39321 2364512 23262 2341250 5769353 29387 5739966 2868108 455270 2412838 Medical/Surgical & Admi 24946743 24946743 Drugs 18451743 18387837 63906 Equipment Rentals 1429206 1429206 227825 129975 85935 11915 295262904 242362706 50850017 2050181 15793010 4284898 63663 82292 1569503 1100590 39167100 55123462 4105654 3734640 1749793 1828445 103435786 51221989 42785215 52213797 44795332 47790207 7315092 6728609 29387 0 21074622 25849755 178448371 198736695 19774736 16118682 845117 778916 1240303 1806062 134542833 123160807 156402989 141864467 X 4034204 37756380 18011178 19115848 22045382 56872228 178448371 198736695 X 34130786 523840 172220 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 1000000 1000000 1000000 3000000 4500000 30000 27810 1910 59720 250000 250000 250000 750000 1125000 9958761 3846714 453596 922962 -68622 13404732 6999437 4604720 -918213 765169 -37986 9958761 5526124 1115935 1064230 826940 -120088 6999437 6243362 1170481 -7844 1932026 52153 5526124 4702244 2345199 72343 919764 -43340 6243362 0.37500 0.62500 0 1 1 3393528 3393528 28899560 8578389 20321171 4050570 3730835 319735 62862404 38758453 24103951 4229724 154312 4075412 52213797 ACE Bond Collateral 83485 Beneficial Interest in FCCC Foundation 5970544 Board of Associates - Bank Accounts 325965 Charitable Gift Annuity Reserve 381158 Other Assets 3424621 Permanently Restricted Cash - PNC 5030286 Temporarily Restricted Cash - PNC 8374447 Welfare Benefit Trust 150795 Wells Fargo Collateral 234362 Workers' Compensation 1874092 25849755 Workers' Compensation 3083928 Post Retirement Benefits 2149717 Payer Advances (Medicare & HPP) 5463493 Other Liabilities 7293480 Due to Affiliates 105170189 123160807 Part V, Line 4: The American Oncologic Hospital periodically receives endowment gifts from individuals and other entities that provide a steady stream of income to the respective purpose to which the donor intended. This typically would be to support patient care programs and patient care activities at the hospital. In Vino Vita 2441242 1796305 644937 0 4439 0 123238 10472 172100 Paws for the Cause 96690 61787 34903 0 0 0 1487 3137 14708 9 114823 69000 45823 2652755 1927092 725663 4439 124725 13609 186808 329581 396082 1 1 X 1 X 1 X 1 1 1 0 0 177000 177000 0.00060 20793000 10839000 9954000 0.03370 20970000 10839000 10131000 0.03430 232 9223 1305943 113883 1192060 0.00400 5 313 9286000 1801000 7485000 0.02540 38111600 38111600 0.12910 36 100 118800 118800 0.00040 273 9636 48822343 1914883 46907460 0.15890 273 9636 69792343 12753883 57038460 0.19320 1 1800 1800 0.00000 1 500 27400 40733 0 0.00000 2 500 29200 40733 1800 0.00000 1 -300000 58375000 63989000 -5614000 X 1 1 3 1 The American Oncologic Hospital 333 Cottman Avenue Philadelphia PA 19111 012901 X X X A 2 The American Oncologic Hospital 2365 Heritage Center Drive Furlong PA 18925 012901 X X X A 3 The American Oncologic Hospital 8 Huntingdon Pike Rockledge PA 19046 012901 X X X A The American Oncologic Hospital 0 0 1 X X X X X X X X X 22 1 0 0 1 X foxchase.org/community/community-health X X 1 22 1 www.foxchase.org/community/community-health 0 1 X 100.000000000000 400.000000000000 X X X X 1 1 X X X 1 X https://www.foxchase.org/patients/insurance-financial/financial-assistance- X https://www.foxchase.org/patients/insurance-financial/financial-assistance- X https://www.foxchase.org/patients/insurance-financial/financial-assistance- X X X X X X 1 X 0 1 X 0 0 Part V, Section B Facility Reporting Group A Facility Reporting Group A consists of: - Facility 1: The American Oncologic Hospital, - Facility 2: The American Oncologic Hospital, - Facility 3: The American Oncologic Hospital Group A-Facility 1 -- The American Oncologic Hospital Part V, Section B, line 5: FCCC completed a community health needs assessment (CHNA) in 2022 as part of a regional CHNA with other hospitals and health systems in Southeastern Pennsylvania. Data was collected from local, state, and federal sources including the U.S. Census, Pennsylvania Department of Health Vital Statistics City of Philadelphia Department of Health, and tumor registry data from Fox Chase Cancer Center (FCCC). The target area included in the CHNA is the primary service area for the institution and comprises 80 zip codes in Bucks, Montgomery and Philadelphia counties, with a total current population of approximately 2,208,752. In addition to the quantitative data utilized for the CHNA, additional community input was derived from 26 virtual focus group-style "community conversations" held to gather input from residents of geographic communities across all five counties and 21 virtual focus group discussions centered on "spotlight" topics conducted with community organization and local government agency representatives. Topics covered included behavioral health, chronic disease, food insecurity, housing and homelessness, older adults and care, racism and discrimination in health care, substance use, and violence. Group A-Facility 1 -- The American Oncologic Hospital Part V, Section B, line 7d: The final CHNA was shared externally with partner organizations and is available to the public via the organization's website https://www.foxchase.org/community/community-health. Additional dissemination of its findings has been presented to the Board of Directors, senior leadership, and to multiple entities within FCCC including: American College of Surgeons (ACoS) Commission on Cancer, Cancer Committee, Cancer Prevention and Cancer Control (Behavioral Research team) and staff from the Office of Community Outreach, the primary education and outreach arm for the institution. Group A-Facility 1 -- The American Oncologic Hospital Part V, Section B, line 11: The CHNA provided a broad overview of the needs of our community, however, as an NCI Comprehensive Cancer Center, our sole focus is cancer. Within the cancer control realm, we address the entire cancer continuum from prevention to survivorship. An implementation plan was developed based on the 2022 CHNA to focus on four priority areas to address the immediate community's health issues and care needs. The areas include (1) enhance cancer care access; (2) lower burden of chronic disease (3) address racial, ethnic, and other healthcare disparities and (4) increase behavioral health support. The CHNA was completed in 2022 and an implementation plan was subsequently developed and approved by the Board of Directors and is posted on the organization's website https://www.foxchase.org/community/community-health. Teams were formed to implement specific tasks and/or projects to address the four priority areas and each priority area has an executive sponsor leading the implementation of these tasks. Fox Chase Cancer Center (FCCC) is addressing the following unmet needs identified in this Community Health Needs Assessments (CHNA): Demographic Changes - the anticipated growth in older populations does not present a challenge for Fox Chase. According to the 2019 Tumor Registry data, 87% of our patient mix in the service area is between the ages of 50-99. Language Needs - In preparation for the changing language needs, we have embarked on a quality improvement plan for language services. We have established institutional policies to address the languages needs of our non-English speaking patients. These services include on-site medical interpreters, language phones, remote video units and amplifiers for our hard of hearing patients. Individual languages/dialects that address this need are: Spanish, Russian, Mandarin, Cantonese and Vietnamese. Other languages are available however; this speaks directly to the most utilized languages according to our Cultural and Linguistic Services (CLS). The other policy relates to the translations of vital patient documents and other materials produced by Fox Chase. These documents are translated by a Temple Health contracted and accredited translations vendor. The documents once completed undergo an internal review by the CLS to ensure accuracy as well as compliance with the National Standards for Culturally and Linguistically Appropriate Services in Health Care and the Joint Commission's Roadmap. We have also developed new bilingual cancer education brochures that were developed and translated by a certified medical interpreter. These include materials on quitting smoking in Chinese, Spanish and Russian and a brochure on liver cancer in Spanish. Additional bilingual educational materials, developed as part of our previous assessment continue to be revised and available. To alleviate the inability to disseminate paper materials during the COVID-19 pandemic, the Lippincott Resource and Education Center created the RECOnline web-based library (foxchase.org/RECOnline) of cancer-support materials to provide access to bilingual materials, free of charge. There are over 1000 resources on RECOnline and materials are available in multiple languages. To further augment our ability to reach our Hispanic/LatinX population our Community Outreach Facebook page posts Spanish-language content twice a month. Insurance Plans - FCCC accepts a variety of medical insurance including Medicare, Medicaid and private insurers. Additional funding from state and foundation grants enables us to offer cancer screening and treatment for breast cancer. Financial counseling and triaging within our network hospitals is available to persons who do not fall within these categories. Access to care: increase access screening and research- There is an unmet need in the service area for screenings, preventive care, and access to research. FCCC brings cancer screening to the community via the community cancer screening program, including the mobile screening unit (MSU). Recognized as a best practice to reducing structural barriers, the MSU brings breast cancer screening to the community. In FY23, we conducted 94 screening events and reached 1,208 women with breast cancer screenings through the community cancer screening program. Individuals requiring language services were provided with a certified medical interpreter at no cost to the patient. Individuals identified with abnormal findings that require follow-up are supported with navigation services including transportation to and from FCCC at no cost to the patient. In addition to the language and transportation services provided to patients in-need; our community navigator greets MSU patients requiring follow-up care and remains with them as they receive services. During FY23, our community navigator worked with 112 patients to assist them with their appointments and navigate them through their services. One patient screened through the community cancer screening program was diagnosed with breast cancer this year. These patients were assigned a nurse navigator to support ongoing needs i.e., scheduling, testing and overall coordination of clinical care. In addition, FCCC has expanded its clinical trial portfolio at Temple University Hospital (TUH) to increase access to research opportunities. Several new studies have been activated, the number of faculty has been expanded, and work has been done with the Office of Community Outreach and Engagement (OCOE) to increase awareness of trials. Also this year, FCCC worked with Temple University Health System (TUHS) to pilot a Colorectal Cancer Screening home-based Fecal Immunochemical Test (FIT) program with high-risk populations in North Philadelphia. These kits are a quick, easy, and innovative way for people to screen at home. The program was successful, with 75% of participants reporting their FIT test results.Chronic disease: education and smoking cessation Through our community Speakers Bureau, the OCOE provides participants with evidence-based information on risk factors, symptoms, screening guidelines, and treatment options for breast, cervical, colorectal, liver, lung, ovarian, prostate, and skin cancers. In FY23, OCOE conducted bilingual outreach to 2,412 people through 65 sessions. Fox Chase was able to participate in an additional 54 outreach events this year and reached a 2,969 people with cancer information. These programs are designed to help patients become more active in their healthcare by gaining a stronger understanding of cancer, risk factors and screening guidelines.Twenty-two percent of adults in the service area smoke cigarettes, which is significantly higher than the state rate of 18%. Fox Chase Cancer Center offers smoking cessation assistance to all patients using tobacco products through the Tobacco Treatment Program. Participants in this program receive counseling along with the use of pharmacotherapy (nicotine replacement therapy and/or other medications). The tobacco treatment program has expanded. The number of unique patients receiving tobacco treatment services increased to 848. There were a total of 1,804 visits scheduled with the tobacco program. In addition, 30 patients enrolled in the navigation program and 23 of them have had at least one visit. The navigation program provides more in-depth tobacco treatment services and referrals to additional resources. The Community Tobacco Treatment Program has been held virtually and includes education and pharmacotherapy counseling. This program is open to community members that are interested in quitting tobacco. To eliminate barriers to participation and to increase access, the 4-week program is offered at no cost to participants. The program was held once in FY23.Eat Healthy, Be Active is a nutrition and physical activity program that Fox Chase ran for adults. It promotes living healthy to reduce the risk of obesity and chronic disease. The Eat Healthy, Be Active community workshops are based on the Dietary Guidelines for Americans, 2015- 2020 and the Physical Activity Guidelines for Americans. Participants learn the skills needed to make healthy eating and regular physical activity a part of their lifestyle. Class content focused on identifying small changes to incorporate into your daily lifestyle, as well as healthy substitutions to make while you shop and cook. Participants learned the benefits of physical activity as well as the difference between moderate aerobic activity, vigorous aerobic activity, and muscle strengthening activity. The program was run twice in FY23 and was offered once in English and once in Spanish. There were 17 participants in the English language class and 26 total participants in the Spanish language class. Group A-Facility 2 -- The American Oncologic Hospital Part V, Section B, line 5: Refer to Facility 1 description. Group A-Facility 2 -- The American Oncologic Hospital Part V, Section B, line 7d: Refer to Facility 1 description. Group A-Facility 2 -- The American Oncologic Hospital Part V, Section B, line 11: Refer to Facility 1 description. Group A-Facility 3 -- The American Oncologic Hospital Part V, Section B, line 5: Refer to Facility 1 description. Group A-Facility 3 -- The American Oncologic Hospital Part V, Section B, line 7d: Refer to Facility 1 description. Group A-Facility 3 -- The American Oncologic Hospital Part V, Section B, line 11: Refer to Facility 1 description. Community Health Promotion Racial, ethnic and other healthcare disparitiesRacism was recognized as an ongoing public health crisis in need of collective attention during the 2022 Community Health Needs Assessment. Communities of color expressed mistrust of healthcare providers arising from health disparities and discriminatory treatment in healthcare settings, which can lead to forgoing needed care. Equitable and affirming healthcare was a concern for LGBTQ+ community members. In response, the community requested a more diverse healthcare workforce with lived experience and increased diversity, equity, and inclusion training programs in healthcare institutions. More culturally concordant healthcare providers and resources to address language barriers, including high quality oral and written language translation resources were also requested. In FY23, there were 202,943 language requests for translation services. Planning began for future cultural competence, anti-racism, diversity awareness trainings. One training on "Cancer Disparities: How does this inform DEIA at FCCC" was conducted during this year with 37 attendees. Human resources also has several trainings that are DEI related. In FY23, 1,023 instances of a DEI course taken were reported, including Introduction to LGBTQ Patients, Cultivating Cultural Competence and Inclusion, and the Temple Experience.Behavioral health support- The Community Health Needs Assessment (CHNA) identified behavioral health as a top need exacerbated by the pandemic. In response to this identified need, we expanded the Patient to Patient Network (P2PN) and Caregiver Network, this program is a telephone-based support program that connects trained patients/caregivers to new patients/caregivers. In FY23, the P2PN and caregiver network expanded to Temple University Hospital. There were 73 completed P2PN matches at Fox Chase and 17 completed matches at Temple Hospital. There were also 20 volunteers trained at Fox Chase and 5 trained at Temple Hospital. In FY23, there were 9 completed caregiver matches at FCCC and 1 at Temple Hospital. There were 2 caregiver volunteers trained. Since the program began, over 200 P2PN volunteers have been trained. In addition, there were 276 participants in Fox Chase support groups and the Cognitive Behavioral Therapy (CBT) for Pain behavioral health therapy group and the Music Wellness Program were launched this year.Unmet Needs and Identification Process - The unmet healthcare needs for this service area were identified and prioritized by comparing the health status, access to care, health behaviors, and utilization of services for residents of the service area to results for the county and state and the Healthy People 2030 goals for the nation. In addition, for Household Health Survey measures, tests of significance were conducted to identify and prioritize unmet needs. Input from the community meeting participants was also used to further identify and prioritize unmet needs, local problems with access to care, and populations with special health care needs. Part I, Line 3c: Not applicable. The American Oncologic Hospital does use Federal Poverty Guidelines.The Hospital provides patient care services without charge, or at amounts less than established rates, to patients who meet the criteria of its charity care policy. Criteria for consideration under the charity care policy is based primarily on family income and worth, but also recognizes other circumstances where undue financial hardships exist. 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. Part I, Line 6a: FCCC completed a community health needs assessment (CHNA) in 2022 as part of a regional CHNA with other hospitals and health systems in Southeastern Pennsylvania. Data was collected from local, state, and federal sources including the U.S. Census, Pennsylvania Department of Health Vital Statistics City of Philadelphia Department of Health, and tumor registry data from Fox Chase Cancer Center (FCCC). The target area included in the CHNA is the primary service area for the institution and comprises 80 zip codes in Bucks, Montgomery and Philadelphia counties, with a total current population of approximately 2,208,752. See Part V, Section B for further information. Part I, Line 7: As set forth in the Fox Chase Cancer Center Emergency Care, Charity Care and Financial Assistance Policy, it is the policy of Fox Chase Cancer Center to provide all necessary urgent care to patients without regard to their ability to pay for such care. Given this mission and within the guidelines of prudent business management, it is further the policy of Fox Chase Cancer Center that an orderly and controlled system for the write-off of all types of Bad Debt and Charity Care balances is in effect to ensure maximum collections. All patients have the option to apply for the Fox Chase Cancer Center Charity Care Program. The guiding principles behind this policy are to treat all patients equally, with dignity and respect, to assist patients who cannot pay and to balance appropriate financial assistance for patients with fiscal responsibility. Patients and their families have a responsibility to assist Fox Chase Cancer Center in qualifying them for financial assistance. Fox Chase Cancer Center's cost to charge ratio for Part 1, lines 7a through 7d is derived by total expenses divided by the total gross charges. The net community benefit expense was $46,907,460.43 as reported on line 7j. Part II, Community Building Activities: Fox Chase Cancer Center engages in numerous community building activities throughout the year. One environmental improvement was the maintenance of a medicine disposal unit in the FCCC pharmacy. Fox Chase Cancer Center has also been involved in community health improvement advocacy. This includes an active role in the Smokefree Philly coalition to work towards reduced tobacco use in Philadelphia. Fox Chase also worked with the American Lung Association to advocate for tobacco control legislation at the state level. In addition, Fox Chase worked collaboratively with the Pennsylvania Breast Cancer Coalition, to advocate to Pennsylvania legislators to eliminate all costs associated (including co-pays, deductibles and co-insurance) with breast MRIs, breast ultrasounds and BRCA-related genetic testing and counseling for Pennsylvanians at high risk insured under state law. The landmark, life-saving legislation was signed into law on May 1, 2023. The other Community Building Activities focus on workforce development. They include partnerships with local colleges and universities, school based programs on health care careers, health career mentoring, and community programs that drive entry into health careers. Some examples of these programs are listed below.WORKFORCE DEVELOPMENT(1) TRIP Initiative Program: The Teen Research Internship Program (TRIP) is a rigorous lab-based course for high school students who are motivated to explore their interests in science, technology, engineering, art, and math (STEAM). The mission of the TRIP Initiative is to foster an enthusiasm for science by offering students a chance to do hypothesis-driven research and hands-on learning in a lab. The TRIP Initiative course is offered during the summer at Temple University in Philadelphia.(2) FCCC Career Series: This annual series is aimed at educating high school and undergraduate students who are spending their summer at Fox Chase about many of the career paths employed here at the Center. Each session will feature two speakers, who will talk about their careers and touch on what skills are necessary to be successful in their fields from medical oncology to genetic counseling, postdoctoral research, and more.(3) Gateway School Visit Cancer Research Discovery Day: The Discovery Day entails a one-day visit to FCCC including a tour of the Center and a meeting with graduate students and postdocs over lunch to discuss careers.(4) Career Talks at schools: These career talks are with high school students to promote and educate the community about STEM programs and careers.(5) Philadelphia STEM Equity Collective Workgroup: Designed to cultivate STEM equity, access, and inclusion in STEM career pathways for Philadelphia students who are traditionally underrepresented in STEM occupations. The program is designed to specifically increase the number of Black, Latinx and women Philadelphia students going into STEM careers by 2030.(6) University of Delaware-FCCC summer fellowship: The program is a continuing partnership between FCCC and the University of Delaware (UD), with the goal of providing UD students exposure to the diverse array of careers in science, medicine, and health care-related fields. The Discovery Day entails a one-day visit to FCCC including a tour of the Center and a meeting with graduate students and postdocs over lunch to discuss careers. Participants in this program are UD undergraduates from low socioeconomic status, underrepresented minorities, or first in college backgrounds.(7) Student Design Lab/Beyond the Canvas: This program teaches students to use a design framework to promote problem solving and critical thinking. It also connects students to STEM professionals and mentors. The program is designed to equip students with translational skills while they work to solve real-world problems.(8) Application feedback: This program promotes and educates the community about STEM programs and careers. It also helps students complete more competitive applications to STEM programs, colleges, and jobs.(9) Immersion Science Program: This program trains high school students in cancer research. Approximately 60% of the students are from the School District of Philadelphia (Title 1, 100% free lunch), more than 70% are female and more than 60% are minorities. Immersion Science Program is a free educational program that reduced cultural barriers to health, advances knowledge through education, and is focused on cancer research of benefit to the public. Part III, Line 2: Effective July, 1, 2018, the Health System adopted a new revenue recognition accounting standard that resulted in significant changes to the methodology for reporting bad debt expense. Under the previous standard, estimates for amounts not expected to be collected based on historical experience were recorded within net patient service revenue and then recognized as bad debt expense. Under the new standard, estimates for unrealizable amounts are recognized as implicit price concessions that are a direct reduction to net patient service revenues. As a result, the amount of bad debt expense reported in the Health System's financial statements has been greatly reduced, despite the fact that overall collection rates have not changed. Part III, Line 4: There is no footnote specific to bad debt at this time. This expense is related to services rendered for which payment is anticipated and credit is extended. These patients do not meet the established Charity Care policy and may therefore have the ability to pay. The cost method is determined based on the patient's liability for services rendered and is a community benefit because it is a cost of providing health care to the general public. Part III, Line 8: In 2023, the cost of providing services to the Medicare population was $5,614,000 (Part III, Line 7) higher than revenue. Medicare allowable cost (Part III, Line 6) was based on cost apportionment derived from the Medicare Cost Report. The Medicare shortfall carried by FCCC provides a community benefit because it benefits a charitable class, the elderly. Part III, Line 9b: American Oncological Hospital's collection policy contains provisions on the collection practices to be followed for patients who are known to qualify for charity care. If a patient does not qualify for charity care or qualifies for only a charity care discount, the normal billing process of four (4) statements over a span of at least 120 days will occur. If no patient response is received, a write-off request form will be completed by the collection specialist and submitted for proper signature authority for agency referral. Once approved, the account will be transferred to the Bad Debt Financial Class. The account will be forwarded to the collection agency for additional collection effort. Collection vendors are required to include in their collection notifications notice that AOH provides free and/or reduced price care to persons who qualify, that AOH provides assistance in applying for and obtaining government funded insurance, and that patients can contact the Financial Services Department for assistance. Part VI, Line 2: The health care needs of the communities served are assessed using primary and secondary data and evidence-based resources such as those provided by the PA Department of Health, Center for Disease Control and Prevention, National Cancer Institute, American Cancer Society, Healthy People 2020, FCCC Tumor registry, PMHC and information provided to us by our community via focus group discussions. Part VI, Line 3: Financial Counselors assigned to American Oncologic Hospital screen all uninsured and underinsured patients (including those with high deductibles and co-pays) who are hospitalized or require elective outpatient hospital services to determine their eligibility for government funded medical insurance coverage such as Medicaid and CHIP as well as coverage through the Health Insurance Marketplace. In addition, any current or prospective patient my seek information about and/or assistance in applying for Charity Care/Financial Assistance from the Financial Counselors.Patients that meet the qualifications for these programs are assisted by financial counseling staff throughout each step of the application process. Medicaid applications are submitted by AOH on the patient's behalf and tracked until final determination. Patients who do not qualify for government-funded programs are screened for the American Oncologic Hospital Charity Care/ Financial Assistance program to determine their eligibility for free or reduced cost care. Patients who contact the Hospital's Business Office concerning bills they have received that they cannot afford to pay are also screened for Charity Care/Financial Assistance eligibility. The Financial Counseling Staff at American Oncologic Hospital are CMS Certified Application Counselors and provide assistance in obtaining coverage through the Health Insurance Marketplace as well as in assisting patients in obtaining supplemental coverage and prescription drug benefits. Patients are informed of American Oncologic Hospital's Financial Services, and direction on how to access these services, through the following means:Posters in plain view at inpatient, outpatient and emergency registration areas and billing offices; Patient discharge summaries, billing invoices and vendor collection notices; and Hospital website. Part VI, Line 4: The 2023-2026 Community Health Needs Assessment (CHNA) focused on 80 zip codes in three counties which represents approximately 67% of the in-patient population we serve. The total population within this region is 2,208,752. Approximately 32.2% of the populations is 20-44 years old. The majority (58.5%) of persons self-identify as White followed by African American (21%), Hispanics (11.8%) and Asian (6.3%). A significantly higher percentage of residents in neighborhoods in our catchment area including Norristown, North Philadelphia-East and Lower Northeast Philadelphia report that they have no health insurance (13%, 10.7%, and 9.9% respectively), compared to the statewide percentage of 9% uninsured. In the neighborhoods of North Philadelphia West and East, 43.5% and 40.8% of residents live in poverty, Chronic disease (hypertension, asthma, obesity, diabetes and cancer) and mental health are major health issues. Additional details are provided in the CHNA - https://www.foxchase.org/community/community-health. Part VI, Line 5: Fox Chase Cancer Center organized or participated as a key partner in a number of community health improvement activities. These activities are free to the community, subsidized by Fox Chase Cancer Center, and are carried out for the sole purpose of improving community health. Community health improvement services (Part 1, lines 7e) includes several programs, many of them operated by FCCC's Office of Community Outreach and Engagement (OCOE).(1) Community Cancer Screening program: In order to increase access to care, the Community Cancer Screening program provides breast cancer screening and treatment to medically underserved women within our service area. Low-income, uninsured or underinsured women screened on the Fox Chase Cancer Center (FCCC) Mobile Screening Unit (MSU) for breast cancer are covered under funds secured via state contract via the Pennsylvania Healthy Women Program (HWP), a federally funded program of CDC's National Breast and Cervical Cancer Early Detection Program (NBCCEDP). Eligible women receive free or low cost mammograms and if diagnosed receive treatment. In the event of a cancer diagnosis or a high-risk finding, OCOE will prepare and submit the application on behalf of the patient to the Healthy Women Program (HWP). HWP will forward the application to the appropriate Pennsylvania County Health Department. Once approved the patient receives instructions to enroll in a Medicaid plan. If needed, financial services can provide additional support. Additional funds secured through the Pennsylvania Department of Human Services enabled us to provide additional screening and diagnostic services to medically underserved women in our service area during FY23. Should a woman be diagnosed, she would be transitioned to the HWP. In FY23, our Community Cancer Screening program reached a total of 1,208 individuals with breast cancer screening. We provided no-cost mammograms to 309 uninsured women (25%).(2) Community Speakers Bureau: OCOE also brings cancer education to the community through our Community Speakers Bureau program. Community Health Educators provide free, bilingual (English and Spanish) cancer education programs to community organizations. In FY23, we reached a total of 2,412 persons with cancer education, interventions, and information. We addressed a wide array of cancer topics including breast, cervical, colorectal, liver, lung, ovarian, prostate, and skin cancers. All of the programs provide an overview of the cancer, associated risk factors, updated screening guidelines, prevention strategies, and methods to diagnose and treat cancer. Materials used to support the program are written in "plain language" to address literacy issues also identified in the CHNA. An additional 2,969 people were reached through health fairs and other large community events. (3) Tobacco Cessation Program: Fox Chase Cancer Center offers smoking cessation assistance to all patients using tobacco products through the Tobacco Treatment Program. Participants in this program receive counseling along with the use of pharmacotherapy (nicotine replacement therapy and/or other medications). The tobacco treatment program has expanded. The number of unique patients receiving tobacco treatment services increased to 848. There were a total of 1,804 visits scheduled with the tobacco program. In addition, 30 patients enrolled in the navigation program and 23 of them have had at least one visit. The navigation program provides more in-depth tobacco treatment services and referrals to additional resources. The Community Tobacco Treatment Program has been held virtually and includes education and pharmacotherapy counseling. This program is open to community members that are interested in quitting tobacco. To eliminate barriers to participation and to increase access, the 4-week program is offered at no cost to participants. The program was held once in FY23.(4) Resource and Education Center (REC): The REC provided 1,429 patients, families, and community members with access to free cancer information and resources that address the cancer continuum. The REC also provided an additional 136 attendees with education through free virtual seminars.(5) Behavioral health support: The Community Health Needs Assessment (CHNA) identified behavioral health as a top need exacerbated by the pandemic. In response to this identified need, we expanded the Patient to Patient Network (P2PN) and Caregiver Network, this program is a telephone-based support program that connects trained patients/caregivers to new patients/caregivers. In FY23, the P2PN and caregiver network expanded to Temple University Hospital. There were 73 completed P2PN matches at Fox Chase and 17 completed matches at Temple Hospital. There were also 20 volunteers trained at Fox Chase and 5 trained at Temple Hospital. In FY23, there were 9 completed caregiver matches at FCCC and 1 at Temple Hospital. There were 2 caregiver volunteers trained.(6) Health Care Support Services: FCCC conducts many programs to increase awareness and access to survivorship-oriented educational resources. These include survivor focused events on several cancer types (the Together Facing Cancer series) in addition to specific events for breast cancer survivors called Unite for Her. Additionally, FCCC offers support groups for various cancer types. Lastly, FCCC conducts research in the community that is focused on how to help community members to understand the role and importance of research. We also are interested in how best to reach people with health care information and how to help them become strong partners in their own health care. Part VI, Line 6: American Oncologic Hospital is a part of Fox Chase Cancer Center, which is a member of the Temple University Health System, Inc. (TUHS). Its mission is to prevail over cancer marshaling heart and mind in bold scientific discovery, pioneering prevention, and compassionate care. The other entities that are a part of Fox Chase Cancer Center are the Institute for Cancer Research, Fox Chase Cancer Center Medical Group, and Fox Chase Network, Inc. All of these entities have the same mission as the American Oncologic Hospital. The missions of other members of the Temple University Health System similarly advance the health systems goals, as follows: Temple University Hospital's mission to provide access to the highest quality of health care in both the community and academic setting and it supports Temple University and its Health Sciences Center academic programs by providing the clinical environment and service to support the highest quality teaching and training programs for health care students and professionals, and to support the highest quality research programs; Temple University Health System's mission is to provide access to high quality health care to the community and academic setting; the Temple Health System Transport Team, Inc. mission is to provide the highest level of critical care transport services available in the mid-Atlantic region; and the Temple Physicians, Inc., (TPI) mission is to provide the highest quality of clinical care as well as to support the clinical, administrative and corporate activities of Temple University Health System; the Temple Faculty Practice Plan, Inc. (TFPP) mission is toprovide access to the highest quality of clinical care to the patients ofNorth and Northeast Philadelphia and surrounding areas, and to support theclinical, administrative, and corporate activities of Temple UniversityHealth System while continuing to support the academic and researchmission of Temple University's Lewis Katz School of Medicine. 1 The Institute For Cancer Research 3509 N Broad Street Philadelphia PA 19140 236296135 501 (c)(3) 0 38111600 Research Temple University Health System Inc 3509 N Broad Street Philadelphia PA 19140 232825881 501 (c)(3) 0 575000 Medical services Fox Chase Network Inc 3509 N Broad Street Philadelphia PA 19140 232467337 501 (c)(3) 0 532500 Medical services Fox Chase Cancer Center Medical Group 3509 N Broad Street Philadelphia PA 19140 454540585 501 (c)(3) 0 195120 Medical services 4 0 Part I, Line 2: The organization made grants for tax-exempt purposes only to related organizations under common control. X 1 1 0 0 0 0 0 0 0 0 0 Michael Young Director 0 1310092 0 379500 0 24732 0 15250 0 18117 0 1747691 0 0 Dr Robert Uzzo President & CEO 0 1199071 0 100380 0 45500 0 30500 0 30088 0 1405539 0 0 Amy Goldberg Director 0 389000 0 25000 0 673500 0 33035 0 7910 0 1128445 0 0 John Ryan Assistant Secretary 0 589214 0 128775 0 8134 0 12634 0 32178 0 770935 0 0 Chang Ma Vice Chair Rad Onc 433004 0 0 0 20500 0 30500 0 9 0 484013 0 0 0 Robert Price Assoc Professor 362826 0 0 0 0 0 30499 0 25750 0 419075 0 0 0 Anna Liza Rodgriguez Chief Nursing Officer 310366 0 46803 0 0 0 13725 0 33355 0 404249 0 0 0 Lili Chen Assoc Professor 289633 0 0 0 19500 0 30500 0 23582 0 363215 0 0 0 Lu Wang Professor 296927 0 0 0 0 0 29942 0 25175 0 352044 0 0 0 Michael DiFranco Assistant Treasurer 0 249789 0 63797 0 0 0 0 0 31332 0 344918 0 0 Jerome Maddox Secretary 0 241451 0 10000 0 11104 0 10774 0 16109 0 289438 0 0 Part I, Line 1a First-class or charter travel is provided to executive members and faculty under extenuating circumstances as determined by the applicable CFO. These circumstances typically include health reasons and flight availability. This benefit is not treated as taxable compensation since these exceptions are outlined within the travel policy and documented under the accountable plan rules. Form 990, Part VI, Section A, line 1a Pursuant to the organization's bylaws, the Executive Committee consists of no less than five members of the Board, including the Chair, the Vice Chair, and the chairs of the Standing Committees. The Executive Committee is authorized to act for the Board between its regular meetings. Form 990, Part VI, Section A, line 6 The sole member of the organization is Temple Unversity Health System, Inc. 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 other 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 cancer care services through the organization, (g) any decision to merge with, acquire or enter into an affiliation with a medical school other than Temple University's or a medical school hospital other than Temple University Hospital, Inc., (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 five hundred thousand ($500,000), and (k) the execution of any contract providing for the management of the organization. Form 990, Part VI, Section A, line 7a Please refer to the response for question #6 Form 990, Part VI, Section A, line 7b Please refer to the response for question #6 Form 990, Part VI, Section B, line 11b 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. Form 990, Part VI, Section B, line 12c 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. Form 990, Part VI, Section B, line 15b 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. Form 990, Part VI, Section C, line 19 Explanation: 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 Board 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. Form 990, Part IX, line 11g Corporate Charges: Program service expenses 26,565,433. Management and general expenses 4,663,767. Fundraising expenses 385,812. Total expenses 31,615,012. Professional Fees: Program service expenses 15,623,895. Management and general expenses 1,142,409. Fundraising expenses 0. Total expenses 16,766,304. Purchased Services: Program service expenses 7,245,780. Management and general expenses 1,254,557. Fundraising expenses 1,569,103. Total expenses 10,069,440. Form 990, Part XI, line 9: Change in Welfare Benefit Trust 67,789. Change in Post Retirement Liability 104,431. Temple University of the Commonwealth System of Higher Ed 1330 W Berks St Philadelphia PA 19122 231365971 Education PA 501c3 Line 2 N/A 0 Temple University Health System Inc 3509 N Broad Street Room 936 Philadelphia PA 19140 232825881 Health Care PA 501c3 Line 12a, I Temple University of the Commonwealth System of Higher Ed 0 Temple University Hospital Inc 3509 N Broad Street Room 936 Philadelphia PA 19140 232825878 Health Care PA 501c3 Line 3 Temple University Health System 0 Temple Physicians Inc 3509 N Broad Street Room 936 Philadelphia PA 19140 232790607 Health Care PA 501c3 Line 10 Temple University Health System 0 Temple Health Transport Team Inc 3509 N Broad Street Room 936 Philadelphia PA 19140 753084023 Health Care PA 501c3 Line 10 Temple University Health System 0 Temple University Health System Foundation 3509 N Broad Street Room 936 Philadelphia PA 19140 232916108 Health Care PA 501c3 Line 12a, I Temple University Hospital Inc 0 Episcopal Hospital 3509 N Broad Street Room 936 Philadelphia PA 19140 231365351 Health Care PA 501c3 Line 12a, I Temple University Hospital Inc 0 TUH - Jeanes Campus Auxiliary 7600 Central Avenue Philadelphia PA 19111 231917776 Health Care PA 501c3 Line 10 Temple University Hospital Inc 0 Institute for Cancer Research 3509 N Broad Street Room 936 Philadelphia PA 19140 236296135 Health Care DE 501c3 Line 4 American Oncologic Hospital 1 Fox Chase Cancer Ctr Medical Group 3509 N Broad Street Room 936 Philadelphia PA 19140 454540585 Health Care PA 501c3 Line 3 American Oncologic Hospital 1 Fox Chase Network Inc 3509 N Broad Street Room 936 Philadelphia PA 19140 232467337 Health Care PA 501c3 Line 12b, II American Oncologic Hospital 1 Fox Chase Cancer Center Foundation 333 Cottman Avenue Philadelphia PA 19111 232003072 Health Care PA 501c3 Line 12d, III-O N/A 0 Temple Faculty Practice Plan Inc 3509 N Broad Street Room 936 Philadelphia PA 19140 831002191 Health Care PA 501c3 Line 3 Temple University Health System 0 CHH Community Health 8835 Germantown Ave Philadelphia PA 19118 883577015 Health Care PA 501c3 Line 3 Temple University Health System 0 TUHS Insurance Company Ltd 3509 N Broad Street Room 936 Philadelphia PA 19140 981203189 Reinsurance BD Temple University Health System Inc 0 Fox Chase Ltd 3509 N Broad Street Room 936 Philadelphia PA 19140 232396731 Health Care PA American Oncologic Hospital C 1.00000 1 0 1 1 0 1 0 0 0 0 1 1 1 1 1 1 1 1 0 0 Institute for Cancer Research B 38111600 Actual amount paid FCCC Network B 532500 Actual amount paid Institute for Cancer Research C 112405 Actual amount received Institute for Cancer Research J 5820054 agreed upon alloc of exp incurre FCCC Network J 4865 agreed upon alloc of exp incurre FCCC Medical Group Inc J 879442 agreed upon alloc of exp incurre Institute for Cancer Research K 7120678 agreed upon alloc of exp incurre Institute for Cancer Research L 2191005 agreed upon alloc of exp incurre FCCC Medical Group Inc L 1108263 agreed upon alloc of exp incurre Institute for Cancer Research M 9669952 agreed upon alloc of exp incurre FCCC Medical Group Inc M 17077253 Actual amount paid FCCC Medical Group Inc M 10401811 agreed upon alloc of exp incurre Institute for Cancer Research N 194774 agreed upon alloc of exp incurre