2019-05-11T10:12:03-05:00 2018-06-30 990 2017-07-01 231352156 The American Oncologic Hospital AMER 2157282694 3509 N Broad St No Rm 936 Philadelphia PA 19140 Ray Lynch Chief Financial Officer 2157282694 2019-05-10 155.247.225.148 2019-05-11 11:11:39 ED P 9B91C3BCC09311CCB2A1167A0ED0605E0EB1555C 9B91C3BCC09311CCB2A1167A0ED0605E0EB1555C 2017 2019-02-21 02:37:17Z Hosp of the Fox Chase Cancer Center Ray Lynch 333 Cottman Ave Philadelphia PA 19111 392083151 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 14 1402 520 0 123448 1180390 4502335 339204159 369174947 851415 5299597 732047 747419 341968011 379724298 50966908 51083920 0 0 101420452 116238683 0 0 1559651 178128010 196349668 330515370 363672271 11452641 16052027 169445967 178969682 136369156 132015885 33076811 46953797 To prevail over cancer marshaling heart and mind in bold scientificdiscovery, pioneering prevention, and compassionate care. 0 0 255791809 51083920 369174947 Healthcare professionals at the American Oncologic Hospital focus ondeveloping and participating in clinical trials to broaden ourknowledge of cancer treatments. Our multidisciplinary staff provides acoordinated approach to treatment to best meet the needs of eachpatient. Specialists at the American Oncologic Hospital are recognizednationally and internationally in all areas of cancer care. 38211060 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. 14385992 At the American Oncologic Hospital, we believe that cancer care goesbeyond medical diagnosis and treatment. For patients and theirfamilies we offer an array of support services, including completecare, nutrition support services, pain management, palliative care,pastoral care, social work services, support groups and medicalrecords. 308388861 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 1 0 0 1 143 0 1 1402 1 1 1 0 0 0 0 1 1 0 0 0 0 X 15 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 PA X X Ray Lynch 2157282694 333 Cottman Ave Philadelphia PA 19111 Lewis Gould Chair 1.00 14.50 X X 0 0 0 Margot Keith Vice Chair 1.00 4.00 X X 0 0 0 Ronald Donatucci Director 1.00 11.50 X 0 0 0 Dr Solomon Luo Director 1.00 16.00 X 0 0 0 Christopher McNichol Director 1.00 5.00 X 0 0 0 Edward Glickman Director 1.00 6.00 X 0 0 0 Lon Greenberg Director 1.00 11.00 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 John Daly Director 1.00 49.00 X 0 534256 36460 Dr Donald Morel Director 1.00 4.00 X 0 0 0 Dr Donna Skerrett Director 1.00 3.00 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 Robert H LeFever Director 1.00 11.00 X 0 0 0 Leon O Moulder Director 1.00 3.00 X 0 0 0 Dr Richard I Fisher President & CEO 16.00 34.00 X 0 896395 30051 Beth Koob Secretary 1.00 49.00 X 0 640596 82237 Charna Wright Asst Secretary 1.00 49.00 X 0 75327 18125 Carmel Vahey Asst Secretary 46.00 4.00 X 66153 0 26991 Judith Bachman COO & Asst Treasurer 1.00 49.00 X 0 397888 23413 Ray Lynch Treasurer & CFO 20.00 30.00 X 197309 0 9419 Robert Lux Asst Treasurer 1.00 49.00 X 0 714523 81847 Chang Ma Vice Chair Rad Onc 50.00 0.00 X 386721 0 13510 Robert Price Assoc Professor 50.00 0.00 X 319755 0 38822 Lu Wang Assoc Professor 50.00 0.00 X 244463 0 36834 Lili Chen Assoc Professor 50.00 0.00 X 244463 0 35550 Kurt Schwinghammer VP, Res & Devel Alliance 50.00 0.00 X 311761 0 15062 1770625 3258985 448321 176 0 1 0 FCCC Medical Group Inc 3509 N Broad Street Philadelphia PA 19140 Professional Service 32284743 The Institute For Cancer Research 3509 N Broad Street Philadelphia PA 19140 Professional Service 8423533 Temple University Health System 2450 W Hunting Park Avenue Philadelphia PA 19040 Professional Service 7199062 Harmelin Media Inc 525 Righters Ferry Road Bala Cynwyd PA 19004 Professional Service 1207258 Sodexo Inc PO Box 360170 Pittsburgh PA 15251 Professional Service 982135 18 19323 458825 4024187 4502335 Net Patient Service Revenue 622110 365219495 365219495 Government Plan Revenue 622110 1566397 1566397 Jeanes Revenue 622110 447663 447663 Patient TV & Gift Shop Revenue 622110 220557 220557 AOH Physicist Revenue 622110 20000 20000 1700835 1700835 369174947 4758648 4758648 113485 0 113485 113485 113485 12545281 12004332 540949 540949 540949 459662 19323 354521 105141 105141 Miscellaneous Revenue 900099 528793 528793 528793 379724298 369703740 0 5518223 X 51083920 51083920 394083 394083 91822171 77449720 14372451 17888610 15285457 2603153 6133819 5234592 899227 1562767 1562767 125244 5409 119835 16918 16918 38573492 30305400 6744591 1523501 3622635 407167 3215468 3513523 2379631 1116299 17593 4576873 1279501 3297372 8624082 1356 8622726 349182 117061 219353 12768 52216 52216 4604374 4604374 5395578 43861 5351717 -409300 234575 -643875 Drugs 107182200 107131546 50654 Medical/Surgical & Admi 15818348 15746970 71378 Equipment Rentals 2253005 1420367 830142 2496 488531 210112 275126 3293 363672271 308388861 53723759 1559651 29525327 29380826 437363 671222 1731364 2402986 42528209 45286772 5216775 7819523 1799435 1827153 70078684 34541528 35586378 35537156 21090162 21074536 3888450 5112017 13261447 13215336 14381057 16642155 169445967 178969682 43955928 41604891 91101 91101 10166823 12100453 82155304 78219440 136369156 132015885 X 18377831 30360979 5385970 6556875 9313010 10035943 33076811 46953797 169445967 178969682 X 16052027 -2706939 531898 X 0 1 X 1 0 X X 16918 24000 16918 24000 336046601 474104091 336063519 474128091 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 31588 29746 24000 24000 109334 250000 250000 250000 250000 1000000 1500000 Schedule C, Part II-a-Affiliated Group Attachment The American Oncologic Hospital Inc. - EIN 23-1352156 3509 N Broad Street - Philadelphia, PA 19140 Expenses $16,918 The Institute for Cancer Research - EIN 23-6296135 3509 N Broad Street - Philadelphia, PA 19140 Expenses $5,630 Fox Chase Cancer Center Medical Group - EIN 45-4540585 3509 N Broad Street - Philadelphia, PA 19140 Expenses $1,452 Fox Chase Network - EIN 23-2467337 3509 N Broad Street - Philadelphia, PA 19140 Expenses $0 Within the affiliated group, the American Oncologic Hospital and the Institute for Cancer Research are electing charities under Form 5768. The Fox Chase Cancer Center Medical Group and Fox Chase Network are not electing charities. Schedule C - Part II-A Line 1 Management has direct contact with Legislators, their staff and Government officials to advocate the Hospital's position on key issues affecting the hospital. Frequently, these contacts are made to educate the appropriate representative or official on the implications of specific policy/legislation on the industry in general and/or implications to Fox Chase. At the federal level, during FY 2018 the Hospital 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 Fox Chase entities in obtaining needed funding for cutting edge technologies and resources used by the scientific and clinical faculty, the hospital affiliate submitted federal grants through the appropriate 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 Fox Chase in cancer research, prevention, screenings and treatment. Management also met with various state representatives to obtain funding for capital and operating programs under the various appropriations mechanisms to support economic development opportunities. 4386805 989126 141821 805354 10154 4702244 6313210 1178565 204475 3313555 4110 4386805 5622749 797540 100431 206155 1355 6313210 4365029 1631721 -8669 364698 634 5622749 3436789 900038 176736 148534 4365029 0.00000 0.68000 0.32000 0 1 1 3393528 3393528 20687085 4227154 16459931 4050570 2798972 1251598 37970099 27515402 10454697 3977402 3977402 35537156 Wells Fargo Collateral 228513 Board of Associates - Bank Accounts 172161 Temporarily Restricted Cash - PNC 1502417 ACE Bond Collateral 111798 Permanently Restricted Cash - PNC 3199258 Welfare Benefit Trust 213499 Workers' Compensation 2299461 Beneficial Interest in FCCC Foundation 6410551 Other Assets 512830 Bryn Mawr Trust 1991667 16642155 Post Retirement Benefits 2171210 Other Liabilities 2852560 Workers' Compensation 3022402 Intercompany Debt 70173268 78219440 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. Seeds of Hope 144150 1150 143000 1500 164 450 12442 Art Show 47790 350 47440 1800 158 15216 24 287045 17823 269222 322791 478985 19323 459662 3300 322 450 350449 354521 105141 1 1 X 1 X 1 X 1 1 1 0 0 80000 80000 0.00020 25720000 15414000 10306000 0.02830 25800000 15414000 10386000 0.02850 278 14936 1306000 525000 781000 0.00210 8778000 1397000 7381000 0.02030 2 240 2500 2500 0.00000 280 15176 10086500 1922000 8164500 0.02240 280 15176 35886500 17336000 18550500 0.05090 13 1050 33940 59500 0 0.00000 13 1050 33940 59500 0 0.00000 1 3704000 95509000 105337000 -9828000 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 15 1 0 0 1 X foxchase.org/community/community-health X X 1 16 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: The community health needs assessment (CHNA) was completed in 2016 with input from primary and secondary data including U.S. Census, Pennsylvania Department of Health Vital Statistics, Claritas Inc., PHMC's 2015 Southeastern Pennsylvania Household Health Survey, 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 87 zip codes in Bucks, Montgomery and Philadelphia counties with a total population of 1,881,289.In addition to the quantitative data utilized for the CHNA, additional community input was derived from community meetings with individuals living and/or working in the communities in the hospital's service area who could provide input on the needs assessment as community members, public health experts, and as leaders or persons with knowledge of underserved racial minorities, low income residents, and/or the chronically ill. The final CHNA is available to the public via the organizations websitehttps://www.foxchase.org/community/community-health. Additional dissemination of its findings have 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 7d: 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 has been developed to address the needs which include lack of knowledge regarding cancer, access to care, specifically screening and preventative care, smoking prevention, intervention and cessation, obesity which has been associated with increasing the risk of certain cancers, cultural and language needs to address the evolving changes in the community population, and health system navigation. The CHNA was completed in 2016 and an implementation plan had been developed and approved by the Board of Directors and teams were tasked with implementing specific tasks and/or projects to address the identified needs. During this reporting period, teams have continued with the implementation of the tasks and projects identified in the plan, which has also been posted to the FCCC website. https://www.foxchase.org/community/community-health Group A-Facility 1 -- The American Oncologic Hospital Part V, Section B, line 11: Fox Chase Cancer Center (FCCC) has addressed the following unmet needs identified in the 2016 Community Health Needs Assessment (CHNA):Demographic Changes - the anticipated growth in older populations does not present a challenge for Fox Chase. According to the 2017 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 and remote video units for our deaf community and amplifiers for our hard of hearing patients. We have instituted these policies and identified and credentialed physicians who speak a second language, other than English. Individual languages/dialects that address this need are: Spanish, Mandarin, Cantonese and Vietnamese. Other languages are available however; this speaks directly to the identified need in the CHNA. 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 Temple Linguistic and Cultural Services Department 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. Additional efforts are focused on service excellence to enhance staff's capacity to provide culturally competent care. On April 27, 2018, Temple Health presented a Cultural Competency and Awareness in Health Care Symposium that equipped staff with tools to provide culturally competent care to patients. 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. Health Status and Behaviors - Seventeen percent of adults in the service area smoke cigarettes, and 60% of them have tried to quit in the past year without success. 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). This fiscal year, Fox Chase's Tobacco Treatment program has continued to expand, with the assistance of our local partners, to members of the community. The Community Tobacco treatment program has been held at multiple community partner sites 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 three times in FY 2018 and will be held at least three times each fiscal year moving forward. In addition, the Office of Community Outreach (OCO) continues to provide bilingual (English and Spanish) lung cancer education via our Community Speakers Bureau. This one-hour session provides an overview of cancer, reviews lung cancer risk factors, prevention, symptoms, screening guidelines and treatments for lung cancer. Access and Barriers to Health Care - There is an unmet need in the service area for screenings and preventive care. Through our Speakers Bureau, the OCO provides participants with evidence-based information on risk factors, symptoms, screening guidelines, and treatment options for breast, cervical, colorectal, ovarian, prostate, and skin cancers. To further complement our education programs, the OCO brings cancer screening to the community via its mobile screening unit (MSU). Recognized as a best practice to reducing structural barriers, the OCO brings breast cancer and skin cancer screening to the community. In FY18, we reached 2,750 persons with breast, head & neck, and/or skin cancer screenings. 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. Fox Chase also seeks to increase access to care by expanding office hours for breast cancer patients and offering appointment times for MRIs on Saturdays. Difficulty Navigating The Health Care System - 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 receives services. During FY18, our community navigator worked with 245 patients to navigate them through their services. Patients diagnosed with cancer are assigned a nurse navigator to support ongoing needs i.e. scheduling, testing and overall coordination of care etc.Clear Communication - Staff from the Resource and Education Center (REC) provide credible resources to assist patients and family members with patient education materials and support to increase their knowledge so they become more active participants in their health care. These services are also available to non-patients from the community. In FY18, 2,716 visitors were served through the REC. In addition, our health communications staff revised the new patient Welcome Guide, developed 12 plain language clinical trial synopses and conducted 68 plain language revisions of documents to ensure that they are more easily understandable. These documents include mainly clinical documents, in addition to administration and research materials. 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 2020 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. As a specialty hospital that focuses on cancer, FCCC does not specifically provide community or patient services that address obesity. However, these services are addressed by our health system at other hospitals including one adjacent to our campus - Jeanes Hospital. Our health educators do address the importance of maintaining a healthy weight and the negative impact of obesity on cancer along with general information regarding a balanced diet and exercise guidelines via our Community Speakers Bureau.One program that has been developed to meet the needs of patients is the Fox Chase Cancer Center Nurse Navigation program which supports patients at different points along their cancer journey. Patients encounter nurse navigators at the start of their cancer diagnosis. The nurse navigators guide patients into FCCC helping patients negotiate their treatment options, consider many services offered by FCCC and proactively tackle barriers to care. Patients may also encounter Transitional Care Nurse Navigators during a Fox Chase hospital admission. Transitional care nurse navigators plan and coordinate patient discharges. The nurse navigators in the inpatient space work collaboratively with the multidisciplinary team, arrange for post-acute care services, arrange for follow up appointments at Fox Chase and call patients after they have gone home to make sure the patient is safe and all arrangements are in place. Patient experience is at the forefront of Fox Chase Cancer Center's mission, therefore, the Nurse Navigation program is poised to give information, support and guidance to patients, all in an effort to increase access to care. To further support patient care, this year we implemented discharge plans to support continuation of care post-treatment. 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. 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: The community health needs assessment (CHNA) was completed in 2016 with input from primary and secondary data including U.S. Census, Pennsylvania Department of Health vital statistics, Claritas Inc., 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 87 zip codes in Bucks, Montgomery and Philadelphia counties with a total population of 1,881,289. 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 $8,164,500 as reported on line 7j. Part II, Community Building Activities: Fox Chase Cancer Center engages in numerous community building activities throughout the year. Most of these programs center 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 school year at William Tennent High School in Warminster and 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) STEM Scholar Experience: FCCC STEM scholars visit the Cancer Center and the Franklin Institute. During the visit to FCCC, the Cancer Center's trainees engage students in hands-on activities in their labs and network over lunch. During the visit to Franklin Institute, FCCC staff and trainees teach students about careers in science and medicine and educate students about vaccines, immunity and global health. More than 95% of the students that participate are underrepresented minorities from inner city Philadelphia schools.(4) 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. Trainees selected for this opportunity will gain an appreciation for the relationship between basic and applied research, as well as for how research directly impacts the cancer patient during and after treatment. The program has two temporally distinct components. The first component is intended for students enrolled in the UD's colleges and programs, and 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. The second component is comprised of a 10 week, full-time immersion into a research lab (or business office, clinical trial office, intellectual property office - depending upon interest and availability). All students will participate in a journal club, career development seminars, and a community outreach event. Participants in this program are UD undergraduates from low socioeconomic status, underrepresented minorities, or first in college backgrounds.(5) Roxborough High School Partnership: FCCC has worked with both staff and students at this school. FCCC works with staff to strengthen the content of the school's biotechnology programs by providing direction on the curriculum, facilities, technology and equipment. FCCC staff also work to engage biotechnology students in hands-on activities, provide mentoring experiences to the Cancer Center's trainees. The population for this program is inner city high school students and more than 95% of participants are underrepresented minorities. 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 2018, the cost of providing services to the Medicare population was $9,828,000 (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.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 2016-2018 Community Health Needs Assessment (CHNA) focuses on 87 zip codes in three counties which represents approximately 50% of the in-patient population we serve. The total population within this region is 1,881,289. This represents a growth of 1.6%. One third of the populations is 18-44 years old. The majority (57%) of persons self-identify as White followed by African American (20%), Hispanics (11%) and Asian (6%). The primary language spoken is English (81%); 56% have a high school diploma and 11% are unemployed. Twenty-eight percent of the population lives in poverty. The majority of adults (92%) in the service area have health insurance coverage. However, a sizable percentage of adults aged 18-64 do not have any private or public health insurance; 8% of adults aged 18-64 in the service area are uninsured, representing 88,300 uninsured adults. Chronic disease (hypertension, asthma, obesity, diabetes and cancer) 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 (OCO).(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, OCO will prepare and submit the application on behalf of the patient to the Healthy Women Program. 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 foundations such as Susan G. Komen enable us to provide screening and diagnostic services to medically underserved women in our service area. Should a woman be diagnosed, she would be transitioned to the HW program. In FY 2018, our Community Cancer Screening program reached a total of 2,750 individuals with breast, skin, and head and neck cancer screenings. Of those individuals, 35% of them were medically underserved and three women were diagnosed with breast cancer. An additional 461 persons were provided free head and neck cancer screenings directly by the head and neck surgery department through their community outreach.(2) Community Speakers Bureau: OCO 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 FY18, we reached a total of 3,102 persons with cancer education and information. We addressed a wide array of cancer topics including breast, cervical, colorectal, lung, ovarian, prostate, and skin cancers. All of the programs provide an overview of the cancer, associated risk factors, updated screening guidelines 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 4,051 people were reached through health fairs and other large community events. (3) Tobacco Cessation Program: The CHNA illustrated a need for tobacco cessation, leading OCO to establish a community outreach tobacco cessation program to address the lung cancer burden in our region. In FY2018, we reached 17 people through this program. (4) Resource and Education Center (REC): The REC provided 2,716 patients, families, and community members with access to free cancer information and resources that address the cancer continuum. (5) Survivorship programs: FCCC conducts many programs to increase awareness and access to survivorship-oriented educational resources. These include survivor focused events on specific cancer types in addition to community health education presentations to the Enon Cancer Survivors Support and Caregivers Ministry (ESCCM) on multiple cancer topics.OCO's community partnerships include diverse entities including community-based, faith-based, business, legislative, and academic partners. Through these partnerships, we have successfully educated, screened audiences and developed relationships to support community wellness. Lastly, OCO 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. More information on all of OCO's programs is available at: https://www.foxchase.org/community/community-outreach. 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; Jeanes Hospital's mission is to maintain and enhance the quality of life for individuals in the communities it serves; 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. 1 Fox Chase Cancer Center Medical Group 3509 N Broad Street Philadelphia PA 19140 454540585 501 (c)(3) 23703505 Medical services The Institute For Cancer Research 3509 N Broad Street Philadelphia PA 19140 236296135 501 (c)(3) 22150415 Research Temple University Health System Inc 3509 N Broad Street Philadelphia PA 19140 232825881 501 (c)(3) 5230000 Medical services 3 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 Dr John Daly Director 0 189116 0 0 0 345140 0 18846 0 17614 0 570716 0 0 Dr Richard I Fisher President & CEO 0 142395 0 51000 0 703000 0 13386 0 16665 0 926446 0 0 Beth Koob Secretary 0 497445 0 62250 0 80901 0 50233 0 32004 0 722833 0 0 Judith Bachman COO & Asst Treasurer 0 368388 0 29500 0 0 0 13500 0 9913 0 421301 0 0 Ray Lynch Treasurer & CFO 197309 0 0 0 0 0 8386 0 1033 0 206728 0 0 0 Robert Lux Asst Treasurer 0 550459 0 135830 0 28234 0 51702 0 30145 0 796370 0 0 Chang Ma Vice Chair Rad Onc 368721 0 0 0 18000 0 13500 0 10 0 400231 0 0 0 Robert Price Assoc Professor 319175 0 0 0 580 0 13500 0 25322 0 358577 0 0 0 Lu Wang Assoc Professor 244463 0 0 0 0 0 12346 0 24488 0 281297 0 0 0 Lili Chen Assoc Professor 244463 0 0 0 0 0 12346 0 23204 0 280013 0 0 0 Kurt Schwinghammer VP, Res & Devel Alliance 299831 0 11930 0 0 0 13500 0 1562 0 326823 0 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 1 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 organizations 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 organizations 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 accrediation 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 13,089,155. Management and general expenses 4,058,685. Fundraising expenses 514,844. Total expenses 17,662,684. Professional Fees: Program service expenses 8,498,365. Management and general expenses 1,252,808. Fundraising expenses 0. Total expenses 9,751,173. Purchased Services: Program service expenses 8,717,880. Management and general expenses 1,433,098. Fundraising expenses 1,008,657. Total expenses 11,159,635. Form 990, Part XI, line 9: Change in Welfare Benefit Trust 433,445. Change in Post Retirement Liability 98,453. 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 Jeanes Hospital 3509 N Broad Street Room 936 Philadelphia PA 19140 232826045 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 0 Episcopal Hospital 3509 N Broad Street Room 936 Philadelphia PA 19140 231365351 Health Care PA 501c3 Line 12a, I Temple University Hospital 0 Jeanes Hospital Auxiliary 7600 Central Avenue Philadelphia PA 19111 231917776 Health Care PA 501c3 Line 10 Jeanes Hospital 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 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 0 0 0 0 0 1 1 1 1 1 1 1 1 0 0 Institute for Cancer Research J 3610989 agreed upon alloc of exp incurre Institute for Cancer Research K 4509338 agreed upon alloc of exp incurre Institute for Cancer Research L 5520000 agreed upon alloc of exp incurre Institute for Cancer Research M 8423533 agreed upon alloc of exp incurre Institute for Cancer Research N 1899790 agreed upon alloc of exp incurre FCCC Medical Group Inc J 553068 agreed upon alloc of exp incurre FCCC Medical Group Inc L 1694500 agreed upon alloc of exp incurre FCCC Medical Group Inc M 8826493 agreed upon alloc of exp incurre FCCC Medical Group Inc N 0 agreed upon alloc of exp incurre FCCC Network J 8640 agreed upon alloc of exp incurre Institute for Cancer Research C 206007 Actual amount received Institute for Cancer Research B 22150415 Actual amount received FCCC Medical Group Inc B 23777549 Actual amount received