2018-05-11T17:25:49-05:00 2017-06-30 990 2016-07-01 231352156 The American Oncologic Hospital AMER 2157282694 3509 N Broad St No Rm 936 Philadelphia PA 19140 Ray Lynch Chief Financial Officer 2157282694 2018-05-11 2016 2022-09-23 18:48:47Z Hosp of the Fox Chase Cancer Center Ray Lynch 333 Cottman Ave Philadelphia PA 19111 358244960 0 X www.fccc.edu X 1904 PA To prevail over cancer marshaling heart and mind in bold scientific discovery, pioneering prevention, and compassionate care. 15 14 1392 524 0 0 3402784 1180390 315836313 339204159 500098 851415 994536 732047 320733731 341968011 53401041 50966908 0 0 93771300 101420452 0 0 1266331 163213448 178128010 310385789 330515370 10347942 11452641 153725642 169445967 133334916 136369156 20390726 33076811 To prevail over cancer marshaling heart and mind in bold scientificdiscovery, pioneering prevention, and compassionate care. 0 0 227195647 50966908 339754702 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. 34937365 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. 18228002 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. 280361014 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 1 148 0 1 1392 1 0 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 2.00 8.00 X X 0 0 0 Margot Keith Vice Chair 1.00 4.00 X X 0 0 0 Ronald Donatucci Director 2.00 5.00 X 0 0 0 Dr Solomon Luo Director 2.00 8.00 X 0 0 0 Christopher McNichol Director 2.00 3.00 X 0 0 0 Edward Glickman Director 2.00 6.00 X 0 0 0 Lon Greenberg Director 2.00 8.00 X 0 0 0 Thomas Hofmann Director 2.00 6.00 X 0 0 0 David Marshall Director 2.00 4.00 X 0 0 0 Dr John Daly Director 2.00 48.00 X 0 528806 36590 Dr Donald Morel Director 2.00 4.00 X 0 0 0 Dr Donna Skerrett Director 2.00 3.00 X 0 0 0 William Federici Director 2.00 4.00 X 0 0 0 Robert H LeFever Director 2.00 11.00 X 0 0 0 Leon O Moulder Director 2.00 3.00 X 0 0 0 Dr Richard I Fisher President & CEO 16.00 34.00 X 0 920476 30181 Beth Koob Secretary 2.00 48.00 X 0 620104 80155 Betty McAdams Asst Secretary 1.00 49.00 X 0 107897 23620 Charna Wright Asst Secretary 1.00 49.00 X 0 55440 15492 Carmel Vahey Asst Secretary 46.00 4.00 X 62209 0 25439 Judith Bachman COO & Asst Treasurer 2.00 48.00 X 0 389251 22414 Anthony Diasio Treasurer & CFO 20.00 30.00 X 283385 0 15636 Richard Bobroski Treasurer & Interim CFO 20.00 30.00 X 0 128915 32028 Ray Lynch Treasurer & CFO 20.00 30.00 X 0 0 0 Robert Lux Asst Treasurer 1.00 49.00 X 0 616882 82604 Chang Ma Vice Chair Rad Onc 50.00 0.00 X 377696 0 13260 Robert Price Assoc Professor 50.00 0.00 X 304350 0 37147 Lu Wang Assoc Professor 50.00 0.00 X 239272 0 35212 Lili Chen Assoc Professor 50.00 0.00 X 239272 0 33956 Kurt Schwinghammer VP, Res & Devel Alliance 50.00 0.00 X 304612 0 14783 1810796 3367771 498517 119 0 1 0 FCCC Medical Group Inc 3509 N Board Street Philadelphia PA 19140 professional Service 23817554 The Institute For Cancer Research 3509 N Board Street philadelphia PA 19140 professional Service 9442354 Temple University Health System 2450 W Hunting Park Avenue Philadelphia PA 19040 Professional Service 7303867 Sodexo Inc PO Box 360170 Pittsburgh PA 15251 professional Service 1058522 Cerner Health Services Inc 51 Valley Stream Parkway Malvern PA 19355 Professional Service 832443 21 1138 686948 492304 1180390 Net Patient Service Revenue 622110 336186011 336186011 Government Plan Revenue 622110 1139185 1139185 Jeanes Revenue 622110 245991 245991 Patient TV & Gift Shop Revenue 622110 244489 244489 AOH Physicist Revenue 622110 16667 16667 1371816 1371816 339204159 916544 916544 112690 0 112690 112690 112690 15879567 15944696 -65129 -65129 -65129 401067 1138 332253 68814 68814 Micellaneous Revenu 900099 550543 550543 550543 341968011 339754702 0 1032919 X 50966908 50966908 342368 342368 80217863 67295770 12922093 14723555 12659250 2064305 6136666 5148126 988540 1359953 1359953 31661 31661 58224 58224 16523 16523 49973726 31687890 17019505 1266331 3055371 3055371 2288383 1094747 1193636 2966171 786050 2180121 3506553 2820325 686228 278432 116126 162306 96002 53703 42299 5633107 5633107 5753651 5753651 2328355 2072489 255866 Drugs 82209471 82187730 21741 Medical/Surgical & Admi 16087348 16013140 74208 Equipment Rentals 1602250 1602250 882829 102859 779970 330515370 280361014 48888025 1266331 46292438 29525327 437363 2051489 1731364 34758926 42528209 5038265 5216775 1693978 1799435 65022222 29435844 36492355 35586378 1071529 21090162 3888450 13307558 13261447 13019104 14381057 153725642 169445967 50680150 43955928 40035 91101 1057174 10166823 81557557 82155304 133334916 136369156 X 6153928 18377831 5890634 5385970 8346164 9313010 20390726 33076811 153725642 169445967 X 11452641 2214365 -980921 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 16523 24000 16523 24000 300473720 433042883 300490243 433066883 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 32826 31588 29746 24000 118160 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 $16,523 The Institute for Cancer Research - EIN 23-6296135 3509 N Broad Street - Philadelphia, PA 19140 Expenses $1,533 Fox Chase Cancer Center Medical Group - EIN 45-4540585 3509 N Broad Street - Philadelphia, PA 19140 Expenses $5,944 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 2017 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 obtain 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 the 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. 6313210 1178565 204475 3313555 4110 4386805 5622749 797540 100431 206155 1355 6313210 4365029 1631721 -8669 364698 634 5622749 3436789 900038 176736 148534 4365029 2386286 1340308 26589 316394 3436789 0.00000 0.67000 0.33000 0 1 1 3083000 3083000 19497671 3416866 16080805 4030200 2614229 1415971 33386179 23404749 9981430 5025172 5025172 35586378 Wells Fargo Collateral 225000 Board of Associates - Bank Accounts 217214 Temporarily Restricted Cash - PNC 1449382 Della Penna - Haverford Trust 1572060 ACE Bond Collateral 111798 Permanently Restricted Cash - PNC 1365363 Welfare Benefit Trust 471463 Worker's Compensation 656746 Beneficial Interest in FCCC Foundation 5817430 Other Assets 489858 Bryn Mawr Trust 2004743 14381057 Post Retirement Benefits 2635243 Other Liabilities 4984547 Worker's Compensation 2722983 Intercompany Debt 71812531 82155304 Part V, Line 4: The American Oncologic Hospital periodically receives endowment gifts from individuals and other entities that provides 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. Art Show 23693 450 23243 1615 300 789 32 378512 688 377824 329549 402205 1138 401067 1615 300 330338 332253 68814 1 1 X 1 X 1 X 1 1 1 0 0 110000 110000 0.00030 21799000 12875000 8924000 0.02700 21909000 12875000 9034000 0.02730 121 6730 31143 31143 0.00010 8070000 1374000 6696000 0.02030 121 6730 8101143 1374000 6727143 0.02040 121 6730 30010143 14249000 15761143 0.04770 954857 489000 465857 0.00140 954857 489000 465857 0.00140 1 3325000 89004000 96628000 -7624000 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 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. In total, 4,441 interviews were conducted with adults from the targeted region.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 CNHA 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. During the reporting period, the CHNA was completed, an implementation plan has been developed and approved by the Board of Directors and teams have been tasked with implementing specific tasks and/or projects to address the identified needs. Additionally, the plan has 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) Office of Community Outreach (OCO) 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 2015 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 an institutional policy to address languages services that includes on-site medical interpreters, language lines and remote video units for our deaf community and amplifiers for our hard of hearing patients. Thus far we have instituted the policy and identified and credentialed physicians who speak a second language, other than English. Individual languages that address this need include the following languages/dialects: Spanish, Mandarin, Cantonese and Vietnamese. Other languages are available however; this speaks directly to the identified need in the CHNA. Non-clinical staff who speak another language are offered the opportunity to train as dual-medical interpreters through an approved vendor. Translations of materials produced by Fox Chase undergo review by a certified translation service 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. Additional efforts are focused on service excellence to enhance staff's capacity to provide culturally competent care.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 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 year, Fox Chase's smoking cessation program expanded, with the assistance of our local partners, to members of the community. The smoking cessation program is held at community partner sites and includes education, counseling, and pharmacotherapy. This program is open to community members that are interested in quitting tobacco. The program will be held at least three times per year. The 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 valuable information regarding screening guidelines for breast, cervical, colorectal, ovarian, prostate, and skin cancers. To further our education, 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 FY2016, we reached 3,331 persons with breast, prostate head/neck, and/or skin cancer screenings. Individuals requiring language services were provided witha certified medical interpreter at no cost to the patient. Individuals identified with abnormal findings that require follow-up will be supported with navigation services including transportation to and from FCCC at no cost to the patient.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. 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.UNMET NEEDS AND IDENTIFICATION PROCESS The unmet health care 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. Lastly, 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 overweight or 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. 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 insure 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 $6,727,143 as reported on line 7j. Part II, Community Building Activities: Fox Chase Cancer Center engages in numerous community building activities throughout the year. In response to the Community Health Needs Assessment (CHNA), Fox Chase Cancer Center's Office of Community Outreach (OCO) implements an array of programs to address the identified needs. 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 2017 our Community Cancer Screening program reached a total of 2,680 individuals with breast, skin, and prostate cancer screenings.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 FY 2017, we reached a total of 1,635 persons with cancer education and information. We addressed a wide array of cancer topics including breast, cervical, colorectal, lung, ovarian 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 4,913 people were reached through health fairs and other large community events. The CHNA also 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 FY2017, we reached 13 people through this program. Through our Resource and Education Center we provided 2,296 patients, families, and community members with access to free cancer information and resources that address the cancer continuum. OCO also works with community partners to educate, conduct cancer screening, and develop relationships to support community wellness. Our community partnerships are diverse entities including community-based, faith-based, business, legislative, and academic partners. Additionally training was provided to community leaders to increase their knowledge about cancer and increase dissemination of strategies to reduce cancer risks and increase overall wellness via lifestyle modifications.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 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 2017, the cost of providing services to the Medicare population was $7,624,000 (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 logged. 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, PHMC 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 represent 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 population 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.Care Connect is a collaboration linking Fox Chase Cancer Center and community physicians. Primary care and internal medicine physicians in communities throughout the Philadelphia region are working with Fox Chase in areas that support the integration of cancer prevention education, screening, treatment and survivorship care plans into clinical practice. CMEs are also provided to health care providers through the Fox Chase Care Connect program. These health care providers are affiliated with Temple University Healthy System and Fox Chase pays for their CME credits. In addition, presentations are provided to staff at the physician offices in order to educate them as well on various cancer topics.Through our Immersion Science High School Program, FCCC provides free education programming to diverse high school students from the target region. The Immersion Science program provides staged, comprehensive training for high school students in cancer research in order to increase retention in biomedical careers and to provide direct instruction in laboratory techniques and scientific thinking. There is no cost to participate, and, in fact, summer salaries were provided to students in the Phase 3 segment of the program. In total nine students were awarded full-time ($2,250) fellowships for research in Fox Chase laboratories. In 2017, 19 students from 19 Philadelphia area schools were trained in formal programs and an additional 300 students via our teacher training and camp programs. Our in-house program provides 16-20 students/year with undergraduate/graduate level training aimed at understanding how dietary components influence cancer signaling. Eight of these students continued their research as National Cancer Institute CURE summer fellows, with 16% of all CURE summer fellows now published authors. Due to the success of the in-house program in training diverse students, we expanded the program in 2016 to include an in-classroom component. Two hundred fifty students in 4 Philadelphia high schools and 1 rural New Jersey high school conducted ISP research in their home classrooms in 2017. Of these students, 214 participated in a Symposium in June 2017 where they learned about careers in biomedicine and presented their work to 100 Fox Chase Cancer Center scientists. This model will be utilized again in 2018, with the addition of one more high school, an anticipated reach of over 300 students. In addition to these data-generating programs, the Immersion Science Program conducted three one-week camp programs in 2017, at Esperanza College, and Montgomery County Community College campuses in Blue Bell, PA and Pottstown, PA. This program enabled 48 students with limited access to science education to gain experience in modern laboratory techniques and develop new understanding of the impact of diet on cancer. Two grants to support the program were recently awarded, with the goal of a dramatic expansion of the program in the next 2-5 years. All Immersion Science Programs are cost-free for the students to ensure equality of participants.Another program focused on high school students is the Abraham Lincoln High School/Health Care Pathway program. The Ambulatory Care Services department at FCCC works with about 20 high school students that are considered high risk students from economically disadvantaged families. The staff teaches them nursing assistant skills in their classroom and then the students spend time at Fox Chase where they work with clinic assistants to allow them to apply the knowledge learned in the classroom to the workplace. The goal of the program is to equip the students with work ready skills and decrease the high school dropout rate. 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, 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 the Temple University Health System. 1 Fox Chase Cancer Center Medical Group 3509 N Broad Street Philadelphia PA 19140 454540585 501 (c)(3) 27910174 Medical services The Institute For Cancer Research 3509 N Broad Street Philadelphia PA 19140 236296135 501 (c)(3) 19956734 Research Temple University Health System Inc 3509 N Broad Street Philadelphia PA 19140 232825881 501 (c)(3) 3100000 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 183666 0 0 0 345140 0 19238 0 17352 0 565396 0 0 Dr Richard I Fisher President & CEO 0 142476 0 75000 0 703000 0 13778 0 16403 0 950657 0 0 Beth Koob Secretary 0 488246 0 104269 0 27589 0 49791 0 30364 0 700259 0 0 Judith Bachman COO & Asst Treasurer 0 364251 0 25000 0 0 0 13109 0 9305 0 411665 0 0 Anthony Diasio Treasurer & CFO 258385 0 25000 0 0 0 12984 0 2652 0 299021 0 0 0 Richard Bobroski Treasurer & Interim CFO 0 128915 0 0 0 0 0 8400 0 23628 0 160943 0 0 Robert Lux Asst Treasurer 0 538648 0 50000 0 28234 0 51247 0 31357 0 699486 0 0 Chang Ma Vice Chair Rad Onc 359501 0 0 0 18195 0 13250 0 10 0 390956 0 0 0 Robert Price Assoc Professor 296850 0 0 0 7500 0 13250 0 23897 0 341497 0 0 0 Lu Wang Assoc Professor 239272 0 0 0 0 0 12080 0 23132 0 274484 0 0 0 Lili Chen Assoc Professor 239272 0 0 0 0 0 12080 0 21876 0 273228 0 0 0 Kurt Schwinghammer VP, Res & Devel Alliance 292945 0 11667 0 0 0 13250 0 1533 0 319395 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 the 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 Systems Continuing Disclosure Agreement (Series of 2012 Bonds) through Digital Assurance Corp (DAC), the Municipal Services Reporting Board EMMA disclosure site and the Health Systems 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 0. Management and general expenses 6,991,277. Fundraising expenses 0. Total expenses 6,991,277. Professional Fees: Program service expenses 9,082,311. Management and general expenses 5,649,672. Fundraising expenses 1,266,331. Total expenses 15,998,314. Purchased Services: Program service expenses 19,435,674. Management and general expenses 1,526,912. Fundraising expenses 0. Total expenses 20,962,586. Healthcare Professional: Program service expenses 3,169,905. Management and general expenses 2,851,644. Fundraising expenses 0. Total expenses 6,021,549. Form 990, Part XI, line 9: Change in Welfare Benefit Trust -900,501. Change in Post Retirement Liability -80,420. 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 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 3500446 agreed upon alloc of exp incurre Institute for Cancer Research K 4452303 agreed upon alloc of exp incurre Institute for Cancer Research L 4662600 agreed upon alloc of exp incurre Institute for Cancer Research M 4306013 agreed upon alloc of exp incurre Institute for Cancer Research N 5147901 agreed upon alloc of exp incurre FCCC Medical Group Inc J 510317 agreed upon alloc of exp incurre FCCC Medical Group Inc L 1610800 agreed upon alloc of exp incurre FCCC Medical Group Inc M 8315922 agreed upon alloc of exp incurre FCCC Medical Group Inc N 12000 agreed upon alloc of exp incurre FCCC Network J 19883 agreed upon alloc of exp incurre Institute for Cancer Research C 439485 Actual amount received Institute for Cancer Research B 19956734 Actual amount received FCCC Medical Group Inc B 27910174 Actual amount received