2017-05-15T13:49:11-05:00 2016-06-30 990 2015-07-01 231352156 The American Oncologic Hospital AMER 2157282694 3509 N Broad St No Rm 936 Philadelphia PA 19140 Richard Bobroski Chief Financial Officer 2157282694 2017-05-15 2015 2021-01-29 14:40:06Z Hosp of the Fox Chase Cancer Center Ray Lynch 3509 N Broad St No Rm 936 Philadelphia PA 19140 321037275 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 1434 495 0 0 2790314 3402784 292998000 315836313 485132 500098 1851142 994536 298124588 320733731 19627125 53401041 0 0 89026604 93771300 0 0 1020995 149457299 163213448 258111028 310385789 40013560 10347942 148446114 153725642 136981436 133334916 11464678 20390726 To prevail over cancer marshaling heart and mind in bold scientificdiscovery, pioneering prevention, and compassionate care. 0 0 209870327 53401041 316463432 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. 32736975 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. 26360413 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. 268967715 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 37 0 1 1434 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 503740 38590 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 882710 32181 Beth Koob Secretary 2.00 48.00 X 0 595072 86694 Betty McAdams Asst Secretary 1.00 49.00 X 0 109528 21321 Carmel Vahey Asst Secretary 46.00 4.00 X 57016 0 23189 Judith Bachman COO & Asst Treasurer 2.00 48.00 X 0 394660 20471 Anthony Diasio CFO & Treasurer 20.00 30.00 X 273240 0 13131 Robert Lux Asst Treasurer 1.00 49.00 X 0 665777 89816 Chang Ma Vice Chair Rad Onc 50.00 0.00 X 369940 0 11935 Robert Price Assoc Professor 50.00 0.00 X 287319 0 33970 Lu Wang Assoc Professor 50.00 0.00 X 234598 0 32118 Jiajin Fan Assoc Professor 50.00 0.00 X 236844 0 12157 Kurt Schwinghammer VP, Res & Devel Alliance 50.00 0.00 X 297546 0 20478 1756503 3151487 436051 117 0 1 0 FCCC Medical Group Inc 3509 N Board Street Philadelphia PA 19140 professional Service 25112848 Temple University Health System 2450 W Hunting Park Avenue Philadelphia PA 19040 Professional Service 6318557 Huron Consulting Services LLC 3005 Momentum Place Chicago IL 60689 professional Service 4945753 Sodexo Inc PO Box 360170 Pittsburgh PA 15251 professional Service 982133 Cerner Health Services Inc 51 Valley Stream Parkway Malvern PA 19355 Professional Service 329203 16 33196 329538 3040050 3402784 Net Patient Service Revenue 622110 312712560 312712560 Government Plan Revenue 622110 1368265 1368265 Jeanes Revenue 622110 219510 219510 Patient TV & Gift Shop Revenue 622110 195115 195115 AOH Physicist Revenue 622110 178394 178394 1162469 1162469 315836313 500098 500098 113500 0 113500 113500 113500 557461 33196 303544 253917 253917 Micellaneous Revenu 900099 627119 627119 627119 320733731 316463432 0 867515 X 53401041 53401041 406377 406377 73768862 64898383 8870479 13926592 12457641 1468951 5669469 4964726 704743 1271628 1271628 33246 33246 333000 333000 20266 20266 39627095 27231372 11374728 1020995 4161724 4161724 2477225 1174266 1302959 4527290 851847 3675443 3053575 2973197 80378 279210 161076 118134 101537 59889 41648 5723516 5723516 6633363 6633363 2619777 2615295 4482 Drugs 72267115 72201544 65571 Medical/Surgical & Admi 15546326 15503144 43182 Equipment Rentals 2268403 2268403 PA Quality Assessment T 1373270 1373270 895882 199258 696624 310385789 268967715 40397079 1020995 22136728 46292438 1140789 2051489 38877976 34758926 5301846 5038265 1065275 1693978 60348786 23856431 38079520 36492355 1018132 1071529 13353668 13307558 27472180 13019104 148446114 153725642 50909679 50680150 516749 40035 1836525 1057174 83718483 81557557 136981436 133334916 X -3035862 6153928 5934488 5890634 8566052 8346164 11464678 20390726 148446114 153725642 X 10347942 -661934 -759961 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 20266 29746 20266 29746 275029563 403500628 275049829 403530374 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 34211 32826 31588 29746 128371 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 $20,266 The Institute for Cancer Research - EIN 23-6296135 3509 N Broad Street - Philadelphia, PA 19140 Expenses $8,439 Fox Chase Cancer Center Medical Group - EIN 45-4540585 3509 N Broad Street - Philadelphia, PA 19140 Expenses $1,041 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 2016 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. 5622749 797540 100431 206155 1355 6313210 4365029 1631721 -8669 364698 634 5622749 3436789 900038 176736 148534 4365029 2386286 1340308 26589 316394 3436789 8903362 1414080 1329 2539 7929946 2386286 0.40300 0.59700 0 1 1 3083000 3083000 18130865 2674790 15456075 4030200 2431524 1598676 31851821 18750117 13101704 3252900 3252900 36492355 Wells Fargo Collateral 225000 Board of Associates - Bank Accounts 578290 Temporarily Restricted Cash - PNC 3768154 Della Penna - Haverford Trust 1471836 ACE Bond Collateral 111798 Permanently Restricted Cash - PNC 1073219 Beneficial Interest in FCCC Foundation 5069188 Other Assets 721619 13019104 Post Retirement Benefits 3179880 Other Liabilities 4120763 Worker's Compensation 3128490 Intercompany Debt 71128424 81557557 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 39223 5171 34052 1650 17548 May in Versailles 129310 3560 125750 15555 675 4717 22 422124 24465 397659 25063 24694 3250 210392 590657 33196 557461 42268 24694 3925 232657 303544 253917 1 1 X 1 X 1 X 1 1 0 0 34000 34000 0.00010 17353000 10809000 6544000 0.02110 17387000 10809000 6578000 0.02120 31422 31422 0.00010 7721000 1091000 6630000 0.02140 7752422 1091000 6661422 0.02150 25139422 11900000 13239422 0.04270 559700 559700 0.00180 416782 544431 -127649 0.00000 976482 544431 432051 0.00180 1 4424000 0 79953000 87024000 -7071000 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 https://www.foxchase.org/patients/insurance-financial/financial-assistance- X 1 15 1 https://www.foxchase.org/patients/insurance-financial/financial-assistance- 0 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 1 X 0 X X 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/communityhealth. 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/communityhealth 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 speak 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 patient 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 patient 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 $6,661,422 as reported on line 7j. Part II, Community Building Activities: The net community building expense was $432,051. See Part VI, Line 5 for description of the organization's community building activities and how they promote the health of the communities served. 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 2015, the cost of providing services to the Medicare population was $7,071,000 (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, 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/communityhealth. Part VI, Line 5: With the addition of funds secured via state contracts and foundations, we have provided breast cancer screening and treatment to medically underserved women within our service area. Additional funds enabled us to establish a community outreach tobacco cessation program to address the lung cancer burden in our region. As an affiliate of the Temple University Health System, our medical and non-medical staff are offered participation and CME at the annual Cultural Competence Symposium. The symposium focuses on working effectively with communities. 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 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 theevent of a cancer diagnosis or a high-risk finding AOH (OCO) will submit the application 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.Through our Community Speakers Bureau program, Community Health Educators provided free, bilingual (English and Spanish) cancer education programs to community organizations. In FY 2016, we reached a total of 2,105 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. An additional 3,428 people were reached through health fairs and other large community events. Through our Community Cancer Screening Program we reached a total of 3,331 individuals with breast, skin, head/neck, and prostate cancer screenings. Additional support was provided by the Resource and Education Center that provided 3,952 patients, families, and community members with access to free cancer information and resources that address the cancer continuum. Our 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.Community Building Activity- Through our Immersion Science High SchoolProgram, FCCC provided free education programming to diverse high schoolstudents from the target region. The ImmersionScience program provides staged, comprehensive exposure of high schoolstudents to cancer research 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 (9)students were awarded full-time ($2,250) fellowshipsfor research in Fox Chase laboratories.In 2016, 84 students from 20 Philadelphia area schools were trained in formal programs, and an additional 200 students via our teacher training and camp programs. Our in-house program provides 16 students/year with undergraduate/graduate level training aimed at understanding how dietary components influence cancer signaling. In 2016, we published a paper in the peer-reviewed journal Biochemistry describing a project initiated during the program, with experiments executed by student program participants. Nine of these students continued their research as National Cancer Institute CURE summer fellows, with two students included on publications describing their work. Due to the success of this program in training diverse students, we expanded the program in 2016 to include an in-classroom component, where 68 students in two Title I high schools in the Philadelphia school district conducted bona fide cancer research. 48 of these students participated in a Symposium in June 2016 where they learned about careers in biomedicine and presented their work to ~100 Fox Chase Cancer Center scientists. This model will be expanded again in 2017 to reach over 200 students. In addition to these data-generating programs, the Immersion Science Program conducted three one-week camp programs in 2016, 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. In addition to student programs, Immersion Science trained three teachers ranging from middle school to high school in research. These teachers trained an additional 120 students in their classrooms, expanding the reach. All Immersion Science Programs are cost-free for the students to ensure equality of participants. 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; JeanesHospital'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 criticalcare 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) 17761691 Medical services The Institute For Cancer Research 3509 N Broad Street Philadelphia PA 19140 236296135 501 (c)(3) 34039350 Research Temple University Health System Inc 3509 N Broad Street Philadelphia PA 19140 232825881 501 (c)(3) 1600000 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 183600 0 0 0 320140 0 19238 0 19352 0 542330 0 0 Dr Richard I Fisher President & CEO 0 142210 0 75000 0 665500 0 13778 0 18403 0 914891 0 0 Beth Koob Secretary 0 471667 0 95447 0 27958 0 49791 0 36903 0 681766 0 0 Judith Bachman COO & Asst Treasurer 0 376310 0 18350 0 0 0 11925 0 8546 0 415131 0 0 Anthony Diasio CFO & Treasurer 243693 0 29547 0 0 0 11005 0 2126 0 286371 0 0 0 Robert Lux Asst Treasurer 0 523346 0 113803 0 28628 0 51247 0 38569 0 755593 0 0 Chang Ma Vice Chair Rad Onc 351940 0 0 0 18000 0 11925 0 10 0 381875 0 0 0 Robert Price Assoc Professor 276269 0 0 0 11050 0 11925 0 22045 0 321289 0 0 0 Lu Wang Assoc Professor 234598 0 0 0 0 0 10654 0 21464 0 266716 0 0 0 Jiajin Fan Assoc Professor 234731 0 0 0 2113 0 10659 0 1498 0 249001 0 0 0 Kurt Schwinghammer VP, Res & Devel Alliance 286153 0 11393 0 0 0 11925 0 8553 0 318024 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 11 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 6,568,831. Fundraising expenses 0. Total expenses 6,568,831. Professional Fees: Program service expenses 7,430,238. Management and general expenses 2,415,092. Fundraising expenses 1,020,995. Total expenses 10,866,325. Purchased Services: Program service expenses 14,399,273. Management and general expenses 1,585,742. Fundraising expenses 0. Total expenses 15,985,015. Healthcare Professional: Program service expenses 5,401,861. Management and general expenses 805,063. Fundraising expenses 0. Total expenses 6,206,924. Form 990, Part XI, line 9: Change in Welfare Benefit Trust -809,802. Change in Post Retirement Liability 49,841. 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 11a, 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 9 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 9 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 11a, I Temple University Hospital 0 Episcopal Hospital 3509 N Broad Street Room 936 Philadelphia PA 19140 231365351 Health Care PA 501c3 Line 11a, I Temple University Hospital 0 Jeanes Hospital Auxiliary 7600 Central Avenue Philadelphia PA 19111 231917776 Health Care PA 501c3 Line 9 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 11b, II American Oncologic Hospital 1 Fox Chase Cancer Center Foundation 333 Cottman Avenue PHiladelphia PA 19111 232003072 Health Care PA 501c3 Line 11d, 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 3985179 Agreed upon alloc of exp incurred Institute for Cancer Research K 4814009 Agreed upon alloc of exp incurred Institute for Cancer Research L 4400100 Agreed upon alloc of exp incurred Institute for Cancer Research M 3909776 Agreed upon alloc of exp incurred Institute for Cancer Research N 4803605 Agreed upon alloc of exp incurred Institute for Cancer Research C 89286 Actual amount received Institute for Cancer Research B 34039350 Actual amount paid FCCC Medical Group Inc J 501201 Agreed upon alloc of exp incurred FCCC Medical Group Inc L 1523800 Agreed upon alloc of exp incurred FCCC Medical Group Inc M 7361068 Agreed upon alloc of exp incurred FCCC Medical Group Inc N 12300 Agreed upon alloc of exp incurred FCCC Medical Group Inc B 17761691 Actual amount paid FCCC Network J 5135 Agreed upon alloc of exp incurred FCCC Network M 235716 Agreed upon alloc of exp incurred