TY 2022 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) Lewis Gould...................................................................... Director/Chair	1.00 ................. 12.50	X	X	0	0
(2) Christopher McNichol...................................................................... Director/Vice Chair	1.00 ................. 8.00	X	X	0	0
(3) Michael Young...................................................................... Director	1.00 ................. 49.00	X		1,714,324	33,367
(4) Amy Goldberg...................................................................... Director	1.00 ................. 49.00	X		1,087,500	40,945
(5) Tina Pidgeon...................................................................... Director	1.00 ................. 4.00	X		0	0
(6) Dr Solomon Luo...................................................................... Director	1.00 ................. 13.50	X		0	0
(7) Edward Glickman...................................................................... Director	1.00 ................. 6.00	X		0	0
(8) Thomas Hofmann...................................................................... Director	1.00 ................. 6.00	X		0	0
(9) David Marshall...................................................................... Director	1.00 ................. 4.00	X		0	0
(10) Dr Donald Morel...................................................................... Director	1.00 ................. 4.00	X		0	0
(11) William Federici...................................................................... Director	1.00 ................. 4.00	X		0	0
(12) Sandra Harmon-Weiss...................................................................... Director	1.00 ................. 8.00	X		0	0
(13) Leon O Moulder...................................................................... Director	1.00 ................. 4.00	X		0	0
(14) Chip W Marshall III...................................................................... Director	1.00 ................. 10.00	X		0	0
(15) Carl Sottosanti...................................................................... Director	1.00 ................. 3.00	X		0	0
(16) Dr Robert Uzzo...................................................................... President & CEO	1.00 ................. 49.00		X	1,344,951	60,588
(17) John Ryan...................................................................... Assistant Secretary	1.00 ................. 49.00		X	726,123	44,812

(A) Name and business address	(B) Description of services	(C) Compensation
Temple University Health System 3509 N Broad Street Philadelphia,PA19140	Professional Service	18,198,682
FCC Medical Group Inc 3509 N Broad Street Philadelphia,PA19140	Professional Service	10,401,811
The Institute For Cancer Research 3509 N Broad Street Philadelphia,PA19140	Professional Service	9,669,952
Harmelin Media Inc 525 Righters Ferry Road Bala Cynwyd,PA19004	Professional Service	1,369,514
Society Hill Anesthesia Consultants 301 S 8th Street Suite 2L Philadelphia,PA19106	Professional Service	872,660
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 18

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

Name of the organization

The American Oncologic Hospital

Employer identification number

23-1352156

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2022

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2022 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2022. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2021. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2022

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2022 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2021 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2022 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2021 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2022. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2021. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2022

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2022

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2022

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2022

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2022 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2022	(iii) Distributable Amount for 2022
1 Distributable amount for 2022 from Section C, line 6
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2022:
a From 2017.......
b From 2018.......
c From 2019.......
d From 2020.......
e From 2021.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2022 distributable amount
i Carryover from 2017 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2022 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2022 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2022, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2022. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2023. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2018.....
b Excess from 2019.....
c Excess from 2020.....
d Excess from 2021.....
e Excess from 2022.....

Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2022

Name of the organization

The American Oncologic Hospital

Employer identification number

23-1352156

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2022)

Schedule B (Form 990) (2022) Page 2

Name of organization The American Oncologic Hospital

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2022)

Schedule B (Form 990) (2022)

Page 3

Name of organization The American Oncologic Hospital		Employer identification number 23-1352156

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2022)

Schedule B (Form 990) (2022)

Page 4


Name of organization The American Oncologic Hospital			Employer identification number 23-1352156
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2022)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

The American Oncologic Hospital

Employer identification number

23-1352156

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2021

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) Total

2a	Lobbying nontaxable amount	1,000,000	1,000,000	1,000,000		3,000,000

b	Lobbying ceiling amount (150% of line 2a, column(e))					4,500,000

c	Total lobbying expenditures	30,000	27,810	1,910		59,720

d	Grassroots nontaxable amount	250,000	250,000	250,000		750,000

e	Grassroots ceiling amount (150% of line 2d, column (e))					1,125,000

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2021

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation

Schedule C (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

The American Oncologic Hospital

Employer identification number

23-1352156

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2021

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	9,958,761	6,999,437	5,526,124	6,243,362	4,702,244
b	Contributions ...	3,846,714	4,604,720	1,115,935	1,170,481	2,345,199
c	Net investment earnings, gains, and losses	453,596	-918,213	1,064,230	-7,844	72,343
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	922,962	765,169	826,940	1,932,026	919,764
f	Administrative expenses ....	-68,622	-37,986	-120,088	52,153	-43,340
g	End of year balance ......	13,404,732	9,958,761	6,999,437	5,526,124	6,243,362

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

37.500 %

Term endowment SchDMd Bullet

62.500 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

Yes

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	3,393,528		3,393,528
b	Buildings ....	28,899,560	8,578,389	20,321,171
c	Leasehold improvements	4,050,570	3,730,835	319,735
d	Equipment ....	62,862,404	38,758,453	24,103,951
e	Other .....	4,229,724	154,312	4,075,412
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				52,213,797

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)ACE Bond Collateral				83,485
(2)Beneficial Interest in FCCC Foundation				5,970,544
(3)Board of Associates - Bank Accounts				325,965
(4)Charitable Gift Annuity Reserve				381,158
(5)Other Assets				3,424,621
(6)Permanently Restricted Cash - PNC				5,030,286
(7)Temporarily Restricted Cash - PNC				8,374,447
(8)Welfare Benefit Trust				150,795
(9)Wells Fargo Collateral				234,362
(10)Workers' Compensation				1,874,092
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				25,849,755

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	123,160,807
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2021

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
Part V, Line 4:	The American Oncologic Hospital periodically receives endowment gifts from individuals and other entities that provide a steady stream of income to the respective purpose to which the donor intended. This typically would be to support patient care programs and patient care activities at the hospital.

Schedule D (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization
The American Oncologic Hospital

Employer identification number

23-1352156

Part I

Fundraising Activities.Complete if the organization answered "Yes" on Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

YesNo

If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










Total . . . . . . . . . . . . . . . . . . . .

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990) 2022

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 In Vino Vita (event type)	(b) Event #2 Paws for the Cause (event type)	(c) Other events 9 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	2,441,242	96,690	114,823	2,652,755
2	Less: Contributions . . . .	1,796,305	61,787	69,000	1,927,092
3	Gross income (line 1 minus line 2) . . . . . .	644,937	34,903	45,823	725,663

4	Cash prizes . . . . .	0	0
5	Noncash prizes . . . .	4,439	0	4,439
6	Rent/facility costs . . . .	0	0
7	Food and beverages . . .	123,238	1,487	124,725
8	Entertainment . . . .	10,472	3,137	13,609
9	Other direct expenses . . .	172,100	14,708	186,808
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .			329,581
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .			396,082

Part III

Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990) 2022

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.

Return Reference	Explanation

Schedule G (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

The American Oncologic Hospital

Employer identification number

23-1352156

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .			177,000		177,000	0.060 %
b	Medicaid (from Worksheet 3, column a) . . . . .			20,793,000	10,839,000	9,954,000	3.370 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .			20,970,000	10,839,000	10,131,000	3.430 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	232	9,223	1,305,943	113,883	1,192,060	0.400 %
f	Health professions education (from Worksheet 5) . . .	5	313	9,286,000	1,801,000	7,485,000	2.540 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .			38,111,600		38,111,600	12.910 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	36	100	118,800		118,800	0.040 %
j	Total. Other Benefits . .	273	9,636	48,822,343	1,914,883	46,907,460	15.890 %
k	Total. Add lines 7d and 7j .	273	9,636	69,792,343	12,753,883	57,038,460	19.320 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022

Schedule H (Form 990) 2022

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements	1		1,800		1,800	0 %
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development	1	500	27,400	40,733	0	0 %
9	Other
10	Total	2	500	29,200	40,733	1,800	0 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

-300,000

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

58,375,000

Enter Medicare allowable costs of care relating to payments on line 5.....

63,989,000

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-5,614,000

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2022

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?3Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)					Facility reporting group
1	The American Oncologic Hospital 333 Cottman Avenue Philadelphia,PA19111 012901	X	X	X	A
2	The American Oncologic Hospital 2365 Heritage Center Drive Furlong,PA18925 012901	X	X	X	A
3	The American Oncologic Hospital 8 Huntingdon Pike Rockledge,PA19046 012901	X	X	X	A

Schedule H (Form 990) 2022

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	The American Oncologic Hospital
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 22

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): foxchase.org/community/community-health

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): www.foxchase.org/community/community-health

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2022

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	The American Oncologic Hospital
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 100.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

https://www.foxchase.org/patients/insurance-financial/financial-assistance-

The FAP application form was widely available on a website (list url):

https://www.foxchase.org/patients/insurance-financial/financial-assistance-

A plain language summary of the FAP was widely available on a website (list url):
https://www.foxchase.org/patients/insurance-financial/financial-assistance-

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2022

Page 6

Part VFacility Information (continued)

Billing and Collections

	The American Oncologic Hospital
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2022

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	The American Oncologic Hospital
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2022

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Part V, Section B	Facility Reporting Group A
Facility Reporting Group A consists of:	- Facility 1: The American Oncologic Hospital, - Facility 2: The American Oncologic Hospital, - Facility 3: The American Oncologic Hospital
Group A-Facility 1 -- The American Oncologic Hospital Part V, Section B, line 5:	FCCC completed a community health needs assessment (CHNA) in 2022 as part of a regional CHNA with other hospitals and health systems in Southeastern Pennsylvania. Data was collected from local, state, and federal sources including the U.S. Census, Pennsylvania Department of Health Vital Statistics City of Philadelphia Department of Health, and tumor registry data from Fox Chase Cancer Center (FCCC). The target area included in the CHNA is the primary service area for the institution and comprises 80 zip codes in Bucks, Montgomery and Philadelphia counties, with a total current population of approximately 2,208,752. In addition to the quantitative data utilized for the CHNA, additional community input was derived from 26 virtual focus group-style "community conversations" held to gather input from residents of geographic communities across all five counties and 21 virtual focus group discussions centered on "spotlight" topics conducted with community organization and local government agency representatives. Topics covered included behavioral health, chronic disease, food insecurity, housing and homelessness, older adults and care, racism and discrimination in health care, substance use, and violence.
Group A-Facility 1 -- The American Oncologic Hospital Part V, Section B, line 7d:	The final CHNA was shared externally with partner organizations and is available to the public via the organization's website https://www.foxchase.org/community/community-health. Additional dissemination of its findings has been presented to the Board of Directors, senior leadership, and to multiple entities within FCCC including: American College of Surgeons (ACoS) Commission on Cancer, Cancer Committee, Cancer Prevention and Cancer Control (Behavioral Research team) and staff from the Office of Community Outreach, the primary education and outreach arm for the institution.
Group A-Facility 1 -- The American Oncologic Hospital Part V, Section B, line 11:	The CHNA provided a broad overview of the needs of our community, however, as an NCI Comprehensive Cancer Center, our sole focus is cancer. Within the cancer control realm, we address the entire cancer continuum from prevention to survivorship. An implementation plan was developed based on the 2022 CHNA to focus on four priority areas to address the immediate community's health issues and care needs. The areas include (1) enhance cancer care access; (2) lower burden of chronic disease (3) address racial, ethnic, and other healthcare disparities and (4) increase behavioral health support. The CHNA was completed in 2022 and an implementation plan was subsequently developed and approved by the Board of Directors and is posted on the organization's website https://www.foxchase.org/community/community-health. Teams were formed to implement specific tasks and/or projects to address the four priority areas and each priority area has an executive sponsor leading the implementation of these tasks. Fox Chase Cancer Center (FCCC) is addressing the following unmet needs identified in this Community Health Needs Assessments (CHNA): Demographic Changes - the anticipated growth in older populations does not present a challenge for Fox Chase. According to the 2019 Tumor Registry data, 87% of our patient mix in the service area is between the ages of 50-99. Language Needs - In preparation for the changing language needs, we have embarked on a quality improvement plan for language services. We have established institutional policies to address the languages needs of our non-English speaking patients. These services include on-site medical interpreters, language phones, remote video units and amplifiers for our hard of hearing patients. Individual languages/dialects that address this need are: Spanish, Russian, Mandarin, Cantonese and Vietnamese. Other languages are available however; this speaks directly to the most utilized languages according to our Cultural and Linguistic Services (CLS). The other policy relates to the translations of vital patient documents and other materials produced by Fox Chase. These documents are translated by a Temple Health contracted and accredited translations vendor. The documents once completed undergo an internal review by the CLS to ensure accuracy as well as compliance with the National Standards for Culturally and Linguistically Appropriate Services in Health Care and the Joint Commission's Roadmap. We have also developed new bilingual cancer education brochures that were developed and translated by a certified medical interpreter. These include materials on quitting smoking in Chinese, Spanish and Russian and a brochure on liver cancer in Spanish. Additional bilingual educational materials, developed as part of our previous assessment continue to be revised and available. To alleviate the inability to disseminate paper materials during the COVID-19 pandemic, the Lippincott Resource and Education Center created the RECOnline web-based library (foxchase.org/RECOnline) of cancer-support materials to provide access to bilingual materials, free of charge. There are over 1000 resources on RECOnline and materials are available in multiple languages. To further augment our ability to reach our Hispanic/LatinX population our Community Outreach Facebook page posts Spanish-language content twice a month. Insurance Plans - FCCC accepts a variety of medical insurance including Medicare, Medicaid and private insurers. Additional funding from state and foundation grants enables us to offer cancer screening and treatment for breast cancer. Financial counseling and triaging within our network hospitals is available to persons who do not fall within these categories. Access to care: increase access screening and research- There is an unmet need in the service area for screenings, preventive care, and access to research. FCCC brings cancer screening to the community via the community cancer screening program, including the mobile screening unit (MSU). Recognized as a best practice to reducing structural barriers, the MSU brings breast cancer screening to the community. In FY23, we conducted 94 screening events and reached 1,208 women with breast cancer screenings through the community cancer screening program. Individuals requiring language services were provided with a certified medical interpreter at no cost to the patient. Individuals identified with abnormal findings that require follow-up are supported with navigation services including transportation to and from FCCC at no cost to the patient. In addition to the language and transportation services provided to patients in-need; our community navigator greets MSU patients requiring follow-up care and remains with them as they receive services. During FY23, our community navigator worked with 112 patients to assist them with their appointments and navigate them through their services. One patient screened through the community cancer screening program was diagnosed with breast cancer this year. These patients were assigned a nurse navigator to support ongoing needs i.e., scheduling, testing and overall coordination of clinical care. In addition, FCCC has expanded its clinical trial portfolio at Temple University Hospital (TUH) to increase access to research opportunities. Several new studies have been activated, the number of faculty has been expanded, and work has been done with the Office of Community Outreach and Engagement (OCOE) to increase awareness of trials. Also this year, FCCC worked with Temple University Health System (TUHS) to pilot a Colorectal Cancer Screening home-based Fecal Immunochemical Test (FIT) program with high-risk populations in North Philadelphia. These kits are a quick, easy, and innovative way for people to screen at home. The program was successful, with 75% of participants reporting their FIT test results.Chronic disease: education and smoking cessation Through our community Speakers Bureau, the OCOE provides participants with evidence-based information on risk factors, symptoms, screening guidelines, and treatment options for breast, cervical, colorectal, liver, lung, ovarian, prostate, and skin cancers. In FY23, OCOE conducted bilingual outreach to 2,412 people through 65 sessions. Fox Chase was able to participate in an additional 54 outreach events this year and reached a 2,969 people with cancer information. These programs are designed to help patients become more active in their healthcare by gaining a stronger understanding of cancer, risk factors and screening guidelines.Twenty-two percent of adults in the service area smoke cigarettes, which is significantly higher than the state rate of 18%. Fox Chase Cancer Center offers smoking cessation assistance to all patients using tobacco products through the Tobacco Treatment Program. Participants in this program receive counseling along with the use of pharmacotherapy (nicotine replacement therapy and/or other medications). The tobacco treatment program has expanded. The number of unique patients receiving tobacco treatment services increased to 848. There were a total of 1,804 visits scheduled with the tobacco program. In addition, 30 patients enrolled in the navigation program and 23 of them have had at least one visit. The navigation program provides more in-depth tobacco treatment services and referrals to additional resources. The Community Tobacco Treatment Program has been held virtually and includes education and pharmacotherapy counseling. This program is open to community members that are interested in quitting tobacco. To eliminate barriers to participation and to increase access, the 4-week program is offered at no cost to participants. The program was held once in FY23.Eat Healthy, Be Active is a nutrition and physical activity program that Fox Chase ran for adults. It promotes living healthy to reduce the risk of obesity and chronic disease. The Eat Healthy, Be Active community workshops are based on the Dietary Guidelines for Americans, 2015- 2020 and the Physical Activity Guidelines for Americans. Participants learn the skills needed to make healthy eating and regular physical activity a part of their lifestyle. Class content focused on identifying small changes to incorporate into your daily lifestyle, as well as healthy substitutions to make while you shop and cook. Participants learned the benefits of physical activity as well as the difference between moderate aerobic activity, vigorous aerobic activity, and muscle strengthening activity. The program was run twice in FY23 and was offered once in English and once in Spanish. There were 17 participants in the English language class and 26 total participants in the Spanish language class.
Group A-Facility 2 -- The American Oncologic Hospital Part V, Section B, line 5:	Refer to Facility 1 description.
Group A-Facility 2 -- The American Oncologic Hospital Part V, Section B, line 7d:	Refer to Facility 1 description.
Group A-Facility 2 -- The American Oncologic Hospital Part V, Section B, line 11:	Refer to Facility 1 description.
Group A-Facility 3 -- The American Oncologic Hospital Part V, Section B, line 5:	Refer to Facility 1 description.
Group A-Facility 3 -- The American Oncologic Hospital Part V, Section B, line 7d:	Refer to Facility 1 description.
Group A-Facility 3 -- The American Oncologic Hospital Part V, Section B, line 11:	Refer to Facility 1 description.
Community Health Promotion	Racial, ethnic and other healthcare disparitiesRacism was recognized as an ongoing public health crisis in need of collective attention during the 2022 Community Health Needs Assessment. Communities of color expressed mistrust of healthcare providers arising from health disparities and discriminatory treatment in healthcare settings, which can lead to forgoing needed care. Equitable and affirming healthcare was a concern for LGBTQ+ community members. In response, the community requested a more diverse healthcare workforce with lived experience and increased diversity, equity, and inclusion training programs in healthcare institutions. More culturally concordant healthcare providers and resources to address language barriers, including high quality oral and written language translation resources were also requested. In FY23, there were 202,943 language requests for translation services. Planning began for future cultural competence, anti-racism, diversity awareness trainings. One training on "Cancer Disparities: How does this inform DEIA at FCCC" was conducted during this year with 37 attendees. Human resources also has several trainings that are DEI related. In FY23, 1,023 instances of a DEI course taken were reported, including Introduction to LGBTQ Patients, Cultivating Cultural Competence and Inclusion, and the Temple Experience.Behavioral health support- The Community Health Needs Assessment (CHNA) identified behavioral health as a top need exacerbated by the pandemic. In response to this identified need, we expanded the Patient to Patient Network (P2PN) and Caregiver Network, this program is a telephone-based support program that connects trained patients/caregivers to new patients/caregivers. In FY23, the P2PN and caregiver network expanded to Temple University Hospital. There were 73 completed P2PN matches at Fox Chase and 17 completed matches at Temple Hospital. There were also 20 volunteers trained at Fox Chase and 5 trained at Temple Hospital. In FY23, there were 9 completed caregiver matches at FCCC and 1 at Temple Hospital. There were 2 caregiver volunteers trained. Since the program began, over 200 P2PN volunteers have been trained. In addition, there were 276 participants in Fox Chase support groups and the Cognitive Behavioral Therapy (CBT) for Pain behavioral health therapy group and the Music Wellness Program were launched this year.Unmet Needs and Identification Process - The unmet healthcare needs for this service area were identified and prioritized by comparing the health status, access to care, health behaviors, and utilization of services for residents of the service area to results for the county and state and the Healthy People 2030 goals for the nation. In addition, for Household Health Survey measures, tests of significance were conducted to identify and prioritize unmet needs. Input from the community meeting participants was also used to further identify and prioritize unmet needs, local problems with access to care, and populations with special health care needs.

Schedule H (Form 990) 2022

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2022

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
Part I, Line 3c:	Not applicable. The American Oncologic Hospital does use Federal Poverty Guidelines.The Hospital provides patient care services without charge, or at amounts less than established rates, to patients who meet the criteria of its charity care policy. Criteria for consideration under the charity care policy is based primarily on family income and worth, but also recognizes other circumstances where undue financial hardships exist. The Hospital maintains records to identify and monitor the level of charity care it provides. Because collection of amounts determined to qualify as charity care are not pursued, patient service revenues are reduced by such amounts. The Hospital also provides services and supplies below cost to patients covered by government insurance programs, including the Medicare and Medicaid programs.
Part I, Line 6a:	FCCC completed a community health needs assessment (CHNA) in 2022 as part of a regional CHNA with other hospitals and health systems in Southeastern Pennsylvania. Data was collected from local, state, and federal sources including the U.S. Census, Pennsylvania Department of Health Vital Statistics City of Philadelphia Department of Health, and tumor registry data from Fox Chase Cancer Center (FCCC). The target area included in the CHNA is the primary service area for the institution and comprises 80 zip codes in Bucks, Montgomery and Philadelphia counties, with a total current population of approximately 2,208,752. See Part V, Section B for further information.
Part I, Line 7:	As set forth in the Fox Chase Cancer Center Emergency Care, Charity Care and Financial Assistance Policy, it is the policy of Fox Chase Cancer Center to provide all necessary urgent care to patients without regard to their ability to pay for such care. Given this mission and within the guidelines of prudent business management, it is further the policy of Fox Chase Cancer Center that an orderly and controlled system for the write-off of all types of Bad Debt and Charity Care balances is in effect to ensure maximum collections. All patients have the option to apply for the Fox Chase Cancer Center Charity Care Program. The guiding principles behind this policy are to treat all patients equally, with dignity and respect, to assist patients who cannot pay and to balance appropriate financial assistance for patients with fiscal responsibility. Patients and their families have a responsibility to assist Fox Chase Cancer Center in qualifying them for financial assistance. Fox Chase Cancer Center's cost to charge ratio for Part 1, lines 7a through 7d is derived by total expenses divided by the total gross charges. The net community benefit expense was $46,907,460.43 as reported on line 7j.
Part II, Community Building Activities:	Fox Chase Cancer Center engages in numerous community building activities throughout the year. One environmental improvement was the maintenance of a medicine disposal unit in the FCCC pharmacy. Fox Chase Cancer Center has also been involved in community health improvement advocacy. This includes an active role in the Smokefree Philly coalition to work towards reduced tobacco use in Philadelphia. Fox Chase also worked with the American Lung Association to advocate for tobacco control legislation at the state level. In addition, Fox Chase worked collaboratively with the Pennsylvania Breast Cancer Coalition, to advocate to Pennsylvania legislators to eliminate all costs associated (including co-pays, deductibles and co-insurance) with breast MRIs, breast ultrasounds and BRCA-related genetic testing and counseling for Pennsylvanians at high risk insured under state law. The landmark, life-saving legislation was signed into law on May 1, 2023. The other Community Building Activities focus on workforce development. They include partnerships with local colleges and universities, school based programs on health care careers, health career mentoring, and community programs that drive entry into health careers. Some examples of these programs are listed below.WORKFORCE DEVELOPMENT(1) TRIP Initiative Program: The Teen Research Internship Program (TRIP) is a rigorous lab-based course for high school students who are motivated to explore their interests in science, technology, engineering, art, and math (STEAM). The mission of the TRIP Initiative is to foster an enthusiasm for science by offering students a chance to do hypothesis-driven research and hands-on learning in a lab. The TRIP Initiative course is offered during the summer at Temple University in Philadelphia.(2) FCCC Career Series: This annual series is aimed at educating high school and undergraduate students who are spending their summer at Fox Chase about many of the career paths employed here at the Center. Each session will feature two speakers, who will talk about their careers and touch on what skills are necessary to be successful in their fields from medical oncology to genetic counseling, postdoctoral research, and more.(3) Gateway School Visit Cancer Research Discovery Day: The Discovery Day entails a one-day visit to FCCC including a tour of the Center and a meeting with graduate students and postdocs over lunch to discuss careers.(4) Career Talks at schools: These career talks are with high school students to promote and educate the community about STEM programs and careers.(5) Philadelphia STEM Equity Collective Workgroup: Designed to cultivate STEM equity, access, and inclusion in STEM career pathways for Philadelphia students who are traditionally underrepresented in STEM occupations. The program is designed to specifically increase the number of Black, Latinx and women Philadelphia students going into STEM careers by 2030.(6) University of Delaware-FCCC summer fellowship: The program is a continuing partnership between FCCC and the University of Delaware (UD), with the goal of providing UD students exposure to the diverse array of careers in science, medicine, and health care-related fields. The Discovery Day entails a one-day visit to FCCC including a tour of the Center and a meeting with graduate students and postdocs over lunch to discuss careers. Participants in this program are UD undergraduates from low socioeconomic status, underrepresented minorities, or first in college backgrounds.(7) Student Design Lab/Beyond the Canvas: This program teaches students to use a design framework to promote problem solving and critical thinking. It also connects students to STEM professionals and mentors. The program is designed to equip students with translational skills while they work to solve real-world problems.(8) Application feedback: This program promotes and educates the community about STEM programs and careers. It also helps students complete more competitive applications to STEM programs, colleges, and jobs.(9) Immersion Science Program: This program trains high school students in cancer research. Approximately 60% of the students are from the School District of Philadelphia (Title 1, 100% free lunch), more than 70% are female and more than 60% are minorities. Immersion Science Program is a free educational program that reduced cultural barriers to health, advances knowledge through education, and is focused on cancer research of benefit to the public.
Part III, Line 2:	Effective July, 1, 2018, the Health System adopted a new revenue recognition accounting standard that resulted in significant changes to the methodology for reporting bad debt expense. Under the previous standard, estimates for amounts not expected to be collected based on historical experience were recorded within net patient service revenue and then recognized as bad debt expense. Under the new standard, estimates for unrealizable amounts are recognized as implicit price concessions that are a direct reduction to net patient service revenues. As a result, the amount of bad debt expense reported in the Health System's financial statements has been greatly reduced, despite the fact that overall collection rates have not changed.
Part III, Line 4:	There is no footnote specific to bad debt at this time. This expense is related to services rendered for which payment is anticipated and credit is extended. These patients do not meet the established Charity Care policy and may therefore have the ability to pay. The cost method is determined based on the patient's liability for services rendered and is a community benefit because it is a cost of providing health care to the general public.
Part III, Line 8:	In 2023, the cost of providing services to the Medicare population was $5,614,000 (Part III, Line 7) higher than revenue. Medicare allowable cost (Part III, Line 6) was based on cost apportionment derived from the Medicare Cost Report. The Medicare shortfall carried by FCCC provides a community benefit because it benefits a charitable class, the elderly.
Part III, Line 9b:	American Oncological Hospital's collection policy contains provisions on the collection practices to be followed for patients who are known to qualify for charity care. If a patient does not qualify for charity care or qualifies for only a charity care discount, the normal billing process of four (4) statements over a span of at least 120 days will occur. If no patient response is received, a write-off request form will be completed by the collection specialist and submitted for proper signature authority for agency referral. Once approved, the account will be transferred to the Bad Debt Financial Class. The account will be forwarded to the collection agency for additional collection effort. Collection vendors are required to include in their collection notifications notice that AOH provides free and/or reduced price care to persons who qualify, that AOH provides assistance in applying for and obtaining government funded insurance, and that patients can contact the Financial Services Department for assistance.
Part VI, Line 2:	The health care needs of the communities served are assessed using primary and secondary data and evidence-based resources such as those provided by the PA Department of Health, Center for Disease Control and Prevention, National Cancer Institute, American Cancer Society, Healthy People 2020, FCCC Tumor registry, PMHC and information provided to us by our community via focus group discussions.
Part VI, Line 3:	Financial Counselors assigned to American Oncologic Hospital screen all uninsured and underinsured patients (including those with high deductibles and co-pays) who are hospitalized or require elective outpatient hospital services to determine their eligibility for government funded medical insurance coverage such as Medicaid and CHIP as well as coverage through the Health Insurance Marketplace. In addition, any current or prospective patient my seek information about and/or assistance in applying for Charity Care/Financial Assistance from the Financial Counselors.Patients that meet the qualifications for these programs are assisted by financial counseling staff throughout each step of the application process. Medicaid applications are submitted by AOH on the patient's behalf and tracked until final determination. Patients who do not qualify for government-funded programs are screened for the American Oncologic Hospital Charity Care/ Financial Assistance program to determine their eligibility for free or reduced cost care. Patients who contact the Hospital's Business Office concerning bills they have received that they cannot afford to pay are also screened for Charity Care/Financial Assistance eligibility. The Financial Counseling Staff at American Oncologic Hospital are CMS Certified Application Counselors and provide assistance in obtaining coverage through the Health Insurance Marketplace as well as in assisting patients in obtaining supplemental coverage and prescription drug benefits. Patients are informed of American Oncologic Hospital's Financial Services, and direction on how to access these services, through the following means:Posters in plain view at inpatient, outpatient and emergency registration areas and billing offices; Patient discharge summaries, billing invoices and vendor collection notices; and Hospital website.
Part VI, Line 4:	The 2023-2026 Community Health Needs Assessment (CHNA) focused on 80 zip codes in three counties which represents approximately 67% of the in-patient population we serve. The total population within this region is 2,208,752. Approximately 32.2% of the populations is 20-44 years old. The majority (58.5%) of persons self-identify as White followed by African American (21%), Hispanics (11.8%) and Asian (6.3%). A significantly higher percentage of residents in neighborhoods in our catchment area including Norristown, North Philadelphia-East and Lower Northeast Philadelphia report that they have no health insurance (13%, 10.7%, and 9.9% respectively), compared to the statewide percentage of 9% uninsured. In the neighborhoods of North Philadelphia West and East, 43.5% and 40.8% of residents live in poverty, Chronic disease (hypertension, asthma, obesity, diabetes and cancer) and mental health are major health issues. Additional details are provided in the CHNA - https://www.foxchase.org/community/community-health.
Part VI, Line 5:	Fox Chase Cancer Center organized or participated as a key partner in a number of community health improvement activities. These activities are free to the community, subsidized by Fox Chase Cancer Center, and are carried out for the sole purpose of improving community health. Community health improvement services (Part 1, lines 7e) includes several programs, many of them operated by FCCC's Office of Community Outreach and Engagement (OCOE).(1) Community Cancer Screening program: In order to increase access to care, the Community Cancer Screening program provides breast cancer screening and treatment to medically underserved women within our service area. Low-income, uninsured or underinsured women screened on the Fox Chase Cancer Center (FCCC) Mobile Screening Unit (MSU) for breast cancer are covered under funds secured via state contract via the Pennsylvania Healthy Women Program (HWP), a federally funded program of CDC's National Breast and Cervical Cancer Early Detection Program (NBCCEDP). Eligible women receive free or low cost mammograms and if diagnosed receive treatment. In the event of a cancer diagnosis or a high-risk finding, OCOE will prepare and submit the application on behalf of the patient to the Healthy Women Program (HWP). HWP will forward the application to the appropriate Pennsylvania County Health Department. Once approved the patient receives instructions to enroll in a Medicaid plan. If needed, financial services can provide additional support. Additional funds secured through the Pennsylvania Department of Human Services enabled us to provide additional screening and diagnostic services to medically underserved women in our service area during FY23. Should a woman be diagnosed, she would be transitioned to the HWP. In FY23, our Community Cancer Screening program reached a total of 1,208 individuals with breast cancer screening. We provided no-cost mammograms to 309 uninsured women (25%).(2) Community Speakers Bureau: OCOE also brings cancer education to the community through our Community Speakers Bureau program. Community Health Educators provide free, bilingual (English and Spanish) cancer education programs to community organizations. In FY23, we reached a total of 2,412 persons with cancer education, interventions, and information. We addressed a wide array of cancer topics including breast, cervical, colorectal, liver, lung, ovarian, prostate, and skin cancers. All of the programs provide an overview of the cancer, associated risk factors, updated screening guidelines, prevention strategies, and methods to diagnose and treat cancer. Materials used to support the program are written in "plain language" to address literacy issues also identified in the CHNA. An additional 2,969 people were reached through health fairs and other large community events. (3) Tobacco Cessation Program: Fox Chase Cancer Center offers smoking cessation assistance to all patients using tobacco products through the Tobacco Treatment Program. Participants in this program receive counseling along with the use of pharmacotherapy (nicotine replacement therapy and/or other medications). The tobacco treatment program has expanded. The number of unique patients receiving tobacco treatment services increased to 848. There were a total of 1,804 visits scheduled with the tobacco program. In addition, 30 patients enrolled in the navigation program and 23 of them have had at least one visit. The navigation program provides more in-depth tobacco treatment services and referrals to additional resources. The Community Tobacco Treatment Program has been held virtually and includes education and pharmacotherapy counseling. This program is open to community members that are interested in quitting tobacco. To eliminate barriers to participation and to increase access, the 4-week program is offered at no cost to participants. The program was held once in FY23.(4) Resource and Education Center (REC): The REC provided 1,429 patients, families, and community members with access to free cancer information and resources that address the cancer continuum. The REC also provided an additional 136 attendees with education through free virtual seminars.(5) Behavioral health support: The Community Health Needs Assessment (CHNA) identified behavioral health as a top need exacerbated by the pandemic. In response to this identified need, we expanded the Patient to Patient Network (P2PN) and Caregiver Network, this program is a telephone-based support program that connects trained patients/caregivers to new patients/caregivers. In FY23, the P2PN and caregiver network expanded to Temple University Hospital. There were 73 completed P2PN matches at Fox Chase and 17 completed matches at Temple Hospital. There were also 20 volunteers trained at Fox Chase and 5 trained at Temple Hospital. In FY23, there were 9 completed caregiver matches at FCCC and 1 at Temple Hospital. There were 2 caregiver volunteers trained.(6) Health Care Support Services: FCCC conducts many programs to increase awareness and access to survivorship-oriented educational resources. These include survivor focused events on several cancer types (the Together Facing Cancer series) in addition to specific events for breast cancer survivors called Unite for Her. Additionally, FCCC offers support groups for various cancer types. Lastly, FCCC conducts research in the community that is focused on how to help community members to understand the role and importance of research. We also are interested in how best to reach people with health care information and how to help them become strong partners in their own health care.
Part VI, Line 6:	American Oncologic Hospital is a part of Fox Chase Cancer Center, which is a member of the Temple University Health System, Inc. (TUHS). Its mission is to prevail over cancer marshaling heart and mind in bold scientific discovery, pioneering prevention, and compassionate care. The other entities that are a part of Fox Chase Cancer Center are the Institute for Cancer Research, Fox Chase Cancer Center Medical Group, and Fox Chase Network, Inc. All of these entities have the same mission as the American Oncologic Hospital. The missions of other members of the Temple University Health System similarly advance the health systems goals, as follows: Temple University Hospital's mission to provide access to the highest quality of health care in both the community and academic setting and it supports Temple University and its Health Sciences Center academic programs by providing the clinical environment and service to support the highest quality teaching and training programs for health care students and professionals, and to support the highest quality research programs; Temple University Health System's mission is to provide access to high quality health care to the community and academic setting; the Temple Health System Transport Team, Inc. mission is to provide the highest level of critical care transport services available in the mid-Atlantic region; and the Temple Physicians, Inc., (TPI) mission is to provide the highest quality of clinical care as well as to support the clinical, administrative and corporate activities of Temple University Health System; the Temple Faculty Practice Plan, Inc. (TFPP) mission is toprovide access to the highest quality of clinical care to the patients ofNorth and Northeast Philadelphia and surrounding areas, and to support theclinical, administrative, and corporate activities of Temple UniversityHealth System while continuing to support the academic and researchmission of Temple University's Lewis Katz School of Medicine.

Schedule H (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

Name of the organization
The American Oncologic Hospital

Employer identification number
23-1352156

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(e) Amount of non-cash assistance	(h) Purpose of grant or assistance
(1) The Institute For Cancer Research 3509 N Broad Street Philadelphia,PA19140	23-6296135	501 (c)(3)	38,111,600	Research
(2) Temple University Health System Inc 3509 N Broad Street Philadelphia,PA19140	23-2825881	501 (c)(3)	575,000	Medical services
(3) Fox Chase Network Inc 3509 N Broad Street Philadelphia,PA19140	23-2467337	501 (c)(3)	532,500	Medical services
(4) Fox Chase Cancer Center Medical Group 3509 N Broad Street Philadelphia,PA19140	45-4540585	501 (c)(3)	195,120	Medical services

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2022

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
Part I, Line 2:	The organization made grants for tax-exempt purposes only to related organizations under common control.

Schedule I (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

The American Oncologic Hospital

Employer identification number

23-1352156

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2022

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1Michael Young Director	(i) (ii)	0 ------------- 1,310,092	0 ------------- 379,500	0 ------------- 24,732	0 ------------- 15,250	0 ------------- 18,117	0 ------------- 1,747,691	0 ------------- 0
2Dr Robert Uzzo President & CEO	(i) (ii)	0 ------------- 1,199,071	0 ------------- 100,380	0 ------------- 45,500	0 ------------- 30,500	0 ------------- 30,088	0 ------------- 1,405,539	0 ------------- 0
3Amy Goldberg Director	(i) (ii)	0 ------------- 389,000	0 ------------- 25,000	0 ------------- 673,500	0 ------------- 33,035	0 ------------- 7,910	0 ------------- 1,128,445	0 ------------- 0
4John Ryan Assistant Secretary	(i) (ii)	0 ------------- 589,214	0 ------------- 128,775	0 ------------- 8,134	0 ------------- 12,634	0 ------------- 32,178	0 ------------- 770,935	0 ------------- 0
5Chang Ma Vice Chair Rad Onc	(i) (ii)	433,004 ------------- 0	0 ------------- 0	20,500 ------------- 0	30,500 ------------- 0	9 ------------- 0	484,013 ------------- 0	0 ------------- 0
6Robert Price Assoc Professor	(i) (ii)	362,826 ------------- 0	0 ------------- 0	0 ------------- 0	30,499 ------------- 0	25,750 ------------- 0	419,075 ------------- 0	0 ------------- 0
7Anna Liza Rodgriguez Chief Nursing Officer	(i) (ii)	310,366 ------------- 0	46,803 ------------- 0	0 ------------- 0	13,725 ------------- 0	33,355 ------------- 0	404,249 ------------- 0	0 ------------- 0
8Lili Chen Assoc Professor	(i) (ii)	289,633 ------------- 0	0 ------------- 0	19,500 ------------- 0	30,500 ------------- 0	23,582 ------------- 0	363,215 ------------- 0	0 ------------- 0
9Lu Wang Professor	(i) (ii)	296,927 ------------- 0	0 ------------- 0	0 ------------- 0	29,942 ------------- 0	25,175 ------------- 0	352,044 ------------- 0	0 ------------- 0
10Michael DiFranco Assistant Treasurer	(i) (ii)	0 ------------- 249,789	0 ------------- 63,797	0 ------------- 0	0 ------------- 0	0 ------------- 31,332	0 ------------- 344,918	0 ------------- 0
11Jerome Maddox Secretary	(i) (ii)	0 ------------- 241,451	0 ------------- 10,000	0 ------------- 11,104	0 ------------- 10,774	0 ------------- 16,109	0 ------------- 289,438	0 ------------- 0

Schedule J (Form 990) 2022

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
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.

Schedule J (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

The American Oncologic Hospital

Employer identification number

23-1352156

Return Reference	Explanation
Form 990, Part VI, Section A, line 1a	Pursuant to the organization's bylaws, the Executive Committee consists of no less than five members of the Board, including the Chair, the Vice Chair, and the chairs of the Standing Committees. The Executive Committee is authorized to act for the Board between its regular meetings.
Form 990, Part VI, Section A, line 6	The sole member of the organization is Temple Unversity Health System, Inc. The member has the power to appoint and remove the organization's Board of Directors. The approval of the member is required for any of the following actions by the organization, (a) any dissolution or liquidation, (b) any merger, (c) any amendments to the articles of incorporation, (d) any amendments to the bylaws regarding the member, the number of directors, quorum or voting requirements, (e) the sale, pledge, lease (but only a lease from the organization of substantially all of the organization's real property), or other transfer of the assets of the organization other than transactions occurring in the ordinary course of business, (f) any decision resulting in the organization's ceasing to provide appropriate sites for Temple University School of Medicine for cancer care services through the organization, (g) any decision to merge with, acquire or enter into an affiliation with a medical school other than Temple University's or a medical school hospital other than Temple University Hospital, Inc., (h) the deletion of any clinical programs that are needed for the accreditation of Temple University School of Medicine, (i) the adoption of the organization's annual capital and operating budgets, (j) the issuance or assumption of any indebtedness in excess of five hundred thousand ($500,000), and (k) the execution of any contract providing for the management of the organization.
Form 990, Part VI, Section A, line 7a	Please refer to the response for question #6
Form 990, Part VI, Section A, line 7b	Please refer to the response for question #6
Form 990, Part VI, Section B, line 11b	After review by management and outside tax counsel, the 990 and 990T (if any) are posted to the website of the Secretary's Office. Each Board member is contacted and provided with the web address. A Board member without internet access is provided a paper copy to review. The website and paper mailing have an overview of the 990 and 990T preparation process and internal reviews. Each Board member is asked to review the 990 and 990T within 2 weeks and contact the Chief Financial Officer with any questions.
Form 990, Part VI, Section B, line 12c	The Office of the Secretary provides each director and officer with copies of the Conflict of Interest Policy and a disclosure statement to be completed on an annual basis. The Office of the Secretary reviews the completed disclosure statements which are then reviewed in summary format by a committee of the Board of Directors and any recommended actions are presented to the full Board of Directors. In addition to completing the annual disclosure statement, directors and officers must disclose potential or actual conflicts on an ongoing basis as matters arise. All disclosures are evaluated and a determination of whether a conflict exists is made by the Board or a committee of the Board. All employees are subject to a conflict of interest policy that is monitored by the Office of the Secretary.
Form 990, Part VI, Section B, line 15b	There is a compensation committee that reviews and approves all total compensation of executive / key personnel at Temple University Health System through an evaluation performed by an external compensation expert before the compensation is approved.
Form 990, Part VI, Section C, line 19	Explanation: The unaudited internal financial statements of Temple University Health System and certain of its related organizations are distributed and made available to the public at the end of each quarter per the Health System's Continuing Disclosure Agreement through Digital Assurance Corp (DAC), the Municipal Services Reporting Board EMMA disclosure site and the Health System's financial web site. The annual audited financial statements are also released to the public in the same manner. To the extent required by applicable law, the organization makes its governing documents available to the public upon request.
Form 990, Part IX, line 11g	Corporate Charges: Program service expenses 26,565,433. Management and general expenses 4,663,767. Fundraising expenses 385,812. Total expenses 31,615,012. Professional Fees: Program service expenses 15,623,895. Management and general expenses 1,142,409. Fundraising expenses 0. Total expenses 16,766,304. Purchased Services: Program service expenses 7,245,780. Management and general expenses 1,254,557. Fundraising expenses 1,569,103. Total expenses 10,069,440.
Form 990, Part XI, line 9:	Change in Welfare Benefit Trust 67,789. Change in Post Retirement Liability 104,431.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

The American Oncologic Hospital

Employer identification number

23-1352156

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)Temple University of the Commonwealth System of Higher Ed 1330 W Berks St Philadelphia,PA19122 23-1365971	Education	PA	501c3	Line 2	N/A		No
(2)Temple University Health System Inc 3509 N Broad Street Room 936 Philadelphia,PA19140 23-2825881	Health Care	PA	501c3	Line 12a, I	Temple University of the Commonwealth System of Higher Ed		No
(3)Temple University Hospital Inc 3509 N Broad Street Room 936 Philadelphia,PA19140 23-2825878	Health Care	PA	501c3	Line 3	Temple University Health System		No
(4)Temple Physicians Inc 3509 N Broad Street Room 936 Philadelphia,PA19140 23-2790607	Health Care	PA	501c3	Line 10	Temple University Health System		No
(5)Temple Health Transport Team Inc 3509 N Broad Street Room 936 Philadelphia,PA19140 75-3084023	Health Care	PA	501c3	Line 10	Temple University Health System		No
(6)Temple University Health System Foundation 3509 N Broad Street Room 936 Philadelphia,PA19140 23-2916108	Health Care	PA	501c3	Line 12a, I	Temple University Hospital Inc		No
(7)Episcopal Hospital 3509 N Broad Street Room 936 Philadelphia,PA19140 23-1365351	Health Care	PA	501c3	Line 12a, I	Temple University Hospital Inc		No
(8)TUH - Jeanes Campus Auxiliary 7600 Central Avenue Philadelphia,PA19111 23-1917776	Health Care	PA	501c3	Line 10	Temple University Hospital Inc		No
(9)Institute for Cancer Research 3509 N Broad Street Room 936 Philadelphia,PA19140 23-6296135	Health Care	DE	501c3	Line 4	American Oncologic Hospital	Yes
(10)Fox Chase Cancer Ctr Medical Group 3509 N Broad Street Room 936 Philadelphia,PA19140 45-4540585	Health Care	PA	501c3	Line 3	American Oncologic Hospital	Yes
(11)Fox Chase Network Inc 3509 N Broad Street Room 936 Philadelphia,PA19140 23-2467337	Health Care	PA	501c3	Line 12b, II	American Oncologic Hospital	Yes
(12)Fox Chase Cancer Center Foundation 333 Cottman Avenue Philadelphia,PA19111 23-2003072	Health Care	PA	501c3	Line 12d, III-O	N/A		No
(13)Temple Faculty Practice Plan Inc 3509 N Broad Street Room 936 Philadelphia,PA19140 83-1002191	Health Care	PA	501c3	Line 3	Temple University Health System		No
(14)CHH Community Health 8835 Germantown Ave Philadelphia,PA19118 88-3577015	Health Care	PA	501c3	Line 3	Temple University Health System		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2021

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) TUHS Insurance Company Ltd 3509 N Broad Street Room 936 Philadelphia,PA19140 98-1203189	Reinsurance	BD	Temple University Health System Inc						No
(2) Fox Chase Ltd 3509 N Broad Street Room 936 Philadelphia,PA19140 23-2396731	Health Care	PA	American Oncologic Hospital	C			100.000 %	Yes

Schedule R (Form 990) 2021

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

Yes

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) Institute for Cancer Research	B	38,111,600	Actual amount paid
(2) FCCC Network	B	532,500	Actual amount paid
(3) Institute for Cancer Research	C	112,405	Actual amount received
(4) Institute for Cancer Research	J	5,820,054	agreed upon alloc of exp incurre
(5) FCCC Network	J	4,865	agreed upon alloc of exp incurre
(6) FCCC Medical Group Inc	J	879,442	agreed upon alloc of exp incurre
(7) Institute for Cancer Research	K	7,120,678	agreed upon alloc of exp incurre
(8) Institute for Cancer Research	L	2,191,005	agreed upon alloc of exp incurre
(9) FCCC Medical Group Inc	L	1,108,263	agreed upon alloc of exp incurre
(10) Institute for Cancer Research	M	9,669,952	agreed upon alloc of exp incurre
(11) FCCC Medical Group Inc	M	17,077,253	Actual amount paid
(12) FCCC Medical Group Inc	M	10,401,811	agreed upon alloc of exp incurre
(13) Institute for Cancer Research	N	194,774	agreed upon alloc of exp incurre

Schedule R (Form 990) 2021

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2021

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2021

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: To prevail over cancer marshaling heart and mind in bold scientific discovery, pioneering prevention, and compassionate care.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	15
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	13
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	1,557
6	Total number of volunteers (estimate if necessary) .............	6	380
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	47,647,526	90,497,082
9	Program service revenue (Part VIII, line 2g) .........	226,910,757	234,921,528
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	-2,978,491	3,001,760
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	875,886	973,320
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	272,455,678	329,393,690
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	47,164,493	39,414,221
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	115,861,103	115,624,604
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 2,050,181
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	118,015,653	140,224,079
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	281,041,249	295,262,904
19	Revenue less expenses. Subtract line 18 from line 12.......	-8,585,571	34,130,786
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	178,448,371	198,736,695
21	Total liabilities (Part X, line 26).............	156,402,989	141,864,467
22	Net assets or fund balances. Subtract line 21 from line 20.....	22,045,382	56,872,228

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 193,732,690 including grants of $ 39,414,221 ) (Revenue $ 238,407,712 )
	Healthcare professionals at the American Oncologic Hospital focus on developing and participating in clinical trials to broaden our knowledge of cancer treatments. Our multidisciplinary staff provides a coordinated approach to treatment to best meet the needs of each patient. Specialists at the American Oncologic Hospital are recognized nationally and internationally in all areas of cancer care.

4b	(Code: ) (Expenses $ 35,357,829 including grants of $ ) (Revenue $ )
	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.

4c	(Code: ) (Expenses $ 13,272,187 including grants of $ ) (Revenue $ )
	At the American Oncologic Hospital, we believe that cancer care goes beyond medical diagnosis and treatment. For patients and their families we offer an array of support services, including complete care, nutrition support services, pain management, palliative care, pastoral care, social work services, support groups and medical records.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses242,362,706

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)			(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) Tausha Saunders........................................................................ Assistant Secretary (from 10/20/22)	1.00 .......................49.00	X		0	72,616	4,194
(19) Jerome Maddox........................................................................ Secretary	1.00 .......................49.00	X		0	262,555	26,883
(20) Charna Wright........................................................................ Assistant Secretary (until 10/20/22)	1.00 .......................49.00	X		0	89,226	19,576
(21) Jarred Matchett........................................................................ Treasurer & CFO	46.00 .......................4.00	X		120,232	0	11,496
(22) Michael DiFranco........................................................................ Assistant Treasurer	1.00 .......................49.00	X		0	313,586	31,332
(23) Chang Ma........................................................................ Vice Chair Rad Onc	50.00 .......................0.00		X	453,504	0	30,509
(24) Robert Price........................................................................ Assoc Professor	50.00 .......................0.00		X	362,826	0	56,249
(25) Anna Liza Rodgriguez........................................................................ Chief Nursing Officer	50.00 .......................0.00		X	357,169	0	47,080
(26) Lili Chen........................................................................ Assoc Professor	50.00 .......................0.00		X	309,133	0	54,082
(27) Lu Wang........................................................................ Professor	50.00 .......................0.00		X	296,927	0	55,117

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	1,899,791	5,610,881	516,230

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c	1,927,092
d	Related organizations		1d	83,281,462
e	Government grants (contributions)		1e	4,521,327

f	All other contributions, gifts, grants, and similar amounts not included above		1f	767,201

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		90,497,082

		Business Code
2a	Net Patient Service Re	621110	227,227,917	227,227,917
b	TUH and Jeanes BMT Rev	621110	4,130,644	4,130,644
c	Government Plan Revenu	621110	2,306,123	2,306,123
d	Food Revenue	621110	874,578	874,578
e	Patient TV & Gift Shop	621110	381,534	381,534
f	All other program service revenue.		732	732
g	Total. Add lines 2a–2f .....		234,921,528

3 Investment income (including dividends, interest, and othersimilar amounts) ......			-261,693	-261,693
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		92,814	6a
b	Less: rental expenses		0	6b
c	Rental income or (loss)		92,814	6c
d	Net rental income or (loss).......			92,814			92,814
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		20,483,619	7a
b	Less: cost or other basis and sales expenses		17,220,166	7b
c	Gain or (loss)		3,263,453	7c
d	Net gain or (loss).........			3,263,453			3,263,453
8a	Gross income from fundraising events (not including $ 1,927,092of contributions reported on line 1c). See Part IV, line 18 ....
			8a	725,663
b	Less: direct expenses ...		8b	329,581
c	Net income or (loss) from fundraising events..			396,082			396,082
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	Miscellaneous Revenue		900099	484,424	484,424
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			484,424
12	Total revenue. See instructions.....			329,393,690	235,144,259	0	3,752,349

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	39,414,221	39,414,221
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	1,026,874	1,026,874
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	89,614,764	80,661,272	8,953,492
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	5,438,144	4,867,194	570,950
9	Other employee benefits .......	12,329,530	11,014,058	1,315,472
10	Payroll taxes ...........	7,215,292	6,425,486	789,806
11	Fees for services (non-employees):
a	Management ......	3,404,977		3,404,977
b	Legal .........	255,793		255,793
c	Accounting ...........
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	58,450,756	49,435,108	7,060,733	1,954,915
12	Advertising and promotion ....	4,290,391	45,649	4,244,742
13	Office expenses .......	4,259,431	3,424,963	751,449	83,019
14	Information technology ......	861,614	313,610	548,004
15	Royalties ..
16	Occupancy ...........	12,084,944		12,084,944
17	Travel ............	418,484	231,713	186,439	332
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	140,199	100,878	39,321
20	Interest ...........	2,364,512	23,262	2,341,250
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	5,769,353	29,387	5,739,966
23	Insurance ...	2,868,108	455,270	2,412,838
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	Medical/Surgical & Admi	24,946,743	24,946,743
b	Drugs	18,451,743	18,387,837	63,906
c	Equipment Rentals	1,429,206	1,429,206
d
e	All other expenses	227,825	129,975	85,935	11,915
25	Total functional expenses. Add lines 1 through 24e	295,262,904	242,362,706	50,850,017	2,050,181
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			15,793,010	1	4,284,898
2	Savings and temporary cash investments .........			63,663	2	82,292
3	Pledges and grants receivable, net ......			1,569,503	3	1,100,590
4	Accounts receivable, net .............			39,167,100	4	55,123,462
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			4,105,654	8	3,734,640
9	Prepaid expenses and deferred charges ......			1,749,793	9	1,828,445
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	103,435,786
b	Less: accumulated depreciation	10b	51,221,989	42,785,215	10c	52,213,797
11	Investments—publicly traded securities .			44,795,332	11	47,790,207
12	Investments—other securities. See Part IV, line 11 .....			7,315,092	12	6,728,609
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			29,387	14	0
15	Other assets. See Part IV, line 11 ...........			21,074,622	15	25,849,755
16	Total assets. Add lines 1 through 15 (must equal line 33)...			178,448,371	16	198,736,695

17	Accounts payable and accrued expenses .....	19,774,736	17	16,118,682
18	Grants payable ...	845,117	18	778,916
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	1,240,303	23	1,806,062
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	134,542,833	25	123,160,807
26	Total liabilities. Add lines 17 through 25..	156,402,989	26	141,864,467

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	4,034,204	27	37,756,380
28	Net assets with donor restrictions ...........	18,011,178	28	19,115,848
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	22,045,382	32	56,872,228
33	Total liabilities and net assets/fund balances ........	178,448,371	33	198,736,695