4A (Expenses $ 181082795 including grants of $ 47164493) (Revenue $ 225344227)
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 (Expenses $ 30457415 including grants of $ 0) (Revenue $ 0)
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 (Expenses $ 10995763 including grants of $ 0) (Revenue $ 0)
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.

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 tasked with implementing specific tasks and/or projects to address the four priority areas and implementation of these tasks will occur from FY23-FY25. This report covers information for FY22, which includes community benefit activities under the previous CHNA/implementation plan. An implementation plan was developed based on the 2019 CHNA to focus on four priority areas to address the immediate community's health issues and care needs. The areas include (1) Access to care: mobile screening and education; (2) Chronic disease: prevention, screening, smoking cessation, and worksite wellness (3) Mental health: Caregiver resources and support and (4) Substance use: education on responsible prescribing and use of opioids in the uninformed surgical population. The CHNA was completed in 2019 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 tasked with implementing specific tasks and/or projects to address the four priority areas and implementation of these tasks occurred from FY20-FY22. 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 breast density 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. To further augment our ability to reach our Hispanic/LatinX population in FY22, we expanded our Facebook posts to deliver 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: mobile screening and education- There is an unmet need in the service area for screenings, preventive care, and education. Through our community Speakers Bureau, the OCO 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 FY22, OCO reached 582 people through these education/intervention sessions and an additional 1,035 people through large events such as health fairs and informational tables. To further complement our education programs, the OCO 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 FY22, we reached 1,640 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 FY22, our community navigator worked with 96 patients to assist them with their appointments and navigate them through their services. Three patients screened through the community cancer screening program were 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. Chronic disease: prevention, screening, smoking cessation, and worksite wellness 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). This fiscal year, Fox Chase's Tobacco Treatment program has continued to expand, with the assistance of our local partners, to members of the community. The Community Tobacco Treatment Program has been held 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 5-week program is offered at no cost to participants. The program was held once in FY22.FCCC also established a worksite wellness program to ensure employees are able to access all age-appropriate cancer screenings. FCCC employs approximately 2,400 people and about 53% of employees live in the defined target community for our CHNA. During this fiscal year, 502 employees received breast cancer screening, 25 employees received colorectal cancer screening, and 6 employees received lung cancer screening. The number of employees receiving all three types of screening was slightly higher than FY21, indicating screening numbers are starting to go back to normal levels after a decrease related to the COVID-19 pandemic temporary halt in screenings.Mental health: Caregiver resources and support- The Community Health Needs Assessment (CHNA) identified caregiver needs and burnout as a mental health issue in our community. In response to this identified need, we established a Caregiver Network modeled after our Patient to Patient Network, this program is a telephone-based support program that connects trained caregivers to new caregivers. The program launched in February 2020 to provide caregiver support. Since its launch, nineteen volunteers were trained and continue to be matched with new caregivers. Resources for caregivers have been added to the online library (foxchase.org/RECOnline) and a virtual education session on caregiving was offered during this fiscal year.

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
Substance use: education on responsible prescribing and use of opioids in the uninformed surgical population The goal of the initiative is to ensure compliance to the prescribing guidelines at 90% or higher and decrease the percentage of medication refills ordered following the initial prescription. FCCC assembled a multidisciplinary Opioid Stewardship Committee that was able to successfully complete many aspects of the program, while some are still on-going. The Opioid Initiative Summary monthly dashboard has been in place since Sept 2019 and monitors compliance of screening patients, compliance to the recommended dosages, and refills prescribed and has been able to track a reduction in opioids prescribed. The patient education video was temporarily halted, but is resuming use by allowing patients to view the video on their own devices. Views and survey responses are being tracked on a monthly basis. The opioid education insert and American Cancer Society booklets are available for inpatients and outpatients in the surgery department. The Prescription Drug Monitoring Program (PDMP) context has been created in EPIC and the Pre-Anesthesia Testing (PAT) staff has been documenting a patient's opioid exposure at the time of the PAT appointment in their EPIC note since June 2019. A safe disposal box for any excess medication has been installed in our outpatient pharmacy.Unmet Needs and Identification Process - The unmet healthcare needs for this service area were identified and prioritized by comparing the health status, access to care, health behaviors, and utilization of services for residents of the service area to results for the county and state and the Healthy People 2030 goals for the nation. In addition, for Household Health Survey measures, tests of significance were conducted to identify and prioritize unmet needs. Input from the community meeting participants was also used to further identify and prioritize unmet needs, local problems with access to care, and populations with special health care needs.

Part I, Line 3c:
Not applicable. The American Oncologic Hospital does use Federal Poverty Guidelines.The Hospital provides patient care services without charge, or at amounts less than established rates, to patients who meet the criteria of its charity care policy. Criteria for consideration under the charity care policy is based primarily on family income and worth, but also recognizes other circumstances where undue financial hardships exist. The Hospital maintains records to identify and monitor the level of charity care it provides. Because collection of amounts determined to qualify as charity care are not pursued, patient service revenues are reduced by such amounts. The Hospital also provides services and supplies below cost to patients covered by government insurance programs, including the Medicare and Medicaid programs.

Part I, Line 6a:
FCCC completed a community health needs assessment (CHNA) in 2022 as part of a regional CHNA with other hospitals and health systems in Southeastern Pennsylvania. Data was collected from local, state, and federal sources including the U.S. Census, Pennsylvania Department of Health Vital Statistics City of Philadelphia Department of Health, and tumor registry data from Fox Chase Cancer Center (FCCC). The target area included in the CHNA is the primary service area for the institution and comprises 80 zip codes in Bucks, Montgomery and Philadelphia counties, with a total current population of approximately 2,208,752.

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 $52,869,049 as reported on line 7j.

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 2022, the cost of providing services to the Medicare population was $4,858,000 (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 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. Most of the 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) Roxborough High School Partnership: FCCC has worked with both staff and students at this school. FCCC works with staff to strengthen the content of the school's biotechnology programs by providing direction on the curriculum, facilities, technology and equipment. FCCC staff also work to engage biotechnology students in hands-on activities, provide mentoring experiences to the Cancer Center's trainees. The population for this program is inner city high school students and more than 95% of participants are underrepresented minorities.(4) Career Talks at William Tennent High School: Postdocs from the Cancer Center visited Tennent's Genetics and Biotechnology class to promote and educate the students 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) Genetics Student Mentorship: Two undergraduate students received student mentorship in the genetics department.(8) North Montgomery Technical Career Center (NMTCC) Occupational Advisory Committee (OAC): Fox Chase staff worked to strengthen the technical programs of the Career Center by providing direction on the curriculum, facilities, technology and equipment. (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 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 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 system's 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; 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; and the Temple Faculty Practice Plan, Inc. (TFPP) mission is to provide access to the highest quality of clinical care to the patients of North and Northeast Philadelphia and surrounding areas, and to support the clinical, administrative, and corporate activities of Temple University Health System while continuing to support the academic and research mission of Temple University's Lewis Katz School of Medicine.

Part VI, Line 5:
"Fox Chase Cancer Center organized or participated as a key partner in a number of community health improvement activities. These activities are free to the community, subsidized by Fox Chase Cancer Center, and are carried out for the sole purpose of improving community health. Community health improvement services (Part 1, lines 7e) includes several programs, many of them operated by FCCC's Office of Community Outreach (OCO).(1) Community Cancer Screening program: In order to increase access to care, the Community Cancer Screening program provides breast cancer screening and treatment to medically underserved women within our service area. Low-income, uninsured or underinsured women screened on the Fox Chase Cancer Center (FCCC) Mobile Screening Unit (MSU) for breast cancer are covered under funds secured via state contract via the Pennsylvania Healthy Women Program (HWP), a federally funded program of CDC's National Breast and Cervical Cancer Early Detection Program (NBCCEDP). Eligible women receive free or low cost mammograms and if diagnosed receive treatment. In the event of a cancer diagnosis or a high-risk finding, OCO will prepare and submit the application on behalf of the patient to the Healthy Women Program (HWP). 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 and foundations such as Susan G. Komen enabled us to provide additional screening and diagnostic services to medically underserved women in our service area during FY22. Should a woman be diagnosed, she would be transitioned to the HWP. In FY22, our Community Cancer Screening program reached a total of 1,640 individuals with breast cancer screening. We provided no-cost mammograms to 296 (18%) uninsured women. (2) Community Speakers Bureau: OCO also brings cancer education to the community through our Community Speakers Bureau program. Community Health Educators provide free, bilingual (English and Spanish) cancer education programs to community organizations. In FY22, we reached a total of 582 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 1,035 people were reached through health fairs and other large community events. (3) Tobacco Cessation Program: The CHNA illustrated a need for tobacco cessation, leading OCO to establish a community outreach tobacco cessation program at no cost to participants, to address the lung cancer burden in our region. One virtual session of this program was implemented in FY22 and one person completed the program. Fox Chase staff have also built up the in-house tobacco treatment program which is available to new and current patients at Fox Chase and across Temple Health System. (4) Employee Screening Program: FCCC also established a worksite wellness program to ensure employees are able to access all age appropriate cancer screenings. FCCC employs approximately 2,400 people and about 53% of employees live in the defined target community for our CHNA. A multi-disciplinary team built an employee portal to facilitate screening registration and provided lunch-and-learn education sessions. The team initially focused on breast, colorectal, and lung cancer. During this fiscal year, 502 employees received breast cancer screening, 25 employees received colorectal cancer screening, and 6 employees received lung cancer screening. In FY22, gynecological screening was added to the initiative. Promotional and educational materials were developed so that staff were aware of this opportunity. Virtual education sessions were also conducted on cervical cancer to provide staff with an overview of risk factors and screening guidelines.(5) Resource and Education Center (REC): The REC provided 1,661 patients, families, and community members with access to free cancer information and resources that address the cancer continuum. The REC also provided an additional 169 attendees with education through free virtual seminars.(6) Caregiver Network: The Community Health Needs Assessment (CHNA) identified caregiver needs and burnout as a mental health issue in our community. In response to this identified need, we established a Caregiver Network modeled after our Patient to Patient Network, this program is a telephone-based support program that connects trained caregivers to new caregivers. The program launched in February 2020 and nineteen volunteers were trained and continue to be matched with new caregivers.(7) 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."