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Dana-Farber Cancer Institute Inc

Dana-Farber Cancer Institute
450 Brookline Ave
Boston, MA 02215
Bed count27Medicare provider number220162Member of the Council of Teaching HospitalsYESChildren's hospitalNO
EIN: 042263040
Display data for year:
Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
7.38%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
* = CBI denoted preventative categories
Community Benefit Spending Compared to Functional Expenses, 2010-2021
Additional data

Community Benefit Expenditures: 2021

  • All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.

    • Operating expenses$ 2,558,704,532
      Total amount spent on community benefits
      as % of operating expenses
      $ 188,859,481
      7.38 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        $ 11,257,362
        0.44 %
        Medicaid
        as % of operating expenses
        $ 22,252,896
        0.87 %
        Costs of other means-tested government programs
        as % of operating expenses
        $ 0
        0 %
        Health professions education
        as % of operating expenses
        $ 4,854,219
        0.19 %
        Subsidized health services
        as % of operating expenses
        $ 0
        0 %
        Research
        as % of operating expenses
        $ 139,914,325
        5.47 %
        Community health improvement services and community benefit operations*
        as % of operating expenses
        Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.
        $ 6,283,701
        0.25 %
        Cash and in-kind contributions for community benefit*
        as % of operating expenses
        $ 4,296,978
        0.17 %
        Community building*
        as % of operating expenses
        $ 2,669,211
        0.10 %
    • * = CBI denoted preventative categories
    • Community building activities details:
        • Did tax-exempt hospital report community building activities?YES
          Number of activities or programs (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Persons served (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Community building expense
          as % of operating expenses
          $ 2,669,211
          0.10 %
          Physical improvements and housing
          as % of community building expenses
          $ 1,958,511
          73.37 %
          Economic development
          as % of community building expenses
          $ 0
          0 %
          Community support
          as % of community building expenses
          $ 0
          0 %
          Environmental improvements
          as % of community building expenses
          $ 0
          0 %
          Leadership development and training for community members
          as % of community building expenses
          $ 0
          0 %
          Coalition building
          as % of community building expenses
          $ 0
          0 %
          Community health improvement advocacy
          as % of community building expenses
          $ 0
          0 %
          Workforce development
          as % of community building expenses
          $ 710,700
          26.63 %
          Other
          as % of community building expenses
          $ 0
          0 %
          Direct offsetting revenue$ 0
          Physical improvements and housing$ 0
          Economic development$ 0
          Community support$ 0
          Environmental improvements$ 0
          Leadership development and training for community members$ 0
          Coalition building$ 0
          Community health improvement advocacy$ 0
          Workforce development$ 0
          Other$ 0

    Other Useful Tax-exempt Hospital Information: 2021

    • In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

      • Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
        as % of operating expenses
        $ 12,841,731
        0.50 %
        Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?NO
    • Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy

      The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2022 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

      • Does the organization have a written financial assistance (charity care) policy?YES
        Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?YES
        Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
        as % of operating expenses
        $ 128,417
        1.00 %
    • Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
      • Reported to credit agencyNot available
    • Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.

      • After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid?YES
    • The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.

      • If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines?Not available
    • In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

      • Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute?NO

    Community Health Needs Assessment Activities: 2021

    • The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

      • Did the tax-exempt hospital report that they had conducted a CHNA?YES
        Did the CHNA define the community served by the tax-exempt hospital?YES
        Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?YES
        Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?YES
        Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?YES

    Supplemental Information: 2021

    This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
    • Statement of Program Service Accomplishments
      Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
    • 4A (Expenses $ 1612588676 including grants of $ 0) (Revenue $ 1911183785)
      CLINICAL CARE - SEE SCHEDULE O
      4B (Expenses $ 671083292 including grants of $ 0) (Revenue $ 0)
      RESEARCH - SEE SCHEDULE O
      4C (Expenses $ 38076070 including grants of $ 6990590) (Revenue $ 0)
      COMMUNITY BENEFITS - SEE SCHEDULE O
      Facility Information
      Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
      Schedule H, Part V, Section B, Line 5 Facility , 1
      "Facility , 1 - DFCI. IN 2022, DANA-FARBER'S BOARD OF TRUSTEES APPROVED THE 2022-2025 CANCER-FOCUSED COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IMPLEMENTATION PLAN TO ENSURE THAT OUR COLLECTIVE EFFORTS HAVE THE MAXIMUM POSSIBLE IMPACT WITHIN THE INSTITUTE'S PRIORITY NEIGHBORHOODS. DANA-FARBER'S COMMUNITY BENEFITS OFFICE RETAINED HEALTH RESOURCES IN ACTION (HRIA), A NON-PROFIT PUBLIC HEALTH CONSULTANCY ORGANIZATION IN BOSTON, TO UNDERTAKE A COMPREHENSIVE ASSESSMENT OF THE HEALTH NEEDS WITHIN OUR PRIORITY COMMUNITIES, INCLUDING HOW THOSE NEEDS ARE CURRENTLY BEING ADDRESSED AND WHERE THERE ARE OPPORTUNITIES TO ADDRESS THESE NEEDS IN THE FUTURE. DANA-FARBER'S 2022-2025 CHNA BUILDS OFF PREVIOUS EFFORTS TO GAIN A GREATER UNDERSTANDING OF THE HEALTH ISSUES FACING BOSTON RESIDENTS ACROSS THE CONTINUUM OF CANCER CARE, WITH A FOCUS ON THE CITY OF BOSTON AND DANA-FARBER'S PRIORITY NEIGHBORHOODS FOR COMMUNITY BENEFITS WORK - DORCHESTER, ROXBURY, MISSION HILL, JAMAICA PLAIN, AND MATTAPAN. THE CHNA INTEGRATES KEY FINDINGS FROM THE CITYWIDE CHNA AND DELVES MORE DEEPLY INTO THE NEEDS AND EXPERIENCES OF CANCER PATIENTS, SURVIVORS, AND CAREGIVERS THROUGHOUT THE CANCER CONTINUUM, EXPLORING BEHAVIORS AND HEALTH OUTCOMES AROUND PREVENTION, SCREENING, TREATMENT, AND SURVIVORSHIP USING SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY FRAMEWORKS. THE ONGOING COVID-19 PANDEMIC, WHICH HAS RESULTED IN SIGNIFICANT CHANGES AND INEQUITIES IN HEALTH, THE ECONOMY, AND THE WORKFORCE, HAS BEEN AN IMPORTANT AND EVOLVING BACKDROP TO THIS CHNA. THE PURPOSE OF THE CHNA IS TO ADVANCE COMMUNITY EFFORTS AND PRIORITY AREAS BY: ASSESSING CANCER BURDEN IN THE COMMUNITY AS WELL AS ACCESS TO AND AVAILABILITY OF CANCER-RELATED SERVICES; IDENTIFYING KEY AREAS OF SIGNIFICANT COMMUNITY NEED AND VULNERABLE POPULATIONS; EXAMINING THE IMPACT AND ROLE OF SOCIAL DETERMINANTS OF HEALTH; AND FACILITATING THE DEVELOPMENT OF MULTI-YEAR IMPLEMENTATION STRATEGIES TO GUIDE THE HOSPITALS' COMMUNITY HEALTH INITIATIVES AND COMMUNITY INVESTMENTS. IN ADDITION TO IDENTIFYING BROAD HEALTH ISSUES FACING RESIDENTS, THE 2022-2025 CHNA INVESTIGATES THE FULL CONTINUUM OF CANCER CARE; IT EXPLORES DIFFERENT ASPECTS OF CARE FROM INITIAL SCREENING TO TREATMENT AND CULMINATES WITH CONSIDERATIONS OF SURVIVORSHIP. THE BOSTON CHNA-CHIP COLLABORATIVE (THE COLLABORATIVE) WAS CREATED AND LAUNCHED BY SEVERAL STAKEHOLDERS-COMMUNITY ORGANIZATIONS, HEALTH CENTERS, COMMUNITY DEVELOPMENT CORPORATIONS, HOSPITALS, AND THE BOSTON PUBLIC HEALTH COMMISSION. IN 2019, THE COLLABORATIVE CONDUCTED THE FIRST LARGE-SCALE COLLABORATIVE CITYWIDE COMMUNITY HEALTH NEEDS ASSESSMENT (BOSTON CHNA) AND COMMUNITY HEALTH IMPROVEMENT PLANNING (BOSTON CHIP) PROCESS. THE GOALS OF THE BOSTON CHNA ARE TO SYSTEMATICALLY IDENTIFY THE HEALTH-RELATED NEEDS, STRENGTHS, AND RESOURCES OF COMMUNITIES TO INFORM FUTURE PLANNING, UNDERSTAND THE CURRENT HEALTH STATUS OF BOSTON OVERALL AND ITS SUB-POPULATIONS WITHIN THEIR SOCIAL CONTEXT, AND MEET REGULATORY REQUIREMENTS FOR SEVERAL INSTITUTIONS, ORGANIZATIONS, AND AGENCIES (E.G. IRS REQUIREMENTS FOR NON-PROFIT HOSPITALS, PUBLIC HEALTH ACCREDITATION BOARD FOR HEALTH DEPARTMENTS). DURING THE CITYWIDE CHNA: AS A MEMBER OF THE STEERING COMMITTEE, DANA-FARBER WORKED CLOSELY WITH MEMBERS OF THE COLLABORATIVE TO CONDUCT A ROBUST DATA COLLECTION AND A COMMUNITY ENGAGEMENT PROCESS. THE COVID-19 PANDEMIC PLAYED AN IMPORTANT BACKDROP DURING THE ASSESSMENTS PHASE. THE 2022 CHNA'S ALSO EXPLORED HOW THE PANDEMIC AND RACIAL INJUSTICES HAVE AFFECTED COMMUNITY HEALTH NEEDS. DANA-FARBER IS COMMITTED TO MEETING THE HEALTH NEEDS OF MEDICALLY UNDERSERVED POPULATIONS AND RECOGNIZES THAT MANY OF THE POPULATIONS THAT DANA-FARBER FOCUSED ON IN ITS 2022 CHNA HAVE BEEN DISPROPORTIONATELY IMPACTED BY THE COVID-19 PANDEMIC. GIVEN THE UNPRECEDENTED NATURE OF THE COVID-19 PANDEMIC, IT IS CRITICAL NOW, MORE THAN EVER, TO UNDERSTAND COMMUNITY NEEDS, EXPERIENCES, AND OPPORTUNITIES FOR THE FUTURE. SECONDARY DATA FOR THIS REPORT COME FROM A VARIETY OF SOURCES. DATA SOURCES INCLUDE THE BOSTON BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY (BBRFSS), THE U.S. CENSUS, THE MASSACHUSETTS CANCER REGISTRY, AND VITAL RECORDS. AS PART OF THE BBRFSS, A SEPARATE COVID-19 HEALTH EQUITY SURVEY WAS CONDUCTED IN DECEMBER 2020/JANUARY 2021 BY THE BOSTON PUBLIC HEALTH COMMISSION TO BETTER UNDERSTAND EXPERIENCES AMONG RESIDENTS WHO HAVE BEEN MOST IMPACTED BY THE PANDEMIC. DATA FROM THIS COVID-19 HEALTH EQUITY SURVEY ARE ALSO INCLUDED IN THIS REPORT. THE RESEARCH AND EVALUATION OFFICE AT THE BOSTON PUBLIC HEALTH COMMISSION CONDUCTED THE DATA ANALYSIS FOR NEARLY ALL THE SECONDARY DATA ON HEALTH INDICATORS IN THIS REPORT (E.G., LIFESTYLE BEHAVIORS, SCREENING BEHAVIORS, CANCER INCIDENCE, CANCER MORTALITY). ANALYSES ARE PRESENTED AS FREQUENCIES (PERCENTAGES) AND RATES THROUGHOUT THE REPORT. ADDITIONAL DATA SOURCES INCLUDE PRESENTATIONS AND REPORTS REGARDING THE SOCIAL DETERMINANTS OF HEALTH, HEALTH OUTCOMES, AND HEALTH CARE EXPERIENCES FOR SEVERAL COMMUNITIES OF COLOR AND SEXUAL AND GENDER MINORITY POPULATIONS. THESE SOURCES INCLUDE: A 2022 PRESENTATION BY DR. DON S. DIZON, ""DON'T ASK, CAN'T COUNT. ADDRESSING THE INVISIBILITY OF THE SGM COMMUNITY ACROSS THE CANCER TRAJECTORY EXPERIENCE FENWAY HEALTH AND BLACK BOSTON COVID-19 COALITION 2022 REPORT, ""LEARNING FROM BOSTON'S BLACK COMMUNITY WHAT SUPPORTS ITS HEALTH, RESILIENCE, AND WELLBEING"" (REFERRED TO HEREAFTER AS THE ""BLACK BOSTON 2022 REPORT""); AND THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH'S WOMEN'S HEALTH NETWORK 2019 REPORT, ""ASSESSMENT OF COLORECTAL CANCER SCREENING ATTITUDES AND PRACTICES AMONG THE ASIAN COMMUNITY IN MASSACHUSETTS."""
      Schedule H, Part V, Section B, Line 5 Facility , 2
      Facility , 2 - DFCI. DANA-FARBER DESIGNED A QUALITATIVE KEY INFORMANT SURVEY. THIS SURVEY WAS FIELDED WITH CANCER SURVIVORS AND REPRESENTATIVES FROM ORGANIZATIONS THAT SERVE INDIVIDUALS ACROSS THE CANCER CONTINUUM. THE SURVEY AIMED TO UNDERSTAND THEIR EXPERIENCES WITH CANCER PREVENTION, CANCER CARE, AND SURVIVORSHIP; RECOMMENDATIONS FOR CANCER AND CHRONIC DISEASE PREVENTION SERVICES AND RESOURCES; THE INFLUENCE OF THE COVID-19 PANDEMIC ON ACCESS TO CANCER SCREENING AND HEALTH CARE; POTENTIAL FACILITATORS TO INCREASE CANCER SCREENING; AND RECOMMENDATIONS FOR ADDRESSING GAPS IN SERVICES AND RESOURCES FOR CANCER SURVIVORS. OF 27 PEOPLE CONTACTED, A TOTAL OF 13 CANCER SURVIVORS AND COMMUNITY STAKEHOLDERS REPRESENTING COMMUNITY-BASED, PUBLIC HEALTH, AND HEALTH CARE ORGANIZATIONS COMPLETED THIS QUALITATIVE SURVEY. DFCI WORKED WITH A VARIETY OF PARTNERS TO GATHER PRIMARY QUALITATIVE DATA THROUGH FOCUS GROUPS AND INTERVIEW DISCUSSIONS. DFCI MADE A CONCERTED EFFORT TO ENGAGE WITH POPULATIONS AND COMMUNITIES THAT HAVE BEEN HISTORICALLY MARGINALIZED. ALTOGETHER, 8 FOCUS GROUPS WITH 69 PARTICIPANTS (CAREGIVERS, PATIENTS/SURVIVORS) AND 4 INTERVIEW DISCUSSIONS WERE CONDUCTED SPECIFICALLY FOR ITS CHNA. KEY THEMES FROM TWO ADDITIONAL DATA SOURCES WERE ALSO ANALYZED AND ARE INCORPORATED INTO THIS CHNA. FIRST, THE BOSTON BREAST CANCER EQUITY COALITION (BBCEC) SHARED KEY THEMES FROM 9 INTERVIEWS CONDUCTED WITH SMALL, LOCAL NON-PROFIT ORGANIZATIONS WHO SUPPORT BIPOC COMMUNITIES. SECOND, THE BOSTON PUBLIC HEALTH COMMISSION ALSO SHARED KEY FINDINGS FROM A FOCUS GROUP CONDUCTED WITH THEIR 10-MEMBER RACIAL HEALTH EQUITY ADVISORY COMMITTEE (RHEAC) TO GARNER INPUT TO INFORM THE CREATION OF A LUNG CANCER COMMUNICATION CAMPAIGN. THIS REPORT ALSO INTEGRATES FINDINGS FROM DATA COLLECTED AS PART OF THE 2022 BOSTON CHNA-CHIP COLLABORATIVE'S PROCESS. THE COLLABORATIVE'S COMMUNITY ENGAGEMENT WORK GROUP FACILITATED 29 VIRTUAL AND IN-PERSON FOCUS GROUP DISCUSSIONS WITH A TOTAL OF 309 RESIDENTS WHO HAVE BEEN DISPROPORTIONATELY BURDENED BY SOCIAL, ECONOMIC, AND HEALTH CHALLENGES INCLUDING: YOUTH AND ADOLESCENTS, OLDER ADULTS, PERSONS WITH DISABILITIES, LOW-RESOURCED INDIVIDUALS AND FAMILIES, LGBTQIA+ POPULATIONS, RACIALLY/ETHNICALLY DIVERSE POPULATIONS (E.G., AFRICAN AMERICAN, LATINO, HAITIAN, CAPE VERDEAN, VIETNAMESE, CHINESE), LIMITED-ENGLISH SPEAKERS, IMMIGRANT AND ASYLEE COMMUNITIES, FAMILIES AFFECTED BY INCARCERATION AND/OR VIOLENCE, AND VETERANS. SOME FOCUS GROUPS WERE CONDUCTED IN LANGUAGES OTHER THAN ENGLISH, INCLUDING SPANISH, CHINESE, AND VIETNAMESE. COLLABORATIVE MEMBERS ALSO CONDUCTED KEY INFORMANT INTERVIEWS WITH 62 INDIVIDUALS. THESE INTERVIEWEES INCLUDED LEADERS AND STAFF FROM PUBLIC HEALTH, HEALTH CARE, BEHAVIORAL HEALTH, THE FAITH COMMUNITY, IMMIGRANT SERVICES, HOUSING ORGANIZATIONS, ECONOMIC DEVELOPMENT, COMMUNITY DEVELOPMENT, RACIAL JUSTICE ORGANIZATIONS, SOCIAL SERVICE ORGANIZATIONS, EDUCATION, COMMUNITY COALITIONS, THE BUSINESS COMMUNITY, CHILDCARE CENTERS, ELECTED GOVERNMENT OFFICES, AND OTHERS. THE STRATEGIES AND GOALS OUTLINED IN OUR 2022-2025 CHNA IMPLEMENTATION PLAN ARE A NATURAL CONTINUATION OF THE EFFORTS IDENTIFIED IN OUR 2020-2023 PLAN AND ARE DESIGNED TO ADVANCE AND STRENGTHEN OUR EXISTING COMMUNITY-BASED INITIATIVES WHILE ALSO SEEKING TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH THROUGH COLLABORATIVE PARTNERSHIPS.
      Schedule H, Part V, Section B, Line 11 Facility , 1
      Facility , 1 - DFCI. DANA-FARBER CANCER INSTITUTE CAPTURED AND ADDRESSED ALL THE NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT AND THE ACCOMPANYING IMPLEMENTATION PLAN. A FULL DESCRIPTION OF OUR PROGRAMS IS AVAILABLE ON OUR WEBSITE BOTH IN THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IN THE COMMUNITY HEALTH IMPLEMENTATION PLAN. CANCER REMAINS A LEADING CAUSE OF DEATH IN BOSTON. WHILE THE CHNA FINDINGS INDICATE THAT COLLECTIVE EFFORTS TO ADVANCE CANCER SCREENING AND PREVENTION ARE MAKING A DIFFERENCE, THE OVERALL BURDEN OF CANCER ACROSS ALL TYPES IS SIGNIFICANT AND MORE EFFORT IS NEEDED TO REDUCE THE CANCER BURDEN AND ADDRESS DISPARITIES. DANA-FARBER RECOGNIZES THAT OUR EFFORTS MUST GO BEYOND CANCER CARE AND TREATMENT, AND AS SUCH, WE WILL CONTINUE OUR UNWAVERING COMMITMENT TO REDUCING THE CANCER BURDEN AND PROMOTING SURVIVORSHIP. WE REMAIN COMMITTED TO EDUCATING THE COMMUNITY AND RAISING AWARENESS ABOUT THE IMPORTANCE OF CANCER PREVENTION, OUTREACH, SCREENING, EARLY DETECTION, CLINICAL TRIALS AND SURVIVORSHIP. IN ADDITION, WE WILL CONTINUE TO CONDUCT A BROAD SCOPE OF COMMUNITY-BASED RESEARCH AND EVIDENCE-BASED INTERVENTIONS THROUGH COLLABORATIVE WORK IN LOCAL NEIGHBORHOODS AND THROUGHOUT THE REGION. OUR EXPERTISE AS A COMPREHENSIVE CANCER CENTER LEADS US TO FOCUS LARGELY ON REDUCING CANCER INCIDENCE AND MORTALITY AMONG MEDICALLY UNDERSERVED POPULATIONS THROUGH OUR CLINICAL COMMUNITY SCREENING AND OUTREACH PROGRAMS, WHICH INCLUDE MOBILE MAMMOGRAPHY AND BREAST HEALTH EDUCATION, SKIN CANCER EDUCATION AND SCREENING, HPV EDUCATION AND VACCINATION, TOBACCO CESSATION AND INCREASING AWARENESS ABOUT SURVIVORSHIP IN COMMUNITIES OF COLOR. WE RECOGNIZE THAT OUR PRIORITY NEIGHBORHOODS ARE ALSO DEALING DISPROPORTIONATELY WITH CHALLENGING SITUATIONS RELATED TO SOCIAL AND ECONOMIC FACTORS, SUCH AS LIMITED EMPLOYMENT OPPORTUNITIES, SUBSTANCE ABUSE AND OPIOID ADDICTION, LOW EDUCATION LEVELS, LACK OF AFFORDABLE HOUSING, AND COMMUNITY VIOLENCE. WE WORK ON THESE BROADER ISSUES BY ADVOCATING AND BY PARTNERING WITH LOCAL COALITIONS AND COMMUNITY-BASED ORGANIZATIONS SUCH AS THE MASS HEALTH EQUITY COMPACT LED BY THE MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS. SIGNIFICANT PROGRESS HAS BEEN MADE IN ADVANCING THE GOALS SET IN OUR 2020-2023 CHNA IMPLEMENTATION PLAN. SUMMARIZED BELOW ARE EXAMPLES OF KEY ACCOMPLISHMENTS FROM THE PAST THREE YEARS, WHICH DEMONSTRATE THE COLLECTIVE IMPACT OF OUR WORK. OUR IMPACT IS GREATLY STRENGTHENED BY EMBEDDING PROGRAMMING AND SERVICES INTO THE FABRIC OF THE COMMUNITIES WE SERVE. * LAUNCHED NEW STATE OF THE ART MOBILE MAMMOGRAPHY VAN EQUIPPED WITH NEW TOMOSYNTHESIS IMAGING TECHNOLOGY. * PROVIDED 4,029 MAMMOGRAMS ON DANA-FARBER'S MAMMOGRAPHY VAN AND 1,735 MAMMOGRAMS AT DANA-FARBER'S MAMMOGRAPHY SUITE AT WHITTIER STREET HEALTH CENTER IN ROXBURY. * SUCCESSFULLY LAUNCHED NEW COMMUNITY-FACING PATIENT NAVIGATION PROGRAM, WHICH WAS PILOTED IN THE BREAST, THORACIC, AND GASTROINTESTINAL DISEASE CENTERS AND WILL BE EMBEDDED INTO ALL MAJOR CLINICAL AREAS AT DANA-FARBER. * AWARDED THE FIRST ROUND OF FUNDING FOR DANA-FARBER'S ACCESS TO SERVICES GRANTS TO 12 NONPROFIT ORGANIZATIONS IN GREATER BOSTON AND COMMITTED $1 MILLION DOLLARS TO THE HEALTHY NEIGHBORHOODS EQUITY FUND TO ADDRESS HOUSING NEEDS IN GREATER BOSTON. * COMMITTED $500K TO HEALTHY RETAIL COMMERCE FUND TO SUPPORT HEALTHY FOOD ACCESS AND $250K TO THE BOSTON LOCAL INITIATIVES SUPPORT CORPORATION (LISC BOSTON) SMALL BUSINESS GROWTH FUND TO SUPPORT ECONOMIC EMPOWERMENT AND GROW BUSINESSES OWNED BY BLACK, LATINO, AND INDIGENOUS ENTREPRENEURS AND OTHER PEOPLE OF COLOR. * CONTINUED TO PROVIDE STREAMLINED DIAGNOSIS, TREATMENT, AND EDUCATION FOR MEDICALLY UNDERSERVED PATIENTS WITH SUSPECTED MALIGNANCIES THROUGHOUT THE CONTINUUM OF CARE THROUGH DANA-FARBER'S CANCER CARE EQUITY PROGRAM (CCEP) AT FEDERALLY QUALIFIED COMMUNITY HEALTH CENTERS. O SINCE PROGRAM INCEPTION IN 2012, THE PROGRAM HAS SEEN OVER 692 PATIENTS AS NEW CONSULTS AND 507 PATIENTS IN FOLLOW-UP VISITS. * PROVIDED 348 INDIVIDUAL TOBACCO CESSATION COUNSELING SESSIONS TO 126 PATIENTS. O 104 PARTICIPANTS (84%) REPORTED THAT THEY WERE ABLE TO REDUCE THEIR TOTAL NUMBER OF CIGARETTES SMOKED PER DAY, AND 37 (28%) REPORTED BEING ABLE TO QUIT COMPLETELY. O PROVIDED NICOTINE REPLACEMENT THERAPY (NICOTINE PATCHES AND LOZENGES) AND GIFT CARDS TO 49 GIFT PATIENTS ENROLLED IN THE SMOKING CESSATION PROGRAM TO ENCOURAGE INDIVIDUALS TO REDUCE THEIR TOBACCO USAGE AND QUIT SMOKING. * ENGAGED 2,233 RESIDENTS IN SUN SAFETY EDUCATION AND SKIN CANCER SCREENING. O MADE CALLS TO 264 PARTICIPANTS FOR FOLLOW-UP, WITH 128 REFERRED FOR BIOPSY. * CONTINUED TO LEAD STATEWIDE MASSACHUSETTS HPV COALITION IN PARTNERSHIP WITH TEAM MAUREEN. O LAUNCHED UPDATED DENTAL TOOLKIT, AVAILABLE IN 7 LANGUAGES O CONVENED APPROXIMATELY 250 MEDICAL AND DENTAL PROVIDERS, PUBLIC HEALTH PROFESSIONALS, AND COMMUNITY ADVOCATES THROUGH ANNUAL HPV-RELATED CANCER SUMMIT TO DISSEMINATE LATEST RESEARCH AND BEST PRACTICES. * PARTNERED WITH UNION CAPITAL BOSTON AND THE DANA-FARBER/HARVARD CANCER CENTER TO ENGAGE OVER 800 COMMUNITY RESIDENTS THROUGH VIRTUAL EDUCATION NIGHTS FOCUSED ON CANCER PREVENTION TOPICS. DANA-FARBER CANCER INSTITUTE :COMMUNITY HEALTH IMPLEMENTATION PLAN 9. * LAUNCHED A NEW PARTNERSHIP WITH MYHEALTHFAIR.ORG TO INCREASE VIRTUAL EDUCATION AND OUTREACH WITH THE LOCAL SPANISH-SPEAKING COMMUNITY.
      Supplemental Information
      Schedule H (Form 990) Part VI
      Schedule H, Part I, Line 3c
      IN ADDITION TO DETERMINING ELIGIBILITY FOR DISCOUNTED CARE BASED ON FAMILY INCOME, DFCI OFFERS ASSISTANCE TO PATIENTS WHO HAVE EXCESSIVE MEDICAL BILLS (EXCEEDING 30-40% OF FAMILY INCOME).
      Schedule H, Part I, Line 6a
      THE COMMUNITY BENEFIT REPORT WAS COMPLETED BY DFCI AND IS ANNUALLY PROVIDED TO THE MASSACHUSETTS ATTORNEY GENERAL'S OFFICE, WHERE IT IS THEN MADE PUBLIC ON ITS WEBSITE.
      Schedule H, Part I, Line 7
      DFCI'S STATE COST REPORT WAS USED TO DEVELOP THE INSTITUTE'S COST TO CHARGE RATIO THAT WAS APPLIED TO CHARITY CARE CHARGES TO DETERMINE THE COST OF FINANCIAL ASSISTANCE (LINE 7A). LINE 7B REFLECTS THE SPECIFIC LOSS INCURRED FOR THE INSTITUTE'S MEDICAID ACTIVITY. THE INSTITUTE IS A PREEMINENT PROVIDER OF HEALTH TRAINING TO HEALTH PROFESSIONALS WHO DESIRE TRAINING IN THE SKILLS NECESSARY TO TREAT CANCER PATIENTS. THE INSTITUTE TRAINS PHYSICIANS, SCIENTISTS, MEDICAL STUDENTS AND INDIVIDUALS LOOKING TO CREATE A CAREER IN THE FIELD OF CANCER. THE AMOUNT REPORTED AS HEALTH TRAINING REPRESENT COSTS IN EXCESS OF AMOUNTS REIMBURSED BY THIRD PARTY PAYERS SUCH AS TRAINING GRANT REVENUES AND DIRECT MEDICAL EDUCATION PAYMENTS FROM THE MEDICARE PROGRAM. DEPARTMENT LEADERS SUBMIT EXPENDITURES TO COMMUNITY BENEFITS ALONG WITH A DESCRIPTION OF THE SERVICES PROVIDED TO MEDICALLY UNDERSERVED POPULATIONS. LINE 7F EXPENDITURES ARE REVIEWED BY LEADERSHIP AND IN PARTNERSHIP WITH DFCI'S OFFICE OF FINANCE, THE EXPENDITURES ARE APPROVED. THE AMOUNTS ARE CAPTURED IN THREE BUCKETS - CB EXPENDITURES (ALL PROGRAMS); LEVERAGED FUNDS (THOSE FUNDS SUPPORTED IN FULL OR PART THROUGH GRANTS/DONATIONS) AND COMMUNITY SPONSORSHIPS.
      Schedule H, Part II, Line 1
      PHYSICAL IMPROVEMENTS AND HOUSING - DFCI PROVIDES A LIMITED NUMBER OF LOW COST ROOMS THAT SERVE AS A HOME AWAY FROM HOME FOR ONCOLOGY PATIENTS AND THEIR FAMILIES WHILE THEY ARE RECEIVING TREATMENT.
      Schedule H, Part II, Line 8
      WORKFORCE DEVELOPMENT: IN 2022, DANA-FARBER LAUNCHED A NEW PROGRAM WITH MASSASOIT COMMUNITY COLLEGE CREATING A PIPELINE PROGRAM FOR CLINICAL ASSISTANT POSITIONS WITHIN NURSING AND PATIENT CARE SERVICES. MASSASOIT'S MEDICAL ASSISTANT PROGRAM INCLUDES TRAINING IN CLINICAL DUTIES SUCH AS OBTAINING MEDICAL HISTORIES, RECORDING VITAL SIGNS, PREPARING PATIENTS FOR EXAMINATIONS PERFORMING EKG'S, AND PHLEBOTOMY TO NAME A FEW. IN FY22 THE CLINICAL ASSISTANT PIPELINE PROGRAM HOSTED 2 INTERNS AND UPON THE SUCCESSFUL COMPLETION OF THEIR INTERNSHIP, WERE HIRED INTO FULL TIME ROLES. DANA-FARBER CONTINUES TO PARTNER WITH JEWISH VOCATIONAL SERVICES IN CREATING PIPELINES TO CAREERS IN PHARMACY. THE PHARMACY TECH PIPELINE PROGRAM HOSTED 4 INTERNS IN 2022. THREE OF THE FOUR INTERNS WERE HIRED INTO FULL-TIME PHARMACY TECH POSITION AT DANA-FARBER. STUDENT TRAINING PROGRAMS: TO ENCOURAGE UNDERREPRESENTED MINORITY (URM) STUDENTS TO EXPLORE AND PURSUE CAREERS IN HEALTH AND SCIENCE, DANA-FARBER MAINTAINS EDUCATIONAL PARTNERSHIPS WITH BOSTON AREA HIGH SCHOOLS, COLLEGES, AND UNIVERSITIES. DANA-FARBER HIRES UPWARD OF 70 STUDENTS THROUGHOUT THE SCHOOL YEAR AND SUMMER. DURING THE ACADEMIC YEAR 2021-2022, 22 PAID INTERNS SUPPORTED RESEARCH AND PATIENT CARE DEPARTMENTS IN A MEANINGFUL WAY AND PARTICIPATED IN ADDITIONAL PROGRAMMING FOCUSED ON COLLEGE AND CAREER READINESS. DURING THE SUMMER OF 2022, DANA-FARBER HIRED 60 BOSTON HIGH SCHOOL AND COLLEGE STUDENTS INTO DEPARTMENT-BASED INTERNSHIPS. STUDENTS' PLACEMENTS WERE EITHER FULLY ONSITE, HYBRID, OR FULLY REMOTE. IN ADDITION TO THE JOB EXPERIENCES, STUDENTS PARTICIPATED IN VIRTUAL PROFESSIONAL DEVELOPMENT, COLLEGE READINESS, AND LIFE SKILLS WORKSHOPS. ELIGIBLE STUDENTS EITHER ATTENDED OR GRADUATED FROM BOSTON PUBLIC SCHOOLS. THE PROGRAM SUCCESSFULLY RETAINED 100% OF STUDENTS. DANA-FARBER ACTIVELY PARTICIPATES IN SCHOOL-TO-CAREER PROGRAMS WITH THE BOSTON PRIVATE INDUSTRY COUNCIL (PIC). ONE PROGRAM INCLUDES GROUNDHOG JOB SHADOW DAY, WHERE HIGH SCHOOL STUDENTS SHADOW DANA-FARBER EMPLOYEES LEARNING ABOUT CAREERS IN HEALTHCARE AND SPECIFIC JOB RESPONSIBILITIES, AS WELL AS THE SKILLS AND TRAINING NEEDED FOR THE POSITION. FY22, JOB SHADOW DAY WAS CANCELED DUE TO COVID. DANA-FARBER STAFF ALSO PARTICIPATES IN SCHOOL-BASED EVENTS INCLUDING FENWAY HIGH SCHOOL'S ANNUAL CAREER FAIR. IN FY22, 7 DFCI STAFF VOLUNTEERS LENT THEIR EXPERTISE IN MOCK INTERVIEWS AND SERVED ON CAREER PANELS. THE DANA-FARBER SUMMER ADMINISTRATIVE INTERNSHIP PROGRAM IS ANOTHER STUDENT TRAINING PROGRAM FOR UNDERGRADUATE RISING SENIORS AND GRADUATE STUDENTS. THIS PROGRAM IS DESIGNED TO INCREASE THE TALENT PIPELINE FOR MANAGEMENT LEVEL POSITIONS AND ATTRACT TALENT THAT ADDS TO THE INSTITUTE'S DIVERSITY. THE 10-WEEK SUMMER PROGRAM ENGAGES INTERNS IN PROJECT WORK, PROFESSIONAL DEVELOPMENT, AND MENTORSHIP WORKING ALONGSIDE EXECUTIVE LEADERS. OVER THE LAST FOUR SUMMERS, 41 INTERNS COMPLETED THE PROGRAM. TO DATE, TEN PARTICIPANTS HAVE BEEN HIRED INTO POSITIONS AT DANA-FARBER. IN SUMMER 2022, A NEW COLLABORATION WITH THE UNITED NEGRO COLLEGE FUND (UNCF) ERNEST E. LIFE SCIENCES PROGRAM WAS ESTABLISHED. UNCF PARTNERS WITH HISTORICALLY BLACK COLLEGES AND UNIVERSITIES AND PLACES STUDENTS INTO PAID INTERNSHIP OPPORTUNITIES AT BOSTON'S LIFE SCIENCE AND HEALTHCARE COMPANIES. DANA-FARBER HOSTED OUR FIRST UNCF INTERN AND PLAN TO CONTINUE GROWING THIS PARTNERSHIP. IN FY22, WE SERVED 48 HIGH SCHOOL STUDENTS OF WHICH 96% ARE URM, 16 COLLEGE STUDENTS OF WHICH 81% ARE URM AND 81% ARE STEM OR HEALTH SCIENCES MAJORS, AND 11 GRADUATE INTERNS OF WHICH 36% ARE URM.
      Schedule H, Part III Section A, Lines 2 and 3 - Bad Debt Expense
      IN CALCULATING BAD DEBT EXPENSE, DFCI USES A COMBINATION OF ACTUAL BAD DEBT WRITE OFFS AND HISTORICAL BAD DEBT FACTORS IN DETERMINING WHICH CURRENT ACCOUNTS RECEIVABLE ARE NOT LIKELY TO BE COLLECTED. IN FY21, DFCI INCLUDED AN ADDITIONAL RESERVE FOR SOME INTERNATIONAL ACCOUNTS THAT WERE DEEMED NOT LIKELY TO BE COLLECTED. ADDITIONALLY, DFCI DETERMINES THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO INDIVIDUALS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE BASED ON A HISTORICAL ESTIMATE OF THE PERCENTAGE OF PATIENTS THAT HAVE QUALIFIED FOR FINANCIAL ASSISTANCE, WHICH IS APPLIED AGAINST TOTAL BAD DEBT.
      Schedule H, Part V, Section B, Line 20d
      "DANA-FARBER DOES NOT ENGAGE IN PRESUMPTIVE ELIGIBILITY FOR ITS PATIENT FINANCIAL ASSISTANCE POLICY (FAP). THROUGH ITS PARTICIPATION IN THE MASSACHUSETTS HEALTH SAFETY NET, THE STATE SPONSORED UNCOMPENSATED PROGRAM, DANA-FARBER FIRST RELIES ON DEMONSTRATION OF INELIGIBILITY FOR MASSHEALTH PROGRAMS, SUCH AS HEALTH SAFETY NET, OR SIMILAR OUT OF STATE MEDICAID PROGRAMS, FROM PATIENTS APPLYING FOR ASSISTANCE. UPON DETERMINATION BY THE STATE AGENCY, DANA-FARBER WILL CONSIDER EACH CASE INDIVIDUALLY AND RELIES ON THE COMPLETION OF THE PATIENT FINANCIAL ASSISTANCE APPLICATION (""PFA APPLICATION"") AND PROVISION OF NECESSARY SUPPORTING DOCUMENTATION."
      Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITE
      https://www.dana-farber.org/uploadedFiles/Pages/For_Patients_and_Families/Care_and_Treatment/Support_Services_and_Amenities/financial-assistance-full-policy.pdf
      Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE
      https://www.dana-farber.org/uploadedFiles/Pages/For_Patients_and_Families/Care_and_Treatment/Support_Services_and_Amenities/financial-assistance-full-policy.pdf
      Schedule H, Part V SECTION A D
      DFCI'S MAIN CAMPUS IS AT 450 BROOKLINE AVE., BOSTON, MA, 02115. DFCI'S SATELLITE LOCATIONS (BELOW) EACH OPERATE UNDER THE SAME HOSPITAL LICENSE. DANA-FARBER/BRIGHAM AND WOMEN'S CANCER CENTER AT MILFORD HOSPITAL, 20 PROSPECT STREET, MILFORD, MA 01757 DANA-FARBER/BRIGHAM AND WOMEN'S CANCER CENTER AT SOUTH SHORE HOSPITAL, 101 COLUMBIAN STREET, SOUTH WEYMOUTH, MA 02190 DANA-FARBER AT ST. ELIZABETH'S MEDICAL CENTER, 736 CAMBRIDGE STREET, CUSHING PAVILION, 5TH FLOOR, BRIGHTON, MA 02135 DANA-FARBER CANCER INSTITUTE CHESTNUT HILL, 300 BOYLSTON STREET, NEWTON, MA 02459 DANA-FARBER CANCER INSTITUTE - MERRIMACK VALLEY, 5 BRANCH STREET, METHUEN, MA 01844 DANA-FARBER CANCER INSTITUTE FOXBOROUGH, 22 PATRIOT PLACE, FOXBOROUGH, MA, 02035 DANA-FARBER CANCER INSTITUTE - LIBBEY PARK, 51 PERFORMANCE DRIVE, WEYMOUTH, MA 02189 DANA-FARBER CANCER INSTITUTE - MOBILE MAMMOGRAPHY SERVICE, 450 BROOKLINE AVENUE, BOSTON, MA 02215 DANA-FARBER CANCER INSTITUTE - WHITTIER STREET HEALTH CENTER, 1290 TREMONT STREET, ROXBURY, MA 02120 DANA-FARBER/NEW HAMPSHIRE ONCOLOGY HEMATOLOGY ALSO OPERATES A CLINICAL LOCATION AT 40 BUTTRICK ROAD, SUITE B, LONDONDERRY, NH 03053.
      Schedule H, Part V, Section B, Line 22
      "DEPENDING ON A PATIENT'S FINANCIAL SITUATION, FAP-ELIGIBLE PATIENTS WERE CHARGED BETWEEN 0% TO 30% OF BILLED CHARGES, WHICH WAS NOT MORE THAN THE AGB. IN FY22, DFCI DETERMINED AGB ON AN ANNUAL BASIS USING THE ""LOOK-BACK METHOD,"" DESCRIBED UNDER TREASURY REGULATION SECTION 1.501(R)-5(B)(1). SPECIFICALLY, DFCI'S ANNUAL AGB PERCENTAGE WAS EQUAL TO SUM OF ALL GROSS CHARGES DURING THE PRIOR FISCAL YEAR DIVIDED BY CLAIMS PAID IN CONNECTION WITH THOSE CHARGES. FOR PURPOSES OF THE AGB CALCULATION, CLAIMS PAID INCLUDED CLAIMS FOR EMERGENCY AND MEDICALLY NECESSARY CARE PAID BY BOTH MEDICARE FEE-FOR-SERVICE AND ALL PRIVATE HEALTH INSURERS AS PRIMARY PAYERS, TOGETHER WITH ANY ASSOCIATED PORTIONS OF THESE CLAIMS PAID BY MEDICARE BENEFICIARIES OR INSURED INDIVIDUALS IN THE FORM OF CO-PAYMENTS, CO-INSURANCE OR DEDUCTIBLES."
      Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE
      https://www.dana-farber.org/uploadedFiles/Pages/For_Patients_and_Families/Care_and_Treatment/Support_Services_and_Amenities/financial-assistance-full-policy.pdf
      Schedule H, Part I, Line 6a Community benefit report prepared by related organization
      DFCI
      Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
      CONSISTENT WITH THE INSTITUTE'S MISSION, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE INSTITUTE HAS DETERMINED IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURED BALANCES (E.G. COPAYS AND DEDUCTIBLES). THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS THE INSTITUTE EXPECTS TO COLLECT BASED ON ITS COLLECTION HISTORY WITH THOSE PATIENTS. PATIENTS WHO MEET THE INSTITUTE'S CRITERIA FOR CHARITY CARE ARE PROVIDED CARE WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. THE INSTIUTE HAS DETERMINED THAT IT HAS PROVIDED SUFFICIENT IMPLICIT PRICE CONCESSIONS FOR THESE ACCOUNTS. PRICE CONCESSIONS, INCLUDING CHARITY CARE, ARE NOT REPORTED AS REVENUE.
      Schedule H, Part III, Line 8 Community benefit methodology for determining medicare costs
      THE MEDICARE COST ON LINE 6 COMES FROM THE MEDICARE COST REPORT AND IS BASED ON MEDICARE'S COST FINDING PRINCIPLES AND METHODOLOGIES. WE STRONGLY BELIEVE THAT THE ENTIRE AMOUNT OF THE SHORTFALL OF $47,684,630 SHOULD BE TREATED AS A COMMUNITY BENEFIT AS THIS REPRESENTS THE INSTITUTE'S COMMITMENT TO THE ELDERLY AND DISABLED COMMUNITY BY PROVIDING SERVICES THAT ARE NOT REIMBURSED.
      Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
      WITHIN DFCI'S CREDIT AND COLLECTIONS POLICY THERE ARE PROVISIONS THAT DESCRIBE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE IN ACCORDANCE WITH FEDERAL AND MASSACHUSETTS LAW.
      Schedule H, Part V, Section B, Line 16a FAP website
      - DANA-FARBER CANCER INSTITUTE, INC.: Line 16a URL: SEE PART VI - SUPPLEMENTAL INFORMATION;
      Schedule H, Part V, Section B, Line 16b FAP Application website
      - DANA-FARBER CANCER INSTITUTE, INC.: Line 16b URL: SEE PART VI - SUPPLEMENTAL INFORMATION;
      Schedule H, Part V, Section B, Line 16c FAP plain language summary website
      - DANA-FARBER CANCER INSTITUTE, INC.: Line 16c URL: SEE PART VI - SUPPLEMENTAL INFORMATION;
      Schedule H, Part VI, Line 2 Needs assessment
      DANA-FARBER CANCER INSTITUTE CONTINUOUSLY ASSESSES THE COMMUNITY NEEDS THROUGH OUR PARTICIPATION IN COMMUNITY COALITIONS, TASK FORCES, WORKING GROUPS AND DIRECT COMMUNICATION WITH THE COMMUNITY RESIDENTS THAT SERVE ON OUR EXTERNAL ADVISORY COMMITTEE AND ON OUR PATIENT AND FAMILY ADVISORY BOARD. A FULL DESCRIPTION OF OUR COMMUNITY ENGAGEMENT PROCESS CAN BE FOUND ON OUR WEBSITE BOTH IN THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IN THE COMMUNITY HEALTH IMPLEMENTATION PLAN.
      Schedule H, Part VI, Line 7 State filing of community benefit report
      MA
      Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
      DFCI IS COMMITTED TO OFFERING FINANCIAL ASSISTANCE TO ELIGIBLE PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY FOR THEIR MEDICAL SERVICES IN WHOLE OR IN PART. IN ORDER TO ACCOMPLISH THIS CHARITABLE GOAL, DFCI WIDELY PUBLICIZES ITS PATIENT FINANCIAL ASSISTANCE (PFA) POLICY WITHIN ITS FACILITIES, IN DIRECT COMMUNICATIONS WITH PATIENTS AND IN THE COMMUNITIES THAT IT SERVICES, PARTICULARLY IN THE COMMUNITIES WITH THE GREATEST UNMET HEALTH NEEDS. THE PFA POLICY, A PLAIN LANGUAGE PFA SUMMARY AND THE PFA APPLICATION ARE POSTED ON DFCI'S WEBSITE IN ENGLISH AND SPANISH. IN ADDITION, INFORMATION ABOUT THE PFA IS PROVIDED TO ALL PATIENTS AT REGISTRATION AND/OR ADMISSION, AND IS AVAILABLE UPON REQUEST, WITHOUT CHARGE, THROUGH A DFCI FINANCIAL COUNSELOR, CUSTOMER SERVICE REPRESENTATIVE, OR BY MAIL. FOLLOWING CARE, ALL BILLING STATEMENTS SENT TO A PATIENT INDICATE HOW THE PATIENT CAN OBTAIN INFORMATION ABOUT THE PFA POLICY. IN COLLABORATION WITH DFCI'S COMMUNITY PARTNERS, INFORMATION ABOUT THE FAP IS SHARED WITH RESIDENTS OF DFCI'S PRIORITY NEIGHBORHOODS. EFFORTS TO NOTIFY COMMUNITY MEMBERS MOST LIKELY TO REQUIRE ASSISTANCE INCLUDE DISTRIBUTING PLAIN LANGUAGE SUMMARIES OF THIS POLICY TO LOCAL COMMUNITY HEALTH CENTERS AND OTHER NON-PROFIT ORGANIZATIONS.
      Schedule H, Part VI, Line 4 Community information
      DANA-FARBER SERVES THE COMMUNITY OF EASTERN MASSACHUSETTS AND NEW ENGLAND, INCLUDING THE COMMUNITIES SURROUNDING ITS PRIMARY LOCATION IN BOSTON AND ITS SATELLITE LOCATIONS IN MILFORD, MASSACHUSETTS, WEYMOUTH, MASSACHUSETTS, BRIGHTON, MASSACHUSETTS, NEWTON, MASSACHUSETTS, METHUEN, MASSACHUSETTS AND LONDONDERRY, NEW HAMPSHIRE. DANA-FARBER'S COMMUNITY INCLUDES ADULTS AND CHILDREN WITH CANCER OR AT RISK OF DEVELOPING CANCER, AND THEIR FAMILIES. DANA-FARBER FOCUSES ITS COMMUNITY OUTREACH EFFORTS ON ITS PRIORITY BOSTON NEIGHBORHOODS OF ROXBURY, MISSION HILL, DORCHESTER, MATTAPAN AND JAMAICA PLAIN (WHICH COLLECTIVELY COMPRISE 39% OF BOSTON'S OVERALL POPULATION). TWO OF BOSTON'S MOST POPULATED NEIGHBORHOODS ARE DANA-FARBER PRIORITY NEIGHBORHOODS-DORCHESTER WITH 122,598 RESIDENTS, FOLLOWED BY ROXBURY WITH 49,028. WHITE RESIDENTS NOW MAKE UP LESS THAN HALF OF THE CITY'S RACIAL AND ETHNIC COMPOSITION (46%). BLACK OR AFRICAN AMERICAN RESIDENTS WERE THE SECOND LARGEST RACIAL AND ETHNIC GROUP (23%), FOLLOWED BY HISPANICS (18%) AND ASIANS (9%). THERE IS SUBSTANTIAL VARIATION IN THE RACIAL AND ETHNIC DIVERSITY BY DFCI PRIORITY NEIGHBORHOOD, WITH NEARLY THREE-QUARTERS OF MATTAPAN RESIDENTS AND HALF OF ROXBURY RESIDENTS IDENTIFYING AS BLACK OR AFRICAN AMERICAN. AMONG DANA-FARBER'S PRIORITY NEIGHBORHOODS, ROXBURY AND JAMAICA PLAIN HAVE THE LARGEST HISPANIC POPULATIONS WITH 29% AND 24% RESPECTIVELY, WHILE MISSION HILL AND DORCHESTER HAVE THE LARGEST ASIAN POPULATIONS AMONG THE PRIORITY NEIGHBORHOODS WITH 14% AND 10% RESPECTIVELY. THE MEDIAN INCOMES OF DANA-FARBER'S PRIORITY COMMUNITIES ARE GENERALLY MUCH LOWER THAN BOSTON OVERALL, WITH ROXBURY AT A MEDIAN INCOME OF $25,254, MISSION HILL AT $35,020, AND MATTAPAN AT $42,206. MANY OF DANA-FARBER'S PRIORITY NEIGHBORHOODS, ROXBURY AND MATTAPAN, ARE MORE LIKELY TO HAVE A GREATER POPULATION AT THE LOWER END OF THE INCOME SPECTRUM. RESIDENTS IN DANA-FARBER'S PRIORITY NEIGHBORHOODS APPEAR TO EXPERIENCE HIGHER RATES OF POVERTY THAN BOSTON OVERALL. FEMALE HEADED HOUSEHOLDS ARE ESPECIALLY VULNERABLE, WITH 45% OF ROXBURY FEMALE-HEADED HOUSEHOLDS LIVING BELOW THE POVERTY LINE. DESPITE ITS STATEWIDE REACH AND SERVICES PROVIDED THROUGH OUR SATELLITE OPERATIONS IN WEYMOUTH, ALLSTON/BRIGHTON, AND MILFORD, DANA-FARBER'S PRIORITIZATION OF THESE FIVE NEIGHBORHOODS WITHIN ITS LOCAL SERVICE AREA REFLECTS A COMMITMENT TO REDUCING DISPARITIES IN CANCER CARE AND IMPROVING THE HEALTH AND WELL-BEING OF NEIGHBORHOOD RESIDENTS. THROUGH OUR COLLABORATIVE APPROACH, THE SATELLITE LOCATIONS HAVE AGREED TO LEVERAGE EACH OTHER'S CANCER CONTROL EXPERTISE TO EXPAND AND STRENGTHEN OUR PROGRAMS SUCH AS BRINGING CANCER PREVENTION EFFORTS IN SPANISH TO THE ALLSTON/BRIGHTON AREA.
      Schedule H, Part VI, Line 5 Promotion of community health
      DANA-FARBER'S 2022-2025 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN PROVIDE A ROBUST DESCRIPTION OF OUR COMPREHENSIVE CANCER CONTROL PROGRAMS AND SERVICES. THE REPORT ALSO PROVIDES A SUMMARY OF ACCOMPLISHMENTS FROM OUR LAST NEEDS ASSESSMENT AND SETS FORTH OUR COMMITMENT TO ADDRESSING THE NEW OPPORTUNITIES TO REDUCE THE CANCER BURDEN IN MEDICALLY UNDERSERVED COMMUNITIES IN BOSTON. THE REPORTS CAN BE FOUND USING THE FOLLOWING LINKS: COMMUNITY HEALTH NEEDS ASSESSMENT - HTTPS://WWW.DANA-FARBER.ORG/UPLOADEDFILES/PAGES/ABOUT_US/COMMUNITY_OUTREACH/CANCER-CHNA-REPORT-2022.PDF IMPLEMENTATION PLAN - HTTPS://WWW.DANA-FARBER.ORG/UPLOADEDFILES/PAGES/ABOUT_US/COMMUNITY_OUTREACH/COMMUNITY-HEALTH-IMPLEMENTATION-PLAN-2022-25.PDF IN ADDITION, DFCI FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY THROUGH DEVOTING THE VAST MAJORITY OF ITS SURPLUS FUNDS TO INSTITUTIONAL SUPPORTED RESEARCH (140 MILLION), BY PROVIDING FINANCIAL ASSISTANCE TO PATIENTS UNABLE TO AFFORD CARE AND BY MAINTAINING A COMMUNITY BOARD.