2013-08-06T09:21:44-05:00 2012-09-30 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE INDIANAPOLIS IN 46204 990 2011-10-01 042263040 Dana-Farber Cancer Institute Inc % STEVEN CONNOLLY DANA 6176323000 450 Brookline Avenue BP418 Boston MA 02215 KAREN BIRD 2013-08-01 3176817000 2011 2016-02-24 21:20:13Z Edward J Benz Jr MD 450 BROOKLINE AVE Boston MA 02215 1023613832 false X www.dana-farber.org X 1951 MA The mission of DFCI is to provide expert, compassionate care to children & adults with cancer while advancing the understanding, diagnosis, treatment, cure, & prevention of cancer & related diseases. 73 68 4825 4500 1147 0 440670897 398632881 540814609 602927602 332089 293433 20646553 19417675 1002464148 1021271591 49888746 31789972 0 0 352100795 352299705 2868090 2909019 19918522 560240087 595078313 965097718 982077009 37366430 39194582 1487621685 1605048122 546538748 568884792 941082937 1036163330 X THE MISSION OF DANA-FARBER CANCER INSTITUTE IS TO PROVIDE EXPERT, COMPASSIONATE CARE TO CHILDREN AND ADULTS WITH CANCER WHILE ADVANCING THE UNDERSTANDING, DIAGNOSIS, TREATMENT, CURE, AND PREVENTION OF CANCER AND RELATED DISEASES. AS AN AFFILIATE OF HARVARD MEDICAL SCHOOL AND A COMPREHENSIVE CANCER CENTER DESIGNATED BY THE NATIONAL CANCER INSTITUTE, THE INSTITUTE ALSO PROVIDES TRAINING FOR NEW GENERATIONS OF PHYSICIANS AND SCIENTISTS, DESIGNS PROGRAMS THAT PROMOTE PUBLIC HEALTH PARTICULARLY AMONG HIGH-RISK AND UNDERSERVED POPULATIONS, AND DISSEMINATES INNOVATIVE PATIENT THERAPIES AND SCIENTIFIC DISCOVERIES TO OUR TARGET COMMUNITY ACROSS THE UNITED STATES AND THROUGHOUT THE WORLD. false false 479789402 2873291 602927602 Provided specialized, compassionate care to children and adults with cancer while advancing the understanding, diagnosis, treatment, cure, and prevention of cancer and related diseases. 332915095 28916681 0 Research at DFCI is staking out new territory in the fight against cancer, from advancing the understanding of the genetic makeup of cancer cells to developing novel therapies to diagnose, treat, and prevent the disease. 18980704 Through DFCI's community benefits programs, DFCI works in collaboration with community organizations to promote greater public health. See the community benefits report general explanation included in Schedule H. 831685201 true true false true false false false true false true true false false true true false false true false false true true false true true false true true true true true true false false false false false true false true false true true true false false false true true true true false true 492 35 true 4825 true true true true CJ false false false true true false false false false X 73 68 true false false false false false false true true false false true true true true true true true true false AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY X X STEVEN CONNOLLY 6176323000 C/O DFCI 450 BROOKLINE AVE BP418 Boston MA 02215 X Bekenstein Joshua 2.0 X X 0 0 0 Benz Edward J JR MD 42.0 X X 1059212 127433 219784 Berkowitz Roger 1.0 X 0 0 0 Berylson Amy S 1.0 X 0 0 0 Brown Hon Frederick 1.0 X 0 0 0 Champa Michael A 1.0 X 0 0 0 Cohen Marc A 1.0 X 0 0 0 Countryman Gary L 2.0 X X 0 0 0 Cox Howard 1.0 X 0 0 0 Curtin Neal J ESQ 2.0 X X 0 0 0 Dana Charles A III 1.0 X 0 0 0 Darehshori Nader F 1.0 X 0 0 0 Farrington Thomas A 1.0 X 0 0 0 Fine James L 1.0 X 0 0 0 First Robert C 1.0 X 0 0 0 Gelb Arthur ScD 1.0 X 0 0 0 Gibson Nancy Q 1.0 X 0 0 0 Gosman Abraham D 1.0 X 0 0 0 Harkins David V 1.0 X 0 0 0 Grubman Richard 1.0 X 0 0 0 Jamieson Jane P 1.0 X 0 0 0 Kafker Hon Scott 1.0 X 0 0 0 Heller Frances 1.0 X 0 0 0 Knez Brian J 2.0 X X 0 0 0 Koppel Steven P 1.0 X 0 0 0 Kopperl Paul B 1.0 X 0 0 0 Koster Stephen P ESQ 1.0 X 0 0 0 Kraft Robert K 1.0 X 0 0 0 Krakoff Sandra G 1.0 X 0 0 0 Lockwood Roger A 1.0 X 0 0 0 Lubin Richard K 1.0 X 0 0 0 Lucas Bradley A 1.0 X 0 0 0 Marshall John L III 1.0 X 0 0 0 McNay Joseph C 1.0 X 0 0 0 Meagher William F 1.0 X 0 0 0 Morse Richard P 2.0 X X 0 0 0 Nathan David G MD 50.0 X 234150 0 34634 Norberg Joseph E 1.0 X 0 0 0 O'Connor John J 1.0 X 0 0 0 O'Reilly Vincent M 2.0 X 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41395 Puhy Dorothy 50.0 X 605266 0 37561 BIRD KAREN 50.0 X 361813 0 54328 Bartel Sylvia 50.0 X 216657 0 39031 Griffin James D MD 50.0 X 622622 0 125366 Papola Maria 50.0 X 269581 0 32167 Paresky Susan 50.0 X 612676 0 47147 Reid Ponte Patricia RN 50.0 X 366754 0 49463 Rollins Barrett J MD PHD 50.0 X 589613 0 42134 Sallan Stephen E MD 50.0 X 482213 0 55974 Shulman Lawrence N MD 50.0 X 607941 0 47374 Constantine Michael MD 50.0 X 930810 0 44064 Iglehart James MD 50.0 X 535957 0 36064 Kaddis Mona MD 50.0 X 773456 0 31615 Nadler Lee MD 50.0 X 623116 0 46449 Kantoff Philip MD 50.0 X 566869 0 59340 Herring Thomas 32.0 X 217580 0 21217 10792725 127433 1118808 742 true true false Partners Healthcare System Inc PO Box 3715 BOSTON MA 02241 Information Systems 76433277 JP Morgan Chase PO Box 4471 CAROL STREAM IL 60197 Credit Card Services 33335886 The Brigham and Women's Hospital 75 Francis Street BOSTON MA 02115 Medical Services 32501903 Walsh Brothers Inc 210 Commercial Street BOSTON MA 02109 Construction Service 26015929 Massachusetts General Hospital 55 Fruit Street BOSTON MA 02114 Medical Services 15962951 5 370559 18715118 143574943 235972261 4492494 398632881 NET PATIENT SERVICE REVENUE 621110 602927602 602927602 602927602 293433 1147 292286 0 5661760 5661760 4231174 4231174 4231174 4231174 0 645280 18715118 2342241 -1696961 -1696961 0 0 PARKING LOT REVENUE 812930 5184820 5184820 FOOD SERVICE REVENUE 722210 2576794 2576794 WCP BOUTIQUE INCOME 446199 995933 995933 2464155 2464155 11221702 1021271591 602927602 1147 19709961 30636662 30636662 30260 30260 1123050 1123050 0 7997049 3924385 3448281 624383 414568 414568 278927687 218984650 48579499 11363538 18165199 14122052 3290019 753128 25889213 20126881 4688967 1073365 20905989 16252806 3786422 866761 6635946 1641387 4994559 5149979 4447535 686946 15498 488030 488030 167898 167898 2909019 2909019 0 111916239 99471458 12221340 223441 3187890 1551178 817211 819501 27462435 16238942 10681982 541511 37579118 36888636 667918 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RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false true false true 167898 true 12808 false false 180706 false Schedule C Part II-B Supplemental Lobbying Information O'NEILL, ATHY & CASEY, P.C. - provided federal legislative and government relations consulting services to the Conference of Boston Teaching Hospitals, of which we are a member. VAN SCOYOC - provided federal legislative consulting to DFCI. MCDERMOTT, QUILTY & MILLER, LLP - provided state legislative and government relations consulting on health interests to DFCI. CONFERENCE OF BOSTON TEACHING HOSPITALS PROVIDED STATE AND FEDERAL LOBBYING SUPPORT TO DFCI. DFCI IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND THE MASSACHUSETTS HOSPITAL ASSOCIATION, NOT-FOR-PROFIT ORGANIZATIONS THAT REPRESENT AND ADVOCATE FOR THE COLLECTIVE INTERESTS OF THEIR MEMBER HOSPITALS AND HEALTH SYSTEMS THROUGH LEADERSHIP IN PUBLIC ADVOCACY, EDUCATION, AND INFORMATION. A PORTION OF THE MEMBERSHIP DUES TO THESE ORGANIZATIONS ARE USED FOR LOBBYING ACTIVITIES. On occasion, DFCI executive leadership meet with state and federal elected officials to advocate for the passage of legislation and funding to advance cancer research and treatment, and legislation to support services for cancer patients and cancer survivors. 0 1552786 X false 187242000 9879000 22169000 11315000 207975000 179577000 9098000 8614000 0 0 10047000 187242000 158022000 7951000 18605000 0 0 5001000 179577000 200409000 4304000 -9423000 0 27334000 9934000 158022000 0.73000 0.27000 false true true 7640445 7640445 686506756 241544381 444962375 136587722 57504801 79082921 261327523 183820853 77506670 35582358 35582358 644774769 INTEREST IN DANA-FARBER, INC. 646521963 MISCELLANEOUS ASSETS 52264881 698786844 0 AMOUNTS DUE TO 3RD PARTY PAYOR 59714490 RESEARCH ADVANCES 30134873 PROV FOR MED MALPRACTICE CLAIM 1389000 SWAP VALUATION LIABILITY 50327000 MISCELLANEOUS LIABILITIES 28904199 170469562 SCHEDULE D PART III, QUESTION 4 DESCRIPTION OF ORGANIZATION'S COLLECTIONS DFCI's collection of art is an array of art primarily received through donations and occasionally purchased. The collection can be found throughout the organization in patient and business areas. Patients and staff confirm the Institute's belief that artwork which is pleasing and appropriate for a health care setting greatly enhances the healing environment and makes a significant difference in the patient care experience. Schedule D, Part V, Question 4 Dana-Farber, Inc. (DFI) a related organization of Dana-Farber Cancer Institute, Inc. (DFCI) holds the endowments for DFCI and therefore reports the endowment funds on DFI's 990 accordingly. As described in detail in the Consolidated Audited Financial Statements, the Institute's endowments consist of numerous individual funds established for a variety of purposes. These endowments consist solely of donor-restricted endowment funds. As required by Generally Accepted Accounting Principles, net assets associated with endowment funds are classified and reported based on the existence or absence of donor-imposed restrictions. All uses of the organization's endowment funds are directly related to the Institute's exempt mission and purposes. true South Asia Program Services Subcontracted Research 457486 North America Program Services Subcontracted Research 192485 Europe (Including Iceland and Greenland) Program Services Subcontracted Research 403400 East Asia and the Pacific Program Services Subcontracted Research 69678 Central America and the Caribbean Program Services Jointly Ownd For. Ins. 2457448 3580497 3580497 South Asia subcontract research 416008 check BOOK Europe/Iceland/Greenland subcontract research 263013 check BOOK East Asia/Pacific subcontract research 69678 cash BOOK North America subcontract research 99076 cash BOOK Europe/Iceland/Greenland subcontract research 64474 check BOOK Europe/Iceland/Greenland subcontract research 58166 check BOOK South Asia subcontract research 41478 check BOOK North America subcontract research 13866 check BOOK Europe/Iceland/Greenland subcontract research 17747 check BOOK North America subcontract research 29011 check BOOK North America subcontract research 18519 check BOOK North America subcontract research 17959 check BOOK North America subcontract research 14054 check BOOK 7 6 false false true false false false Schedule F, Part I, Line 2 Dana-Farber Cancer Institute, Inc. (DFCI) is responsible for the programmatic, administrative and financial monitoring of all awards made to sub-recipients under federal and non-federal sponsored projects. DFCI has the obligation, throughout the life of the award, to monitor the activities of sub-recipients to make certain that project objectives are completed and all funds are used for authorized purposes in compliance with applicable laws, regulations, and provisions of the prime contracts or grant agreements. Office of Research Accounting will monitor sub-recipients through OMB Circular A-133 reports. On a semi-annual basis, we will request certification of the OMB A-133 audit report from each sub-recipient. Circular A-133 requires that annual audits be completed within nine months of the end of the sub-recipients audit period. To this end certification letters must be prepared and distributed to every sub-recipient working on any externally sponsored award. The certification letters must be prepared and distributed annually, by June 30 of each year, requesting information about the sub-recipients' most recent completed fiscal year. The certification letters require the sub-recipient organization to state that the information they are providing fairly presents the standing of the organization in all material aspects and that they state one of the following [see Attachment A, page 1]: -They are subject to the requirements of A-133, the audit has been completed and there were no material conditions of non-compliance with federal regulations. -They are subject to the requirements of A-133, the audit has been completed, exceptions were noted and a copy of the audit report is provided. -They are subject to the requirements of A-133 but the audit has not been completed. -They are not subject to the requirements of A-133 because the organization did not receive $500,000 or more in federal awards during the fiscal year, is a for-profit corporation, or is a non-U.S. based entity. Follow up requests will be made to ensure that sub-recipients send reports: -Should no response to the certification letter be received within 60 days, a second certification letter will be sent. Should no response to the second letter be received within 30 days, the sub-recipient will be contacted by telephone. -If reports are not received, the Federal Audit Clearinghouse (FAC) Internet data dissemination system will be used to retrieve audit report information from the FAC database. This information will be reviewed to determine if an organization has any reportable conditions and/or audit findings required to be reported under OMB Circular A-133, subpart E, section .510(a). -Should attempts continue to be unsuccessful,the Director of Research Administration, in conjunction with Director of the Research Accounting will consider sanctions against the sub-recipient, including termination of the subcontract. Research Accounting will review all available information for compliance issues pertaining to funds from A-133 reports. The Director of Research Accounting will be notified of any compliance issues that pertain to funds passed through the Institute and will request corrective action plans from the management of the organization to determine if proper action has been implemented. Management will determine corrective action on deficiencies identified in audits and sub-recipient monitoring. The monitoring of sub-recipients, not subject to Circular A-133, will be based upon the judgment of management and will include such factors as the size of the award, percentage of the total program's funds awarded to the sub-recipient, budget adherence, any issues identified in the pre-award review, and other matters as deemed necessary. The complete Sub-Recipient Policy is available upon request. 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450 Brookline Avenue Boston MA 02215

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Elliott Med CTR 40 Buttrick Rd ST Londonderry NH 03053

Medical Oncology Infusion Clinic Part I PART I, Line 3C: THE ORGANIZATION USES THE FEDERAL POVERTY GUIDELINES (FPG) TO DETERMINE ELIGIBILITY FOR PROVIDING FREE CARE TO LOW INCOME INDIVIDUALS. 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 THEIR WEBSITE. Part I, Line 7G Not Applicable Part I, Line 7, Column F Total bad debt expense of $5,313,737 was included in Form 990, Part IX, Line 25. Part I, Line 7 Our internal cost accounting system, which accounts for all Institute activity, was used to create the cost to charge ratio that was applied to our charity care charges to determine our financial assistance cost (Line 7a). Line 7c reflects the specific cost incurred for the Institute's required funding of the State's Health Safety Net fund. Line 7f reflects the costs of education, as calculated on the Medicare cost report, less any applicable reimbursement received for it. Part II Community Building Activities Part II, Line 1 Physical Improvements and housing-Dana-Farber provides a limited number of low cost rooms that serve as a home away from home for pediatric oncology patients and their families while they are receiving treatment. Part II, Line 8 Diversity and Workforce Development: In collaboration with nearby health care institutions, DFCI offers English as a Second Language (ESL) classes to staff. Business Writing for Professionals is an onsite 6-month college prep course designed to help front-line employees enhance reading and writing skills necessary for success in the workplace and in the classroom. DFCI also continued its collaboration with The Partnership to train and to increase the number of people of color in leadership roles in the Boston community. DFCI has continued its collaboration with the YMCA Achievers Program to recognize employees of color for their accomplishments and demonstrated excellence in their profession. DFCI also provides college scholarships to interns who have provided exceptional service throughout the year. Part III Part III, Line 4 There is no footnote in the Audited Financial Statements that describes Bad Debt and the amount of Bad Debt expense at cost on Line 2 ($4,056,090) is from our general ledger and is based on the treatment of Bad Debt activity consistent with Generally Accepted Accounting Principles (GAAP). The amount of Bad Debt attributed to financial assistance patients is an estimate based on the relationship of financial assistance activity to total activity. The Bad Debt amount should be treated as a community benefit as it is similar to Unreimbursed Financial Assistance, as reported and allowed (Part I Line 7a), but for a different population. Part III, Line 8 The medicare allowable costs of $138,333,866 come directly from the medicare cost report and are based on medicare's cost finding principles and methodologies. We strongly believe that the entire amount of the shortfall ($13,866,245) should be treated as a community benefit, as this represents the Institute's commitment to the elderly and disabled community by provided services that are not reimbursed. Part III, Line 9b 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 financial assistance in accordance with federal and Massachusetts law. See Part V, Line 15 for more details on the Credit and Collection Policy. Part V DFCI's main campus at 450 Brookline Ave., Boston, MA, as well as it's following satellite locations (below) each operate under the same hospital license. Dana-Farber/Brigham and Women's Cancer Center at Faulkner Hospital 1153 Centre Street, Boston, MA 02130 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 Part V, Line 15E DFCI will not undertake any "extraordinary collection activities" until such time as DFCI has made a reasonable effort and followed a reasonable review of the patient's financial status, which will determine that a patient is entitled to financial assistance or exemption from any collection or billing activities under this credit and collection policy. The following information gives the details of the policy. Collection and Verification of Patient Financial Information DFCI will make reasonable efforts to obtain patient demographic and financial information necessary to bill and collect for services rendered in compliance with this Credit and Collection Policy, as well as State and Federal regulations. DFCI will seek to identify patients who may be uninsured or inadequately insured in order to provide counseling and assistance. DFCI will provide financial counseling to these patients and their families, including screening for eligibility for other sources of coverage, such as government programs. DFCI will encourage patients who are potentially eligible for coverage by Mass Health, Health Safety Net or other government programs to apply for coverage. The Financial Counselor will assist the patient in applying for such coverage. Eligible patients may also apply for the Health Safety Net to cover co-payment, co-insurance or deductible amounts not covered by their primary insurance plan. Information concerning financial counseling services at DFCI is included in the New Patient Handbook, which is given to all new patients on or before their first visit. The appropriate procedures for data collection and verification are as follows: A. The Access Management Department will attempt to collect information prior to the patient's first outpatient clinic visit. Demographic and health insurance information is entered in DFCI's registration system and a unique medical record number is assigned. The Registrar will verify the patient's health insurance coverage with the appropriate carrier during the pre-registration screening process. High-risk, such as out of state residents and self-pay patients are required to speak with a Financial Counselor to discuss coverage and/or payment options prior to services being rendered. The Financial Counselor will provide an estimate of charges and request a deposit, as required. B. Access Management uses an automated eligibility system to verify patient insurance coverage. Access Management monitors ongoing insurance coverage for a designated group of payers through an automated batch re-verification process. Medicaid and Health Safety Net are included in this process. Access Management is responsible for resolving any eligibility rejections and edits by contacting the patient/guarantor and/or the insurance carrier. The automated eligibility verification system interfaces with DFCI's registration system for those designated payers. C. Self-pay patients who are unable to pay for their services may qualify for state funded programs such as Mass Health, Health Safety Net, and Commonwealth Care coverage. Financial Counselors are responsible for helping patients complete and submit state sponsored program application(s) using the Virtual Gateway or a standard paper application. Applications are submitted to the Massachusetts Executive Office of Health and Human Services for processing. The Massachusetts Executive Office of Health and Human Services solely manages the application process for the programs listed above, which is available for children, adults, seniors, veterans, homeless, and disabled individuals. Eligibility for most state sponsored programs is generally limited to patients who can demonstrate residency in the Commonwealth of Massachusetts according to applicable regulations. In general, patients who have relocated to Massachusetts for the sole purpose of receiving health care benefits do not meet the residency requirements. D. In special circumstances, DFCI may apply on behalf of the patient for eligibility in the Health Safety Net program using a specific form designed by the Massachusetts Division of Health Care Finance and Policy. Special circumstances include individuals seeking financial assistance coverage due to being incarcerated, victims of spousal abuse, or applying due to a Medical Hardship. E. DFCI specifically assists the patient in completing the Massachusetts Executive Office of Health and Human Services standard application and securing the necessary documentation required by the applicable financial assistance program. Necessary documentation includes proof of: (1) annual household income (payroll stubs, record of social security payments, and a letter from the employer, tax returns, or bank statements); (2) citizenship and identity; (3) immigration status for non-citizens (if applicable); and (4) assets of those individuals who are also enrolled in the Medicare program. DFCI will then submit this documentation to the Massachusetts Office of Medicaid and assist the patient in securing any additional documentation if such is requested by the state after completing the application. Massachusetts places a three day time limitation on submitting all necessary documentation following the submission of the application for a program. Following this three day period, the patient and the provider must work with the Mass Health Enrollment Centers to secure the additional documentation needed for enrollment in the applicable financial assistance program. All Virtual Gateway and paper applications are reviewed and processed by the Massachusetts Office of Medicaid, which uses the Federal Poverty Guidelines as well as the necessary documentation listed above as the basis for determining eligibility for state sponsored public assistance programs. The eligibility for enrollment into the Health Safety Net program as a special circumstance is reviewed and approved by the Massachusetts Division of Health Care Finance and Policy also using the Federal Poverty Guidelines and asset information. Hospitals have no role in the determination of program eligibility made by the state, but at the patient's request may take a direct role in appealing or seeking information related to the coverage decisions. It is still the patient's responsibility to inform the hospital of all coverage decisions made by the state to ensure accurate and timely adjudication of all hospital bills. As future coverage options are developed, as discussed in both Federal and State healthcare reform proposals, the hospital will make appropriate changes to this credit and collection policy. DFCI Billing and Collection Practices DFCI will make an effort to seek reimbursement for services it has provided from individuals who are able to pay, from third party insurers who cover the cost of care, and from other programs of assistance for which the patient is eligible. To determine whether a patient is able to pay for the services provided as well as to assist the patient in finding alternative coverage options if they are uninsured or underinsured, DFCI follows the following criteria related to billing and collecting from patients for inpatient and outpatient services. Collecting Information on Patient Financial Resources and Insurance Coverage a)Patient Obligations: Prior to the delivery of any health care services (except for cases that are an emergent or urgent care service level), the patient is expected to provide timely and accurate information on their insurance status, demographic information, changes to their family income or insurance status, and information on any deductibles or co-payments that are owed based on their existing insurance or financial program's payment obligations. The detailed information will include: (1)Full name, address, telephone number, date of birth, social security number (if available), current health insurance coverage options, citizenship and residency information, and the patient's applicable financial resources that may be used to pay their bill; (2)Full name of the patient's guarantor, their address, telephone number, date of birth, social security number (if available), current health insurance coverage options, and their applicable financial resources that may be used to pay for the patient's bill; and (3)Other resources that may be used to pay their bill, including other insurance programs, if the treatment was due to an accident, worker's compensation programs, and student insurance policies, and any o Part VI, Line 2 Needs Assessment: DFCI Community Benefits Office The mission of DFCI's community benefits and outreach activities contributes to the Institute's goal of advancing the understanding, diagnosis, care, treatment, cure, and prevention of cancer and related diseases by: -Ensuring that patients from diverse backgrounds receive equitable cancer care and treatment, including but not limited to, education about the importance of clinical trials participation -Establishing quantifiable, evidence-based, and sustainable programs in cancer prevention focusing on at-risk, underserved, and diverse populations -Providing expertise in cancer care to city and state health departments, community-based agencies, and health care providers. To ensure that DFCI's community outreach activities and programs are meeting the health needs in the community, the DFCI's Community Benefits Office partnered with Health Resources in Action (HRiA), a non-profit public health consultancy organization in Boston, to undertake a comprehensive community health assessment. This effort incorporated a process of completing assessment activities in two phases. In Phase I, social, economic, and epidemiological data at the community level were reviewed and analyzed to provide a health portrait of DFCI's priority communities (Roxbury, Mission Hill, Dorchester, Mattapan, and Jamaica Plain). Phase II involved a comprehensive qualitative study, where DFCI staff, community leaders, and residents provided feedback in focus groups and interviews to identify community needs and assets as well as areas for further community engagement and program expansion. The needs assessment final report was completed in February, 2012. Methodology To ensure that DFCI's community outreach activities and programs are meeting the health needs in the community, the DFCI Community Benefits Office partnered with Health Resources in Action (HRiA), a non-profit public health consultancy organization in Boston, to undertake a comprehensive community health assessment. This effort incorporated a process of completing assessment activities in two phases. In Phase I, social, economic, and epidemiological data at the community level were reviewed and analyzed to provide a health portrait of DFCI's priority communities (Roxbury, Mission Hill, Dorchester, Mattapan, and Jamaica Plain). Phase II involved a comprehensive qualitative study, where DFCI staff, community leaders, and residents provided feedback in focus groups and interviews to identify community needs and assets as well as areas for further community engagement and program expansion. In addition, HRiA conducted a review of DFCI's current programming activities as well as an environmental scan of interventions external to DFCI to understand the current programming and service environment in these communities. Social determinants of health perspective guided the assessment and report development. Through this lens, it is critical to look beyond proximal, individual-level factors in accounting for a community's health problems. Upstream factors such as housing, education, employment status, racial/ethnic disparities, and neighborhood-level resources critically impact population health. The assessment approaches data in a manner designed to discuss who is healthiest and least healthy in the community as well as examines the larger social and economic factors associated with good and ill health. A total of 86 individuals participated in the Phase II qualitative research in order to gauge their perceptions of their neighborhood, their health concerns, what programming or services are most needed to address these concerns and the role of DFCI in these efforts. Part VI, Line 3 Patient Education & Eligibility for Assistance DFCI Recognizes that some patients will not be able to pay for services rendered and may not be aware of the availability of public assistance; DFCI shall promote the existence of financial assistance by the use of signs. For those patients who are uninsured or underinsured, DFCI will work with them to assist with applying for available financial assistance programs that may cover some or all of their unpaid hospital bills. When applicable, DFCI may assist patients in applying for coverage of services within a financial assistance program, such as Mass Health, Commonwealth Care, Children's Medical Security Plan, Healthy Start, Health Safety Net, as well as a Medical Hardship based on the patient's documented income and allowable medical expenses. DFCI will provide, upon request, specific information about the eligibility process to be a Low Income Patient under the Massachusetts Health Safety Net Program. DFCI will also notify the patient about available payment plans that may be available to them. DFCI will also provide information on how to contact the appropriate staff within the hospital's finance office to verify the accuracy of the hospital bill or to dispute certain charges. Notification Practices: The Institute will post a notice (signs) of availability of financial assistance as outlined in credit and collection policy in the following locations: i. Central Registration Yawkey 268 ii. Registration Office on DL2 and D3 iii.Registration Offices at the Satellite locations Posted signs are clearly visible and legible to patients visiting these areas. The posted signs are poster size 12' by 18', font size , in English and Spanish. Part VI, Line 4 Community Information DFCI's community benefits has prioritized the following Boston neighborhoods as its priority areas: Roxbury (Mission Hill), Dorchester, Mattapan and Jamaica Plain and any other community at risk for cancer across the state. Patient Population & Priority Neighborhoods According to DFCI's tumor registry, 26% of Boston residents who have been diagnosed with some type of cancer were seen at DFCI/Brigham and Women's in 2005. DFCI's racially and ethnically diverse patient base mirrors that of the general cancer population in Boston. For example, 23% of Boston residents with cancer and those who sought care at DFCI identified themselves as Black. DFCI's Hispanic patient population (11%) was slightly greater than the percentage of Boston residents with cancer who also identified themselves as Hispanic (7%). Dana-Farber Cancer Institute provides expert, compassionate care to children and adults with cancer while advancing the understanding, diagnosis, treatment, cure, and prevention of cancer and related diseases. Through our outreach efforts and in partnership with community-based organizations located in underserved neighborhoods throughout Boston, DFCI reaches underserved communities in Boston that have lower cancer screening rates and who benefit the most from enhanced access to prevention, early detection services and clinical care. DFCI also has a diverse patient population in the number of languages they speak. Interpreter services were provided in 45 languages at a total of 9,701 appointments from October 2008-September 2009. Among the 45,283 patients visiting DFCI during that period, 2.9% unique patients received interpreter services (1,299 patients). 44.3% of DFCI's patients who needed interpreter services spoke Spanish, while 9.6% spoke Russian or Portuguese. Arabic and Cantonese were each spoken by approximately 4% of the patients who needed these services. Other common languages included Mandarin, Haitian Creole, Greek, Italian, and Vietnamese, which were each spoken by 2-3% of DFCI's patients requesting interpreter services from October 2008 to September 2009. Community Economic and Social Context City-wide, the total population of Boston was 608,352 in 2007, up from 589,141 in 2000. Of the priority neighborhoods focused upon in this report, South Dorchester is the largest, with a population of 63,647 residents, followed by Roxbury/Mission Hill with a population of 55,663, according to data from 2000. The neighborhoods of Jamaica Plain, Mattapan, and North Dorchester are considerably smaller, with 38,074 residents, 37,371 residents, and 29,215 residents respectively. Age In 2000, the year in which neighborhood demographic data are most recently available, the proportion of younger residents (ages ?24 years old) was highest in Mattapan and Roxbury/Mission Hill (42.4% in both), followed by North Dorchester and South Dorchester (38.6% in both). Jamaica Plain, with 31.3% of residents 24 years of age and younger, is more comparable to Boston city-wide (35.9%), with the lowest proportions of young residents. The percentage of residents ages 25-64 are fairly similar across the neighborhoods, ranging from a high of 58.0% in Jamaica Plain to 48.9% in Roxbury/Mission Hill, and comparable to Boston city-wide (53.7%). The proportion of the population 65 years and older was highest in Jamaica Plain (10.8%), which was also comparable to Boston city-wide (10.4%). The proportion of residents aged 65 years and older in the other neighborhoods ranged from 7.1% in Mattapan to 9.4% in Part VI, Line 5, Other Promotion of Community Health: With the goal of reducing health disparities in cancer, community outreach at DFCI focuses on increasing awareness about the importance of cancer prevention, outreach, screening, early detection and clinical trials education. Examples of prevention programs are: Dana-Farber's Mammography Van (DFMV) Dana-Farber's Mammography Van was launched as a joint venture between the City of Boston and Dana-Farber in April 2002. The Dana-Farber Mammography Van continues to be the only mobile mammography program in the Commonwealth of Massachusetts. It provides digital screening mammograms and breast health education to women 40 years of age and older. In partnership with 20 community-based organizations and neighborhood health centers, the Van is on the road 3-4 days per week year-round, serving all of Greater Boston. Ultimately, it aims to decrease breast cancer morbidity and mortality among medically underserved women and increase survival rates for those diagnosed with breast cancer. The mammogram on the van is treated as a point of entry into the larger health care system. Women who lack a primary care provider are referred to one of our partner Boston neighborhood health centers, and those who lack health insurance are encouraged to apply to the Connector at the time of their van appointment. Priority populations include women who are low-income, elderly, immigrant, non-English speaking, and those of ethnic/racial and other minority backgrounds. Priority neighborhoods in Boston include Roxbury, Mattapan, Jamaica Plain, Dorchester and the South End. As word has spread about the Van's success and accessibility, patient volume has steadily increased in the past two years by approximately 5%. The rescreening rate of van patients - 67% in 2012 - demonstrates that Dana-Farber's Mammography Van provides an effective way for women to continually monitor their breast health and to stay connected to the health care system at large. HIGHLIGHTS: 1. Patient Volume: In FY12, Dana- Farber's Mammography Van provided 3,556 mammograms. Since program inception in April 2002, Dana- Farber's Mammography Van has provided more than 34,000 mammograms to more than 16,000 unique patients. 2. Race/ethnicity: The largest racial and ethnic groups seen on the van are Black and Latino. This year, approximately 34% of van patients self-identified as being of Black; 29% as Hispanic/Latino background and 5% as Asian. 3.Primary Language: Over the past year, almost 57% of van patients spoke a first language other than English. Dana- Farber's Mammography Van patients speak over 40 different languages. The top primary languages after English are: Spanish; Cape Verdean Creole; Haitian Creole; Vietnamese and Portuguese. 4. Boston Residence: 63% of van patients hail from Boston and 37% from the rest of Massachusetts. The Boston neighborhoods include: Dorchester; Mattapan; Roxbury; Hyde Park; Roslindale; and Jamaica Plain. 5. Breast Cancer Diagnoses: 92 breast cancer diagnoses have been confirmed for patients originally screened on Dana- Farber's Mammography Van since program inception, April 2002. For every 1,000 mammograms conducted on the van, 2-3 women are diagnosed with breast cancer (0.27% diagnosed). 6. Re- screening Rates: 67% of patients screened on the van were returnees from prior years; 42% of van patients returned for re-screening in a "timely" manner (12-18 months from last screen). 7. Baseline Mammograms: 11% of van patients served this year had their baseline (first-ever) mammograms on the van. 8. Follow-Up Rate: 360 patients (10%) screened on the van in the past year received a recommendation for follow-up. 9. Insurance Status: Over the past year, the insurance status of van patients was: 2% uninsured; 66% publicly insured (Medicare, MassHealth, Health Safety Net, etc); and 32% privately insured. Open Door to Health: A Peer Led Cancer Prevention and Early Detection Program(ODH): The ODH program was enhanced in response to the Community Health Needs Assessment findings and community partners input. The number of peer leaders increased to 3 at each of the 4 participating housing developments: Madison Park, Mission Park, Orchard Gardens and Ruggles Shawmut. Moreover, we re-directed our focus to a geographic area, Roxbury, and worked toward addressing barriers to healthy living in the community's built environment. Roxbury is an area with higher cancer mortality and lower screening rates when compared to other Boston neighborhoods. As a result, we have strengthened relationships with significant CBOs serving Roxbury, such as Madison Park Development Corporation (MPDC), Central Boston Elder Services and Roxbury Tenants of Harvard (RTH). ODH also provided funding to support the Orchard Gardens Community Garden, and a Community Supportive Agriculture (CSA) program to increase access to fresh vegetables among housing development residents. In addition, the program supported walking clubs and on-site exercise classes like Zumba. In the area of cancer screening, peer leaders conducted a targeted outreach to Chinese speaking residents to increase knowledge of the importance of CRC screening. Evidence-Based Training: We continued to provide Evidence-Based training to community-based organizations and expanded beyond Boston to conduct trainings in Lawrence, Brockton and Lowell. The trainings teach participants how to choose, customize, and localize an evidence-program to meet community and organizational needs. Sixty (60) individuals were trained. United Way/Jimmy Fund Collaborative: The Collaborative continued funding the Community Tobacco Control through Youth Civic Engagement Program. The program engaged 4 youth serving agencies to take action for policy change or enforcement on a specific issue within one of two areas: (1) reducing minors' access to tobacco, or (2) increasing tobacco-free spaces (e.g. housing). In 2012, the agencies engaged over 40 youth in the program offering summer and year-long jobs. One of the agencies has been focusing on promoting smoke-free housing in Boston's Chinatown. The youth have been working on the logistics of introducing smoke-free housing, developing new communications for tenants - such as no-smoking signage written in Chinese - and introducing Chinese-language educational sessions and smoking-cessation programs. Other agencies have been working with local stores to support the enforcement of the Youth Access Regulation passed last year. Faith-Based Colon Cancer Prevention Education Outreach Program: This new program partners with six (6) Black and Latino churches located in the Boston area. The goal of the program is to bring colon cancer prevention education to increase knowledge about the importance of colon cancer screening among church members. In addition, it provides activities to increase physical activity and weight management. In 2012, the program conducted 13 screenings, 36 exercise and 9 weight management activities across the 6 churches. Prostate Cancer Education and Screening Program: DFCI's Prostate Cancer Outreach Program is part of a collaborative effort to provide the Greater Boston community with prostate cancer information, education and screening. Collaborations with the Prostate Health Education Network (PHEN), community health centers and other community based organizations make it possible for DFCI's Prostate Cancer Education and Screening Program to educate and offer screening, patient navigation and support group resources to men at risk for prostate cancer at community based organizations or on the Blum Family Resource Van. In FY 2012, the program began a strategic shift to reflect a changing healthcare environment. The individual mandate for health insurance in Massachusetts has reduced access barriers to healthcare. In order to be more consistent with State healthcare reform, the program is embracing a more collaboration-oriented model which will provide technical assistance to providers, offer community education through more formalized local partnerships, and identify more opportunities to increase awareness about clinical trials. In FY 2012, the program established a clinical trials education component, which featured in-service sessions at community health centers and monthly webcasts through the PHEN partnership and began to establish a partnership with the Mattapan Community Health Center (MCHC) to establish a Prostate Cancer Care Collaboration model. This initiative seeks to establish standards of care in Prostate screening and treatment options for high-risk men served by MCHC. Additionally in FY 12, the program had 55 event requests, of which 44 were conducted, for prostate education and screening services. Of the 44, 31 were education only and 13 of them were education and screening events that were supported by a clinician. At these events a total of 931 men were provided prostate cancer education and 138 men were provided with both the education and screening. Following screening results, 6 men Community Education and Partnerships In 2012, Dana-Farber partnered with YMCA Training Inc. and other community based pre-employment training programs to identify unemployed and underemployed skilled adults in the community. The experiences included a combination of on-the-job training and classroom learning, career counseling, and other skill building activities. To encourage underrepresented students of color to explore and pursue careers in health and science, DFCI maintains educational partnerships with Boston area high schools and colleges. DFCI works closely with Fenway High School; Madison Park Technical Vocational High School - Allied Health and Human Services Academy and the John D. O'Bryant School of Math & Science. During the 2011 - 2012 academic year 20 students participated in a college and career readiness student training program. An additional 40 students were enrolled during the summer for a total of 60 student interns. Eligible students either attended or graduated from Boston Public Schools. During the 7-week summer program, students interned 30-hours/week and participated in college tours and career readiness workshops. DFCI actively participates in school-to-career programs with the Boston Private Industry Council (PIC). One such program includes Groundhog Job Shadow Day, where students shadow DFCI employees learning about careers in healthcare and specific job responsibilities, as well as the skills and training needed for the position. In addition, this year we hosted 22 middle school students from our partner school, John D. O 'Bryant in partnership with Harvard Medical School's Office of Diversity and Community Partnerships. DFCI staff also participates in school-based events, including Fenway High School's annual career fair, where staff lend their expertise in mock interviews and career panels. Other school and community partner programs in which DFCI engages Boston's high school population include Sociedad Latina's Health Careers for Youth internship program, the Youth Enrichment Services Career Exploration Program, the "Explorations" lab science exposure program with Harvard Medical School's Office of Diversity and Community Partnership, and the Gateway to the LMA at the John D. O'Bryant School of Math and Science. Part VI, Line 6- Affiliated Healthcare System DFCI is not part of an affiliated health care system. Part VI, Line 7 - States where a community benefit report is filed Massachusetts true MASS GENERAL HOSPITAL RESEARCH FINANCE 550-1001 50 Staniford Street BOSTON MA 02114 042697983 501(c)(3) 5521620 CANCER RES & DEVELP HARVARD UNIVERSITY Department Of Statistics 1 Oxford St Science Center CAMBRIDGE MA 02138 042103580 501(c)(3) 7569380 CANCER RES & DEVELP Professorship The BROAD INSTITUTE Inc 7 Cambridge Center CAMBRIDGE MA 02142 263428781 501(c)(3) 1404249 CANCER RES & DEVELP BETH ISRAEL DEACONESS MEDICAL CENTER Harvard Medical School Dept of Path D627 200 Longwood Av BOSTON MA 02115 042103881 501(c)(3) 2439154 CANCER RES & DEVELP CHILDREN'S HOSPITAL OF BOSTON 300 Longwood Ave BOSTON MA 02115 042774441 501(c)(3) 68049 CANCER RES & DEVELP EMORY UNIVERSITY SCHOOL OF MEDICINE 1784 NORTH DECATUR ROAD Suite 530 ATLANTA GA 30322 580566256 501(c)(3) 1098286 CANCER RES & DEVELP IMMUNE DISEASE INSTITUTE 3 Blackfan Circle CLSB-Third Floor BOSTON MA 02115 042158520 501(c)(3) 690924 CANCER RES & 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(DFCI) is responsible for the programmatic, administrative and financial monitoring of all awards made to sub-recipients under federal and non-federal sponsored projects. DFCI has the obligation, throughout the life of the award, to monitor the activities of sub-recipients to make certain that project objectives are completed and all funds are used for authorized purposes in compliance with applicable laws, regulations, and provisions of the prime contracts or grant agreements. Office of Research Accounting will monitor sub-recipients through OMB Circular A-133 reports. On a semi-annual basis, we will request certification of the OMB A-133 audit report from each sub-recipient. Circular A-133 requires that annual audits be completed within nine months of the end of the sub-recipients audit period. To this end certification letters must be prepared and distributed to every sub-recipient working on any externally sponsored award. The certification letters must be prepared and distributed annually, by June 30 of each year, requesting information about the sub-recipients' most recent completed fiscal year. The certification letters require the sub-recipient organization to state that the information they are providing fairly presents the standing of the organization in all material aspects and that they state one of the following [see Attachment A, page 1]: -They are subject to the requirements of A-133, the audit has been completed and there were no material conditions of non-compliance with federal regulations. -They are subject to the requirements of A-133, the audit has been completed, exceptions were noted and a copy of the audit report is provided. -They are subject to the requirements of A-133 but the audit has not been completed. -They are not subject to the requirements of A-133 because the organization did not receive $500,000 or more in federal awards during the fiscal year, is a for-profit corporation, or is a non-U.S. based entity. Follow up requests will be made to ensure that sub-recipients send reports: -Should no response to the certification letter be received within 60 days, a second certification letter will be sent. Should no response to the second letter be received within 30 days, the sub-recipient will be contacted by telephone. -If reports are not received, the Federal Audit Clearinghouse (FAC) Internet data dissemination system will be used to retrieve audit report information from the FAC database. This information will be reviewed to determine if an organization has any reportable conditions and/or audit findings required to be reported under OMB Circular A-133, subpart E, section .510(a). -Should attempts continue to be unsuccessful, the Director of Research Administration, in conjunction with Director of the Research Accounting will consider sanctions against the sub-recipient, including termination of the subcontract. Research Accounting will review all available information for compliance issues pertaining to funds from A-133 reports. The Director of Research Accounting will be notified of any compliance issues that pertain to funds passed through the Institute and will request corrective action plans from the management of the organization to determine if proper action has been implemented. Management will determine corrective action on deficiencies identified in audits and sub-recipient monitoring. The monitoring of sub-recipients, not subject to Circular A-133, will be based upon the judgment of management and will include such factors as the size of the award, percentage of the total program's funds awarded to the sub-recipient, budget adherence, any issues identified in the pre-award review, and other matters as deemed necessary. The complete Sub-Recipient Policy is available upon request. X X false true X X X X X false true false false false false false false false Bartel Sylvia 208035 0 13910 0 -5288 0 0 0 39031 0 255688 0 0 0 Benz Edward J JR MD 722122 127433 188492 0 148598 0 172422 0 47362 0 1278996 127433 0 0 Boskey Richard S ESQ 428523 0 47538 0 33859 0 0 0 53701 0 563621 0 0 0 Constantine Michael MD 592533 0 266158 0 72119 0 0 0 44064 0 974874 0 0 0 Griffin James D MD 513549 0 56965 0 52108 0 78178 0 47188 0 747988 0 0 0 Herring Thomas 178572 0 40000 0 -992 0 0 0 21217 0 238797 0 0 0 Iglehart James MD 487351 0 0 0 48606 0 0 0 36064 0 572021 0 0 0 Kaddis Mona MD 533279 0 171036 0 69141 0 0 0 31615 0 805071 0 0 0 Nadler Lee MD 510553 0 59346 0 53217 0 0 0 46449 0 669565 0 0 0 Nathan David G MD 223871 0 0 0 10279 0 0 0 34634 0 268784 0 0 0 Papola Maria 258787 0 17304 0 -6510 0 0 0 32167 0 301748 0 0 0 Paresky Susan 477050 0 88465 0 47161 0 0 0 47147 0 659823 0 0 0 Porter Janet 497350 0 55174 0 53995 0 0 0 41395 0 647914 0 0 0 Puhy Dorothy 497350 0 55174 0 52742 0 0 0 37561 0 642827 0 0 0 Reid Ponte Patricia RN 319908 0 35489 0 11357 0 0 0 49463 0 416217 0 0 0 Rollins Barrett J MD PHD 487200 0 54048 0 48365 0 0 0 42134 0 631747 0 0 0 Sallan Stephen E MD 399516 0 44321 0 38376 0 0 0 55974 0 538187 0 0 0 Shulman Lawrence N MD 487200 0 67944 0 52797 0 0 0 47374 0 655315 0 0 0 BIRD KAREN 319908 0 35489 0 6416 0 0 0 54328 0 416141 0 0 0 Kantoff Philip MD 461807 0 58069 0 46993 0 0 0 59340 0 626209 0 0 0 PART I, LINES 1A Tax indemnification and gross-up payments The following individuals received tax gross-up payments during the year that were associated with DFCI's 457(f) plan and were treated as taxable compensation: Benz, Edward J. JR., MD Boskey, Richard S., ESQ Porter, Janet Puhy, Dorothy Bird, Karen Griffin, James D., MD Paresky, Susan Reid Ponte, Particia, RN Rollins, Barrett, MD, PHD Sallan, Stephen E., MD Shulman, Lawrence N., MD Constantine, Michael, MD Kaddis, Mona, MD Nadler, Lee, MD Iglehart, James,MD Kantoff, Philip, MD Membership Dues DFCI paid membership dues on behalf of the Sr. VP of Development, at the Harvard Club in Boston, MA. The club membership is used for a variety of reasons as this position's responsibilities are those of fundraising. This membership provides use of space as well as important networking opportunities. DFCI also paid for a membership for a former President of DFCI (Trustee), for networking purposes. Both memberships were utilized for business purposes, and therefore neither was included in taxable income. PART I, LINE 1B In general, DFCI does not pay for membership dues for its Trustees, Officers, Employees, etc. However, under these 2 particular circumstances it was determined by the President that these were appropriate expenditures and in the best interest of DFCI. Schedule J, Part 1, Line 4b The following individuals participate in DFCI's 457(f) plan; taxable amounts are included in reportable compensation in Schedule J, Part II, Column (B)(iii): Name: Benz, Edward J. JR., MD 51,575 Boskey, Richard S., ESQ 15,656 Porter, Janet 21,528 Puhy, Dorothy 21,528 Bird, Karen 6,391 Griffin, James D., MD 22,910 Paresky, Susan 19,797 Reid Ponte, Particia, RN 6,391 Rollins, Barrett, MD, PHD 20,662 Sallan, Stephen E., MD 13,182 Shulman, Lawrence N., MD 20,662 Constantine, Michael, MD 29,648 Kaddis, Mona, MD 24,593 Nadler, Lee, MD 22,654 Iglehart, James, MD 20,675 Kantoff,Philip, MD 18,496 Mass Health and Educational Facilities 042456011 57586CZ24 2008-05-22 296490068 See Part VI false false false Massachusetts Development Finance Agency 043431814 2012-07-02 57500000 See Part VI false false false 57500000 0 301721609 8113400 4119476 0 2015100 116494 0 90335422 197021718 0 2011 true false true true 0 0 57500000 0 0 0 0 0 0 0 57500000 0 2012 true false true true false false true true true true 0.00000 0.00000 0.00000 true false false true true true true 0 true false true true Morgan Stanley 39.8 false false true Trinity Funding 2.8 true false false false true true morgan stanley 39.8 false false false 0 false true X Part I (Bond Issues): 0 A (a) Issuer name: Massachusetts Health and Educational Facilities Authority, succeeded by Massachusetts Development Finance Agency Part IV (Arbitrage): 0 A 3(b) Name of provider: Morgan Stanley Capital Services, Inc. B 3(b) Name of provider: Morgan Stanley Capital Services, Inc. A 4(b) Name of provider: Trinity Funding Company, LLC Patricia Reid Ponte Tuition Assistance X 117395 35895 false true true Stephen Sallan Tuition Assistance X 262081 124966 false true true Dorothy Puhy Tuition Assistance X 197953 20229 false true true Lee Nadler Tuition Assistance X 403154 72654 false true true Edward Benz Housing Loan X 600000 361666 false true true Karen Bird Tuition Assistance X 49550 44700 false true true Phillip Kantoff Tuition Assistance X 216345 197468 false true true 857578 New England Patriots See Part V See Part V false Nstar See Part V 824550 See Part V false Liberty Mutual See Part V 607127 See Part V false ONCOPEP See Part V See Part V false Acetylon Pharmaceuticals See Part V See Part V false Jane Weeks MD Spouse of Key Employee 414568 Compensation false Part IV None of the Trustees listed below vote on transactions that may be perceived as a conflict. Robert Kraft is the owner of the New England Patriots. The Patriots' practice field is named for DFCI (at no cost to DFCI). Although the value of goods and services exchanged between DFCI and the New England Patriots is under the reporting threshold, DFCI reported the relationship in any event. Gary Countryman is a Director of Nstar. Dana-Farber purchases utilities from Nstar Electric and telecommunication services from Nstar Communications. Gary Countryman is a Director, former CEO, & Chair Emeritus of Liberty Mutual. DFCI purchases some of its insurance through Liberty Mutual. Marc Cohen is on the board of and owns stock in OncoPep. Dana-Farber licensed technology to OncoPep DFCI received shares in Oncopep in exchange for the license. Eventually DFCI could receive royalty payments from OncoPep, if the licensed drug reaches profitability. DFCI and trustees' ownership interest is less than the 35% reporting threshold. Marc Cohen is the Chairman of the Board of Acetylon Pharmaceuticals. Marc Cohen, Robert Kraft, and Rebecca Sanders own directly or indirectly interests in Acetylon Pharmaceuticals. Trustees' total interest is less than the 35% reporting threshold. DFCI licensed technology to Acetylon. DFCI has the right to receive stock in Acetylon. DFCI has not yet received any payments related to the license. In FY12, Acetylon did make payments for sponsored research to Dana Farber/Partners Cancer Care totaling $227,495. It is likely DFCI was allocated a portion for this amount for clinical trials conducted at DFCI; however this amount is not traceable. Dana-Farber Inc., an organization related to DFCI, holds interests in alternative investments managed by Berkshire Partners LLC. Richard Lubin owns >5% of Berkshire Partners LLC. Dana-Farber Inc., an organization related to DFCI, holds interests in alternative investments managed by an affiliate of Bain Capital. Joshua Bekenstein is a partner of Bain Capital. X 784280 Letter from Donor X 19 186471 Letter from Donor X ADVERTISING 11 3124830 Letter from Donor X Sports Tickets/Memorabilia 3 205671 Letter from Donor X Event Venue/Production 12 74873 Letter from Donor X Miscellaneous 12 116369 Letter from Donor false true false Schedule M, Part I, Line 33 DFCI received donations of art, books, and other goods that it displays in its properties. These goods have values that are either nominal or are not readily determinable, and are therefore not included as revenue. Part VI, Question 2 Business & Family Relationships Family Relationship: David Perini, Eileen Perini, and Daughter Jennifer Perini Family Relationship: Richard Smith, Susan Smith, and Daughter Amy Berylson Family/Business Relationship: Scott Kafker and Neal Curtin (Bingham McCutchen) Part VI, Question 11 Process used to review the Form 990 The Form 990 is prepared by the Tax Department and independently reviewed by Ernst & Young, LLP for technical tax issues. After the Tax Department and Ernst & Young, LLP finalizes the returns, The Chief Financial Officer of the Organization meets with the Tax Department to review the entire tax return in detail. If any changes need to be made, the Tax Department will make the changes in accordance with the CFO. After the CFO approves the return, certain sections are taken to Board Committees for a more detailed analysis. For example, the Board Compensation Committee reviews all information related to compensation in Part VII and Schedule J. Once the return has been through the committees who review certain sections, the tax return is presented to the Audit Committee for review and approval. After the audit committee approves the tax return, an electronic message is sent to all Board members with a secured link to the tax return. The Board has the opportunity to review the return and if any issues arise, they can bring them to the appropriate executive management individuals. A final version of the form is made available to the Board before filing with the IRS. The return is only filed after each of the steps in the review process is complete. Part VI, Question 12c Monitoring & Enforcement of Conflict of Interest Policy The Office of General Counsel, the Assistant Secretary of the Board, and the Tax Department drafts a Conflict of Interest Disclosure Questionnaire each year and has all trustees, officers, and key employees fill out a questionnaire in regards to their personal situation and personal and business relationships. The Assistant Secretary compiles the list of Disclosures and gathers financial data from the Accounts Payable and Payroll Department for all organizations, employees, independent contractors, and other miscellaneous transactions which were disclosed by all individuals. Once all of this information is compiled, the Office of General Counsel and the Tax Department goes through each transaction and disclosure to determine what needs to be disclosed on the tax return. The Tax Department and the Office of General Counsel also discusses if there are any other known transactions that have not been disclosed. If there are any questions regarding such situation, the Office of General Counsel and the Assistant Secretary will discuss the questions with the individual trustees involved. In addition the process described above, the governance committee of the board of directors annually reviews any new conflict of interest disclosures and they address any issues that may arise. The governance committee is also responsible to bring any major issues related to the conflict of interest policy to the executive committee and the entire Board if deemed necessary. Per DFCI's conflict of interest policy, in order to avoid a conflict of interest or an appearance of a conflict of interest: 1. A Trustee should not participate in a vote on a transaction in which the Trustee or family member has a financial interest and should disclose any potential conflict before DFCI acts on the transaction. 2. A Trustee, a member of his or her family, or an entity with which one or more of them has a material interest, may not do business with DFCI unless expressly authorized by DFCI after full disclosure. 3. A Trustee should fully disclose his or her association (including employment, consulting, or membership on a governing board by the Trustee or a family member) with an entity that competes with or has interests conflicting with those of DFCI and should refrain from participating in any vote of other the organization if the vote affects DFCI. Once a disclosure has been made, DFCI's Office of General Counsel reviews such conflict and may discuss the matter with the appropriate parties. The Office of General Counsel will then review the matter with the Chairman of the Board. Final decisions are made with the chairman and possibly the Board's Executive Committee. Part VI, Question 15a Process for determining compensation of President Per DFCI's Executive Compensation Philosophy, annually the Compensation Committee of the Board of Trustees reviews the President's (DFCI's Chief Executive Officer) performance and makes a recommendation regarding compensation to the Executive Committee. The Executive Committee acts on the recommendation. To determine the recommendation and to ensure compliance with the Philosophy, the Compensation Committee bi-annually commissions an independent review by a third party organization to compare such compensation with that of other similarly situated individuals in the healthcare field in and outside of the region. The decision of the Executive Committee is reported to the full Board. Annually, following the filing of Form 990s, DFCI compares the information it reports for its President to the compensation of Presidents/CEO's at other area healthcare organizations as well as other institutions that are considered designated comprehensive cancer centers. The Board completed this process as of June 26, 2012. Part VI, Question 15b Process for determining compensation of officers and key employees Per DFCI's Executive Compensation Philosophy, annually the DFCI President reviews the performance of Officers and Key Employees and makes a recommendation as to their compensation to the Compensation Committee of the Board of Trustees. The Compensation Committee establishes compensation for those individuals based on that recommendation. To determine the recommendation and to ensure compliance with the Philosophy, the Compensation Committee bi-annually commissions an independent review by a third party organization to compare such compensation with that of other similarly situated individuals in the healthcare field in and outside of the region. The decision of the Compensation Committee is reported to the Executive Committee of the Board of Trustees and to the full Board. Annually, following the filing of Form 990s DFCI compares the compensation of these individuals with those at other area healthcare organizations as well as other institutions that are considered designated cancer centers. Part VI, Question 19 Availability of Governing Documents, Conflict of Interest Policy, and Financial Statements to the Public Governing Documents - Governing Documents - We currently provide the governing documents upon request. The Governing Documents are also available to the Public on the Secretary of the Commonwealth's website. Conflict of Interest Policy - DFCI's Conflict of Interest Policy can be found within its Code of Conduct, which is available on its website. Financial Statements - The organization uses the services of Digital Assurance Certification LLC (DAC) to report annual audited financial statements and other relevant organizational information as required by certain regulatory and tax laws. DAC is a website (www.dacbond.com) free to the public that publishes tax-exempt bond issuers' financial and legal documents such as the Audited Financial Statements. Fiscal Year 2001 through the latest issue date of the Audited Financial Statements for Dana-Farber Cancer Institute, Inc. can be found on the DAC website. PART XI LINE 5 OTHER CHANGES IN NET ASSETS CHANGE IN INTEREST IN ASSETS HELD BY AFFILIATE $66,909,000 CHANGE IN VALUE OF SWAP AGREEMENT ($4,965,185) PENSION ADJUSTMENT ($3,041,744) OTHER CHANGES IN NET ASSETS ($3,016,260) HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Benz, Edward J. JR., MD TITLE:Trustee, Pres & CEO HOURS:8 Dana-Farber Inc 450 Brookline Avenue BP418 BOSTON MA 02215 043102433 INVEST MGMT MA 501(c)(3) 11A, TYPE 1 DFCI true DANA-FARBER TRUST INC 450 Brookline Avenue BP418 BOSTON MA 02215 300195757 DFCI RE MGMT MA 501(c)(3) 11A DFCI true DANA-FARBERPARTNERS CANCER CARE INC 450 Brookline Avenue BP418 BOSTON MA 02215 043320640 ONCOL SUP ORG MA 501(c)(3) 11c FI DFCI false RMSA TRUST 450 Brookline Avenue BP418 BOSTON MA 02215 562656539 RETRMT TRUST MA 501(c)(9) DFCI true Friends of Dana-Farber Cancer Institute 450 Brookline Ave BP418 Boston MA 02215 371613621 Fundraising MA 501(c)(3) 11A, TYPE 1 DFCI true Dana-FarberChildren's Hospital Cancer C 450 Brookline Ave BP418 Boston MA 02215 043554536 Pediatric Onc MA 501(c)(3) Type 1 NA false Dana-Farber Master Tr for Retirement Pl 450 Brookline Ave BP 418 Boston MA 02215 466487094 RETRMT TRUST DFCI true DANA-FARBERPARTNERS CANCER CARE 450 Brookline Avenue BP418 BOSTON MA 02215 043402364 ONCOLOGY PTNR MA Related 38436300 false 0 0.50000 false true true false false false false false false false true false true true false false true true Dana-Farber Partners Cancer Care Inc n 127433 CASH Dana-Farber Partners Cancer Care Inc k 21716975 CASH Dana-Farber Partners Cancer Care Inc Q 353990 cash Dana-Farber Inc Q 8886096 CASH Dana-Farber Inc R 161327424 CASH Friends of Dana-Farber Cancer Institute Inc N 166663 MKT Comparables RMSA Trust Q 507747 CASH Dana-FarberChildrens Hospital Cancer Care Q 269391 Actual Expense Friends of Dana-Farber Cancer Institute Inc b 50000 Cash Friends of Dana-Farber Cancer Institute Inc C 580030 Cash Dana-Farber Master Trust for Retirement Plan Q 494000 cash